LTC NAC Chat

FY 2027 SNF PPS Final Rule: Highlights for NACs

Mon, 31 Aug 2026 18:08:39 +0000

Five-Star Management Challenges NACs Are Facing

Wed, 19 Aug 2026 19:07:29 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss the Five-Star management challenges nurse assessment coordinators are facing today. Additional Resource: GG Trivia Games LTC NAC Chat – Five-Star Management Challenges NACS Are Facing - Full Transcript(intro music) Amy: Hello, thank you for joining LTC NAC Chat, a podcast brought to you by the American Association of Post-Acute Care Nursing (AAPACN). I'm your host, Amy Stewart, Chief Nursing Officer for AAPACN, and I'm here today with Jessie McGill, Senior Curriculum Development Specialist for AAPACN. Jessie joins us to discuss the Five-Star management challenges nurse assessment coordinators are facing today. Welcome, Jessie! Jessie: Thanks for having me today, Amy. Amy: Jessie, let's dive right in. In a recent survey in the AAPACN Leader for the NAC newsletter, members describe difficulty understanding how the different parts of Five-Star work together. What makes this system so challenging for NACs to interpret and manage? Jessie: That's a great question. One of the biggest challenges of Five-Star is that we have a lot of different data coming from different areas and using different time frames. So we have the health inspection domain, which uses the two most recent standard surveys, so it's looking at your health inspections, and 36 months of infection control and complaint surveys. So, we already have a couple different time frames just with health inspections and a couple different data points that are impacting your health inspection. For the staffing domain, this looks at the hours that the facility self-reports in the Payroll-Based Journal, and it looks at 12 months of data and it's updated quarterly. The quality measure domain is also updated quarterly and uses four full quarters of data but with a delay. And the quality measure domain pulls from different quality measures that are both MDS-based as well as a few claims-based measures. So, a couple different data points with quality measures also. For the NAC, one of the ways to look at Five-Star and hopefully make it a little less challenging is to understand that they're not the sole responsible person for managing all aspects of Five-Star. They may be highly involved with the understanding and reporting when it comes to the QM domain because most of the quality measures used for that domain are MDS-based. But that should be more to understand the underlying data and then working with your entire team to understand how the domains work together for your overall Five-Star rating. Amy: Thank you for that. Another challenge noted by the survey respondents was documentation, especially for section GG. How can NACs overcome documentation challenges and ensure accuracy when coding the MDS?" Jessie: Oh, GG always gives us so many challenges. When we look at section GG, we have essentially two different processes that are going on. The first is the underlying documentation. This is what's actually happening during those three-day windows for each of those episodes of care, whether it's with the CNAs, the nurse, or the therapy team. And then you have the second part, which is the review of all of that documentation during the three-day window to determine the resident's usual performance. And so we have to have two strong processes in place. First is a strong process for that underlying documentation. And the second is a strong process to determine usual performance. The underlying documentation requires that we have really consistent and ongoing education with the staff members who are going to be documenting or charting those GG tasks, such as: How did the resident eat? How did they transfer? How did they move from sitting to lying? How did they transfer into the bath? So for all of those different GG tasks, the direct care staff needs to understand the RAI User's Manual definition—what is included as well as what is not included? And also understanding the performance levels. So what is partial-moderate assist, what is substantial-max assist, as well as supervision or setup help only? So there's a lot that goes into those performance levels as well as the different tasks. Now, one of the cool things that AAPACN has is a GG Trivia Game, which we actually have two versions now. And the GG Trivia Game is an education tool, it’s free for members, that you can use with your direct care staff to help reinforce in a game fashion different GG tasks in the different performance levels. So, creating education that's fun is a great way to reinforce your other training. Another thing that we need to do with that direct care staff is we have to validate that what is being charted is accurate. So, that may include different types of audits or validation processes. One of my favorite ways to validate if the charting is accurate is to, especially during the lookback period for an MDS so that that really has a good impact on the accuracy of that assessment, is going out and watching how the resident performs tasks with the nurse aide and then looking at how they charted that specific task. If there were inconsistencies or inaccuracies with how it was charted, that gives you the opportunity to provide real-time education. And whenever you are learning and you can apply what you learned to something that you experience, that is a great way to reinforce that education. When it comes to the usual performance determination, I think one of the best things the teams can do is to make this a team process. Put together a collaborative team of your qualified clinicians that can review that charting documentation and help to make those decisions. Some of your charting is going to be very clear and you won't need to have that additional conversation of what is usual. So, for example, if a resident eats independently every day, every episode during that three-day window, their usual performance is independent. But if you have fluctuations, that is when your team will need to look at all of the documentation from therapy, direct care staff, everyone who is involved and had documentation to support the performance during that period and then make that determination of the resident's usual performance. When we tie that back to Five-Star and QMs, when we focus on not the outcome of those quality measures, but when we focus on the accuracy of section GG, that's what's going to give us an accurate MDS and accurate quality measures. Now, if we identify there is a process we need to work on such as towards that discharge function score or ADL decline, that's something that we need to address outside of MDS accuracy once we’ve validated that the MDS is accurate. So, a lot of moving pieces there, but education and the focus on MDS coding accuracy are your key ways to make sure GG is accurate. Amy: Thank you for that. Several respondents emphasized a lack of ownership and communication across the IDT and leadership. How can stronger collaboration among nurses, supervisors, the DNS, and other leaders support the NAC's Five-Star management efforts? Jessie: Oh, I love this question. It goes back to how complex Five-Star is and it's so complex that oftentimes no one wants to own it. As the NAC, a lot of times because this is a quality measurement program, you're highly involved in it. However, the Five-Star program should never be viewed solely as the NAC's responsibility. And for that matter, QMs should also not be viewed as solely the NAC's responsibility. The quality measures are really a measure of the care that we provide. And the MDS is just the messenger. So, it's the way that CMS collects the data in an organized way. To be successful with Five-Star with your quality measure programs, we can't have the focus just on the MDS or just on those outcomes. We actually have to look back at that root cause of why did that QM trigger? What was the event or the condition that allowed that quality measure to trigger? So, for example, if we have falls, pressure ulcers, if we have readmissions, or emergency department visits, the focus cannot just be on how is the MDS coded to capture that, but what systems and processes does the facility have in place to prevent the falls, to prevent pressure ulcer development, or to heal pressure ulcers timely, to ensure safe discharges home, to prevent rehospitalizations, to prevent unnecessary emergency department visits? And when we focus on the prevention, and we focus on the systems and processes that lead up to that quality measure being triggered, that's where we're going to see ongoing quality improvement efforts. And it really takes the entire facility and a facility culture of process improvement. When we tie Five-Star into that, the Five-Star data is old. It is how your facility performed, not how your facility is performing right now. So, while it's important to know what your Five-Star rating is because a lot of different consumers are looking at that—you might have hospital discharge planners that are looking at this and sharing this with potential referrals; you may have Medicare Advantage plans looking at this as part of their contracting; you may have other residents looking to come in from the community looking at Five-Star as part of their facility selection process. And that's just one piece of the overall puzzle of what your facility is and how you perform. And again, it's more historical data. So, when you have that opportunity to share what you're doing today for quality improvement, what goals you've achieved, what outcomes you've achieved that maybe aren't yet reflected in Five-Star is how you can really help your team and your leadership understand

