2016 AIPP TR AINING W O R K S H O P MDS Updates and Coding Tips A FREE workshop presented by the Arkansas Innovative Performance Program Thursday, June 16, 9:30 a.m.–4 p.m Registration begins 30 minutes prior to the start of each session Lunch is on your own University of Arkansas at Hope Hempstead Hall, Springhill Suite • 2500 S Main Arkansas Innovative Performance Program (AIPP) aipp.afmc.org 2016 AIPP TRAINING WORKSHOP MDS Update and Coding Tips TARGET AUDIENCE CONTINUING EDUCATION Long-term care administrators and nurses Nurses and Long-Term Care Administrators: This workshop is pending approval for 5.5 CE hours for nursing home administrators and/or nurses by the Arkansas Department of Human Services Nursing Home Administrator Licensure Program Approval ID# AR 6551-AIPP16-5.5 faculty and planners have disclosed no such relationships or affiliations Faculty is also required to disclose when any product is mentioned that is not labeled for the use under discussion or is still investigational AFMC operates under contract with Arkansas Medicaid to accomplish health care quality improvement for Arkansas DISCLOSURE STATEMENT CONTACT INFORMATION PURPOSE/OBJECTIVE: This is a refresher course for interdisciplinary team members who participate in the MDS 3.0 process Course instructors will give a review of MDS updates and provide coding tips, with an emphasis on care-planning and MDS focus survey information SUCCESSFUL COMPLETION Successful completion of this activity for continuing education credit is defined as attending the entire program It is the policy of the Arkansas Foundation for Medical Care (AFMC) to ensure balance, independence, objectivity and scientific rigor in all sponsored or jointly sponsored educational programs Faculty and course planners are required to disclose any relationships with commercial entities related to their topic(s) that could be considered a conflict of interest or potential source of bias All For more information, please call the AIPP team at 1-877-375-5700 REGISTRATION INSTRUCTIONS You may complete the attached registration form and return it by one of these methods: • Email to aipp@afmc.org • Phone 501-212-8602 • Fax to 501-372-5926 SPEAKERS Kathy Caldwell, LPN, LNHA, RAC-CT, CDP, CLTC, Outreach Specialist, Arkansas Innovative Performance Program, AFMC Ms Caldwell has worked in long-term care for more than 20 years in a variety of positions, including MDS coordinator, MRA charge nurse, occupational health, clinical nurse and medical terminology instructor at ASU-Searcy and CPR/first aid instructor THIS MATERIAL WAS PREPARED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE INC (AFMC) PURSUANT TO CONTRACT WITH THE ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES THE CONTENTS PRESENTED DO NOT NECESSARILY REFLECT ARKANSAS DHS POLICY THE ARKANSAS DEPARTMENT OF HUMAN SERVICES IS IN COMPLIANCE WITH TITLES VI AND VII OF THE CIVIL RIGHTS ACT 2016 AIPP TRAINING WORKSHOP REGISTRATION ONLINE AT events.afmc.org or fax completed form to 501-372-5926 MDS Updates and Coding Tips Arkansas Innovative Performance Program (AIPP) aipp.afmc.org Thursday, June 16 • 9:30 a.m.–4 p.m • University of Arkansas at Hope Hempstead Hall, Springhill Suite • 2500 S Main Registration opens 30 minutes early Lunch is on your own FIRST NAME: _ MI: _ LAST NAME: _ JOB TITLE: _ DEGREE/CREDENTIALS (IF ANY): NURSING HOME/ORGANIZATION: ADDRESS: CITY: STATE: _ ZIP: _ TELEPHONE: _ EXT: _ FAX: EMAIL*: *(Email required for confirmation of registration.) PROFESSION (Check all that apply) ■ Administrator ■ Certified Nursing Assistant ■ Dietary Manager ■ Dietitian ■ Environmental Services ■ Medical Records/HIM ■ Nurse ■ Occupational Therapist ■ Ombudsman ■ Pharmacist ■ Physical Therapist ■ Physician Assistant ■ Respiratory Therapist ■ Social Worker ■ Speech Therapist ■ Other _ SETTING (Check all that apply) ■ AFMC ■ Assisted Living Facility ■ Home Health ■ Hospice ■ Hospital ■ Nursing Home ■ State/Federal Agency ■ Other ROLE (Check all that apply) ■ Administration/Management ■ Billing/Coding ■ Case Management/UR ■ Clerical ■ Clinical ■ Education ■ Legislator ■ Medical Records ■ QA/QI ■ Research/Analysis ■ Student/Resident ■ Other PLEASE MAKE COPIES FOR ADDITIONAL ATTENDEES HOW DID YOU HEAR ABOUT THE CONFERENCE? (Check all that apply) ■ AFMC personal contact ■ AFMC website ■ Email ■ Fax ■ Journal ■ Mailer ■ Word of mouth ■ Other Special needs: _ _ _ _