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Late Morning Breakouts (1.0 CEUs)

11:00a - 12:00n

Building the Best C.difficile Prevention Program

According to recent CDC surveillance, C.difficile infection (CDI) among the elderly continues to result in significant rates of morbidity and mortality. And, CDI is not showing signs of decline. This program will address current understanding of C.difficile prevention and control that will help you to build a smart program in your facility.

 

Questions to be addressed include: What is the "index of suspicion" for C.difficile? How do I decide when to test for C.difficile? How do I keep C.difficile from being transmitted to other residents? What can I do to prevent C.difficile? How do antibiotics and proton pump inhibitors fit into the CDI equation? What does a great CDI program look like today and how do I start to build it?

Presenter:

Margaret Crowley - New England QIN-QIO
Margaret is the New Hampshire State Program Director for the New England QIN-QIO. Margaret's career in nursing spans 40 years in acute care, home care, nursing education, and, most recently, quality improvement. Prior to joining Qualidigm and serving as New Hampshire State Director for the QIN-QIO Program, she worked for 8 yrs with NHCQF, the QIO for Maine, New Hampshire and Vermont. Her main area of focus is healthcare associated infection in both the acute and long term care settings. She is passionate about applying a public health perspective to this work and beliefs that the solution to the problem of C.difficile lies with interconnected facilities working together for a coordinated response.

SB 127:
What it is and how you use it

This program will explain the genesis and benefits of SB 127.

 

Attendees will understand the uses of SB 127 and how to apply the statute's mechanisms for triggering the completion of a Medicaid application, even in circumstances where a resident or the resident's agent refuse to cooperate.

 

Attendees will also understand "best practices" in exercising the authority granted under the statute, including what must be done (and when) to take full advantage of the authority that SB 127 provides.

Presenter:

Charles Powell - Devine, Millimet, & Branch, LLC

 

Charles Powell is a shareholder at Devine Millimet in its Manchester, New Hampshire office, having been with the firm for over 21 years. He has an active healthcare practice in which he advises long-term care facilities with regard to admissions, intake procedures, collections, and regulatory proceedings. Attorney Powell also has been involved in drafting key legislation designed to assist healthcare providers to recover the costs of care under both Medicaid and private pay arrangements, including SB 138 (RSA 151-E:19) and SB 127 (RSA 151-I) . Although much of his time is spent counseling clients to improve their business practices to avoid the need for litigation or collections work of any type, Charles has more than two decades of experience in state and federal courts, enforcing the right to payment where other efforts have failed.

Charles is part of Devine Health, Devine Millimet's healthcare practice group which represents hospitals, long-term care facilities, physician practices, individual practitioners, and agencies responsible for the health and related needs of individuals with developmental disabilities and mental illness.

Building a program of
Resident Hospice Volunteers in Skilled Nursing Facilities

In this program we will share our experience of developing and maintaining a program of resident hospice volunteers in two skilled nursing facilities. These volunteers are residents/patients in the facility who receive hospice training and then serve as volunteers to other residents who are on hospice services.

 

Presenter:

Leanne Tigert, DMIN - Concord Regional VNA

Leanne Tigert, DMIN is the CRVNA Hospice Care Services Manager in which she supervises the Social Workers and Spiritual Care Counselors in patient care, bereavement, and volunteers. She is a Licensed Pastoral Psychotherapist and has a Certificate in Palliative Care Chaplaincy. She is also an Mindfulness-Based Stress Reduction teacher , and has taught at many conferences and groups.

Inner Light, Pt. 2

This program will take place across TWO breakout sessions.  It is highly recommended that attendees register for BOTH sessions in order to fully take advantage of the program.

 

This session will introduce attendees to Kendal at Hanover’s Inner Light Program, our successful person centered program of care. The “Inner Light Doctrine” was defined by Quaker Rufus Jones in 1904. This inner light or spirit gives us passion, meaning and purpose in our lives.   Our focus is to show how residents and staff benefit from maximizing choice, autonomy and comfort, allowing us to foster nurturing relationships in an environment that promotes wellness of mind, body and spirit. Participants will learn how to establish their own resident centered care programs, and ways to inspire staff into engagement and action.

 

The purpose of this session is to teach attendees that an effective person centered care program can achieve measurable improvements in quality of care and quality of life for residents living in long term care.  Attendees will be able to view a complete actualized program that has grown into maintenance stage development with real goals achieved in areas of anti-psychotic reduction, pain management, and staff and resident satisfaction, and leave with the tools to begin necessary changes in their own facilities.

This presentation will be an interactive and thoughtful discussion about the ways that care givers can partner with residents to encourage their inner light.

 

The presenters are prepared to reach the audience through explanation of the real life application of a successful person centered care model, and provide tools to the attendees to help them replicate this kind of success in their own facilities.

 

Presenters:

Laurie Flynn, RN - Kendal at Hanover
Laurie Flynn is the Director of Nursing for Kendal at Hanover, completing her sixteenth year at Kendal in June20 15. Laurie graduated from the David Hale School of Practical Nursing in 1976 and formally finished her education with River Valley Technical College and her Bachelors of Science in Health Care Administration and Case Management from Granite State University in 2001. She is a Certified Director of Nursing Management in Long Term Care (CDONA/LTC) and holds her Nursing Home Administrators License (NHA) in the state of NH. Laurie has worked tirelessly within Kendal system around quality of life initiatives for Kendal at Hanover residents, culminating in the Inner Light Program.   

Erica Myers - Kendal at Hanover

Erica Myers is the Life Enrichment Program Director for Kendal at Hanover.  She began her career at Kendal working in the Adult Day Program as an activity coordinator in 2005, then as an Activity Specialist for the Health Center and finally as the Director of the department, where she has been for the past 8 years.  Erica received her Bachelors of Science in Human Development & Family Studies from the University of Connecticut with a minor in both Gerontology and Psychology in 2001, and also holds a certification as an Activity Director by the National Activity Professionals Council.   Erica has developed the “Life Enrichment Program” at Kendal which centers around supporting residents’ current recreational pursuits coupled with their life histories and cultural backgrounds to provide engaging programs and learning opportunities.  Her special interests include wellness programs (both physical & cognitive) for those with memory impairment and holistic approaches to care such as music therapy, horticulture, and pet therapy

Hailey Weatherbee - Kendal at Hanover

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