The Missing Link Between Clinical Management and Reimbursement

Wed, 19 Aug 2026 13:39:20 +0000

In this LTC NAC Chat podcast episode, AAPACN Diamond Business Partner eBrief and Leigh Ann Frick, PT, MBA, RAC-CT, owner and president of Care Navigation Consulting LLC, discuss PDPM, incontinence, and the missing link between clinical management and reimbursement. Get Expert Insights—On Demand Don't wait to catch up on the latest changes impacting long-term care. Tune in for conversations with AAPACN experts and industry leaders covering MDS, reimbursement, quality measures, leadership, survey readiness, and more! Subscribe today and never miss an episode. Apple Podcast Android Email

Interrupted Stays: Clearing Up the Confusion

Wed, 05 Aug 2026 17:20:56 +0000

In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialists for AAPACN, discuss interrupted stays and the questions nurse assessment coordinators have about applying the interrupted stay policy in practice. Additional Resources: Interrupted Stay Flow Chart Interrupted Stay Tracker Tool Interrupted Stay Policy FAQs and Resources Get Expert Insights—On Demand Don't wait to catch up on the latest changes impacting long-term care. Tune in for conversations with AAPACN experts and industry leaders covering MDS, reimbursement, quality measures, leadership, survey readiness, and more! Subscribe today and never miss an episode. Apple Podcast Android Email

Beyond the Brief: The Hidden Clinical Impact of Incontinence in SNFs

Wed, 05 Aug 2026 15:06:24 +0000

In this LTC NAC Chat podcast episode provided by AAPACN Diamond Business Partner, eBrief, Dr. Richard Stefanacci and Amy Chidester, MS, LNHA explore why one of the most common challenges in skilled nursing is often one of the least discussed.The conversation examines the connection between incontinence management, quality measures, and emerging technologies that are helping providers make more informed care decisions. Get Expert Insights—On Demand Don't wait to catch up on the latest changes impacting long-term care. Tune in for conversations with AAPACN experts and industry leaders covering MDS, reimbursement, quality measures, leadership, survey readiness, and more! Subscribe today and never miss an episode. Apple Podcast Android Email

