The Health Care Association of Michigan (HCAM) is honored to be the exclusive event manager for all MI-NADONA/LTC events.

This nursing leadership intensive will provide Directors of Nursing and Nurse Managers in the post-acute care environment with education on how to prioritize, delegate, and promote critical thinking and effective decision making as a nurse leader. Nurse participants will have the opportunity to analyze reports and consider case studies to identify areas for improvement and develop strategic plans to assure quality for optimal resident outcomes.

Nurse participants will be empowered with the tools and resources needed to be successful nursing leaders and will come away with an increased confidence and improved job performance and personal satisfaction.

You can’t afford to miss this opportunity to expand your nurse leader toolkit today!

SPECIAL OFFER: DISCOUNTED GROUP REGISTRATIONS

MI-NADONA is offering a special discount for groups! For every 5 paid registrations from one organization, you'll earn 1 free registration.

Use discount code "6thFree" to access this special offer utilizing a group registration format.

7:30 AM - 8:00 AMRegistration Open
7:30 AM - 8:30 AMContinental Breakfast
8:00 AM - 8:15 AMIntroduction to RN Leadership
8:15 AM - 9:15 AMLeadership: Empowerment & Delegation
9:30 AM - 11:00 AMQuality Assurance and Performance Improvement (QAPI) and the Facility Assessment
11:15 AM - 12:15 PMThe Role of the DON - Operations Part 1
12:15 PM - 12:45 PMNetworking Luncheon
12:45 PM - 1:45 PMRole of the DON - Challenges Part 2
2:00 PM - 3:30 PMRecruitment/Retention
3:45 PM - 5:00 PMReal Life Management & Stress Management 101
7:15 AM - 8:15 AMContinental Breakfast
7:45 AM - 8:45 AMResident Dignity & Person Centered Care
9:00 AM - 10:00 AMShort Term Stay/Rehab Patients vs. Long Term Care Residents
10:15 AM - 11:15 AMInfection Prevention and Antimicrobial Stewardship
11:30 AM - 12:30 PMPain Management
12:30 PM - 1:30 PMNetworking Luncheon
1:30 PM - 2:30 PMFinding Your Behavioral Practices to Reduce Psychotropic Medication Use
2:45 PM - 3:45 PMRegulations and the Survey Process: Part 1
4:00 PM - 5:00 PMQuality Measures & Report Overload (EMR, MDS, RUGS, CASPR, etc)
7:15 AM - 8:15 AMContinental Breakfast
7:45 AM - 9:15 AMSurrogate Decision Making & POAs
9:30 AM - 10:30 AMCorporate Compliance & Ethics
10:30 AM - 11:30 AMDocumentation: Sword and Shiled
11:45 AM - 12:45 PMRegulations and the Survey Process: Part 2
12:45 PM - 1:30 PMNetworking Luncheon
1:30 PM - 4:00 PMAbuse, Complaints, Plan of Corrections & IDR

Focus on Leadership, Mentoring and Managing

Monday, April 29, 2024
7:30 AM - 8:00 AM
Registration Open
 
 
7:30 AM - 8:30 AM
Continental Breakfast
 
 
8:00 AM - 8:15 AM
Introduction to RN Leadership
Victoria Burlew, Lebenbom & Rothman Consulting
 
8:15 AM - 9:15 AM
Leadership: Empowerment & Delegation
Cindy Fronning, NADONA

Are you new to the DON role? Do you wonder what kind of a leader are you or even if you are a leader? Are you so busy and overwhelmed that you are neglecting your home life? Wondering why you gave up that Nurse Manger position for this one? These are very common questions that DONs ask themselves in their first year and even in their 10th year of being a DON. This presentation walks you through the differences and commonalities of leadership, management and supervision. It also lays the groundwork for empowering your staff and allowing you to find a balance in your life due to delegation. Join us for this presentation and learn how you can make this position manageable and maybe even enjoyable!

Nurse Learner Outcome: At the conclusion of this educational activity, participants will self-report an intent to change their practice by applying evidence-based delegation methods within the nursing scope of practice on the post-event evaluation.

