Feb 21 & 22, 2019 AHCA Workshop

LTC Quality & Phase 3 ROP Workshop

February 21 & 22, 2019 from 8:00 am – 4:00 pm

at the Ala Moana Hotel, Garden Lanai Room

OverviewAgendaContinuing Education CreditsRegistrationFees/PaymentHotel Information and Parking

Course Description:

This two-day workshop will review the major quality and regulatory changes in long term care. Topics of discussion will include the skilled nursing facility (SNF) quality reporting program, value-based purchasing, payroll-based journal, nursing home compare and five star changes. In addition, AHCA staff will review the top citations across the nation as well as look at citations specific to Hawaii.  Participants will also delve into the Phase 3 Requirements of Participation (ROP) including care planning, trauma-informed care, and infection prevention and control.

Learning Objectives

Attendees of this workshop will:

  1. Explore quality and regulatory changes for long term care
  2. Identify national and Hawaii-specific survey trends and top tags
  3. Explore strategies for implementing consistent person-centered care planning processes
  4. Utilize root cause analysis for falls management
  5. Explore tools to mitigate adverse events/potential adverse events
  6. Describe strategies to address common infection control citations and improve infection control practices

Target Audience:   Long term care administrators, directors of nursing, infection preventionists, MDS coordinators, social services personnel, therapists, and other designees responsible for quality and regulatory compliance in a nursing facility setting.

Instructional Level:  Intermediate


Holly Harmon, Associate Vice President, Quality & Clinical Affairs, American Health Care Association

Holly Harmon, RN, BSN, MBA, LNHA, FACHCA, has over 20 years of experience in healthcare including post-acute care, long term care, residential care, assisted living, independent living services, psychiatric hospital nursing and occupational health nursing. Her background includes working as a CNA, LPN, RN, Nurse Manager, Director of Nursing, Chief Nursing Officer, Executive Director/Administrator and Director of Quality Improvement & Regulatory Affairs. Holly is a strong advocate of culture change and was one of 17 nurse experts nationwide who consulted on the development of the Nurse Competencies for Nursing Home Culture Change. Holly previously served as President of the statewide Maine Culture Change Coalition/LANE, Maine LANE Co-Convener f or the national Advancing Excellence in America’s Nursing   Homes Campaign, Co-Chair of the Maine Partnership to Improve Dementia Care in Nursing Homes  and Vice-President of American College of Health Care Administrators, Maine Chapter. Holly is a  Fellow of the American College of Health Care Administrators. She serves as a Liaison to various national organizations and as a consultant on various matters including organizational culture, compliance, quality and operations.

Sara Rudow, Senior Director, Regulatory Affairs, American Health Care Association

Sara Rudow, M.P.A., has worked for over ten years on policy analysis and implementation to support the delivery of high quality health care and social services to vulnerable populations. As AHCA’s Senior Director of Regulatory Services, Sara leads AHCA’s efforts to develop and promote systemic changes to regulations, policies, and practices to foster a more transparent and effective survey/regulatory process and to share information, develop resources, and provide advocacy on critical regulatory and quality issues facing nursing centers. Prior to coming to AHCA, Sara led projects analyzing federal health care programs serving the elderly, disabled, and economically vulnerable and provided technical assistance to federal grantees. She also worked as an analyst at the US Government Accountability Office, assessing and providing recommendations to improve the implementation of federal health care programs. Rooted in her early experiences as a caseworker in a residential treatment center for young people with multiple disabilities, Sara is committed to bringing the voices of care providers into the policy making process. Sara earned her B.A. in Political Science from Columbia University and her M.P.A. in Social and Health Policy from Cornell University.