Advocacy in Action: How AAPACN Amplifies Members’ Voices

Wed, 08 Jul 2026 16:06:25 +0000

In this LTC NAC Chat podcast, AAPACN Chief Nursing Officer Amy Stewart joins Jessie McGill and Jennifer LaBay to discuss AAPACN's advocacy efforts and how the association amplifies the voices of post-acute care professionals with policymakers.

Extended Q&A from the April 30, 2026 AAPACN Webinar, Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC

Wed, 17 Jun 2026 13:49:24 +0000

In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist for AAPACN, continue to answer questions from the AAPACN webinar, Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC, which was presented April 30, 2026. Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC – April 30, 2026 – On-Demand Webinar Get Expert Insights—On Demand Don't wait to catch up on the latest changes impacting long-term care. Tune in for conversations with AAPACN experts and industry leaders covering MDS, reimbursement, quality measures, leadership, survey readiness, and more! Subscribe today and never miss an episode. Apple Podcast Android Email

Get To Know Your Medicare Administrative Contractor (MAC)

Wed, 03 Jun 2026 17:37:58 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist with AAPACN, discuss getting to know your Medicare Administrative Contractor. Additional Resources: CMS MAC Webpage https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/whats-mac Medicare A/B Jurisdictions https://www.cms.gov/files/document/ab-jurisdiction-map03282023pdf.pdf MAC Websites (Abbreviations to match what is on the map above) CGS Administrators, LLC (CGS) - https://cgsmedicare.com/ First Coast Service Options, Inc (FCSO) - https://www.fcso.com/ National Government Services (NGS) - https://www.ngsmedicare.com/NGS_LandingPage/ Noridian Healthcare Solutions - https://med.noridianmedicare.com/ Novitas Soultions, Inc. - https://www.novitas-solutions.com/webcenter/portal/NovitasSolutions Palmetto GBA, LLC - https://palmettogba.com/ Wisconsin Physician Services Government Health Administrators (WPS) - https://www.wpsgha.com/

AAPACN and CMS Clarify Long-Stay Antipsychotic Measure Requirements

Tue, 19 May 2026 14:52:48 +0000

In this LTC NAC Chat podcast episode, Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, sr. curriculum development specialist for AAPACN, share clarifications from the Centers for Medicare & Medicaid Services (CMS) regarding the Long-Stay Antipsychotic measure. Additional Resources: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification – Jan. 29, 2026 – On-Demand Webinar Extended AAPACN Webinar Q&A: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification – Podcast Long-Stay Antipsychotic Measure: Data Source and Look-Back Guide – Tool

Introducing AAPACN’s New Nursing Home Administrator—Certified (NHA-CT) Certification Program!

Wed, 13 May 2026 18:00:13 +0000

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, give listeners an inside look at AAPACN’s brand new certification program, the Nursing Home Administrator—Certified (NHA-CT). Additional Resources: NHA-CT Free on-demand webinar about the NHA-CT One-page information sheet about NHA-CT

Celebrating Yourself on NAC Day

Mon, 04 May 2026 21:04:15 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, chief nursing officer for AAPACN, Jessie McGill, senior curriculum development specialist, and Jennifer LaBay, curriculum development specialist for AAPACN, discuss celebrating yourself on NAC Day, raising awareness of the NAC role, and supporting wellness and self-care. Additional Resources: Free Member Tools: At-a-Glance QM, QRP, and VBP Tool PDPM At-a-Glance Tool Education Programs for NACs: MDS Essentials PDPM Documentation Essentials for the IDT Medicare Basic Training RAC-CT RAC-CTA Timeline for AAPACN Education and Resources (Learning Ladder) Education Products for NACs: QM Survival Guide QM Rescue Guide PDPM Game Plan Informational Pages: Nurses Week The Executive Playbook: AI Strategies for Post-Acute Care Leaders

Falls with Major Injury: New CMS Guidance, Coding Clarity, and QAPI Strategies for SNFs

Wed, 08 Apr 2026 18:45:08 +0000

In this LTC NAC Chat podcast episode, Sarah Becker, RN, Director of Clinical Reimbursement for Proactive LTC Consulting, and Christine Twombly, RN, RAC-MT, RAC-MTA, CQP, CRC, break down the updated CMS guidance on Falls with Major Injury and what it means for MDS coding, Quality Measures, survey outcomes, and resident safety. Together, they simplify complex regulatory changes, clarify key definitions — including intercepted falls and pathological versus traumatic fractures — and walk through real-world examples to support accurate coding and interdisciplinary collaboration. The discussion also highlights the impact of these changes on Quality Measures and recent OIG findings on underreporting, along with practical strategies for improving compliance and reducing risk. To close, the team shares how strong QAPI processes can transform fall prevention efforts through trend analysis, individualized care planning, and system-wide improvement.

