How to Enhance the Quality of Dining Assistance in Nursing Homes

How to Enhance the Quality of Dining Assistance in Nursing Homes Centers for Medicare and Medicaid Services (CMS) Satellite Broadcast and Webcast

March 16, 2007 Time frames (1:00-2:30 PM) EST PLEASE ADJUST TIMES FOR YOUR TIMEZONE

This satellite broadcast and webcast will provide state surveyors and long-term care providers with training in an observational protocol to assess the quality of dining assistance care provision.

Goals Faculty The goal is to provide nursing homes with a John F. Schnelle, PhD tool to assess and identify areas for Professor, School of Medicine, Division improvement in dining assistance. of General Internal Medicine and Public Health, Vanderbilt University, Director Objectives of the Center for Quality Aging. After viewing this program, participants will be able to: Sandra F. Simmons, PhD  Understand the extent to which dining Associate Professor, School of assistant programs have been Medicine, Division of General Internal implemented in the U.S. Medicine and Public Health, Vanderbilt  Understand the importance of direct University, Center for Quality Aging, observation in assessing dining and the Geriatric Research and assistance care quality. Education Center Veterans  Use a standardized observational Administration. protocol to assess dining assistance care quality, and Chris Williams,  Use a standardized observational Director of the Office of protocol to identify potential areas for Communications and Knowledge improvement. Transfer at the federal Agency for Healthcare Research and Quality Target Audience Supervisory-level and direct care nursing home staff, Nursing Home Provider Organizations, Long Term Care Ombudsman, State Long Term Care Surveyors, CMS Central & Regional Office staff.

1 Registration and Viewing Instructions Individual and Site registration is available today. Please visit http://cms.internetstreaming.com for individual and site registration and viewing instructions.

Continuing Education Units (CEUs) The Centers for Medicare & Medicaid Services has been reviewed and approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET). To obtain CEUs for viewing the training program you must go to the CMS website http://cms.internetstreaming.com .

Webcast Information This program will have a live Webcast and will be available for viewing following March 16 at http://cms.internetstreaming.com

Satellite Technical Specifications This broadcast will be available on C and Ku Digicipher bands. Specific satellite technical specifications will are available at http://cms.internetstreaming.com or can be obtained by calling 1-800-401-9387.

Handouts Handouts for this broadcast will be available at the following website after March 2 at http://cms.internetstreaming.com.

2 JOIN THE CMS LIVE WEBCAST AND SATELLITE CONFERENCE!

How to Enhance the Quality of Dining Assistance in Nursing Homes Webcast and Satellite Broadcast March 16, 2007 Time frames (1:00-2:30 PM) EST

On March 16, 2007, 1:00-2:30 PM EST, the Center for Medicaid and State Operations, Division of Nursing Homes will sponsor a live Webcast and satellite broadcast entitled “How to Enhance the Quality of Dining Assistance in Nursing Homes.” This broadcast is designed to provide state surveyors and long-term care providers with training in an observational protocol to assess the quality of dining assistance care provision.

Presenters and Topics Time (EST) Topic Presenter 1:00 – 1:05 p.m. Welcome and Introduction Thomas Hamilton, CMS

1:05 – 1:15 p.m. Findings from CMS “Paid Feeding Moderator Dave Nolley Assistant” study and staffing implications

1:15 – 1:25 p.m. The Importance of Direct John F. Schnelle, PhD Observation

1:25 – 1:40 p.m. Introduction to a Standardized Sandra F. Simmons, PhD Observational Protocol

1:40 – 2:00 p.m. Illustrations of key aspects of dining Dave Nolley assistance care Scenes portrayed by Actors

2:00 – 2:10 p.m. Staff Time for Dining Assistance Care John F. Schnelle, PhD and Supervision

