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Category Archives: Leadership Insights

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Phase 3 Preparedness at MN-DONA/LTC Annual Meeting

Pathway Health will be attending the 2019 MN-DONA/LTC Spring Connection and Annual Meeting hosted by Minnesota Director of Nursing Administration in St. Paul, MN, on May 2. This annual spring meeting offers the opportunity to learn and grow with your team and other nurse leaders during a single-day event. Participants gain access to networks, mentorship possibilities, health care leaders and more.

In addition to our attendance, we are also proud to announce our sponsorship of the event and Social Networking Reception to help support the efforts of the MN-DONA and fellow attendees to learn and grow in the world of nursing and long-term care.

Attendees can connect with Pathway Health leaders during these following events:

May 1:

  • 6 – 8 p.m.– Social Networking Reception at the Radisson Hotel

May 2:

  • 9:45 – 10:45 a.m.– Karolee Alexander – Purposeful Preparation for Phase 3
  • 12:45 – 1:30 p.m.– MN-DONA/LTC Annual Meeting

Schedule an appointment to connect with a Pathway Health expert.

Pathway Health leaders are traveling to many events in May for insights into the future of health care, in 2019 and beyond. Stay informed of their progress through social media and our blog.

 

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Meet us at WHCA/WiCAL in Green Bay

Pathway Health’s Stacy Jones and Leah Killian-Smith will be attending the 57th Annual Spring Conference & Exposition hosted by Wisconsin Health Care Association and the Wisconsin Center for Assisted Living in Green Bay, WI, from April 10 – 12. This annual conference focuses on four major challenges facing the health care community in 2019 and beyond: workforce issues, resident issues, regulations, and reimbursement. Participants gain access to networks, mentorship possibilities, health care leaders and more.

Attendees can connect with both of our team members at the Pathway Health booth during these times:

April 10:

  • 5 – 8 p.m.– MVPs of LTC Reception Located in the Atrium of the Hyatt

April 11:

  • 10:30 – 11:30 a.m.– Leah Killian-Smith – Purposeful Preparation for Phase 3
  • 11 a.m. – 1:30 p.m.– Expo/Lunch in Expo Hall
  • 4:30 – 7:30 p.m. – Social Hour and Networking Event Dueling Pianos

Schedule an appointment to connect with a Pathway Health expert.

Pathway Health leaders are traveling to many events in April for insights into the future of health care, in 2019 and beyond. Stay informed of their progress through social media and our blog.

 

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Envisioning the Future with AANAC and AADNS in Orlando

Pathway Health’s Susan LaGrange, Karolee Alexander, Colleen Toebe, Cindy Perrault, Louann Lawson, and Leah Killian-Smith will be exhibiting at the 2019 AANAC and AADNS Annual Conference hosted by the American Association of Nurse Assessment Coordination in Orlando, FL, from April 3 – 5. Susan LaGrange will also present at the event.

This will be the second conference in April for our team members as they travel to meet with potential clients. We look forward to open discussions on PDPM perspectives, the expanding role of nurse leaders, industry insights from the presentations, and networking opportunities on the floor.

Meet with our representatives directly at any of the following times:

April 3:

  • 7 – 9 p.m.– Opening Reception in the Exhibit Hall 

April 4:

  • Morning – 1:30 p.m.– Exhibit booth #202

April 5:

  • 8:15 – 9:15 a.m. – Susan LaGrange – Restorative Care (Breakout Session)

Be sure to catch them at booth #202 when they aren’t presenting! Our exhibit will be open until 1:30 p.m. on April 4.

Schedule an appointment to connect with a Pathway Health expert.

Pathway Health leaders are traveling to many events in April for insights into the future of health care, in 2019 and beyond. Stay informed of their progress through social media and our blog.

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Reconnect 2019 Annual Meeting with LeadingAge Illinois

Pathway Health’s Cheryl Studzinski and Jane Burch will be attending, and Kim Stenzel presenting at, the 2019 Connect Annual Meeting & Expo hosted by LeadingAge Illinois in Schaumburg, IL, from April 2 – 4.

This will be the first conference in April for our team members as they travel to meet with potential clients. We look forward to open discussions on nursing leaders in long-term care facilities, industry insights from the presentations, and networking opportunities on the floor.

