The Results are in…

Since its launch in 2003, The Georgia Nursing Home Quality Initiative and its companion Medicaid performance incentive program have logged measurable improvements in satisfaction levels, workforce stability, and clinical outcomes. This program stands alone as the nation’s longest-running and uninterrupted state endeavor to consistently include the perceptions of nursing home residents, their families, and the workers who care for them in a strategy to measure and improve overall performance.
My InnerView currently conducts regular customer and staff satisfaction surveys in nearly half of the nation’s long term care facilities, once again, Georgia outcomes largely exceeded national results, both in response rates and overall satisfaction levels. You may review Georgia’s results below:
Satisfaction Survey Participation in 2014 –Georgia Nursing Facilities

Survey Type
# Facilities
% of state’s
nursing facilities
# Survey
MIV national
response rates*



January 30th, 2015|Newsfront, Quality Corner|

AHCA Announces Webinar

You are invited to attend a special webinar to learn more about the Payment Reform Initiative that AHCA is undertaking.
In June 2014, the Chair of the AHCA Board of Governors appointed a Payment Reform Task Force. The goal of the task force was to develop a viable, proactive and comprehensive vision for payment reform suitable for advocacy with Congress, the Centers for Medicare and Medicaid Services (CMS) and the Congressional Medicare and Medicaid advisory commissions. Task force members developed four criteria to assess the viability of any reform concept the task force might develop:

Improve quality for patients
Provide savings to the Federal government
Frame an implementable system for CMS
Off­er a viable payment system for all providers

Over the course of the summer and early fall, the Task Force members submitted over a dozen reform concept papers. The concepts then were scored and prioritized by the member-driven Task Force. Later in the fall, AHCA delivered a series of webinars targeted to constituency groups. This webinar continues their member Payment Reform Initiative education and vetting process Three dates […]

January 30th, 2015|Newsfront, Reimbursement Corner|

February GHCA Education

February 13 Professional Development/Integrity/Residents Rights Training in Brunswick

GHCA is offering Ethical Issues: Elder Sexuality, Intimacy, and End of Life Care in LTC presented by Nancy Kriseman at the Southeast Georgia Health System Brunswick Campus. To register, please click HERE

February 18 and 25: PEPPER, OSCAR, QMs & 5 Star Reports: How to Interpret, Understand and Utilize These Reports for Positive Results-2 Part Webinar Series

GHCA is offering a two part webinar series:  PEPPER and CASPER (OSCAR) Reports on February 18 and Quality Measures and 5 Star on February 25.  To register please click HERE

February 27:  Preparing for and Navigating the IDR and IIDR Process

In this highly requested program, participants will learn how to prepare for a successful dispute resolution process by setting up discussion points with staff, prioritizing tasks during the survey and organizing their presentation in the IDR / IIDR process. To register please click HERE

January 30th, 2015|Education Updates|

PASRR Edits To Be Turned On

Since the beginning of the Prior Authorization implementation process in 2012, DCH has been challenged with how to best support providers in adapting to this requirement while ensuring the Department is compliant with Federal PASRR Regulations. There have been two previous attempts to implement this requirement with policy remaining in effect requiring prior authorization for nursing facility claims. The Department has provided significant education and technical assistance through webinars, provider workshops, and Medicaid Fair breakouts to providers regarding compliance over the last three years. In the meantime, the Department set certain claims edits to pay instead of deny due to a significant number of claims hitting these edits. We have acknowledged that much of the issues stem from providers’ reliance on a public portal system into which PASRR requests are entered and from which prior authorizations are generated.
After allowing additional time for facilities to rectify any lingering issues in appropriately matching the correct prior authorization number to each resident’s claim over the last year, DCH will turn the following claims edits back on to deny in alignment with the state’s policies that are already in place on April 1, 2015.


January 30th, 2015|Newsfront, Reimbursement Corner|

Georgia General Assembly Back in Session

The 153rd Georgia General Assembly gaveled into session on Monday, January 12, 2015.  The week included the swearing in of all statewide constitutional officers including Governor Nathan Deal, Lt. Governor Casey Cagle, Secretary of State Brian Keep and Attorney General Sam Olens. Meanwhile in the House of Representatives, Rep. David Ralston (R-Blue Ridge) was reelected by his peers as Speaker of the House. The House and Senate Health & Human Services Committee chairmanships will remain in the experienced hands of Rep. Sharon Cooper (R-Marietta) and Sen. Renee Unterman (R-Buford) respectively.
Governor Deal announced that Reps. Robert Dickey (R-Musella) and Terry Rogers (R-Clarkesville) will join Reps. Chad Nimmer (R-Blackshear) and Christian Comer (R-Carterville) on his House floor leader team while Sens. Butch Miller (R-Gainesville), Mike Dugan (R-Carrollton) and John F. Kennedy (R-Macon) will team up with Sen. Bill Jackson (R-Appling) to carry the governor’s bills in the senate.
The Georgia Health Care Association will be perusing an update from the 2012 cost report reimbursement methodology to the 2014 cost report with one year of growth to more accurately reflect the cost being experienced by providers across the state. In addition, to account for rising property cost, the Association will be advocating for an update […]

