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PADONA Comments on CMS Proposal for Minimum Nursing Facility Staffing Standards
PADONA Staffing Comments – CMS 11.06.2023
PADONA submitted the attached comments in response to CMS’ proposed federal minimum staffing requirements. There are serious concerns this proposal will hasten the long-term care crisis in Pennsylvania.
Resident Assessment Instrument (RAI) Manual
The final version of the revised Resident Assessment Instrument (RAI) Manual has been issued by the Centers for Medicare and Medicaid Services (CMS). The manual, as well as the final version of the MDS assessment tools (all types of assessments) are available on the CMS website or can be accessed and downloaded on this website. Whether you are the assessment nurse or the assessment nurses report to you as the nurse leader at your nursing home, it is good to have this information as a reference.
For the nurse leader knowing the items that are included in the revised MDS assessment version 1.18.11 provides you the opportunity to know what should be included in medical record documentation as support for the MDS assessment item coding. If the nurses are completing the pain interview with the residents, it is critical for them to know the questions to ask and how they should be incorporated into the person-centered care plan.
Both the revised RAI Manual and the revised MDS assessment tools can be found at this CMS page.
Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual | CMS
Pennsylvania State Regulations – Effective Date July 1, 2023
The revised state regulations, an education power point reviewing the regulations, regulation guidelines and FAQs regarding the revised regulations can be found on the PA state Department of Health website at Regulations (pa.gov).
Federal Trade Commission Proposes Non-Compete Rule
Federal Trade Commission Proposed Rule on Non-Compete Clauses
Background On January 5, 2023, the Federal Trade Commission released a Notice of Proposed Rulemaking (NPRM) to prohibit employers from imposing noncompete clauses on workers. True to their name, non-competes block people from working for a competing employer, or starting a competing business, after their employment ends. Evidence shows that noncompete clauses bind about one in five American workers, approximately 30 million people. By preventing workers across the labor force from pursuing better opportunities that offer higher pay or better working conditions, and by preventing employers from hiring qualified workers bound by these contracts, non-competes hurt workers and harm competition.
Proposed Rule on Noncompete Clauses
Based on concerns about these harms to workers and to competition, the FTC has proposed a rule concerning non-competes.
- The rule would provide that noncompete clauses are an unfair method of competition. As a result, the rule would ban employers from entering noncompete clauses with their workers, including independent contractors.
- The rule would require employers to rescind existing noncompete clauses with workers and actively inform their employees that the contracts are no longer in effect.
- In the proposed rule, for which the agency invites comment, the FTC estimates that the rule would: o Increase workers’ earnings by nearly $300 billion per year o Save consumers up to $148 billion annually on health care costs o Double the number of companies founded by a former worker in the same industry
- The proposed rule seeks public comment on a number of topics, in particular: o Whether franchisees should be covered by the rule o Whether senior executives should be exempted from the rule, or subject to a rebuttable presumption rather than a ban o Whether low- and high-wage workers should be treated differently under the rule
Appendix PP of State Operations Manual (SOM)
The Centers for Medicare and Medicaid Services (CMS) Appendix PP of the State Operations Manual (SOM).
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