Learning Objectives:

  1. Discuss the qualities of a nurse leader.
  2. Explain the difference between Supervision/management and leadership.
  3. Identify the differences in the Nurse Practice Act between RN and LPN.
  4. Describe how empowerment can impact the Nursing Department.
  5. List the 5 rights of delegation.
9:30 AM - 11:00 AM
Quality Assurance and Performance Improvement (QAPI) and the Facility Assessment
Victoria Burlew, Lebenbom & Rothman Consulting

QAPI is often treated like a "paper compliance" process and is not given the due diligence and respect it deserves. When used effectively, QAPI is simply the way that we do business. QAPI provides the tools for nursing homes to become the best that they can be. Learn to use tools that simplify the process.

Nurse Learner Outcome: At the conclusion of this educational activity participants will self report a knowledge increase in QAPI concepts and how they are utilized to improve patient care on the final evaluation.

Learner Objectives:

  1. Identify basic QAPI concepts.
  2. Define elements of QAPI.
  3. Describe systematic evaluation.
11:15 AM - 12:15 PM
The Role of the DON - Operations Part 1
Cindy Fronning, NADONA

Are you confused as to what to do first? What your priorities should be? What is expected of you regarding the new regulations? This presentation will provide some insight to these and other questions you might have . Come and receive some tools that will assist you in your daily approach to providing quality care for your residents.

Nurse Learner Outcome: Participants will self-report knowledge gain of the role of the Director of Nursing, federal nursing home regulations and the survey process on the post-event evaluation.

Learner Objectives:

  1.     List 3 opportunities for communication on a daily basis.
  2.     Understand the new and revised final Rule for skilled nursing facility requirements.
  3.     Learn strategies for implementing the new and revised regulations.
  4.     Discuss audit tools to determine if the facility is clinically survey ready.
12:15 PM - 12:45 PM
Networking Luncheon
 
 
12:45 PM - 1:45 PM
Role of the DON - Challenges Part 2
Theresa DeLau, Pleasant View, Shiawassee Medical Care Facility

Do you struggle with operational challenges, staying on top of regulatory compliance, and staffing difficulties? Learn how to use the facility assessment, past surveys and good data (CASPER, Quality Measure reports, Resident Satisfaction Surveys) to light the path for your future.

Nurse Learner Outcome: At the conclusion of this learning activity participants will self report a knowledge gain in resources for improving census, decreasing staff turnover and formulating process improvement plans for operational challenges, on the post-event evaluation.

Learner Objectives:

  1. Identify 3 approaches to stabilize / increase staffing.
  2. Identify 3 ways to increase census.
  3. Describe 3 potential QAPI PIP's that will improve operational challenges in their organization.
2:00 PM - 3:30 PM
Recruitment/Retention
Erica Holman, Hazel Findlay
Kari Sodman-Orth, Hazel findlay

If you keep doing what you've always done, you'll always get what you always got. Doing MORE of what you've done or doing it with greater INTENSITY doesn't make it better. This presentation provides practice opportunities and recommendations to improve recruitment, retention, and communication. Come with questions and ideas to share - we're all in this together!

Nurse Learner Outcome: At the conclusion of the session, participants will self-report improved practice ability to communicate goals and methods to improve recruitment and retention.

Learner Objectives:

  1. Describe how to improve recruitment processes.
  2. Examine how to expand Retention Practices.
  3. Identify how to deploy improved communication strategies.
3:45 PM - 5:00 PM
Real Life Management & Stress Management 101
Theresa DeLau, Pleasant View, Shiawassee Medical Care Facility

A dynamic Nurse Leader recognizes that overall success is measured by the success of your team, the quality of work the team generates and how well you lead them to achieve these successes while providing work/life balance for all. Additionally, stress, anxiety, fatigue and burnout in healthcare cause severe negative effects on the "whole person " of the healthcare worker. Nurses are especially at risk for these symptoms, due to the pressures and unique challenges of our work - we prioritize the patient first in our nurse-patient relationship and we rarely take time to evaluate or provide for our own needs. 

