"Improperly providing services to improve and maintain residents' well-being" is the most frequently cited deficiency in long-term care. Deficiencies and fines have risen by 25 percent. Federal regulators are releasing the names of poor performing facilities. Furthermore, the health care industry is moving toward a national electronic medical record policy. The first Federal Interpretive Guidelines specifically for Tag F248 and Tag F249 have been implemented and designed to prevent negative psychosocial practices. Surveyors will now be aggressively reviewing these laws to ensure their implementation in your facility. To meet the psychosocial survey standards, your staff needs to be aware of the recent research on providing services to the growing number of residents with dementia.

Join us at this seminar where an experienced professional will show you how to use the changes in the survey process and new MDS 3.0 data to your facility's advantage. Rita Spak, a 30-year professional in activities and therapeutic recreation, will give you effective program approaches that tie directly to what is expected in the new CMS approach to assessing resident "quality of life." Also, as one of the few nationally certified instructors for the dementia practitioner certification program, Rita will be discussing the special needs of our dementia population. Improving communication skills and programs for low functioning residents will also be addressed. The new Psychosocial Severity Guide for rating nursing home deficiencies will be discussed in detail. The effective documentation of services to substantiate their effectiveness and lead into an interdisciplinary approach will be demonstrated. An update of the MDS 3.0 will be provided, as well as adequate discussion of recent changes in the survey process. Time will be allotted for problem-solving for addressing your individual facility difficulties. This presentation will be time well spent for even the most experienced activity professional and anyone involved in the Quality of Life of residents in long-term care facilities.

• Examine how to prepare your facility for increased surveyor scrutiny
• Determine how to use the changes to Tag F248 and Tag F249 to define your services
• Understand the Psychosocial Outcome Severity Guide
• Review the updated MDS 3.0
• Write interdisciplinary care plans to specifically address psychosocial issues
• Examine current research on approaches for residents with dementia

• Coordinate all staff to address psychosocial issues
• Discover ways to enhance an interdisciplinary approach with the new MDS 3.0
• Determine how to use the new interpretive guidelines
• Identify how to meet criteria for the new Psychosocial Outcome Severity Guide
• Outline how to provide services to low functioning residents
• Assess the impact of and understand the new Recreational Therapy Medicare Project
• Recognize how to support other therapies to reinforce Quality of Life standards
• Enhance new approaches to the recreation program

All nursing home, long-term care and assisted living staff involved with resident Quality of Life issues, including:
• Activity Directors, Coordinators, Therapists, Assistants
• Recreation Directors, Therapists
• Social Workers
• Administrators
• Nursing Staff
• MDS Coordinators
• Adult Daycare Center Staff
• Assisted Living Staff

RITA SPAK, MS, CTRS, ACC, CDP, is a recreational therapist with 30 years' experience in the adult and long-term care field. Nationally certified as a Recreation Therapist, Activity Consultant and Dementia Practitioner, Ms. Spak has managed Recreation and Activity Services along the continuum of care—from independent living, assisted living, rehabilitation and boarding home, to skilled nursing, psychiatric and long-term care. Ms. Spak is a well-known international, national and state speaker on various topics of aging. The Center for Medicare and Medicaid Services (CMS) cited her work in its webcast for the new regulations. Her unique intervention-based programs have been very well received. Ms. Spak is an item writer for the national boards for Recreational Therapy as well as the author of a series of manuals on Activity Programming. She also has produced and hosted several cable television series on aging. She presently owns her own consulting firm, providing expertise to the public and private sectors.

"Rita never lets you down. Delivers important information in a practical manner." - Connie Wagner, RN, Director of Education, Nebraska Health Care Association

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