Friday June 29, 2012

    Dementia Incidences to Triple Says World Health Organization

     The World Health Organization has released data on the current state of dementia care worldwide and the prevalence of the disease, both currently and in the future. Among other findings, researchers predict the number of people with dementia worldwide to triple by 2050.

    The World Health Organization compiled the results of a number of studies in a new report about the prevalence, effects, and implications of dementia. According to the report, in 2010 35.6 million people worldwide had dementia, a number expected to nearly double every 20 years. In 2010 the worldwide costs of dementia were estimated to be 604 billion US dollars, a number also expected to grow over the coming years. Despite the high social and financial costs, only eight countries have national programs to address dementia.

    The report emphasizes that a variety of services, including caregiver support programs, residential care communities, and palliative care options, are needed to serve those with dementia. High-income countries are generally able to provide more options for citizens, but the report makes it clear that even high-income countries have room for improvement. For example, seven out of eight survey respondents from high-income countries report that their country provides support for residential care, but many of these countries do not provide sufficient care. Poland, for instance, only reported one community specifically designed for individuals with dementia.

    Read the full report: Dementia: A Public Health Priority


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  • Revised Guidance for Tag F492

    Monday June 18, 2012

    Current guidance in Appendix PP of the State Operations Manual for Tag F 492, 42 CFR ยง483.75(b) and (c) States that this tag should be cited only when the authority having jurisdiction has both made a determination of noncompliance and has taken a final adverse action as a result. There has been confusion as to whether this requirement may be cited when a facility simply does not meet a State regulation. This memorandum clarifies and revises the Centers for Medicare & Medicaid Services (CMS) guidance to Surveyors in Appendix PP of the SOM regarding citations under Tag F492.

    June 1, 2012 CMS issued a revision and clarification to the Interpretive Guidance for F492. The effective date of this memo is immediately. These changes will be incorporated into the next revision of Appendix PP of the SOM. Please read the attached document for details.

    Revised Guidance for F492

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  • Disaster Planning Information

    Tuesday June 5, 2012

    All long term care providers and operators have an obligation to prepare for potential disasters. Each facility is unique with regard to the types of residents/clients served, geographical location, types of disasters to plan for and proximity to local assistance. Preparation, education, and practice are the keys to a well-managed event involving a catastrophic occurrence that comes with little or no warning.  

    We have recently added numerous documents, forms, and guides to assist health care facilities in this planning process. These forms are located behind the "Risk Management Resource Center" door. We remind all facilities that any workable disaster plan must be tailored to the individual facility. It is advised that a committee be formed to develop and analyze all material for the manual, as well as provide regular reviews and updates.  The following documents posted are:

    • Nursing Home Incident Command System (NHICS)
      • Guidebook
      • Incident Management Team
      • Position Crosswalk
      • Quick Guide to Job Responsibilities
      • Incident Briefing & Operational Log
      • Incident Objectives
      • Organization Assignment List
      • Incident Communications Plan
      • Staff Injury Plan
      • Organizational Chart
      • Incident Message Form
      • Facility System Status Report
      • Personnel Time Sheet
      • Volunteer Staff Registration
      • Master Emergency Admit Tracking Form
      • Master Resident Evacuation Tracking Form
      • Procurement Summary Report
      • Resource Accounting Record
      • Facility Resource Directory
      • Master Facility Casualty Fatality Report
      • Resident Evacuation Tracking Form
      • Incident Action Safety Analysis
      • Emergency Water Supply Planning Guide
      • National Criteria for Evacuation Decision - Making in Nursing Homes
      • Caring for Vulnerable Elders During A Disaster - Hurricane Summit

    Listed below are links to also assist you in locating additional information that you may require:  



    Homeland Security:


    American Red Cross Preparedness Fast Facts: http://www.redcross.org/portal/site/en/menuitem.86f46a12f382290517a8f210b80f78a0/?vgnextoid=92d51a53f1c37110VgnVCM1000003481a10aRCRD  

    Kentucky All Hazards Long Term Care Planning & Resource Manual: http://www.kahsa.com/Kentucky-All-Hazards-Long-Term-Care-Planning-%26-Resource-Manual-p-373.html  

    California Association of Health Facilities - Disaster Preparedness Program: http://www.cahfdisasterprep.com/PreparednessTopics.aspx  

    Florida Health Care Association - Emergency Preparedness Tools: http://www.fhca.org/facility_operations/emergency_preparedness_tools/ http://www.fhca.org/emerprep/index.php  

    National Nurse Emergency Preparedness Initiative:


    Texas Health Care Association-Disaster Preparedness Tools: http://www.txhca.org/disasterpreparedness.htm

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  • CMS Use of Insulin Pens

    Friday June 1, 2012

    The Centers for Medicare & Medicaid Services (CMS) has recently received reports of use of insulin pens for more than one patient, with at least one 2011 episode resulting in the need for post-exposure patient notification. These reports indicate that some healthcare personnel do not adhere to safe practices and may be unaware of the risks these unsafe practices pose to patients. Insulin pens are meant for use by a single patient only. Each patient/resident must have his/her own. Sharing of insulin pens is essentially the same as sharing needles or syringes, and must be cited, consistent with the applicable provider/supplier specific survey guidance, in the same manner as re-use of needles or syringes.

    The Centers for Disease Control and Prevention (CDC) has also become increasingly aware of reports of improper use of insulin pens, which places individuals at risk of infection with pathogens including hepatitis viruses and human immunodeficiency virus (HIV). This notice serves as a reminder that insulin pens must never be used on more than one person.

    Follow the link to visit the CDC page on Injection Safety:


    CDC Insulin Pen Poster:

    Clinical Reminder for Use of Insulin pen

    CMS Survey & Certification letter on Insulin pens:

    Use of Insulin Pens May 18 2012

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