Improving mds accuracy- disease Diagnosis, Medications and Health Conditions Multimedia Broadcast

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Improving MDS Accuracy- Disease Diagnosis, Medications and Health Conditions

Multimedia Broadcast

October 29, 2004
On October 29, 2004, 1:00-4:00 p.m. EDT, the Centers for Medicare & Medicaid Services will broadcast a three hour presentation via satellite and Internet on Improving MDS Accuracy- Disease Diagnosis, Medications and Health Conditions. The goal of this broadcast is to educate RAI Coordinators and Providers on how to assess resident’s health conditions, Disease Diagnosis and Medications.

This program will be mandatory for Regional Office and State Survey agency RAI Coordinators.





Welcome and Overview

Doris McMillon, Moderator
Thomas Hamilton, Director

Survey and Certification Group, CMSO


Results of D.A.V.E. Findings

Michelle McDonald, RN, MPH DAVE Clinical Consultant,

Joint Commission Resources


Assessing a Resident’s for Section I. Disease Diagnoses

Michelle Dougherty, RHIA, CHP

HIM Practice Manager American Health Information Management Association


Assessing Resident’s for Section J. Health Conditions

Leonard M. Gelman, MD, CMD, Medical Director

Board of American Medical Directors Association


Live Q&A


Mary Pratt, MSN, RN, Acting Director

Division of Ambulatory & Post Acute Care, CMS

Leonard M. Gelman, MD, CMD, Medical Director

Board of American Medical Directors Association
Sheryl Rosenfield, RN-C, Director

Clinical Operations

Zimmet Health Care Services
Judy L. Wilhide, RN, BA, RAI Manager

Commonwealth of Virginia

Rena R. Shephard, MHA,RN, FACDONA, RAC C, President

RRS Health Care Consulting Services


Assessing Residents for Section J. 2 Pain Symptoms

Regina M. Fink, RN, PhD, Clinical Instructor,

Pharmacology and Palliative Care University of Colorado Hospital

Assessing Residents for Section O. Medications

Carla Saxton, RPh, CGP

Professional Affairs Manager

American Society of Consultant Pharmacists

Live Q&A






Michelle L. Dougherty, RHIA

Michelle Dougherty, RHIA is a practice manager with the American Health Information Management Association (AHIMA) serving as a resource to members on professional issues. Prior to joining AHIMA, Michelle specialized in post-acute and long term care where she was a HIM consultant and department manager. Michelle previously served as co-chair of the Medical Records/Information Management Technical Committee at HL7 and a subcommittee chair for the EHR Special Interest Group. She is a frequent speaker and writer on health information issues, regulations, e-HIM, the EHR, documentation, HIPAA, prospective payment systems, billing and coding. She recently won a Gold Award from the American Society of Healthcare Publication Editors for authoring the practice brief -- Starting a Consulting Business. Michelle coordinated a taskforce and wrote the Long Term Care Health Information Practice and Documentation Guidelines – a publication that provides professional guidance to the long term care industry.
Regina Fink, PhD, MSN, BSN

Dr. Regina Fink is a research nurse scientist at the University of Colorado Hospital, Denver. She participated as a co-investigator on an Agency for Health Care Research and Quality grant awarded to the University of Colorado Health Sciences Center, School of Nursing, Improving Pain Management in Nursing Homes. Dr. Fink is a Clinical Instructor in Pharmacology and Palliative Care, serves as a Preceptor/Research mentor to nursing and medical students, and is a clinical consultant to physicians, nurses and pharmacists on difficult to manage pain cases. Her past experiences include working in the oncology field for 25 years and coordinating the acute pain service at the University of Colorado Hospital. Dr. Fink has developed laminated pain assessment and analgesic reference guides that have been used in various health care settings. She is a frequent speaker locally, regionally and nationally on pain, symptom management, and palliative care and has multiple publications including pain and culture, pain assessment in the palliative care setting, and pain in nursing homes. She co-authored the Oncology Nursing Society’s Position Paper on Cancer Pain Management. Dr. Fink received her BSN from Villanova University and MS and PhD in Nursing from the University of Colorado. She is a Fellow in the American Academy of Nursing.