Agenda for Thursday, February 21, 2019

8:00 – 8:30 am     Registration & Continental Breakfast

8:30 – 8:50 am     Welcome & Goals for the Day

8:50 – 9:30 am     Setting the Stage: Where we have come from, where we are now, where we are going

9:30 – 10:30 am   AHCA Quality Update Part 1: Quality Initiatives

10:30 – 10:45 am Break

10:45 – 11:20 am AHCA Quality Update Part 2: SNF QRP & VBP

11:20 – 12:00 pm AHCA Regulatory Update Part 1: Policy efforts related to ROPs, survey process, CMS regulations and guidance

12:00 – 1:00 pm   Lunch

1:00 – 1:30 pm     AHCA Regulatory Update Part 2: Nursing Home Compare, Five Star Changes, PBJ

1:30 – 2:30 pm     Requirements of Participation: Transition from Phase 2 into Phase 3

2:30 – 2:45 pm     Break

2:45 – 3:45 pm     Person Centered Care Planning

3:45 – 4:00 pm     Q&A/Wrap Up

Agenda for Friday, February 22, 2019

8:00 – 8:30 am     Registration & Continental Breakfast

8:30 – 9:00 am     Welcome & Goals for the Day

9:00 – 10:00 am   Falls Management and Root Cause Analysis

10:00 – 10:45 am Mitigating Adverse Events

10:45 – 11:00 am Break

11:00 – 12:00 pm Behavioral Health, Trauma Informed Care and Cultural Competency

12:00 – 1:00 pm   Lunch

1:00 – 2:00 pm      Infection Prevention and Control

2:00 – 2:45 pm     Innovations in Workforce

2:45 – 3:00 pm     Q&A/Debrief/Closing Thoughts

This continuing nursing education activity was approved by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation, for up to 10.4 contact hours.  Approval valid through 2/22/2021.  OCEAN ID #2019-5.

This program is approved by the National Association of Social Workers – Hawai’i Chapter (Approval HI62792019-35) for up to 10 Social Work continuing education contact hours.

State licensure boards have final authority on the acceptance of individual courses.
There is no conflict of interest for any planner or presenter with this learning activity.

To receive a Certificate of Completion, the registration fee must be paid, and each individual wanting a certificate must sign-in each day and complete the evaluation at the end of the workshop.  The number of CEs issued is commensurate with participation/attendance.  Contact Lori Henning at lhenning@hah.org for more information.


Registration fee:

Registration is limited to HAH Nursing Facility Members only.  The registration fee includes the two-day workshop, access to workshop materials for download, continental breakfast, buffet lunch, and validated parking at the Ala Moana Hotel parking garage on February 21 & 22, 2019.

  • $269 per person 

Click here to pay via credit card (see below for how to pay by check).

Credit cards accepted are:  Mastercard, Visa and Discover.

Make checks out to HHERF and mail to:

Healthcare Association of Hawaii
707 Richards Street, PH2
Honolulu, HI 96813

*Cancellations will be charged a processing fee. Email lhenning@hah.org 48 hours in advance of the workshop to cancel your registration.

**NO REFUNDS for non-attendance.

The LTC Quality & Phase 3 ROP Workshop will be held at the Ala Moana Hotel  (410 Atkinson Drive, Honolulu HI 96814).


Self-parking in the Ala Moana Hotel Garage will be validated.  Bring your parking stub to the workshop and we’ll validate it for you at Registration.  Valet parking is not covered and costs $25 per car.  Parking in the shopping center parking lot is at your own risk.

Overnight Guests

The Ala Moana Hotel is offering a 12% discount off of the best available rate at the time of booking in the Kona and Waikiki Towers, City/Mountain view.

To get the discount, you may book and pay for your reservation(s) one  of two ways:

  1. Online at www.alamoanahotelhonolulu.com, using  Promo Code“AHCA19”; or,
  2. By phone, calling the Reservations Department.  If calling-in a reservation, Guest Profile Central ID # 8968967078″, AND the Promo Code “AHCA19”.

Ala Moana Hotel reservations can be reached at:
1-800-367-6025; or 955-4811 from Oahu

The discount “AHCA19” is only valid for travel between February 19 – 24, 2019, based upon availability at time of booking.

The promo code will expire on 2/12/19, OR, if there are no rooms available (meaning the hotel is sold out), whichever occurs first.