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11/15/2019
Iowa PASRR Program - Important Announcement: Register for Upcoming Provider Webinars

We're pleased to announce a new series of opportunities for providers to learn more about PASRR in the coming months. Below you'll find several upcoming webinars geared specifically toward different aspects of the PASRR process, and for the various roles people play in helping those we serve. Although attendance at these sessions is not required, you are highly encouraged to register and attend one or more these informative events.

NOVEMBER

Functional Assessments and Behaviorally Based Treatment Plans and NFMI/OR Outcomes

Please join us Tuesday, November 19, 2019 at 2:00 p.m. CST for a special 90-minute webinar in the Iowa training series regarding individuals who's PASRR indicates that the person meets NFMI Level of Care (Nursing Facilities for persons with Mental Illness). This webinar will provide an overview of what the expectations are for nursing facilities who support individuals who have very high behavioral health needs and meet the NFMI level of care.

There are currently 168 nursing facilities in Iowa who have accepted individuals who meet NFMI level of care at the present time, in addition to Iowa's three NFMI facilities of Davis Center in Bloomfield, Pillars of Cedar Valley (formerly known as Country View) in Waterloo, and Southeast Iowa Behavioral Healthcare center (formerly known as Dave's Place) in Keokuk.

All facilities who are presently caring for someone who meets NFMI level of care are invited to attend this essential webinar. We also wish to invite representatives of any other NFs who are considering self-identifying as a facility that can meet these very high behavioral health needs and representatives from the NFMI facilities.

We'll be joined by John Pokrzywinski, MA, LBA, BCBA, who will take on the role of primary presenter for today's materials.

Presenter Bio: John Pokrzywinski graduated from Southern Illinois University-Carbondale with a BA in Psychology and received an MA in Psychology from Western Michigan University. He is a Board Certified Behavior Analyst and a Licensed Behavior Analyst in Iowa. John's past professional duties have included conducting functional behavior assessments, developing positive behavior support plans, conducing staff training, and monitoring implementation of plans. He has developed behavior support programs that encourage interdisciplinary collaboration and the use of positive behavior support principles. He has practiced and consulted in a variety of settings including state operated residential facilities, private community-based homes, long-term care centers, day-program agencies, and family settings, and others. Individuals served have included people with intellectuals disabilities, autism, acquire or traumatic brain injury, and older adult related problems, with or without neurocognitive impairment. He has given numerous presentations at state, regional and national conferences. John retired from fulltime employment at the Woodard Resource Center in 2014, but is available for consultations, teaching, and workshop requests.


The discussion will provide you guidance on definitions of PASRR Identified Specialized Services that are unique to NFMI, including:

- Functional Assessment
- Behaviorally-Based Treatment Plans


There will also be a discussion covering:

- Use of Behavior Analysts as providers for Functional Assessment and BBTPs
- Credentialing for Behavior Analysts in Iowa
- How to know if you are the right fit for someone with this type of PASRR

Click Below to Register:

Functional Assessments and Behaviorally Based Treatment Plans and NFMI/OR Outcomes

2 p.m. - 3 p.m. CST, Tuesday, November 19, 201 9




DECEMBER



How to Initiate a Level I PASRR Screening

Please join us on Tuesday, February 04, 2020 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series. This very important Iowa PASRR webinar will get into the weeds and address your questions about exactly how to successfully complete a Level I PASRR screen and what documents are needed at the point of submission. This webinar will provide information on:

- Who gets a Level I PASRR Screening?
- What information is required in Level I Screening?
- Which documents to provide up front in an effort to help the process work as quickly and efficiently as possible?
- What are the best practices to completing thorough and timely screenings?
- What the outcomes are for Level I screenings?

If you are a Hospital Administrator, hospital discharge planner, a nursing facility administrator, nursing facility DON or social worker, then this webinar is for you. If you work with other community based service providers such as in-home health care providers, community mental health centers, group homes, hospice providers, or others who may have a need to learn how to submit Level I PASRR screens, please help us reach out and invite them as well.