Leonard M. Gelman MD CMD

Dr. Leonard Gelman is the Medical Director for 4 long- term care facilities in the capital district area of New York State. He is the treasurer and he is on the board of directors with American Medical Directors Association. He was also the immediate past president of the New York Medical Directors Association and past chairperson of the American Medical Directors Certification Program. Dr. Gelman is a clinical instructor in Community and Family Medicine at the Albany Medical College. In addition he has 20 years of private practice in Saratoga Springs, New York

Michelle McDonald, RN, MPH

Michelle McDonald has 25 years of clinical and administrative experience in the health service industry. Has acquired substantial practical expertise in the acute, post-acute and long term care arenas within public and private sector. Specializes in the establishment, development and oversight of a myriad of programs such as Nursing Homes, Assisted Livings, Home Health Services and Care Management Initiatives.

Mary Pratt, MSN, RN

Mary Pratt is the Acting Director, Division of Ambulatory and Post Acute Care for the Centers for Medicare & Medicaid Services working in the Quality Measurement and Health Assessment Group. Her CMS career started in 1985. She has a Bachelor’s degree in nursing from George Mason University in Fairfax, Virginia and a Master of Science in Mental Health Nursing from the University of Virginia at Charlottesville. She is a member of the MDS 3.0 project development team, a project officer for a contract with the University of Minnesota to Measure the Quality of Life for Residents in Nursing Homes and a member of team managing the Quality Improvement Organization Support Contractor for the nursing home setting. Ms. Pratt has extensive background in quality measurement including co-leading the SNF PPS quality measurement review 6-state pilot project, development of the National Medicare Quality Indicator System for hospitals, and participating in the Mega Quality Indicator project.
Sheryl B. Rosenfield, RN-C

Sheryl Rosenfield is a certified gerontological nurse and the Director of Clinical Operations for Zimmet Health Care Services. She has been involved with MDS implementation since 1990 and continues to work with various state and national associations to provide training for the MDS. She served on the Centers for Medicare and Medicaid Services’ Technical Expert Panel, a task force that was mandated by the Balanced Budget Act of 1997 to evaluate the implementation and impact of PPS on SNF’s. She worked on with CMS on the Quality Measures Satellite Training in 2002. Sheryl has worked with several QIO’s specific to the medical review process in addition to working with individual facilities in a myriad of states. She is a founding member of the American Association of Nurse Assessment Coordinators (AANAC) and currently serves on their Board of Directors.

Carla Saxton, RPh

Carla currently serves as Professional Affairs Manager of the American Society of Consultant Pharmacists. She earned a BS degree in Pharmacy from Butler University in Indianapolis. While there, Carla was selected into the Rho Chi Pharmaceutical Honor Society. She also has passed the Certification of Geriatric Pharmacy exam and is recognized as a “Certified Geriatric Pharmacist.” Carla develops and disseminates information to ASCP members to assist them in providing pharmaceutical care and pharmacy services to older adults in a variety of settings. She has worked in a variety of pharmacy settings including independent, retail pharmacy; long-term care dispensing; long-term care consulting; and long-term care IV services. She currently serves as a representative to the National Coordinating Council on Medication Errors Reporting and Prevention - where she serves as Chairperson for the Practice Subcommittee, Campaign for Quality Care, the Pharmacy Career Information Clearinghouse, and the SOS-Rx Coalition.

Rena R. Shephard, MHA, RN, FACDONA, RAC C

Rena Shephard is the president of RRS Healthcare Consulting Services in San Diego, providing long term care consulting and training services to facilities, corporations, and attorneys nationwide. She also serves as a consultant to several CMS MDS related projects and to California’s Quality Improvement Organization. Ms. Shephard, who is the chair of the American Association of Nurse Assessment Coordinators, was a Director of Nursing Services in skilled nursing facilities for 14 years, with expertise in all aspects of long term care. She is the author of a number of books about resident assessment and care in nursing homes. Her latest book is Nursing Facility Enhanced Quality Measures: Strategies for Successful Performance.
Judy Wilhide, RN, BA

Judy Wilhide is the RAI Manager for the Commonwealth of Virginia. Prior to this, she held many positions in Long Term Care Facilities.
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