2:10 – 2:20p.m. Strategies for Improvement Sandra F. Simmons, PhD

2:20 – 2:30 p.m. Phase 2 Effort and Training Product Christine Williams AHRQ

3 Faculty Biographical Information

John F. Schnelle, Ph.D. John F. Schnelle is the Director of the Vanderbilt Center for Quality Aging and Professor at the Vanderbilt School of Medicine. He has been the principal investigator on 9 NIH clinical trial intervention grants designed to improve care and management in nursing homes and has received awards for his outstanding contributions to behavior therapy. Dr. Schnelle has published extensively in the areas of quality control in institutional settings and quality of life issues in the frail elderly, with over 200 publications. In addition to this research, Dr. Schnelle has over 30 years of experience in clinical care and staff management in nursing homes. His most recent research has focused on the staffing requirements needed to implement care processes in nursing homes that improve resident outcomes and in developing a standardized measurement system to validate staffing and clinical outcome data that are generated by nursing home staff.

Sandra F. Simmons, PhD Sandra F. Simmons is Associate Professor of Medicine, Division of General Internal Medicine and Public Health, at Vanderbilt University. Her clinical appointments include staff member at the Vanderbilt Center for Quality Aging and the Geriatric Research and Education Center Veterans Administration. Active in research as a Co-investigator or Principal Investigator, Dr. Simmons has been the recipient of numerous grants and fellowships to examine issues in gerontology. Complementing her research endeavors, Dr. Simmons writes for the medical literature, and has more then 50 peer-reviewed articles to her credit, as well as numerous abstracts, editorials, and book chapters. Additionally, Dr. Simmons is a guest reviewer for several scientific journals and serves on the Editorial Board for the Journal of the American Medical Directors Association and Journal of Nutrition, Health & Aging. Her most recent work has focused on nutritional care quality and staffing issues in the long term care setting.

Christine G. Williams, M.Ed. Christine G. Williams is the Director of the Office of Communications and Knowledge Transfer at the Agency for Healthcare Research and Quality, within the Department of Health and Human Services. She is responsible for programs to disseminate the work of the Agency, including the Knowledge Transfer Program, which builds upon the 25 year success of the User Liaison Program, bringing research and best practices in health care to State and local policymakers. The Knowledge Transfer Program will add health care systems and purchasers to the audience base as well as expanded strategies to help to inform policy and translate research into practice.

From l982 -1994, Ms. Williams served as the senior health policy staff to former Senate Majority Leader George J. Mitchell (D-Me.). In that capacity she was involved in the development of a number of long-term care initiatives, including Nursing Home Reform - OBRA'87, Medicaid Spousal Impoverishment legislation, as well as two comprehensive Long- Term Care Reform proposals. In l992, Ms. Williams received the Distinguished Legislative Service Award from the American Health Care Association.

Ms. Williams has B.S. and M.Ed. degrees from Boston University.

4 How to Enhance the Quality of Dining Assistance in Nursing Homes Satellite Broadcast TECHNICAL FACT SHEET

DATE:March 16, 2007

TEST TIME:12:30 – 1:00 p.m. EST 11:30 – 12:00 p.m. CST 10:30 – 11:00 a.m. MST 9:30 – 10:00 a.m. PST

PROGRAM TIME:1:00 – 2:30 p.m. EST 12:00 – 1:30 p.m. CST 11:00 – 12:30 p.m. MST 10:00 - 11:30 p.m. PST

WEBCAST TROUBLESHOOTING 703-812-8816 NUMBER:

SATELLITE TROUBLE NUMBER: 410-786-3618

Channel 712 CMS Digital Network:

Individuals and Sites outside of the CMS satellite network who wish to set up a site for this program or view this broadcast via webcast should go to http:// cms.internetstreaming.com to register. Handouts can also be found at that website

Satellite Coordinates

Broadcast Copies Please contact the National Technical Information Services at 703-605-6186 for copies of the broadcast

Guidance for Locating Downlink Sites

5 In general, there are 2 major formats for satellite transmission - digital and analog. CMS uses both analog and digital formats, CMS’s Digital network is a closed network which can only be viewed by its ten regional offices and several State survey agencies in regions VIII, IX, and X. The Digital format that CMS uses is called Digicipher. CMS is also capable of transmitting and receiving programs in KU-band and C-band analog. Ku- band and C-band have been in use for many years, can be received by thousands of ‘steerable’ analog dishes nationwide. C-band is the oldest transmission signal and the most widely used. NOTE: This is NOT ‘video conferencing,’ which is carried by telephone lines.