January 30th, 2015|Legislative, News, Newsfront|

AHCA/NCAL National Quality Award Deadlines approaching

Silver and Gold application deadline: February 12, 2015
(The deadline for Bronze Quality Award applicants passed on January 29, 2015)
Additional info may be found at
Prior year results (2014) for Ga:  29 of 390 Bronze awards; 7 of 77 Silver awarded. These centers were recognized in October 2014 at annual AHCA meeting.  Ga is still pursuing the gold!

Silver Award Winners

Cartersville Heights


Legacy Nursing and Rehabilitation Center


PruittHealth – Forsyth


PruittHealth – Toomsboro


PruittHealth – […]

January 30th, 2015|Quality Corner|

CMS issues revised guidance at F155

On Friday Jan. 23, 2015, CMS sent to AHCA  updated guidance at F-155  – Rights Regarding Refusal of Treatment and Participation in Experimental Research and Advance Directives. 
The updated guidance makes changes related to one area:  CPR Certification.  According to the memo summary:

CPR Certification – Staff must maintain current CPR certification for healthcare providers through CPR training that includes hands-on practice and in-person skills assessment.  Online-only certification is not acceptable

The content of the memo provides additional detail about the certification. 

January 30th, 2015|Quality Corner|

GHCA Kicks Off 2015 with Popular Winter Convention

The Georgia Health Care Association recently kicked off 2015 with a bang as more than 560 long term and post-acute care professionals gathered for the association’s Winter Convention. Among the highlights of the convention were a visit by Lt. Gov. Casey Cagle, recognition of award winners and a sold-out trade show.

This year’s convention featured a broad array of professional development sessions with presentations by Dr. David Gifford, MD, MPH, AHCA’s Senior Vice President, Quality & Regulatory Affairs; Sam Glenn, an award-winning speaker who spoke about recognizing, rewarding, and recharging people for personal and professional success; and, keynoter Dan Thurmon, a recognized expert in delivering peak performances.

Lt. Gov. Casey Cagle addressed the House of Delegates and brought greetings from Gov. Nathan Deal, who was on an economic development trip to the United Kingdom. Cagle praised the association’s membership for their vital work, stressed the importance of GHCA’s advocacy efforts and applauded Jon Howell for his leadership.

Following his remarks, Lt. Gov. Cagle met with the inaugural class of the Georgia Leaders program and congratulated them on the successful completion of their studies. Convention attendees got to know the Georgia Leaders candidates as each one had the opportunity to open a professional development session with a presentation sharing what they had learned by participating in the program.

During the […]

January 30th, 2015|News, Newsfront|

GHCA Wins National ACHCA Award

Georgia Health Care Association has been selected to receive the 2015 American College of Health Care Administrators Champion Award for demonstrating support of, and collaboration with, ACHCA. Specifically, ACHCA will recognize GHCA’s support for the ACHCA Georgia Chapter and the national office through the provision of crucial support of the GA Chapter and the resulting increased membership and member involvement. GHCA was nominated for this award by Steve Fromm, CNHA, FACHCA. GHCA will receive this distinguished honor at the ACHCA 49th Annual Convocation & Exposition being held April 11-15, 2015 in San Antonio. ACHCA GA Chapter and GHCA encourage you to attend as well. You can learn more about ACHCA and how to register for the annual convocation by clicking HERE.

ACHCA GA Chapter has a newly elected slate of officers: Michael Barry, President; Julia Ann Ridgeway, Westbury McDonough; Meriam Deberry, Avalon Health and Rehab; and Cori Reese, Secretary, Green Acres.  The chapter is looking forward to working with all SNF and ALF administrators to meet professional development needs as well as their active participation in the college and the GA chapter.

January 30th, 2015|Awards, News, Newsfront|

2014-2015 Flu Season

The Centers for Disease Control and Prevention’s (CDC’s) webpage on the 2014-2015 influenza season has several materials and resources you might find helpful, including (among others):

A Toolkit for Long-Term Care Employers:  Increasing Influenza Vaccination among Healthcare Personnel in Long-term Care Settings 
Early Estimates of Seasonal Influenza Vaccine Effectiveness — United States, January 2015
Protection from Flu Vaccination Reduced this Season
Are You at High Risk for Serious Illness from Flu?
CDC Health Update Regarding Treatment of Patients with Influenza with Antiviral Medications
CDC-Info on Demand – Reminder Sheets for Flu Shots

January 30th, 2015|Quality Corner|