This session will address strategies and approaches that the participants can use to achieve work/life balance (and avoid burnout) for themselves and their teams while keeping excellent outcomes the priority. It doesn't have to be one or the other!

Nurse Learner Outcomes:

  • At the conclusion of this activity, participants will self-report a knowledge gain of strategies they can use to achieve work-life balance for themselves and their leadership team on the post-event evaluation.
  • At the conclusion of this learning activity participants will self-report increased self- awareness and knowledge gained in understanding the importance of reducing workplace stress, anxiety, fatigue and burnout on the post-event evaluation.

Learner Outcomes:

  1. Identify 3 barriers to their own successful goal completion.
  2. Identify 3 strategies to protect their own energy, resources and time.
  3. Identify 3 strategies to teach their leadership teams so goals can be set and achieved consistently and timely by the entire team.
  4. Identify at least 5 characteristics of stress, anxiety and fatigue that may lead to burnout
  5. Identify at least 5 strategies to reduce or eliminate stress, anxiety, fatigue and burnout
  6. Examine self-help practices to adopt for themselves and tools to implement those same practices for the people they lead.

 

Focus on Our Residents and Clinical Topics

Tuesday, April 30, 2024
7:15 AM - 8:15 AM
Continental Breakfast
 
 
7:45 AM - 8:45 AM
Resident Dignity & Person Centered Care
Victoria Burlew, Lebenbom & Rothman Consulting

Understanding the language of the regulations and the emphasis of the new survey process will improve the way resident and patient care is provided.

Nurse Learner Outcome: At the conclusion of this learning activity participants will self report a knowledge gain of the emphasis placed on resident’s rights in the new federal regulations on the activity post evaluation.

Learning Objectives:

  1. Identify at least 5 benefits of Person-Centered Care
  2. Identify 5 regulatory foci and changes that promote and encourage self-directed care
  3. Describe 5 characteristics or examples of "paternalism".
  4. Identify strategies used to handle unsafe decision making
9:00 AM - 10:00 AM
Short Term Stay/Rehab Patients vs. Long Term Care Residents
Victoria Burlew, Lebenbom & Rothman Consulting

Skilled nursing facilities have experienced a shift in the demographic population that includes a mix of long-term resident's who may be younger or may be elder's complemented by short term folks admitted for short term acute rehabilitation. The service needs and expectations are distinctly different between these populations and can often be difficult to manage within the operations. In order to successfully manage the delivery of services we must understand the expectations, goals and preferences of these populations.

Nurse Learner Outcome: At the conclusion of this session, participants will self report a knowledge gain of the differences in services delivered to rehabilitation patients and long-term care residents in a facility on the post-event evaluation.

Learner Objectives:

  1. Define long-term resident and associated characteristics.
  2. Define short-term resident and associated characteristics.
  3. Examine service expectations associated with the long-term resident.
  4. Examine service expectations associated with the short-term resident.
10:15 AM - 11:15 AM
Infection Prevention and Antimicrobial Stewardship
Cindy Fronning, NADONA

As a DON you may or may not be responsible for actually performing the role of the DON. However, as the DON you will be responsible for knowing what to expect from the infection Preventionist (IP) and the process of Infection Prevention within your facility. As we learn more about Antibiotic resistance it becomes more imperative that our facilities have implemented serious Antibiotic Stewardship (AS) plans and processes. Join us for this presentation and explore Infection Prevention (IP) from the DON's perspective. Journey with us through the Survey tags that must be met as well as how to hire an IP. Take the resources provided and when back home check out your IP and AS program to determine if you have all that you need!

Nurse Learner Outcome: At the conclusion of this learning activity participants will self report a knowledge gain of an evidence based approach for managing the infection prevention program in their facility on the post session evaluation.