Click Below to Register:

How to Initiate a Level I PASRR Screening
2 p.m. - 3 p.m. CST, Tuesday, December 17, 2019



JANUARY

Overview of PASRR Compliance for Service Matters, Managed Care Organizations, and Iowa Department of Inspections and Appeals

Please join us on Tuesday, January 7, 2020 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series. This webinar will offer an in-depth overview of some of the many ways that it is possible to understand and achieve full compliance with PASRR. This webinar will provide helpful information about:

- What a Level I Screening is and understanding the Level I Outcomes
- What is a Level II PASRR and how do I review a LII Summary of Findings?
- What are the most common Level I Compliance Issues?
- What are the most common Level II Compliance Issues?
- What is a Status Change PASRR and how does submission of them impact compliance?
- What is Service Matters and how does it relate to achieving compliance?
- How do DHS/Ascend/DIA and others review NF Care Plans for PASRR compliance?
- How and when we do we need to Implement and Verify that Discharge Planning is Occurring?
- Attendees will learn to identify many ways that one can be non-compliant with PASRR

Click Below to Register:

Overview of PASRR Compliance for Service Matters, Managed Care Organizations, and Iowa Department of Inspections and Appeals

2 p.m. - 3 p.m. CST, Tuesday, January 7, 2020




Understanding Powers of Attorney, Legal Guardians and Conservators, Office of the Public Guardian

Please join us on Tuesday, January 21, 2020 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series. PASRR frequently identifies a need for individuals to undergo an assessment and/or decision making process about the need for designation of Substitute Decision Makers. This webinar will address the important legal differences between Powers of Attorney for Healthcare and Financial matters, Guardianships, Conservatorships, and when each of these may be appropriate for an individual. Iowa's Office of the Public Guardian will present information to nursing facility and hospital providers to help providers understand what to do when individuals, families, or PASRR identifies a need for consideration of powers of attorney and/or guardians and conservators. We hope it will further empower you to help individuals in Iowa enhance their quality of life! The webinar will be moderated by Ascend Program Manager Brad Goodin, and Lila Starr, PASRR Program Manager for Iowa DHS.


Click Below to Register:

Understanding Powers of Attorney, Legal Guardians and Conservators, Office of the Public Guardian

2 p.m. - 3 p.m. CST, Tuesday, January 21, 2020




FEBRUARY


Best Practices of Individualized Psychotropic Medication Management in Nursing Facilities

Please join us on Tuesday, December 17, 2019 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series. A function of Iowa's PASRR process is to identify any Specialized Services that are needed to assist an individual with their PASRR Disability or Condition. A common Specialized Service that is Identified is Management of Psychotropic Medications by a Psychiatrist or psychiatric ANRP. This webinar will provide helpful information about:

- How to collaborate with a Psychiatrist on medication management
- A brief description of what differentiates a Psychiatrist from a General Practitioner when it comes to Psychotropic Medication Management
- What a Psychiatrist does to assist with managing psychotropic medications
- How a Psychiatrist may view and assist with issues around Gradual Dose Reductions


Click Below to Register:

Best Practices of Individualized Psychotropic Medication Management in Nursing Facilities

2 p.m. - 3 p.m. CST, Tuesday, February 4 , 2019




PASRR & Individuals with Interest in or History of Child or Dependent Adult Abuse

Please join us on Tuesday, February 18, 2020 at 2:00 p.m. CST for an overview of Preadmission Screening and Resident Review - PASRR and considerations when PASRR is being conducted for someone with a history of Child or Dependent Adult Abuse. PASRR is utilized to identify individuals with serious mental illness, intellectual or developmental disabilities, and related conditions, and identifies services that will be required for them if they enter an Iowa nursing facility. Within the past couple of years, we have seen a significant increase in the number of PASRR assessments involving individuals with some criminal or child abuse history, assessments that are conducted while individuals have also been identified as dependent adults by DHS, and where Dependent Adult Abuse assessments are co-occurring with PASRR or have recently been undertaken. In such cases, it can be beneficial for the individual and their support network if/when those involved in PASRR can collaborate more effectively with those involved in child or dependent adult abuse assessment, and the service delivery that may follow.

