Webinar: Substance Abuse Among Older Adults: An Emerging Public Health Crisis

January 23, 2018: High-Risk Alcohol and Opioid Use Among Adults Ages 55 and Older
Presenters: Deborah Hasin, M.S., Ph.D., Professor of Epidemiology, Columbia University Medical Center and  Frederic Blow, Ph.D., Professor and Director of the Addiction Center, Department of Psychiatry, University of Michigan

Data reflect unprecedented increases in high-risk drinking and alcohol use disorders among adults ages 55 and older.

Even if rates remain stable, researchers warn the projected doubling of this population from 2010 to 2030 could create a public health crisis.

Please see the attached flyer for more details about this webinar including registration.

Section for Long-Term Care Regulation’s 2018 Annual Fall Provider Meetings

It’s a new year and your 2018 Provider Meetings are already taking shape! The Quality Assurance and Education Unit staff are currently in the planning phase and are considering the best topics to provide the most beneficial information.  We would like to hear from you about what LTC related topics you believe would be helpful, informative, and ‘worth the drive.’ If you’ve also been thinking- “Gee I wish they would do a presentation on…….,” then you are invited to be on our planning team! Please forward your suggestions to:

Carla.Jennings@health.mo.gov 
Kristi.Luebbering@health.mo.gov 
Steven.Vest@health.mo.gov 

Conversations with Carmen

January 12, 2018: RESIDENT CHOICE BEYOND REGULATION: Sunny Hill’s Resident Staff-Hiring Committee 
Guests: Becky Haldorson, MS, LNHA, Administrator & Jamie Wesley, Resident 
Host: Carmen Bowman

Since 2007, Sunny Hill Nursing Home of Will County’s residents have served on an employee hiring committee, hiring their own caregivers. Managers review applications and conduct initial interviews but then applicants must meet with the resident committee which votes to accept or reject each applicant. Of almost 400 potential employees interviewed, the committee said no to approximately 50 and their opinion was honored. Learn how you too could honor resident choice to this degree. Administrator Becky Haldorson and resident Jamie Wesley, who serves on the committee, will share lessons learned, how to do this successfully, and in the end, inspire your community to live up to “this is your home now” – going beyond new CMS requirements for increased resident choice.

Pioneer Network’s Hot Topics: Culture Change in Action Webinar

January 18, 2018: Introduction to Critical Element Pathways (CEP): Using the Physical Restraint CEP to Support Reduction of Alarms 
Guides: Kim Roche, CMS, Cheryl Kruschke, Regis University and Joan Devine, Pioneer Network

Join our guides as they share insights into the Critical Element Pathways (CEP), a tool used by CMS to guide observation and investigation during the survey process – a tool that you can use in your quality improvement program as you monitor and improve practices in your nursing home.

Using the Physical Restraint CEP, webinar guides will share examples of person-centered practices that support the quality of life that you seek for your residents and the outcomes that CMS is looking for when they survey your home.

 

February 15, 2018: Eliminating Suffering for Residents with End Stage Dementia (Focus on Death and Hospice/End of Life CEP) 
Guide: Maureen Nash, MD, MS

When it comes to providing the best care at end of life for residents living with dementia, are we doing the best we can? Do we always recognize when someone is in the end stages of dementia so that we can provide interventions such as palliative care and hospice?

Join Dr. Nash, a board-certified physician in both internal medicine and psychiatry, and Medical Director of Providence Elderplace Oregon, a Program of All Inclusive Care of the Elderly, as she shares with you best practices that can help eliminate suffering for residents with end stage dementia. And then, together we will explore how these best practices support the CMS Focus on Death and Hospice/End of Life Critical Element Pathways, providing you with a tool to assess and monitor your practices.

 

March 15, 2018: A Person-Centered Approach to Infection Prevention (Focus on Urinary-Catheter-UTI and Urinary Incontinence CEP) 
Guide: Lynn Meyer, BSN, MPH, CIC (Certified Infection Preventionist)

Infection Prevention, antibiotic stewardship, Infection Preventionist…we see these words in the new CMS Conditions of Participation, but what exactly do they mean for the care partners and residents in our nursing homes? How do I prevent the spread of infection among residents and staff – after all, this is the residents home, it’s not a hospital! And besides…where can I find the time?!

Together with Lynn Meyer, you will explore best practices in infection prevention and see how they are supported by person-centered principles. Lynn will share tools and tips to help you keep it simple AND attain regulatory compliance.

**Learn More. Save more: See special pricing here if you purchase a bundle of webinars.

MHCA Mid-Year Conference

March 6-7, 2018: 2018 MHCA Mid-Year Conference 
Location: Capitol Plaza Hotel, Jefferson City

Registration is now open for the 2018 Mid-Year Conference & Lobby Day! A full brochure with complete details will be available in the coming weeks.

MALA Spring Conference 2018

April 22-24, 2018: Charting a New Course for a Pathway to Success! 
Location: Tan-Tar-A Resort, Osage Beach

Join over 150 industry professionals, business partners, and decision makers at the 2018 Spring Conference. We all know finding your path to success is difficult and challenging but with the proper tools and information you can turn many of these challenges into successes. Please join us and let us help give you the skills to Chart your Pathway to Success that will benefit your residents and staff.