Learning Objectives:

  1. Verbalize an overview of the Infection Prevention and Control Program essentials and regulations associated with the program.
  2. List the 7 Core Elements of Antibiotic Stewardship.
  3. Describe how to select, mentor and support the Infection Preventionist with consideration of F882.
  4. Discuss communication strategies for working with facility leadership in support of the Infection Prevention and Control Program.
11:30 AM - 12:30 PM
Pain Management
Linda Vanni, Professional Pain Education & Consulting, LLC

There have been many changes in pain management due to the pandemic. The opioid epidemic continues to worsen and certain precautions need to be followed for safe administration of pain medications. As the self-report continues to be the gold standard for pain assessment, the utilization of functional status helps to give additional information regarding the effectiveness of the pain management plan. All pain management plans need to have multi-modal therapy as their base. Implicit bias may influence healthcare providers' care of the patient with pain. Utilization of marijuana presents specific challenges for inpatient care facilities. This presentation will explore these subjects and facilitate discussion on the ever-changing world of pain management.

Nurse Learner Outcome: At the conclusion of this learning activity participants will self-report a knowledge gain in the practice skills needed for safe effective pharmacological and non-pharmacological pain management and the federal and state laws related to the use of controlled substances on the post-event evaluation.

Learner Objectives:

  1. Describe the effects that the pandemic has had on the world of pain management and the opioid epidemic.
  2. State the importance of multi-modal, individualized pain management in the elderly patient.
  3. Identify the elements of implicit bias in pain management.
  4. List the two reasons why marijuana is not allowed in facilities receiving government payment.
12:30 PM - 1:30 PM
Networking Luncheon
 
 
1:30 PM - 2:30 PM
Finding Your Behavioral Practices to Reduce Psychotropic Medication Use
Erica Holman, Hazel Findlay
Chelsea Daum
Kari Sodman-Orth, Hazel findlay

This RN Boot Camp Behavioral Practices presentation focuses on person centered factor increasing likelihood for behavioral symptoms and psychotropic use. Finding ways to "practice" behavioral interventions and change or improve the approaches helps you lead a more flexible and innovative team. Strong behavioral practices benefit residents AND your team. Join us as we discuss how to "roll with" the regulations and make them meaningful without losing sight of survey success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report ability to practice and implement behavioral interventions to reduce the use of psychotropic medications.

Learner Objectives:

  1. List 3 classifications of psychotropic medications.
  2. Explain how behavioral interventions are person centered.
  3. Describe how to prioritize to conduct meaningful gradual dose reductions.
2:45 PM - 3:45 PM
Regulations and the Survey Process: Part 1
Victoria Burlew, Lebenbom & Rothman Consulting

Understanding the language of the regulations and the emphasis of the new survey process will improve not only survey outcomes but the way resident and patient care is provided. Participants will become familiar with the very tools that the surveyors use to determine if you are in compliance with federal regulations. Learn how to be best prepared for survey.

Nurse Learner Outcome: At the conclusion of this learning activity on the post-event evaluation, participants will self report an increase in knowledge of new regulations and the survey process.

Learning Objectives:

  1. Describe methods to internally limit and identify potential areas of deficiencies that will ultimately improve patient care and outcomes.
  2. Understand the New Survey process and Expanded F-tags.
  3. Discuss the Top 10 Citations.
  4. Discuss how to incorporate the Critical Element Pathways into the QAPI process as a benchmark for standard of practice.
  5. Examine how to use the CEP to drive resident satisfaction with care.
  6. Examine how to manage the survey process.
4:00 PM - 5:00 PM
Quality Measures & Report Overload (EMR, MDS, RUGS, CASPR, etc)
Cindy Fronning, NADONA

What does this report mean? Why is the data different on this report than this other report? Which report should I use? What happens if I don't use the data or misuse it? If you are confused and unsure of how to handle the onslaught of reports and data this session will provide you a thought process and map to determining what info to use when. It's now time to end the confusion and take control of the data vs. being controlled by the data.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report the ability to utilize quality reporting measures within the QAPI program for effective decision making in the facility utilize quality reporting measures within the QAPI program for effective decision making in the facility on the post evaluation evaluation.