This webinar will offer guidance on:

- Who/What/When/Why/and How of PASRR
- What information is needed to complete a thorough Level II evaluation and Summary of Findings?
- When PASRR requests Abuse information, what happens with it?
- Why court orders and legal/criminal history become important matters in such cases
- How Dependent Adult Abuse Assessments impact PASRR and service delivery within the nursing facility


Click Below to Register:

PASRR & Individuals with Interest in or History of Child or Dependent Adult Abuse

2 p.m. - 3 p.m. CST, Tuesday, February 18, 2020




MARCH

PASRR Status Changes/Resident Reviews & When to Complete Them

Please join us on Tuesday, March 3, 2020 at 2:00 p.m. CST for an Iowa PASRR Webinar, as part of our continuing education series. The webinar will take a deep dive into the issues surrounding when to submit a new PASRR based upon Significant Changes in Status. The Iowa Help Desk and the Iowa PASRR program receive more questions about Status Changes/Resident Reviews in PASRR and when to submit them, than any other single issue in PASRR. This webinar is truly for anyone and everyone who needs to understand a bit about when to submit new PASRRs and the correlations to overall compliance.

This webinar will offer guidance on:
- What might trigger a need for a Status Change for someone with a previous Negative Level I PASRR?
- What might trigger a need for a Status Change for someone who has previously been identified to be in the PASRR population, with a Level II PASRR?
- Ways to ensure you are compliant with Status Change PASRR's.
- When in doubt, submit a new PASRR.


Click Below to Register:

PASRR Status Changes/Resident Reviews & When to Complete Them

2 p.m. - 3 p.m. CST, Tuesday, March 3, 2020




Iowa's Aging and Disability Resource Centers, Area Agencies on Aging & the Benefits of Options Counseling

Please join us on Tuesday, March 17, 2020 at 2:00 p.m. CST for a Webinar on a brief history of Iowa's Aging and Disability Resource Centers (ADRC), how these are operated through the Area Agency on Aging (AAA) network in Iowa, and the Benefits of "Options Counseling," as a unique service offered through the ADRCs and AAAs.

This webinar will be presented by a spokesperson from Iowa's ADRCs, will discuss the website available through the ADRC, and will offer information that will be highly valuable to NFs as you work with individuals who have a high potential for discharge to a lower level of care and need assistance in finding services to support community placement. The webinar will be hosted by Brad Goodin of Ascend/Maximus and Lila Starr of the Iowa Department of Human Services, Division of MHDS.


Click Below to Register:

Iowa's Aging and Disability Resource Centers, Area Agencies on Aging & the Benefits of Options Counseling

2 p.m. - 3 p.m. CST, Tuesday, March 17, 2020




PASRR 101: an In-depth Look into the Basics of Preadmission Screening and Resident Review

Please join us on Tuesday, March 31, 2020 at 2:00 p.m. CST for the PASRR 101 webinar. It is intended to give those who are new to PASRR an opportunity to start from scratch, spend an hour with us, and become familiar with the basics. This webinar is intended to offer an opportunity for nursing facilities, hospitals, hospice and PACE providers, MCOs, community behavioral health agencies, other provider organizations, and interested parties, to learn with us. This webinar should be viewed as a per-requisite to other training offered by DHS and Ascend/Maximus about PASRR in Iowa, although it can also serve as a useful refresher for many.

If you plan to join DHS and Ascend/Maximus in any of the face-to-face full day "PASRR Road Show," training events in mid-April, we encourage you to attend this PASRR 101 event as it will prepare you to develop a deeper understanding of the topics we'll be discussing in those more advanced training events. The discussion will provide guidance on:

- History and purpose of the federally mandated PASRR program
- Links between PASRR and the Supreme Court Olmstead Decision
- Who receives a PASRR?
- PASRR Level I and Level II
- Information needed to complete a thorough Level II evaluation and Summary of Findings
- PASRR in Iowa - unique features
- What is PASRR compliance on why is it important?


Click Below to Register:

PASRR 101 an In-depth Look into the Basics of Preadmission Screening and Resident Review

2 p.m. - 3 p.m. CST, Tuesday, March 31, 2020










11/1/2019
Thank You to Everyone Who Attended the Fall 2019 Iowa PASRR Provider Training!

We would like to share a huge note of thanks to everyone who attended the recent Iowa PASRR Provider Training Sessions, held during the week of October 21st. Led by Brad Goodin and Jody Zenn, MAXIMUS, and Lila Starr, Iowa DHS, these impactful sessions covered a wide range of topics relevant to the provider community.

