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Late Morning Breakouts (1.0/1.25 CEUs)

10:50a - 11:50/12:05p (12:15p)

PBJ, 5-Star, & Quality Measures and Real-time Staffing Star Management
John Sheridan
The Ability Network

THIS PROGRAM will conclude at 12:05p and provide 1.25 CEUs.


During this program, participants will:

  • Review April 2018 PBJ Connection to 5-Stars

  • Published by CMS May 2018

  • Ask what is the value for managing staffing stars in real time

  • Discuss evaluating your staffing relative to peers and your historical trends on critical set of performance measures

  • Describe the impact of your staffing for care on quality and possibly average cost per beneficiary calculations

  • Share learning in case study example and discussion

John Sheridan, MHSA,FACHE  is Vice President of the ABILITY Network.  John’s experience uniquely informs him as strategic thinker whose products serve long term care professionals in and across the US. He and a great clinical and information sciences team built eHealth Data Solutions starting in 2001 with CareWatch, 2003 with RiskWatch, 2009 with UBWatch and with Ability Network in 2016 CareWatch PBJ.  These “watch” products serving thousands of LTC professionals and centers throughout the care continuum.  Prior to ABILITY, John has served as a founder of eHealth Data Solutions, as an employee/manager with the Ross Division of Abbott Labs, Vice President for the Lutheran General Health System (now Advocate Health System), Manager with Arthur Anderson, data analyst with Kaiser Permanente of Ohio, and for a decade, consultant with John Sheridan & Associates.  He was raised & educated in Upstate New York and has a BS degree from St. John Fisher College and a Master’s Degree from the George Washington University. 

Managing Behaviors Through Person-Centered Care Planning
Sarah Rangone
Coretactics Healthcare Consulting

THIS PROGRAM will conclude at 12:05p and provide 1.25 CEUs.

This is an excellent session for those interested in reducing behaviors to improve quality of care. The misuse of antipsychotic drugs as a chemical restraint is one of the most common, but preventable, practices causing harm to nursing home residents today. The best approach to ensure quality care and avoid inappropriate psychoactive medication use is through effective person-centered care planning. To meet federal quality of care and safety standards, skilled nursing facilities are required to assess each resident individually and develop an appropriate plan of care.

Learn effective strategies, including the use of music therapy, to help staff care for residents experiencing behaviors and improve resident/family/staff satisfaction as well as your CMS Five Star for antipsychotic use.

Sarah Ragone is the Vice President of Reimbursement & Education for Coretactics Healthcare Consulting.  She is a dynamic speaker who uses her expertise and passion for teaching to bring education to the forefront.  Her 19 years of experience in long term care allows her to present realistic and practical approaches to sustainable improvements in quality of care and reimbursement. She uses her knowledge in program development and quality improvement to present a holistic and supportive approach to adult learning that elevates interdisciplinary teams to produce positive results.


Nursing Home Code Sepsis: Getting Ahead Can Save Lives
Tim Boyd, MSN
Qualidigm, NE QIN-QIO

THIS PROGRAM will conclude at 12:05p and provide 1.25 CEUs.


Sepsis remains the primary diagnosis for hospitalized nursing home residents nationwide and here in New Hampshire. Not only is sepsis deadly, it is also a leading cause for amputations. Additionally, patients recovering after a sepsis diagnosis often take longer to get back to their baseline. Early identification and treatment of infections is key to avoiding  hospital transfers and admissions. We will discuss briefly the incidence of sepsis here in New Hampshire and strategies to identify it early. We will introduce a screening tool for early identification and an algorithm to help front line staff manage patients suspected of having an infection that could lead to sepsis.


Participants will:

  • Be able to identify patients at high risk for sepsis

  • Identify the most common signs and symptoms

  • Be able to use the sepsis screening tool

  • Be able to apply the algorithm

Tim Boyd is a Quality Improvement Consultant at the New England QIN-QIO, and has over twelve years clinical nursing, risk management, and quality improvement experience. Prior to joining New England QIN-QIO, Mr. Boyd was a project manager for four quality improvement  projects in conjunction with the Institute for Healthcare Improvement’s Better Health, Lower Cost for Patients with Complex Needs collaboration and a quality improvement specialist for the Medicare quality Improvement Organization for Maine, New Hampshire and Vermont. He has also served as clinical faculty at the University of New Hampshire’s Department of Nursing and has clinical nursing experience as an emergency nurse. 

Mr. Boyd holds an MS in Nursing from the University of New Hampshire, and a BS in Recreation and Park Management from the University of Maine, and spent the early part of his career as a park ranger, photojournalist, and photo editor.


Promote Sleep Hygiene,
Improve Outcomes, and Reduce
Risk in Your Community
Mary Konz, RN

For long-term care Residents, the consequences of poor sleep quality may include: cognitive decline, fatigue and daytime sleepiness, moodiness, depression, falls and reduced quality of life. Frequently these elders may have irregular sleep patterns due to: pain, nighttime incontinence, caregiver interference (awakening Resident to check or change an absorbent product), nighttime confusion and/or disorientation.

This session will explain the study done at Superior Care Home Nursing and Rehabilitation Center in Paducah, Kentucky, which was facing many of these challenges.  They chose to collaborate with industry experts in a clinical study, with the goal of improving overall Continence Care.  Study components included a comprehensive review of operational processes, identification of clinical and financial improvement areas, and establishment of a holistic system for continence management that supported individualized Resident care.


This program outlines the initiatives resulting from this study, specifically on the positive Culture Change that occurred within the Superior Care community as a result of improved Resident care, which led to a better quality of life. Most importantly, this culture change initiative improved Sleep Hygiene through the implementation of new clinical and product protocols.

With more than 25  years of experience in hospital, community home health, and primary care environments, Mary Margaret Konz BSN, RN  is currently the Manager of Clinical Services at Domtar. Past professional experience includes serving with the United States Navy,  practicing as an oncology nurse at  Duke University Hospital and John Hopkins University Hospital, and working as an associate of pharmaceutical clinical research. Most recently, she was the Southeast  incontinence clinical nurse specialist with Medtronic (formerly Covidien) for 8 years. She received her diploma in nursing from Helene Fuld School of Nursing in Trenton, New Jersey and a Bachelor of Science in Nursing from North Carolina Central University in Durham, North Carolina.


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