Learner Objectives:

  1. Identify five public quality reporting measures that can be utilized within the QAPI program.
  2. List three important reports that vendors can provide to enhance facility reports and public reporting.
  3. Describe the MDS assessment's value to quality reports and its limitations.

Focus on Regulatory Compliance

Wednesday, May 1, 2024
7:15 AM - 8:15 AM
Continental Breakfast
 
 
7:45 AM - 9:15 AM
Surrogate Decision Making & POAs
Margaret Chamberlain, ROLF

End of life decisions are some of the most important decisions a resident can make. It is vital that this confusing area of law is understood so that residents are given the opportunity to make end of life decisions and that these are carried out. It is also important for facilities to understand who has the authority to make medical treatment decisions as improper decision making can lead to survey citations as well as civil and criminal consequences. This presentation will cover slaw regarding guardians, Durable Power of Attorney for Health Care, MI-POST and DNR's.

Nurse Learner Outcome: At the conclusion of this learning activity participants will self report a knowledge gain of new legislation regarding guardians making DNR and end of life decisions on the post evaluation.

Learner Objectives:

  1. Identifying who can make medical treatment decisions.
  2. Examining the different types of Advance Directives.
  3. Identifying which decisions can be made by which decision maker.
9:30 AM - 10:30 AM
Corporate Compliance & Ethics
Margaret Chamberlain, ROLF

Skilled nursing facilities are required to have an effective Compliance and Ethics (CCE) Program. Learn how to implement an effective CCE program without becoming overwhelmed. Also learn how to integrate your CCE program with your QA and QAPI program while minimizing the risk of losing privileges associated with your information.

Nurse Learner Outcome: At the conclusion of this program, the participants will understand the requirements of the regulations and how to effectively implement that program within already established frameworks for Quality Assurance and QAPI

Learner Objectives:

  1. Understand the specific requirements of the regulation for establishing a Corporate Compliance and Ethics (CCE) program.
  2. Discuss the variety of models for implementing a CCE program.
  3. Describe how the CCE program integrates with the QA and QAPI requirements.
  4. Discuss the concept of privilege and how it applies to CCE programs
10:30 AM - 11:30 AM
Documentation: Sword and Shiled
Margaret Chamberlain, ROLF

Nurse participants will learn about the risks, pitfalls and strategies for ensuring sufficient documentation. Documentation can help providers improve care for residents but it can also be used against them with civil, criminal and regulatory repercussions. Real life examples will help nurse participants learn how to tailor their documentation so that it serves its intended purpose without putting them or the facility at risk.

Nurse Learner Outcome: Participants will self-report knowledge on good documentation practices to avoid regulatory, civil and criminal implications

Learner Objectives:

  1. Discuss the regulatory, civil, and criminal risks associated with documentation.
  2. Compare and contrast different documentation practices.
  3. Understand the importance of document retention and destruction.
11:45 AM - 12:45 PM
Regulations and the Survey Process: Part 2
Victoria Burlew, Lebenbom & Rothman Consulting

Understanding the language of the regulations and the emphasis of the new survey process will improve not only survey outcomes but the way resident and patient care is provided. Participants will become familiar with the very tools that the surveyors use to determine if you are in compliance with federal regulations. Learn how to be best prepared for survey.

Nurse Learner Outcome: At the conclusion of this learning activity on the post-event evaluation, participants will self report an increase in knowledge of new regulations and the survey process.

Learning Objectives:

  1. Describe methods to internally limit and identify potential areas of deficiencies that will ultimately improve patient care and outcomes.
  2. Understand the New Survey process and Expanded F-tags.
  3. Discuss the Top 10 Citations.
  4. Discuss how to incorporate the Critical Element Pathways into the QAPI process as a benchmark for standard of practice.
  5. Examine how to use the CEP to drive resident satisfaction with care.
  6. Examine how to manage the survey process.
12:45 PM - 1:30 PM
Networking Luncheon
 
 
1:30 PM - 4:00 PM
Abuse, Complaints, Plan of Corrections & IDR
Andrea DeLand, The Law Office of Andrea S. DeLand

During the first portion of this session, participants will learn the fundamental principles associated with an allegation of abuse, including reporting in a timely manner; conducting a thorough investigation; and methods to implement in an effort to reduce the frequency of allegations. During the second portion of this session, participants will learn strategies to reduce family and resident complaints, including utilization of a grievance process as well as the general procedure for State Survey Agency complaint investigations. Finally, participants will learn the differences between the IDR and IIDR processes as well as the acceptable bases for appealing a regulatory deficiency. By the end of the session, participants will present their findings on a case study investigation. 