Over 160 attendees joined us from diverse backgrounds of expertise, in cities across the state, including: Denison, Waterloo, Ottumwa, and Des Moines. We truly appreciate the passion, focus and invaluable input that everyone contributed to these important sessions.

Attendees: Click here to request a certificate for your event attendance.



10/30/2019
Upcoming Provider Webinar: Pathtracker Plus for Nursing Facility Administrators, Business Office Staff, and Social Workers | 2:00 p.m. Tuesday, 11/05

Please join us on November 5, 2019 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series. This Iowa PASRR Webinar is specifically designed for the staff in your NF who are involved in making admission, transfer, and discharge submissions into PathTracker Plus, which is a feature of the PASRR database. We think these are often folks who work in the business offices, but may not otherwise be involved with or very knowledgeable of PASRR.

The webinar will include an overview of several critical functionalities of PathTracker Plus, including the when, where, why, and how to submit admissions, transfer, discharge, and corrected notices. The use of PathTracker Plus has been mandatory since February 1, 2016. It is critical that appropriate nursing facility (NF) staff are trained and prepared to make necessary entries into the system in a timely manner. It is also critical that the NF stop any and all use of paper Case Activity Reports, also known as CAR forms, and that ALL changes that would have been submitted using a CAR form in the past must now be made only in the electronic PathTracker Plus system.tabtabtabtabtabtabtabtab
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Click Below to Register:

PathTracker Plus For Nursing Facility Administrators, Business Office Staff, and Social Workers

2:00 p.m. - 3:00 p.m. CST, Tuesday, November 5, 2019



10/11/2019
Program Resources Reminder: New Direct Iowa Help Desk Phone Line is Now Available


The PASRR program transitioned to a new telecom vendor on October 4, 2019. Now you can get answers to your Iowa PASRR questions faster, with several ways to reach the Iowa Help Desk for support:


Call the new Iowa Help Desk direct line, which will automatically route you to the next available support team member: 833.907.2777 (833.90.PASRR)


Dial into our previous number, 877.431.1388, and follow the prompts to reach the Help Desk. The extension that was associated with this number is no longer available.


The program's Help Desk email has changed: IowaPASRR@maximus.com

Messages sent to the previous account, Iowapasrr@ascendami.com will continue to forward to the new address listed above.


Note: With additional lines being added, this transition will result in greater faxing capacity. The fax number will remain: 877.431.9568.



10/3/2019

Register Now for Free Training: Join Brad Goodin & Jody Zenn - MAXIMUS and Lila Starr of Iowa DHS For the Fall 2019 PASRR Roadshow

Ascend, a MAXIMUS Company and the Iowa Department of Human Services are pleased to offer FREE PASRR training in a city near you.


The 2019 Fall PASRR Road Show trainings include the opportunity to earn contact hours or certificates of attendance.

Participants click here to download printable training materials and resources

Denison | Boulders Conference Center
2507 Boulders Drive, Denison, IA 51442
Tuesday, October 22

Waterloo | Waterloo Center for the Arts
225 Commercial Street, Waterloo, IA 50701
Wednesday, October 23

Ottumwa | Bridge View Center
102 Church St, Ottumwa, IA 52501
Thursday, October 24

Des Moines | Learning Resource Center
3550 Mills Civic Parkway, West Des Moines, IA 50265
Friday, October 25


New to PASRR?
Assigned to submit PASRRs for the hospital or NF?
This training (morning session in particular) is for YOU!

The morning will focus on:
PASRR basics for individuals who are new to PASRR.
We will cover PASRR 101 with in-depth opportunities for Q&A.
Take a tour of the PASRR provider's website with emphasis on how to use it.
Walk participants through the process of submitting Level I screenings and focus on use of categorical outcomes and other important considerations.
Overview of many specific challenges, communication opportunities, and Q&AA with Level I Quality Reviewer for Iowa, Jody Zenn.


Have you been assigned to take on responsibility for PASRR Care Planning?
Are there people in your SNF/NF or NFMI who don't have a sufficient understanding of PASRR?
Is your facility taking individuals for placement without really understanding what is required by LII PASRR outcomes?
Have you had lots of non-compliant reviews?