Meet with our representatives directly at any of the following times:

April 2:

  • 11 a.m. – 2:30 p.m.– Expo booth #711

April 3:

  • 11 a.m. – 2:30 p.m.– Expo booth #711

April 4:

  • 8 – 9:30 a.m.– Kim Stenzel – Revitalize Restorative Nursing Program for Success!
  • 9:45 – 10:45 a.m.– Kim Stenzel – Overview of Behavioral Health Services
  • 11 a.m. – 12 p.m.– Kim Stenzel – Creating Effective Teams

Be sure to catch them at booth #711 when they aren’t presenting! Exhibits are open at 11 a.m. from April 2 – 3.

Schedule an appointment to connect with a Pathway Health expert.

Pathway Health leaders are traveling to many events in April for insights into the future of health care, in 2019 and beyond. Stay informed of their progress through social media and our blog.

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New CMS Memos – Leadership “Need to Know”

We all know change is an inevitable, new reality in post-acute care. Our industry continues to transform utilizing data (organizational and public) as a determining factor for consumers, strategic partners, and regulators. In the past few weeks, the Centers for Medicare & Medicaid Services (CMS) has published three new QSOs that directly impact providers.

After reviewing the memorandums, I developed a few tools for leaders to help gain a better understanding of the changes, as well as key steps to help prepare your team and your organization.

Below is a brief summary of the CMS announced changes. Click Here for Detailed Description.

April 2019 Improvements to Nursing Home Compare

In summary:

  • Star Ratings – The freeze on Health Inspection Star Ratings will be lifted effective April 2019 impacting your organization’s overall star rating.
  • Quality Measure Domains – New Quality Measure Domains and changes impacting your Five Star rating will go into effect.
  • Staffing Domain Improvement – Thresholds for staff ratings will be adjusted. It’s important to note the threshold for the, “number of days without a registered nurse (RN) onsite,” that triggers an automatic downgrade to one star, “will be reduced from seven to four days.”
  • CMPs – It’s also important to note that the moratorium on CMPs will be lifted as of April 1 in alignment of the Health Inspection Star Rating lift as indicated above.

Revision to Appendix Q – Immediate Jeopardy (Core Appendix Q)

Clarification on how surveyors issue Immediate Jeopardy (IJ) citations has been released by CMS. There is updated interpretive guidance related to noncompliance as well as specific differentiators that are important for leaders to understand:

  • Likelihood vs. potential
  • Noncompliance vs. culpability
  • Psychosocial harm
  • Key components of Immediate Jeopardy

Download the Leader’s Guide: Core Appendix Q Overview, which will assist you and your team in understanding the changes impacting providers.

Leaders should review the online basic Core Appendix Q training on the Integrated Surveyor Training Site which provides a comprehensive review and understanding of the changes.

Enhanced Oversight and Enforcement of Non-Improving Late Adopters

CMS has identified approximately 1,500 facilities that have not improved their antipsychotic medication utilization rates. CMS has heightened its regulatory focus on those organizations, and they will be subjected to enforcement remedies for noncompliance.

While these memorandums are not a surprise to us, there are key tactics you can take to prepare your team for the impending changes. Download this QuickTip Guide for a comprehensive look at the upcoming changes.

Learn more from Pathway Health with our educational classes and training sessions. Contact us today!

Lisa Thomson
Chief Strategy and Marketing Officer

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It all Starts from the Top: Get Proactive with Talent

In this day and age of labor challenges, talent management is even more critical than it has ever been for senior care organizations. Many organizations are stressed with finding enough of the right staff and have doubts about anything getting better in the future. If one looks to the adage that, “It all starts at the top,” it would be interesting to see that many people are viewing talent development as the new CEO skill requirement. It doesn’t take more than a quick Google search to see that this connection and perspective is widely held across a variety of work settings.

People are the most valuable asset in senior care, and leaders need to take a proactive view of their capacity and needs.

For administrators, first and foremost, they need to have a strong management team. The ‘second lieutenants’ are one of the key pieces towards driving success. A high performing, stable management group helps move the bar on solving, or at least mitigating, the labor challenges faced today. An organization cannot afford missteps or lack of synergy with this team, especially when it comes to fostering a strong work climate.

