DNS Fundamentals: a Six-Session On-Demand Workshop

Taught by AADNS master teachers, Amy Stewart and Judi Kulus, DNS Fundamentals: Building a Strong Foundation for New LTC Directors of Nursing Services is a fast-paced, six-course On-Demand Workshop designed to provide the new DON with the foundational leadership and management knowledge not taught in nursing school. Whether you’re new to the DNS role or new to long-term care DNS, Fundamentals will help you succeed.

Session 1: Understand the Role of the DNS
Session 2: Overview of Federal Regulations
Session 3: Managing Quality in the Nursing Department
Session 4: Overview of Business Operations in the Nursing Department
Session 5: Clinical Systems Management
Session 6: Basic Staffing and Human Resource Management

This On-Demand Workshop is eligible for 5.20 CEs.

  • DNS Fundamentals 1: Understand the Role of the DNS

    Contains 3 Component(s), Includes Credits

    Part 1 of DNS Fundamentals workshop

    By federal requirement, nearly every nursing home must have an RN director of nursing services (DNS). The DNS is both a leader and a manager of the nursing department and must have excellent skills to collaborate with the medical director, administrator, facility staff, residents, family, and government agencies (such as the Ombudsman and surveyors). As a DNS, it’s easy to let the emergencies of your day take over and cause you to neglect other important aspects of your leadership role. This session is designed to assist you to understand your role as leader and manager; outline what you need to monitor on a daily, weekly, monthly, quarterly, and yearly basis; and guide you to time saving tips. With the plethora of government programs driving LTC, your success as a new DON depends on your comprehension of them.

    This session will help you:

    • Outline the difference in the DNS role as leader and manager
    • Describe what the DNS needs for oversee on a daily, weekly, monthly, quarterly, and yearly basis
    • Explain the federal governmental programs that impact the nursing home and the DNS role in managing the programs

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.

  • DNS Fundamentals 2: Overview of Federal Regulations

    Contains 3 Component(s), Includes Credits

    Part 2 of DNS Fundamentals workshop

    Have you heard that if you provide good quality care, then good survey outcomes will automatically follow? That is true in a general sense, but compliance with the specific federal requirements for being licensed as a Medicaid and Medicare facility is critical to know as a DNS. This session provides an overview of federal regulations to help you to lead your team’s compliance efforts. Once you and your team know about and implement federal regulatory requirements, you can focus on quality bedside care. From this session, you’ll gain the foundation for compliance so that you can focus on quality care.

    This session will help you:

    • Detail the CMS regulatory documents and resources that govern Medicare and Medicaid facility licensing
    • Outline the federal survey process and describe the critical elements a DNS needs to know about to prepare, experience, and respond to the annual survey process
    • Review the governing entities that impact SNF care and where to find information on complying with OSHA, CDC, OIG, GAO, Office of Civil Rights, emergency preparedness, and the Life-Safety Code

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.

  • DNS Fundamentals 3: Managing Quality in the Nursing Department

    Contains 3 Component(s), Includes Credits

    Part 3 of DNS Fundamentals workshop

    While quality is everyone’s goal, there are specific quality programs that govern the nursing home systems. From federally mandated Quality Measures that are posted for public viewing on Nursing Home Compare to the Quality Reporting Program, Value-Based Purchasing, and Accountable Care Organizations that impact payment, the DNS is caught in the middle of the compliance web. If you are a new DNS, the quality reporting systems can be confusing. This session outlines the key federal quality reporting systems and explain how they impact day-to-day operations.

    This session will help you:

    • Outline the regulatory requirements of the Quality Assessment and Assurance Committee in the nursing facility
    • Describe the DNSs role in complying with the Quality Assurance and Performance Improvement program requirements
    • Review the components of the federally required MDS assessment, Quality Measures (QMs), Quality Reporting Program (QRP), Value-Based Purchasing Program (VBP) and the Five-star Rating System

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.

  • DNS Fundamentals 4: Overview of Business Operations in the Nursing Department

    Contains 3 Component(s), Includes Credits

    Part 4 of DNS Fundamentals workshop

    There are things that you as a DNS need to know that nursing school just didn’t teach you! This session assists you in understanding the critical business management elements that are part of your role – from payment to budgeting. The DNS is called on to lead in strategic planning manage the departments labor and supply costs, inventory controls, understand a profit/loss statement, and understand the plethora of resident payment systems. Following this session, you’ll be years ahead in your role to manage the critical business elements of the nursing department

    This session will help you:

    • Describe basic budgeting, strategic planning, and fiduciary requirements of the DNS
    • Outline the different CMS payment models that impact nursing department function (Medicare, Medicaid, alternative payment organizations)
    • Review the DNS role in overseeing the Resident Assessment Instrument and Minimum Data Set

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.

  • DNS Fundamentals 5: Clinical Systems Management

    Contains 3 Component(s), Includes Credits

    Part 5 of DNS Fundamentals workshop

    Being pulled in 1,000 directions as a DNS is not easy! Knowing how to focus on systems oversight and delegate effectively rather than getting pulled into specific issues is critical for the success of a DNS. This session outlines the role of the DNS to focus on leading from a system perspective rather than getting stuck in the tyranny of the urgent.

    This session will help you:

    • Review the DNS role in providing nursing department clinical system surveillance for care system such as resident safety, pressure ulcer prevention, dementia care, infection control practices, etc.
    • Describe the documentation requirements for quality care delivery, MDS assessments, and care transitions
    • Detail the connection between person-centered care and clinical surveillance

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.

  • DNS Fundamentals 6: Basic Staffing and Human Resource Management

    Contains 3 Component(s), Includes Credits

    Part 6 of DNS Fundamentals workshop

    Staffing is at an all-time crisis in nursing homes, and as a DNS, you carry the burden to fully staff the units 24/7. Just like finances and budgeting, you probably didn’t learn a lot about managing human resources in nursing school. This session helps you to develop the fundamental knowledge you need to lead your nursing department in successful hiring, training, equipping, retention, and mentoring your staff. You’ll cover the required facility assessment that is used to determine the specific competencies your staff needs to succeed. Additionally, you’ll review the CMS requirements for staffing that every DNS needs to know.

    This session will help you:

    • Review the five key elements of staffing a nursing facility (PPD, budget, ratios, and acuity)
    • Describe the CMS required facility assessment and its role in setting the competency program for the nursing department
    • Outline the mandatory requirements and the federally mandated labor reporting system that impacts the nursing department staffing level and payment

    Please be sure to check your Junk/Spam folder if you do not see the confirmation email in your inbox.