The session will present a framework for PASRR evaluations in long term care settings, including important perspective concepts and communication skills to both contribute to the staff learning during the evaluation as well as to aid the evaluator. Elements of well-being are integrated into the evaluation process, along with the difference between what is important to and what is important for the person. Individualization in assessment and plan development is stressed as a primary principle.

Dementia, delirium and depression (also referred to as the 3 Ds) account for the majority of negative mental and cognitive health outcomes in older adults. This presentation will provide context, baseline information and challenges relating to the differentiation of the 3 Ds in individuals with behavioral issues. None of these conditions are a normal part of the aging process, but they are common and can be challenging to figure out because of overlapping symptoms and behaviors. One of the symptoms that make it so challenging are the cognitive impairments that may accompany all three of the “Ds”. We will take a look at each condition and related screening tools separately and then discuss overlapping issues and concerns.

Long-term care ombudsman programs resolve hundreds of thousands of complaints every year on behalf of long-term care facility residents. The largest group that requested ombudsman assistance in resolving complaints were residents themselves, indicating that residents depend on ombudsmen to help them resolve their concerns. Participants will learn about the role of the Ombudsman, common problems experienced by nursing home residents and resolution strategies employed by Ombudsman programs, including partnerships and systemic advocacy.

This webinar was hosted on behalf of the State of Washington to discuss the dementia exclusion for Serious Mental Illness (SMI).

This webinar will cover three separate PASRR talks. Topics include PASRR and the new ICD-10, MDS findings and analyses, and possibilities with NAPP.

This session opens a provocative conversation on the impact of the changing demographics in long term care on quality of life for those being served. The nursing home environment is fast becoming an uncomfortable mix of ages, circumstances, and medical and psychiatric needs. The development and implementation of practical, non-pharmacological interventions for addressing behavioral health issues is a focus of this conversation. This session offers practical guidance for effecting true culture change: not simply a project, but a positive and lasting change in the thinking and behavior of those who live and work in the environment.

This presentation provides an overview of quality improvement frameworks, principles, and tools that PASRR program authorities can use to monitor and assess their programs. Discussion includes keys to implementing quality improvement activities and mapping quality improvement activities to state initiatives and goals.

This presentation will define the prevalence of behavioral health (BH) conditions in our culture, address frequently occurring co-morbid health conditions that often obscure their detection and subsequent treatment, and introduce validated screening tools that are successfully used to detect many BH conditions across settings. Appropriate times and environments to utilize the screenings will be discussed with a particular emphasis on the potential value of integrating BH screenings into PASRR Level I evaluations.

The PASRR Technical Assistance Center has recently reviewed the tools states use for their preliminary Level I PASRR screens, and has analyzed PASRR-related items in the Minimum Data Set (MDS). In this webinar, the Director of PTAC, Ed Kako, will review some of those findings and describe the next steps PTAC will take in the research it conducts in partnership with the Centers for Medicare and Medicaid Services (CMS) and with states.