How to Discuss Your SNF’s Quality Measure Outcomes with External Parties

Wed, 08 Apr 2026 15:15:14 +0000

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss how to have a conversation about your quality measure outcomes with external parties. Additional Resources: QM Rescue Guide QM Survival Guide Multidisciplinary Management of Five-Star Quality Measures QAPI and Quality Initiatives – Find news updates and tips on quality measures, articles and podcasts to review, tools to streamline processes, and more

Five-Star Drama: What NACs Need to Know About the Latest QM Changes

Tue, 31 Mar 2026 17:04:04 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss recent Five-Star and quality measure changes. Additional Resources: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification – Jan. 29, 2026 Extended AAPACN Webinar Q&A: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification Quality Measure IQ Series: The Re-Specified Long-Stay Antipsychotic Measure Long-Stay Antipsychotic Measure: Data Source and Look-Back Guide

Aligned at the Top: The DNS/Administrator Partnership

Tue, 10 Mar 2026 16:05:45 +0000

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist for AAPACN, discuss how directors of nursing services and administrators can strengthen their partnership, improve communication, and navigate the daily operational and clinical pressures that shape long-term and post-acute care leadership. Additional Resource: AAPACN 2026 Conference

AAPACN 2026 Conference Highlight: The MDS in Court – How Does Yours Standup? with Janine Lehman

Tue, 03 Mar 2026 17:53:19 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Janine Lehmen, director of clinical and legal nursing consulting with Proactive LTC Consulting, discuss Lehman’s AAPACN 2026 Conference session on Wednesday, March 18 at 2 pm ET, “The MDS in Court - How Does Yours Standup?” Additional Resource: AAPACN 2026 Conference

Extended AAPACN Webinar Q&A: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification

Tue, 17 Feb 2026 13:42:54 +0000

In this LTC NAC Chat podcast episode, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, sr. curriculum development specialist for AAPACN, continue the question and answer session from McGill’s recent webinar, New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification, hosted on Jan. 29, 2026. Additional Resources: New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification – Jan. 29, 2026 CMS Quality Measures Webpage

AAPACN 2026 Conference Highlight – Express Pass to Precision: Tackling Tricky ICD-10-CM Scenarios in Long-Term Care

Tue, 03 Feb 2026 18:20:02 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, discuss some of the highlights of LaBay’s AAPACN conference session, “Express Pass to Precision: Tackling Tricky ICD-10-CM Scenarios in Long-Term Care.” Additional Resources: AAPACN 2026 Conference 2026 ICD-10 CM Files

How to Improve Respect for the NAC Role

Tue, 27 Jan 2026 21:14:51 +0000

Falls with Major Injury: Updated Definitions, Quality Measure Impacts, and an AAPACN Conference Session Sneak Peak

Tue, 13 Jan 2026 14:53:41 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss falls with major injury and a sneak peek into McGill’s breakout session at the AAPACN 2026 Conference. Additional Resources: AAPACN 2026 Conference Long-Stay Nursing Home – Falls with Major Injury Respecification: Technical Specification Report New Year, New Measure: Making Sense of the Long-Stay Antipsychotic Re-Specification – AAPACN Webinar

SNF ABN: When to Use This Medicare Beneficiary Notice and Why

Wed, 17 Dec 2025 17:30:59 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN discuss when and why the SNF Advanced Beneficiary Notice should be used. Beneficiary Notice Guidelines Tool Simplifying the SNF ABN: Helping Residents Understand Their Options

What to Expect at the AAPACN 2026 Conference: Highlights, What’s New, Can’t-Miss Sessions, and More

Mon, 17 Nov 2025 21:06:30 +0000

In this LTC NAC Chat podcast episode, AAPACN staff, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist, share some of the highlights for the AAPACN 2026 Conference in Orlando, Florida that will be held March 17 – 20, 2026. Additional Resources: AAPACN 2026 Conference webpage