Leadership Considerations

Developing your management team is a primary responsibility of leadership and a strategic choice. Proactive leaders are using a variety of time-tested approaches exemplified by the following:

  1. Have the right people on the team. Jim Collins expands upon this concept in his book, Good to Great.
  2. Ensure everybody is headed in the same direction with the same overall goals. Alignment is a key to success and one of the fundamental, necessary foundations advanced by the Baldrige Performance Excellence Program.
  3. Explore how the team competencies and required development will support the future organizational goals (Bishop in Forbes, 2018).

As leaders, we have an opportunity to make a difference every day in the field of senior care and services. Ultimately, our leadership performance impacts the daily life of a multitude of individual residents and clients, and our staff.

So, if you believe that talent management does start at the top, then it is everyone’s responsibility to make sure that we stay hopeful about tomorrow. One of the ways to solidify that optimism is by taking the steps to ensure we have a cohesive, proactive, and strong management team to lead the way.

Douglas M. Olson, Ph.D., MBA, NHA, FACHCA
Senior Advisor

Director, Center for Health Administration and Aging Services Excellence 
Professor, Health Care Administration Program
University of Wisconsin – Eau Claire

Blog

Leadership Insights: The Importance of Bench Strength

Stacy Jones – Association Manager

Winning Teams Have Bench Strength

College basketball season is in full stride and soon, March Madness brackets will be filled. As winning coaches know, having the right number of high-quality players available to substitute during a game to keep all players fresh can mean the difference of moving forward to the next game or a season-ending loss.

As in any competitive sport, we all know that building and supporting a strong team is crucial for ongoing success. For health care leaders, building your bench strength continues to be a growing challenge due to several factors.

  1. Health care employment continues to boom. In fact, employment in health care increased by 42,000 in January 2019. Within the industry, job gains occurred in ambulatory health care services (+22,000) and hospitals (+19,000). Health care has added 368,000 jobs over the past year. (source: Bureau of Labor Statistics (BLS))
  2. BLS also reported that job openings also continue to increase, especially in the health care sector. In December 2018, this level rose to an additional 79,000 job openings in the health and social services sector.
  3. Couple these statistics with the growing demand of services due to U.S. aging population trends and many seasoned health care professionals are hitting the retirement age. The need for additional health care leadership “bench strength” has never been greater.

Donna Webb – Chief Operating Officer

Build Your Bench Strength from Within and Expert “Substitutions”

When leadership and staff positions are open, team members have to take on the burden of extra workload and, many times, employee burnout, decreased morale, and overall care delivery can suffer.

Having a proactive strategy and plan in place is important in preventing turnover and burnout while increasing employee work performance.

  • Keep employees engaged and strengthen their knowledge by providing a variety of educational opportunities, including association meeting attendance, classroom sessions, webinars, online learning, and in-person training.
  • Implement flexible work arrangements, including job sharing, where appropriate.
  • Hire an expert interim leader fluent in improving operational performance to help address inappropriate staffing or understaffing.
  • Cross-train roles and responsibilities to allow employees to learn a new skill and help to improve morale.
  • Change working conditions, such as work hours, schedules, and giving the ability to make decisions, according to their responsibility area.
  • Provide interim staffing to fill the gap of key organizational roles and to help jumpstart a key initiative.

As leaders, it is important to develop ongoing bench strength to keep your team fresh and ready to take on the latest challenges. By implementing proactive strategies to decrease staff burnout and improve work performance, you prevent care teams from causing unnecessary “fouls” while they keep quality care in focus.

Ready to learn how Pathway Health can support your organization to build your bench strength with interim leaders? Contact us.

Resource:

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The Heart of Health Care: The Many Roles of Nursing Leaders in Post-Acute Care

In today’s vastly changing health care environment, the role of nursing leadership is one thing that remains consistent. It is and always will be the heart of health care.

My role as an operational leader was to set the strategic direction of the organization while working side-by-side with my nursing leader. I found organizational success unattainable without the contributions of my nursing leader and her team.

Nursing leaders focus on setting standards, setting policy, dealing with compliance, and overseeing quality measures and clinical outcomes. They spearhead innovation and transformation within their teams and the organization as a whole.