Nurse Learner Outcome: At the conclusion of this session, participants will self-report knowledge gain of how to apply the regulatory definition of abuse; when to report an abuse allegation; how to conduct a thorough investigation; and how to maintain resident safety during an investigation on the post-event evaluation.

Learner Objectives:

  1. Evaluate situations to determine if they involve an allegation of abuse.
  2. Apply the general principles involved in writing an effective IDR.
  3. Examine the core principles of an acceptable Plan of Correction (POC).

VENUE

DoubleTree by Hilton Bay City - Riverfront

One Wenonah Park Place
Bay City, MI 48708
United States

A limited number of hotel rooms are available at a discounted rate of $109++ if booked prior to Monday, April 8, 2024.

Cancellation Policy: All reservations must be cancelled by 6:00 PM the day prior to your arrival date to avoid a cancellation fee equal to one night's room and tax.

This year’s program will provide participants the opportunity to earn up to 20 nurse contact hours. Additionally, participants may earn up to 1 hour of “pain education.”

Health Care Association of Michigan is approved as a provider of nursing continuing professional development by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This program is jointly provided with MI-NADONA/LTC.

Directors of Nursing, Assistant Directors of Nursing, Nurse Managers, RNs and LPNs with beginning to intermediate levels of expertise, and advanced nurses who may need a “refresher.”

Primary Nurse Planner:

Carole Stacy, MSN, MA, RN – HCAM Nurse Consultant
Carole Stacy has disclosed that she has no relevant biasing relationship of a financial, professional, personal or commercial interest.

 

Nurse Planners:

Shari Carson, RN, BSN, LNHA, CDP, CDON, CIC – Regional Clinical Coordinator for Ciena Healthcare
Shari Carson has disclosed that she has no relevant biasing relationship of a financial, professional, personal or commercial interest.

Marie Patrick, RN, BSN, LNHA – Administrator for Holt Senior Care and Rehab
Marie Patrick has disclosed that she has no relevant biasing relationship of a financial, professional, personal or commercial interest.

Bonnie Vanderkarr, RN, BSN – Corporate Clinical Educator for Ciena Healthcare
Bonnie Vanderkarr has disclosed that she has no relevant biasing relationship of a financial, professional, personal or commercial interest.

 

Activity Planners:

Vickie Burlew, RN, ADNS, LNHA – Health Care Consultant and Educator for Rolf Consulting and Lebenbom & Rothman PC
Vickie Burlew has disclosed that she has no relevant biasing relationship of a financial, professional, personal or commercial interest.

 

The HCAM NEC is committed to ensuring all educational activities include only evidence-based content and that all activities are presented in a balanced manner and bias-free. If you feel that the educational activity was presented in a manner that violated these principles, please contact a member of the NEC immediately. Should you have a question regarding relationships with commercial interests, please contact the HCAM office or an HCAM staff member during the program.

HCAM will need 30 days after the event conclusion to compile and process all attendance data. Once the data is compiled, certificates will be available to access. Certificate questions should be directed to Allison Taipalus.

  1. Attendance is being strictly monitored. Attendees must participate in the entire session in order to earn credit.
    1. To receive contact hours for in-person participation, you must attend the entire session and be scanned in and out of the session via the bar code on your name badge. Missed scans will result in no credit.
  2. The conference evaluation must be completed in order to earn your certificate of completion.
  3. Attendees caught cheating or violating our attendance policies will not receive credit for the remainder of the conference.

COMMERCIAL SUPPORT:

No commercial support has been received for this event.