2025 Section GG Updates

Tue, 04 Nov 2025 15:11:37 +0000

Follow Up Q&A for AAPACN Sept. 28, 2025 Webinar – Ready or Not: Oct. 1, 2025 MDS Changes

Tue, 21 Oct 2025 14:09:34 +0000

In this LTC NAC Chat podcast episode, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, answer some follow-up questions from the recent AAPACN webinar, “Ready or Not: Oct. 1, 2025 MDS Changes,” hosted on Sept. 18, 2025. Additional Resources: Ready or Not: Preparing for the Oct. 1, 2025, MDS Changes – Sept. 18 2025

Oct. 2025 RAI User’s Manual – Unexpected Updates

Fri, 26 Sep 2025 20:08:49 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss some of the unexpected changes released in the final draft of the RAI User’s Manual version 1.20.1, which went into effect this October 1. Additional Resources: AAPACN Resources to Help Prepare for Oct. 1, 2025, MDS Changes

New AAPACN Education Program Spotlight: PDPM Documentation Essentials for the IDT

Wed, 03 Sep 2025 19:40:39 +0000

In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss AAPACN’s latest education program, PDPM Documentation Essentials for the IDT. Additional Resources: PDPM Documentation Essentials for the IDT MDS Essentials PDPM At-a-Glance

A New Way to Validate Your NAC Knowledge

Wed, 20 Aug 2025 17:18:21 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss a new way for NACs to test their knowledge – the NAC Competency Evaluation.Additional Resources: NAC Competency Evaluation NAC Competency Evaluation Guide NAC Competency Evaluation Instructional Video

2025 AAPACN NAC Work Study and Salary Report Highlights

Wed, 06 Aug 2025 19:45:42 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss key findings from the 2025 AAPACN NAC Work Study and Salary Report. Additional Resources: Nurse Assessment Coordinator FTE Calculator Tool 2025 AAPACN NAC Work Study and Salary Report 2025 NAC Work Study and Salary Report: Support NACs and Determine FTE Needs

Know the Rules, Win the Fight: Inside SNF Medicare Appeals

Wed, 04 Jun 2025 16:40:58 +0000

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the Medicare appeals process in skilled nursing facilities. Additional Resources: RAC-CTA - Medical Reviews and Oversight for the Advanced Medicare Specialist - Online + PDF – AAPACN On-Demand Course Medicare Basic Training Part 9: Beneficiary Notices Initiative On-Demand Workshop – AAPACN Training Medicare Basic Training Part 10: Medical Review and Appeals On-Demand Workshop – AAPACN Training Original Medicare (Parts A and B Fee-for-Service) Initial Determination/Appeals Process – CMS Flow Chart Beneficiary Notices Initiative – CMS Forms and Instructions for Notices CMS Levels of Appeal – Website Reference

ICD-10-CM Diagnosis Sequencing

Wed, 14 May 2025 20:05:33 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the sequencing of ICD-10-CM diagnosis coding.Additional Resources: ICD-10-CM Official Guidelines for Coding and Reporting AAPACN Articles: Deep Dive into ICD-10-CM: Diagnosis Sequencing Guidelines How to Use the ICD-10-CM Coding Manual ICD-10-CM: Navigating the Term “With,” Combination Codes, and Complications of Care Updates to ICD-10-CM Coding Guidelines: Key Revisions and Their Implications AAPACN Education: ICD-10-CM Coding Certificate Program for SNFs RAC-CT – Introduction to ICD-10-CM Coding for Long-Term Care AAPACN Tool: Provider ICD-10-CM Documentation Tip Sheet for Long-Term CareThis AAPACN resource is copyright protected. AAPACN individual members may download or print one copy for use within their facility only. AAPACN facility organizational members have unlimited use only within facilities included in their organizational membership. Violation of AAPACN copyright may result in membership termination and loss of all AAPACN certification credentials. Learn more.

Ways NACs Can Advance Their Quality Measures Knowledge

Tue, 01 Apr 2025 19:54:15 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist with AAPACN, discuss ways nurse assessment coordinators can advance their Quality Measures knowledge. Additional Resources:Quality Measure IQ Series: Pressure Ulcer Measures – ArticleQuality Measure IQ Series: Discharge Function Score Measure – ArticleQuality Measure IQ Series: Long-Stay Falls Measures – ArticleJanuary 2025 Five-Star Unfreeze: What to Expect – PodcastAt-a-Glance QM, QRP, and VBP Tool – ToolWhen MDS 3.0 Quality Measure Triggers Start and Stop – ToolFive-Star and Care Compare MDS 3.0 Quality Measure Data Periods – ToolQuality Measures Survival Guide – ProductQuality Measures Rescue Guide – Product