As I reflect on my career, and the dynamic nurse leaders that I have had the opportunity to work with, I note the following are the cornerstones of successful nursing leaders:

Oversight

Nursing leaders provide direction for their department while holding staff accountable. Nursing leaders oversee many responsibilities, including:

  • resident care delivery
  • customer and staff satisfaction
  • clinical processes
  • compliance
  • financial outcomes

Knowledge

Nursing leaders continually expand their knowledge and understanding of industry changes. Their main goal is caring for our residents. Staying on top of the changes that affect the organization can challenge nursing leaders. It is important that nursing leaders continue accessing education, tools and outside resources. Education provides a level of support for their organizations’ priorities, as well as expected outcomes.

Translating the information and knowledge into organizational best practice is another responsibility. Aligning industry changes with facility and department goals helps to relieve some of the pressure felt by nursing leaders. Implementing best practices allow nursing leaders to focus on targeted, high-level priorities and clinical processes for successful outcomes.

Align Talent and Clinical Success

Nursing leaders continue to work with their team at all levels. They identify the knowledge, skills and abilities of their team. Then, they align those talents with the clinical priorities of their organization. This allows for ongoing mentorship and development of future nursing leaders. Successful nursing leaders help build upon their success by surrounding themselves with an amazing team. Team building is essential to leading a diverse group of people with distinct personalities and skills. Fostering an environment of collaboration and professional growth is a key strategy for successful nursing leaders.

Motivate and Innovate

Given all the changes faced by nursing leaders, they possess a unique ability to motivate staff, especially in times of challenge. They know when to talk and when to listen. They are often confident and optimistic while inspiring enthusiasm in those around them. Today’s nursing leaders also spark and support innovation, knowing change is necessary to succeed in the new health care environment.

 

Being a leader is an amazing journey. It continues to provide opportunities for innovation, as well as personal and professional growth. Working next to dynamic nursing leaders in post-acute care is an honor and a privilege. Thank you for being at the center of our organizations, and for being the heart of health care.

 

Happy Valentine’s Day!

 

Lisa Thomson

Chief Strategy and Marketing Officer

 

Contact Pathway Health for more information on how we can expand the education and expertise of your long term care staff.

Blog

Pathway Health Leaders at Vertical Summit 2019

Pathway Health’s Lisa Thomson and Dan Billings will be attending the annual Health & Human Service Vertical Summit for Marsh & McLennan in Atlanta, GA on February 8. The event will host leaders from across the health care industry for productive meetings and networking opportunities. Thomson will also be presenting an industry overview keynote for this annual event.

February 8:

  • 10:00-11:15 a.m. – Lisa Thomson – State of the State Keynote

Pathway Health leaders are traveling to many events in February for insights into the future of health care, in 2019 and beyond. Stay informed of their progress through social media and our blog.

 

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What If… 2019 Conference with LeadingAge Minnesota

Pathway Health leadership will exhibit and present during the LeadingAge Minnesota Institute & Expo on February 6-8, 2019. The event centers on the theme of “What If…” pushing the boundaries of health care and challenging attendees to think bigger. What if we could start from scratch? What if we could dream without limits? What if we were more inclusive?

These answers and more may be found during one of the many presentations provided by Pathway Health professionals during the conference. Mark your planners for the following events:

February 6:

  • 3:00-4:00 p.m. – Lisa Thomson – Building Nurse Competencies
  • 3:00-4:00 p.m. – Leah Killian-Smith – PDPM – ICD10 Coding – Turning Words into Numbers for Payment
  • 4:15-5:15 p.m. – Karolee Alexander – PDPM – Double the Data: More MDS Data Under Section GG

February 7:

  • 8:30-9:30 a.m. – Leah Killian-Smith – Purposeful Preparation for Phase 3 ROPs
  • 10:30-11:30 a.m. – Leah Killian-Smith – Trauma Informed Care: Preparation for Phase III Requirements of ROPs
  • 10:15 a.m.-12:30 p.m. – Karolee Alexander – Data = Quality: How to Use Data to Achieve Quality Outcomes

Stay informed of all Pathway Health events and educational sessions on our social media and blog.