Locating an Analog Downlink Site Potential Analog Downlink Sites: There are thousands of steerable analog downlink dishes nationwide at public schools, colleges, libraries, hotels, television stations, restaurants, private residences, etc. A few calls should locate one near you.

Here are some places to start calling: . Your Local Cable and Satellite Television Provider: Contact your local cable/satellite television distributor, which is probably listed under “Television -- Cable & Satellite.” Ask to speak with the programming staff and inquire about their willingness to simulcast the broadcast on your area's public access channel. Advise them that this broadcast is free of charge. Satellite television distributors may be able to provide you with a list of public institutions such as libraries, community centers, health care centers, and public schools that subscribe to their services. You may also wish to contact your local public TV station and ask that they download and air the program on their station. . Public Libraries: Larger public libraries are a good place to check for satellite downlink facilities. Check library listings in the local government section of the blue pages of your local telephone directory. . Educational Institutions: Universities, community colleges, and large public high schools often have satellite downlink capabilities. . Hotels and Business Centers: Large hotels that frequently host conventions in business districts, may be able to receive satellite broadcasts. These hotels may charge a fee for viewing. . Health Care Facilities: Many hospitals and health maintenance organization (HMO) offices have satellite reception capabilities. . Copy Centers: Commercial office supply centers may also have satellite capabilities.

What Information Do I Need to Give the Site Contact Person? When you contact an analog site, you will need to give the contact person the satellite coordinate information. The coordinates for the broadcast should be made available from the Central Office contact approximately 30 days prior to the broadcast. Here is the information you will need to provide: . Transmission Type: . Satellite: . Orbital Location: . Transponder: . Polarity:

6 . Downlink Frequency: . Satellite Help Hotline: . Broadcast Schedule: . Test Signal: . Broadcast Title: Reserving a Downlink Site You will need to know what to ask the person who answers the phone, who may or may not be the best person at that organization to help.

If the facility has an analog satellite: You are interested in viewing a satellite C-band and/or KU band analog broadcast and you understand that this facility may have that capability. You should have the satellite coordinates for reference. Some satellite dishes can’t be pointed to all satellites.

You should also ask: . If the facility can receive the broadcast, is the viewing room open to the public and not reserved for another use at the time of the broadcast? . If the viewing room is available, how many people will it hold, and is there any fee for its use? . Will the facility let you phone or fax your questions in to a toll free number? . You should point out that this broadcast is open to the public and employees of the hosting facility with an interest in the topic are welcome. . As a courtesy, you should offer the hosting facility a list of the people who will attend. . Are there any special arrangements necessary for entry to the site? . It is your responsibility to arrange for sign language interpretation if you anticipate that individuals with hearing impairments will attend.

If you find a site, you should be prepared to perform as site coordinator. Typically, site coordinators will: . Locate a suitable location. . Promote the event locally. . Direct individuals to register if necessary . Download material (e.g., sign-in sheet, evaluation, participant guide) if available . Ensure that participants sign in on the day of the event. . Distribute copies of the participant guide and handouts to participants the day of the broadcast. . Assist participants with the use of the distance learning equipment. . Receive instructions from the broadcast director regarding any activities they may be asked to facilitate. . Encourage active participation in event activities. . Record the broadcast for office use. . Encourage participants to complete the evaluation form located at Http://cms.internetstreaming.com