Follow-Up Answers to Q&A from Beneficiary Notices Jan. 30, 2025, AAPACN Webinar

Tue, 04 Mar 2025 17:48:35 +0000

In this podcast, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, address some of the questions that were asked during the AAPACN Webinar, “SNF ABN, NOMNC, DENC – What Has Changed for this Alphabet Soup of Notices” held January 30, 2025. Additional Resources: SNF ABN, NOMNC, DENC – What Has Changed for This Alphabet Soup of Notices? – Jan. 30, 2025 Beneficiary Notice Guidelines Tool

Self-Care and Why It Matters in Healthcare

Tue, 11 Feb 2025 22:45:45 +0000

In this podcast, Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, and Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, discuss self-care and the importance of taking a break.

A New Method for Auditing PDPM

Wed, 05 Feb 2025 18:31:17 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist with AAPACN, discuss a new method for auditing the Patient-Driven Payment Model (PDPM). Additional Resource:PDPM Audit by MDS Section

January 2025 Five-Star Unfreeze: What to Expect

Tue, 07 Jan 2025 19:33:57 +0000

How to Prepare for AAPACN Certification

Wed, 04 Dec 2024 18:40:46 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialists with AAPACN, discuss best practices to prepare for an AAPACN certification. Additional Resources: Resident Assessment Coordinator—Certified (RAC-CT®) Resident Assessment Coordinator—Certified Advanced (RAC-CTA®) QAPI Certified Professional (QCP®) Director of Nursing Services—Certified (DNS-CT®) Candidate Handbooks

Conduct a Thorough Candidate Interview for Improved Staff Retention

Tue, 19 Nov 2024 22:09:05 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, discuss how conducting a thorough candidate interview can help to improve staff retention in skilled nursing facilities as well as a resource from AAPACN to assist with this process. Additional Resources: Interview Template Tool

Follow-Up Answers to Q&A from ICD-10 Updates Sept. 12, 2024, AAPACN Webinar

Tue, 05 Nov 2024 18:14:49 +0000

In this podcast, AAPACN Curriculum Development Specialists, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA and Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC, discuss a few of the questions asked during the recent AAPACN webinar, “How to Prepare for FY 2025 ICD-10 Updates,” held on Sept. 12, 2024. Additional Resources: How to Prepare for FY 2025 ICD-10 Updates – Sept. 12, 2024

Conduct a Comprehensive Systems Review to Improve Quality Measure Outcomes

Tue, 08 Oct 2024 21:02:50 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, discuss how a comprehensive review of whole systems can help to improve Quality Measure outcomes in skilled nursing facilities and how a new resource from AAPACN can assist with this process. Additional Resources: QM Rescue Guide QM Survival Guide

Infection Control Issues and Career Advancement of the Infection Preventionist

Tue, 17 Sep 2024 18:57:58 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Dr. Devin Jopp, EdD, chief executive officer for the Association for Professionals in Infection Control and Epidemiology (APIC), discuss the role of the infection preventionist in long-term care and how this respiratory season may impact the infection preventionist’s workload. Additional Resources: APIC website, find prep courses and more APIC Staffing Calculator APIC Infection Preventionist Career Development and Advancement Guide CBIC Associate - Infection Prevention and Control (a-IPC ™) CBIC Certification in Infection Control (CIC®) – after 2 years of experience CBIC Long-Term Care Certification in Infection Prevention (LTC-CIP®)

Documentation and Monitoring for a Skilled Stay

Wed, 21 Aug 2024 17:20:42 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss documentation and monitoring for a skilled stay. Additional Resources: Skilled or Not? Tool Medicare Basic Training Skilled AAPACN resources

Common Myths about SNF Medicare Advantage Plan Management

Tue, 09 Jul 2024 20:49:25 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA, president and CEO of Celtic Consulting, and AAPACN board member, dispel some common myths and concerns related to Medicare Advantage plan management in skilled nursing facilities (SNFs), the beneficiary notices initiative process, and implementing the 2024 Medicare Advantage and Part D Final Rule.

MDS Tools to Make the NAC’s Job Easier

Tue, 30 Apr 2024 16:28:41 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialists for AAPACN, discuss AAPACN tools that make the nurse assessment coordinator’s (NAC’s) job easier. Additional Resources: At-a-Glance QM, QRP, and VBP Tool PDPM At-a-Glance Tool Skilled or Not? Tool – REVISED MDS Data Collection for the NAC Tool Section GG Data Collection Tool OBRA Scheduling Tools for Calendar Year 2026 Beneficiary Notice Guidelines Tool MDS Daily Startup for the NAC Backup Tool AAPACN Free-Member Tools webpage

Section GG: Key Insights into Determining Usual Performance

Tue, 02 Apr 2024 18:34:00 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss key insights to determine section GG usual performance.

