Fifth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections H, I and J February 4, 2016, 1-2:30 p.m. ET ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Nurses; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. Get a working knowledge of Section H of the MDS 3.0 with a 7-day look back which describes appliance use, the use and response to urinary toileting programs, urinary and bowel continence status and bowel training programs. We will also review the determination of an active diagnosis for Section I and detail the pain assessment, falls and other health conditions in Section J. Target Audience, CEUs Administrators, nurses. One (1) CEU is available for LNHAs, RNs and LPNs. Speaker Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master’s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). Fees Per Phone Line Fee for ea. session Per Phone Line Fee + session CD 1. LeadingAge Ohio Member/Current PM Client $75 $95 Nonmember $95 $125 Key Contact: ___________________________E-mail: ________________________________ Facility: _____________________________________________________________________ Address: ___________________________________________Phone: ___________________ City: __________________________________ State: ______________ Zip: ______________ 2. Credit Card Payment: Visa ______ MasterCard ______ AmEx ______ Discover ___________ Card Number: ___________________________ Exp. Date: _________ Total: _____________ Name on Card: _______________________________________________________________ 3-Digit Number on Back of Card: _________________________________________________ Cancellations received prior to January 28 will be refunded minus a $25 processing fee. No refunds will be issued after January 28. Four options to register: 1) online at www.leadingageohio.org; you will be directed to event from landing page. 2) Scan and send completed registration form to cmarkham@leadingageohio.org. 3) Fax registration and valid credit card number to LeadingAge Ohio at (614) 444-2974. 4) Mail completed registration form and full payment to LeadingAge Ohio, 2233 North Bank Drive, Columbus, Ohio 43220. Your reservation will be made upon receipt of this form and payment by credit card or check. All registrants will receive a confirmation. If you do not receive a confirmation, please do not assume that you are registered. Questions? Write us at info@leadingageohio.org or call us at (614) 4442882. *See complete series information at www.leadingageohio.org and www.plantemoran.com. See “2016 MDS 3.0/RUG IV Distance Learning Series” link on “Education” page.