Joint Provider and Surveyor/Investigator Training

April 2010

Information Bulletin 10-03

Strategic Approaches to Improving the Care Delivery Process

Joint Provider and Surveyor/Investigator Training


The purpose of this Minnesota Department of Health (MDH) information bulletin is to inform nursing home providers and surveyors of face to face joint training May 3-7, 2010 focusing on “Strategic Approaches to Improving the Care Delivery process”.

This educational program builds on a solid foundation of joint provider-surveyor training held in Minnesota in the last four years on such topics as unnecessary medications, pressure ulcer prevention, activity programming and pain management. Designed to be a rich and interactive learning experience, providers and survey staff will have an opportunity to work through ‘real life’ case studies that will focus on the care delivery process and the care issues and challenges both face. Also included in the program’s format is an expanded opportunity to ask questions and explore answers.

High quality care and positive outcomes are the results of a care delivery process that is systematic and strategic in nature. It combines evidence-based care and valid clinical information such as those found in protocols, guidelines and good quality research to clinical decision-making and problem solving. This program is designed to assist Minnesota nursing homes to improve their care delivery processes – beginning with assessments and ending with outcomes that will be consistent with the new MDS 3.0 requirements.

Joint Training

The Minnesota Department of Health (MDH), in conjunction with Aging Services of Minnesota, Care Providers of Minnesota, Minnesota Directors of Nursing Association, Minnesota Medical Directors Association and The Office of Ombudsman for Long-Term Care, is sponsoring these educational sessions.


  • Review the key elements of the care delivery process and how doing those basics well and strategically can improve resident care and regulatory compliance.

  • Recognize the positive correlation between a detailed, chronological patient history gleaned from an accurate assessment and the successful treatment of a resident’s active and complex conditions with multiple symptoms.

  • Examine some examples of the MDS 3.0 triggered areas and care assessment areas to be targeted for care delivery process improvement.

  • Identify successful strategies that can be used to prevent the hospitalization of residents for the most common diagnoses such as pneumonia, UTIs, congestive heart failure and dehydration – among others.

  • Take home ideas for achieving efficiencies and affordable strategies to treat multiple symptoms that will allow you to work smarter.

  • Using real life case studies involving Minnesota’s top G and IJ deficiencies, take home ideas and tools for improving your care delivery process.


Dr. Steven Levenson, M.D., C.M.D., Long Term Care Medical Director, Baltimore, MD

Back by popular demand after well-received series of workshops in 2009, Dr. Levenson is returning to help providers and surveyors improve care delivery processes and ultimately high quality care in Minnesota’s skilled nursing facilities. He will share his expertise about a variety of clinical subjects, plus practical information you can take away and use. Dr. Steven Levenson is a nationally recognized physician leader, practitioner, author, and educator in long-term and sub-acute care. He is one of the originators of modern long-term medical direction, and has authored standard references in both medical direction and sub-acute care. His scope of experience covers the continuum of care of the elderly and those with chronic illnesses and disabilities, including traditional long-term care, post-acute care, Assisted Living, and Day Care. He is a resource to many federal and state agencies. Since 1986, he has helped develop many of the programs and educational materials for the American Medical Directors Association (AMDA). He has received many acknowledgments and awards for his service and efforts. With over 30 years of hands-on experience and a broad range of unique publications, he provides information based on real-life situations, grounded in solid geriatrics information and broad experience in establishing and improving care delivery systems.

Locations & Registration

The training will be held at five locations (Fergus Falls, Walker, Mankato, Metro-Blaine, Metro-U of Mn) throughout the state from Monday, May 3, 2010 through Friday, May 7, 2010.

Individuals interested in attending must register.

Registration link at Care Providers of Minnesota web site

Registration link at Aging Services of Minnesota web site

Copies of handouts will be placed on the MDH Clinical Web Window under Comprehensive Assessment as these become available. Please check this link for updates:

Updated Thursday, February 17, 2011 at 11:07AM