Focus on Care Planning and How to Simplify the Process

Tue, 19 Mar 2024 20:45:42 +0000

Getting Care Area Assessments Back on Track

Tue, 30 Jan 2024 20:48:46 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss the common challenges nurse assessment coordinators (NACs) face with care area assessments (CAAs) and how they can get back on track.

Keep Quality Measures Hot During the Five-Star Freeze: Extended AAPACN Webinar Q&A

Tue, 09 Jan 2024 19:50:40 +0000

In this podcast, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss a few outstanding questions that members asked during the recent AAPACN webinar, Keep Quality Measures Hot During the Five-Star Freeze.

Pharmacist Panel Discussion – Perspectives on Section N, Understanding Medication Indication of Use Versus Diagnosis

Tue, 19 Dec 2023 16:03:17 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, Marti Wdowicki, PharmD, director of clinical operations for PharMerica, and Jeff Herr, PharmD, manager of clinical operations in the West for PharMerica, discuss a pharmacist’s perspective on coding section N of the MDS, what an indication of use is versus the diagnosis, and ways nurse assessment coordinators (NACs) can improve coding accuracy for this section.

The Basics of Significant Change and What Has Changed

Tue, 14 Nov 2023 22:20:31 +0000

Back to the Basics: Preparing for MDS Submission to the Federal Repository

Mon, 03 Apr 2023 21:59:21 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the basics of preparing for MDS submission as well as CMS’s upcoming transition to the Internet Quality Improvement and Evaluation System (iQIES). Additional Resources: What Role Should the NAC Sign Up for in iQIES? – AAPACN Blog MDS 3.0 Final Validation Reports Quick Facts and Resources – AAPACN Tool

New MDS Items Series: Transfer of Health Information

Mon, 27 Feb 2023 21:14:29 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, AAPACN curriculum development specialist, continue the New MDS Items Series on the upcoming changes to the MDS with version 1.18.11, effective Oct. 1, 2023. This episode focuses on the MDS changes that will address transfer of health information.

New MDS Item Podcast Series: Social Determinants of Health

Tue, 31 Jan 2023 18:40:38 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, AAPACN curriculum development specialist, continue the podcast series on the upcoming changes to the MDS. This podcast focuses on the MDS changes that will address social determinants of health.

New MDS Items Series: Changes to Ethnicity and Race

Tue, 10 Jan 2023 18:29:25 +0000

In this new podcast series, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, AAPACN curriculum development specialist, discuss upcoming changes to the MDS. This first episode in the series focuses on the changes to ethnicity and race, how they will be coded on the MDS, and how these changes tie into recent updates to the requirements of participation and the guidance to surveyors in Appendix PP of the State Operations Manual.

Preparing for the Retirement of Section G

Tue, 13 Dec 2022 17:56:57 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, a curriculum development specialist with AAPACN, talk about how nurse assessment coordinators can start preparing for the retirement of section G. Additional Resources: Preparing for Section G Retirement: Care Plan UpdatesSection GG Train the Trainer

Better Resident Care Starts with the DNS Understanding the NAC Role

Tue, 01 Nov 2022 20:40:54 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, curriculum development specialist with AAPACN, discuss the challenge nurse assessment coordinators face in explaining the complexity and breadth of their role to others. Additional Resource:MDS Development: A Toolbox for the NHA and DNS

Care Planning for Trauma-Informed Care

Tue, 25 Oct 2022 20:53:12 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist with AAPACN, discuss some of the basics of trauma-informed care, what should be in place in skilled nursing facilities, and how to create a trauma-informed care plan.

The Basics of CoreQ with Lindsay Schwartz

Mon, 17 Oct 2022 20:40:25 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Lindsay Schwartz, Ph.D., FGSA, Founder and Principal of Workforce & Quality Innovations, discuss what CoreQ is, why satisfaction data collection is important, and how frequently this data should be monitored by skilled nursing facilities.

A Conversation on Two Technical Expert Panels and the Future Unified Payment Model with Renee Kinder

Tue, 20 Sep 2022 22:09:37 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Renee Kinder, MS, CCC-SLP, RAC-CT, executive vice president of clinical services with AAPACN Diamond partner, Broad River Rehab, share information about their participation on two technical expert panels and some news about the future unified payment model.

