Pennsylvania Association of Directors of Nursing Administration Convention

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Industry trends

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Frequently asked

Glossary

1

DON (Director of Nursing)

The senior nurse executive in a nursing facility, accountable for clinical standards, staffing plans, survey outcomes and nursing budget; the primary audience of the PADONA conference.

2

ADON

Assistant Director of Nursing - the second-line nurse leader who typically covers unit staffing, on-call escalation and competency tracking in a facility.

3

PADONA

Pennsylvania Association of Directors of Nursing Administration, the state professional association that hosts this conference and represents DONs in long-term care across the Commonwealth.

4

SNF (skilled nursing facility)

A licensed nursing facility providing 24-hour skilled nursing and rehabilitation care, usually Medicare- and Medicaid-certified; the main employer base for conference attendees.

5

Post-acute care

The continuum of short-stay rehabilitation and continuing care that follows a hospital discharge, including SNFs, home health, inpatient rehab and long-term care hospitals.

6

CMS

Centers for Medicare & Medicaid Services - the federal agency that sets Conditions of Participation, payment rules and the survey framework states use to inspect facilities.

7

Survey and deficiency citation

The state inspection process that scores a facility against federal requirements; findings are issued as tagged deficiencies, which nursing leadership must answer with a plan of correction.

8

Plan of Correction (POC)

The facility's written response to each cited deficiency, stating the corrective action, responsible person, monitoring method and completion date accepted by the survey agency.

9

F-tags

The alphanumeric codes used on CMS-2567 statements of deficiencies to identify the specific requirement cited, for example resident rights, quality of care or infection control tags.

10

MDS and RAI

The Minimum Data Set is the standardised resident assessment instrument (Resident Assessment Instrument) completed on federal schedules; it drives both quality measures and Medicare payment.

11

PDPM (Patient-Driven Payment Model)

The Medicare Part A SNF prospective payment case-mix model that pays on resident characteristics rather than therapy minutes, making assessment accuracy and nursing skill mix commercially critical.

12

QAPI / QAA

Quality Assurance and Performance Improvement - the required facility program of data-driven monitoring, corrective projects and governing-body reporting; QAA is the oversight committee meeting that reviews it.

13

Quality Measures (QMs)

Risk-adjusted indicators such as falls with major injury, pressure ulcers, antipsychotic use and rehospitalisation that feed the Five-Star Quality Rating System and public reporting.

14

Five-Star Quality Rating

CMS's public rating of nursing homes built from health inspection results, staffing levels and quality measures; DONs track it because it affects referrals and reputation.

15

HPRD (hours per patient day)

The staffing metric expressing direct nursing hours divided by resident days; used in state staffing rules, facility budgeting and acuity comparisons.

16

In-service education

Facility-delivered required training for nursing staff - lifting and transfer technique, dementia care, abuse prevention, infection control - usually coordinated by the staff development nurse.

17

Infection Preventionist (IP)

The designated nurse responsible for surveillance, antibiotic stewardship, isolation precautions and reporting of healthcare-associated infections under the facility infection control program.

18

Gradual Dose Reduction (GDR)

The federal requirement to attempt tapering antipsychotic medication in long-stay residents unless a documented clinical exception applies; a recurring survey and quality-measure focus area.

19

IDT (interdisciplinary team)

The care team of nursing, physician, therapy, social work, activity and dietary staff that builds and reviews each resident's comprehensive care plan.

20

Civil Money Penalty (CMP)

A monetary sanction CMS or the state may impose for noncompliance; CMP funds are also reinvested into state quality improvement projects that nurse leaders can apply for.