New SNF QRP Quality Measure Reports Available

Effective December 19, 2017, two new user-requested Quality Measure reports will be available in the SNF Quality Reporting Program report category in the CASPER Reporting application. The two new reports are as follows:

  • SNF QRP Facility-Level Quality Measure Report

This report provides facility-level quality measure values for a select 12-month period. SNF quality measure values for this report are compiled from the following sources:

  • SNF QRP Resident-Level Quality Measure Report

This report identifies each resident with a qualifying MDS 3.0 Medicare Part A Stay (SNF Stay) used to calculate the facility-level quality measure values for a select 12- month period.

Note: Only MDS 3.0 assessment-based measures are included in this report.

Data for the two new reports will be calculated on the first day of each month.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

RAI User’s Manual Errata File

On 12-15-17, CMS posted a RAI User’s Manual Errata File that can be found on the CMS MDS 3.0 Manual webpage website at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html.

The Errata file, titled MDS 3.0 RAI User’s Manual (v1.15R) Errata (v1), is located in the Downloads section of the webpage and contains the RAI Manual Change Table and associated replacement pages.

Revisions include:

  • New coding tips for I2300 Urinary Tract Infection
  • A new coding tip in N0410 Medications Received
  • In N0410 updated the resources and tools links and revised the accompanying explanation regarding their use
  • New and revised coding tips in N0450 Antipsychotic Medication Review
  • New bullet point added to P0200 Alarms, “Planning for Care
  • New and revised coding tips in P0200 Alarms
  • Updated manual pages are marked with the footer “October 2017 (R)”

Providers who use a print version the RAI User’s Manual should print the manual replacement pages and incorporate the replacement pages into the printed manual.

Webinar: F-Tag Review Series

January 31, 2018: Infection Control/Antibiotic Stewardship F880, F881 (Former F441)
February 28, 2018: Food Safety F812, F813 (Former F371)
March 28, 2018: Accidents/Bed Rails F689, F700 (Former F323)
April 25, 2018: Quality of Life/Quality of Care F675, F697, F698, F744 (Former F309)
May 30, 2018: Pharmacy Services F755, F761 (Former F431)
June 27, 2018: Comprehensive Care Plans F656 (Former F279)
July 25, 2018: Unnecessary Drugs F757, F758 (Former F329)
August 29, 2018: Resident Records F842 (Former F514)
September 26, 2018: Resident Assessments/Accuracy of Assessments F641 (Former F278)
October 31, 2018: Dignity and Respect of Individuality F550 (former F241)
November 28, 2018: Treatment/Services to Prevent/Heal Pressure Ulcers F686 (Former 314)
December 19, 2018: Services Meet Professional Standards F658 (Former F281)

MHCA is partnering with AHCA affiliates to offer a year-long series of webinars focusing on F-Tag Review. These webinars will focus on the top deficiencies cited nationally with the new LTCSP.

SNF Review and Correct Report Now Available

As of 12/19/17, the SNF Review and Correct Report is once again available in the SNF Quality Reporting Program report category in the CASPER Reporting application. All data for the Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF #2631) measure has been recalculated, and the updated results are available in the report. Providers are encouraged to request the report to view the updated measure results. The updated report should replace versions of the report previously requested by the provider.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

 

SNF Review and Correct Report Unavailable

CMS notified SNF providers in August and September of an issue affecting the calculation of the Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF #2631) measure included in the SNF Review and Correct Report; and advised that the calculation would be corrected in early December.

The SNF Review and Correct Report in the CASPER Reporting application will be unavailable for the next few days while the correction to this measure calculation is made. SNF providers will be notified once the report is available again, which is anticipated to be early next week. During the time this report is unavailable, the data for this measure is being recalculated. The updated results will be on the Review and Correct Report when it is available again.

View previous updates on the SNF Quality Reporting Program Data Submission Deadlines webpage: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Data-Submission-Deadlines.html.

All facilities will receive an email blast notifying them of this. We will send a follow-up QTSO memo when the SNF Review and Correct Report is once again available.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

2018 Medicare from Start to Finish

March 28, 2018: Medicare from Start to Finish
Location: Courtyard by Marriott, Columbia

May 22, 2018: Medicare from Start to Finish
Location: Ramada Plaza Hotel & Oasis Convention Center, Springfield

July 17, 2018: Medicare from Start to Finish
Location: John Knox Village, Lee’s Summit

September 18, 2018: Medicare from Start to Finish
Location: Courtyard by Marriott, St. Peters

November 14, 2018: Medicare from Start to Finish
Location: Courtyard by Marriott, Columbia

This one-day workshop will begin with how to gain access to and read the MDS reports from CASPER in order to self-audit your RAI process. The completion of the MDS is becoming more and more difficult and confusing. This workshop will help the MDS Coordinator and other members of the interdisciplinary team to understand the admitting criteria and the ongoing documentation needs of the Medicare resident. The RAI process in relationship to Medicare is also confusing and errors can be a financial nightmare for facilities. This workshop will help clear up the confusion surrounding the process.