The afternoon will focus on:
New PASRR reporting requirements being implemented with MCOs.
How to read/review a Level II outcome - Summary of Findings - prior to placement.
Increasing your knowledge through use of our many training opportunities.
Successful development of compliant PASRR care plans.
Increase understanding of the many types of PASRR compliance.
Achieving care planning and service delivery compliance using ServiceMatters Review Process.


Learning Objectives

By the end of this training, providers will:

Build a solid foundation of understanding Iowa PASRR & Level I submissions.
Understand the use of the website and the Iowa Help Desk.
Know how to complete a Level I PASRR Screening accurately and timely.
Distinguish how/when to send in a new PASRR, remembering, "When in Doubt, submit the Status Change."
Determine how to work effectively with MCOs for success in discharge planning.
Integrate knowledge of PASRR compliance and service delivery for success during ServiceMatters reviews and improved outcomes for individuals.


Who Should Attend?

If you are new to PASRR, know that we will cover PASRR 101 in depth, but you will benefit from attending this training after ALSO viewing the PASRR 101 video/webinar and having a preliminary understanding of PASRR, PathTracker, and ServiceMatters.


Click here for PASRR 101 from the PASRR Technical Assistance Center

If you are an experienced PASRR provider, we are hopeful that this will serve as a great review and intermediate level training toward a deeper understanding of PASRR. We would love to meet you, share this important information and respond to your questions.

- Hospital Administrators
- Hospital and Nursing Facility Management
- Hospital and NF Discharge Planners
- Nurses, DONs, and CNAs
- Social Workerstab
- Case Managers
- Hospice Staff
- Long-Term Care & RCF Providers
- Behavioral Health Service Providers
- MCO Care Managers
- Business Office Staff who submit notices
- Anyone else vested in the future of IA PASRR


Attend an event in your community!
Each session is a single day offering - choose the day that works best for you

Click a Date
Tuesday, October 22, 2019 | Denison
Wednesday, October 23, 2019 | Waterloo
Thursday, October 24, 2019 | Ottumwa
Friday, October 25, 2019 | Des Moines


Training Schedule
8:00 a.m. | Registration opens
9:00 a.m | Sessions begin promptly
12:00 - 1:00 p.m. | Break for lunch (on your own)
4:00 p.m. | Finish

Presenters
Brad Goodin, MDiv | Ascend, a MAXIMUS Company | IA & NE PASRR Program Manager

Jody Zenn | Ascend, a MAXIMUS Company | Clinical Reviewer & Operations Lead

Lila Starr, LBSW | Iowa Dept of Human Services | Div of Mental Health & Disability Services

No Charge for Attendance or Certificates!

Application for provision of RN CEUs to be made. Certificates of Attendance will be available.


5/21/2019
Iowa PASRR Technical Assistance Webinar | September 10, 2019

Event:
PathTracker Plus for Nursing Facility Administrators and Business Office Staff
Date:
2:00 p.m. Tuesday, 09/10/19

Description:
This Iowa PASRR Webinar is specifically designed for the staff in your NF who are involved in making admission, transfer, and discharge submissions into PathTracker Plus, which is a feature of the PASRR database. We think these are often folks who work in the business offices, but may not otherwise be involved with or very knowledgeable of PASRR.

The webinar will include an overview of several critical functionalities of PathTracker Plus, including the when, where, why, and how to submit admissions, transfer, discharge, and corrected notices. The use of PathTracker Plus has been mandatory since February 1, 2016. It is critical that appropriate nursing facility staff are trained and prepared to make necessary entries into the system in a timely manner. It is also critical that the NF stop any and all use of paper Case Activity Reports, also known as CAR forms, and that ALL changes that would have been submitted using a CAR form in the past, must now be made only in the electronic PathTracker Plus system.

PathTracker Plus for Nursing Facility Administrators and Business Office Staff - Tuesday, September 10, 2019, at 2:00 pm CST





4/29/2016
 


 
 PASRR Tip of the Month
  • Providers: Be sure to read each PASRR Summary of Findings prior to accepting an individual to your nursing facility. All identified services are required to be care planned for.

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