SNF Staffing Crisis: The Risks and Impact of Pulling the NAC to the Floor

Tue, 16 Aug 2022 19:21:00 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the current staffing crisis in skilled nursing facilities across the country and the potential impact of using the nurse assessment coordinator (NAC) as a long-term staffing solution.

ICD-10-CM Codes: Use of Unspecified Codes Resulting in Medicare Denials

Wed, 27 Jul 2022 21:59:23 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, and Carol Maher, RN-BC, RAC-MTA, RAC-MT, CPC, director of education for Hansen, Hunter & Co., P.C./Synergy Healthcare Resources/Axiom/HealthBridge, discuss some recent Medicare denials related to the use of unspecified diagnosis codes. Review the Definitions of Medicare Code Edits, ICD-10 Version - April 2022.

Tips for Developing Fall Prevention Care Plans with Mark Cifarelli

Wed, 13 Jul 2022 15:45:13 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Mark Cifarelli, PT, a physical therapist and director of clinical content development for Legacy Healthcare Services discuss key considerations for developing fall prevention care plans.

Which Do I Follow? Federal vs. State Regulations for the MDS

Tue, 31 May 2022 15:00:00 +0000

ICD-10 Diagnosis Coding for Skilled Nursing Facilities with Carol Maher

Mon, 14 Mar 2022 20:35:27 +0000

In this podcast, Amy Stewart, vice president of education and certification strategy for AAPACN, and Carol Maher, director of education for Hansen, Hunter & Co., discuss ICD-10 diagnosis coding for skilled nursing facilities.

The Importance of Health Literacy in Nursing Homes with Joel VanEaton

Tue, 15 Feb 2022 16:25:24 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Joel VanEaton, BSN, RN, RAC-CT, RAC-CTA, executive vice president of PAC regulatory affairs and education for Broad River Rehab and an AAPACN Master Teacher, talk about health literacy and its importance in nursing homes today.

How to Utilize Your Staff to Mentor and Fill Gaps in the MDS Department

Mon, 24 Jan 2022 22:32:09 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN is joined by AAPACN Master Teacher and Board Member, Maureen McCarthy, RN, BS RAC-MT, QCP-MT, DNS-MT, RAC-MTA to discuss how leadership can often find potential nurse assessment coordinators (NACs) among their own staff, some of the key skill sets to watch for, and how to best utilize nurse assistants to support the MDS process.

How to Be Proactive in Approaching Part B Denials with Erin DuPrae

Wed, 17 Nov 2021 15:53:21 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Erin DuPrae, OTR/L, clinical support specialist with AAPACN Diamond Partner, Synchrony Rehab, discuss how facilities can be proactive with Part B denials and how to prepare for appeals.

Summer Heat and Care Planning

Tue, 20 Jul 2021 14:47:51 +0000

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy and Jessie McGill, RN, RAC-MT, RAC-MTA, discuss heat-related risks to residents, what to consider when care planning, as well as the impacts that heat- and exposure-related conditions have on MDS coding.

Breaking News – Final Rule Announcement of PDPM

Thu, 02 Aug 2018 20:01:31 +0000

An overview of the final rule and PDPM structure with Judi Kulus and Jessie McGill

Long-term Care Survey Process: CMS Training Videos and Slides (2/20)

Mon, 02 Oct 2017 11:00:00 +0000

This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups. Last updated in October 2017. https://qsep.cms.gov/pubs/CourseMenu.aspx?cid=0CMSLTCSME_VID or https://qsep.cms.gov/training.aspx Admission, Transfer, and Discharge (8/4/2017) Admission, Transfer, and Discharge Slides Appendix PP – Overview of Revised Interpretive Guidance (8/4/2017) Appendix PP – Overview of Revised Interpretive Guidance Slides Behavioral Health (8/4/2017) Behavioral Health Slides Facility Assessment (8/4/2017) Facility Assessment Slides Freedom from Abuse, Neglect, and Exploitation (8/4/2017) Freedom from Abuse, Neglect, and Exploitation Slides Infection Control (8/4/2017) Infection Control Slides Person-Centered Care (8/4/2017) Person-Centered Care Slides Pharmacy Services (8/4/2017) Pharmacy Services Slides Quality Assurance and Process Improvement Plan – The Basics (8/4/2017) Quality Assurance and Process Improvement Plan – The Basics Slides Quality of Life and Quality of Care (8/4/2017) Quality of Life and Quality of Care Slides Nursing Services (8/4/2017) Nursing Services Slides