This workshop is geared towards those individuals working in long-term care who have a leadership role such as the ADM, DON, ADON, or MDS Coordinator.

MLN 65th Annual Long-Term care Conference

April 10-12, 2018: Synergize, Innovate and Educate
Location: Tan-Tar-A Resort, Osage Beach

We have a full schedule of dynamic speakers and opportunities for fun including: the Annual Trade Show, Canvas Painting, Photo Booth, and the ever-popular Karaoke! New this year is a 5K Walk/Run to benefit our scholarship fund.

This is a great opportunity to earn up to 15 hours of continuing education credits and do some networking with peers from around the state and surrounding area. Our staff has been working hard to make this the best convention yet. We look forward to seeing you in April!

MALA 2018 ALF Assessment Training

March 26-28, 2018: ALF Assessment Training
Location: Best Western Capital Inn, Jefferson City

June 11-13, 2018: ALF Assessment Training
Location: Best Western Capital Inn, Jefferson City

November 12-14, 2018: ALF Assessment Training
Location: Best Western Capital Inn, Jefferson City

As required by 198.005 RSMo and 19 CSR 30-86.047, residents of Assisted Living Facilities are required to undergo a community-based assessment performed by an appropriately trained and qualified individual. This individual must complete a DHSS approved 24- hour training program prior to performing resident assessments. The MALA ALF Assessment Training satisfies this regulatory requirement.

MLN 27th Annual Nursing Home Administrators Conference

March 1-3, 2018: 27th Annual Nursing Home Administrators Conference
Location: The Lodge at Old Kinderhook, Camdenton

The 27th Annual Nursing Home Administrator Conference will provide nursing home administrators with the essential information needed to effectively serve long-term care residents and successfully perform their leadership role and job responsibilities. This program was specifically designed to provide 20 hours of continuing education credits.

2018 MANHA Winterfest

February 7-9, 2018: Power Up For Change
Location: Stoney Creek Hotel & Conference Center, Independence

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our midyear conference, Winterfest. The goal of this conference is to provide long-term care administrators and their staff practical and inspirational education hours along with the opportunity to network and socialize with colleagues. It is also the only MANHA-sponsored conference that provides you a chance to view the latest technology, products, and services offered by suppliers.

2018 RAI Process from Start to Finish

January 23-24, 2018: RAI Process from Start to Finish
Location: Courtyard by Marriott, Columbia

April 16-17, 2018: RAI Process from Start to Finish
Location: John Knox Village, Lee’s Summit

June 19-20, 2017: RAI Process from Start to Finish
Location: Courtyard by Marriott, St. Peters

August 7-8, 2017: RAI Process from Start to Finish
Location: Courtyard by Marriott, Columbia

October 16-17, 2017: RAI Process from Start to Finish
Location: Ramada Plaza Hotel & Oasis Convention Center, Springfield

This workshop will look at the RAI process from the beginning to the end. The MDS is used for both a clinical assessment and a financial assessment and this workshop will discuss the rules on scheduling these assessments and meeting the requirements individually and combined. From coding the MDS, we will then look at the CAA to care plan process.

This workshop is for individuals in long-term care who coordinate and/or code the MDS. Typically, this is an RN or LPN with the title of MDS Coordinator or Care Plan Coordinator. This is also for the DON or ADM who needs a better understanding of the complexity of the RAI process.

TMF QIN Clinical Pharmacist-led Calls: Medication Safety and Adverse Drug Event Reduction

December 20, 2017: 3:30 – 4:30 p.m. CT – Register for this Event

January 17, 2018: 3:30 – 4:30 p.m. CT – Register for this Event

Providers in Arkansas, Missouri, Oklahoma, Puerto Rico and Texas are invited to participate in this clinical pharmacy sharing series to improve care for Medicare patients by learning about the following:

  • Improving medication reconciliation among providers
  • Reducing adverse drug events and polypharmacy
  • Reducing unnecessary hospital admissions and readmissions
  • Improving medication adherence
  • Best practices, lessons learned and evidence-based guidelines from other providers in the region

CDC ANA Webinar about Nurses’ Roles in Antibiotic Stewardship

December 5, 2017: Empowering Nurses to Protect Themselves and Their Patients: Nurses Role in Antibiotic Stewardship
Featured Speakers: Barbara A. S. Gilbert, MSN, RN, CIC – Infection Prevention Nurse; Chris Shakula, RN, MS, CNS-BC, CIC – Infection Preventionist; and Trisha Mims, RN, MBA, HCM – Director of Programs and Education

The CDC estimates that at least 2 million people are infected with antibiotic resistant bacteria and at least 23,000 people die each year as a result of those infections. As the most trusted profession that spends that most time with patients, the nurses’ presence and leadership in developing antibiotic stewardship programs (ASPs) is essential.

This webinar will use the ANA and CDC white paper as the framework to describe the problem of antibiotics resistance, embrace the nurses expanded role in hospital ASPs and describe key reasons for nurse leaders to be engaged with antimicrobial stewardship.