2018 SLCR Annual Provider Meetings

Please see the Save the Date for the 2108 Annual Provider Meetings. There will be more details coming over the next few months including specific locations, times, and agendas for each meeting.

QSO-17-30- Hospitals/CAHs/NHs: Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)

  • Legionella Infections: The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least 50 years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems in buildings with large or complex water systems including hospitals and long-term care facilities. Transmission can occur via aerosols from devices such as showerheads, cooling towers, hot tubs, and decorative fountains.
  • Facility Requirements to Prevent Legionella Infections: Facilities must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of Legionella and other opportunistic pathogens in water.
  • This policy memorandum applies to Hospitals, Critical Access Hospitals (CAHs) and Long-Term Care (LTC).  However, this policy memorandum is also intended to provide general awareness for all healthcare organizations.
  • This policy memorandum clarifies expectations for providers, accrediting organizations, and surveyors and does not impose any new expectations nor requirements for hospitals, CAHs and surveyors of hospitals and CAHs. For these provider types, the memorandum is merely clarifying already existent expectations.
  • This policy memorandum supersedes the previous Survey & Certification (S&C) 17-30 released on June 02, 2017 and the subsequent revisions issued on June 9, 2017.

Please see the memo for more details.

Spotlight on…

Quality measure review and proper documentation for loss of bowel and bladder control assists in improving the quality of care for your residents. Click on the following links to learn more about this quality measure and coding.

Quality Measure Specifications for MDS 3.0 Measure: Percent of Low Risk Residents Who Lose Control of Their Bowel or Bladder (Long Stay) (PDF, page D.14)
Quality Measure: Percent of Low-Risk Residents Who Lose Control of Bowel or Bladder (Long Stay) (Video)

2018 Frail Elderly Conference

August 17-18, 2018: 28th Annual Conference Caring for the Frail Elderly
Location: Holliday Inn Executive Center, Columbia

The Caring for the Frail Elderly Conference is the premiere Midwest conference dedicated to improving care for the frail elderly. This inter-professional meeting advances care for older patients in clinical, hospital, nursing home, and end-of-life settings. Since 1991, this annual event has provided state-of-the-art information on medical management, interdisciplinary care, and system change for physicians, nurses, social workers, state surveyors, nursing home administrators, attorneys, pharmacists, and other professionals.

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

September 20, 2018: Change: Managing It to Drive Success
Guides: Margie McLaughlin, MA and David Farrell, Vice-President of Sub-Acute Operations, Telecare

“Change will not come if we wait for some other person, or if we wait for some other time. We are the ones we’ve been waiting for. We are the change that we seek.” This statement delivered by President Obama describes perfectly the work of the Pioneer Network. For the past twenty years, WE are the ones creating the change we seek. In settings all across the country, committed staff have discovered ways to move from institutional care to individualized care. WE have reinvented systems to support the independent lifestyles and choices of residents. In the midst of it all WE have recognized the fine balance involved in leading and managing change- sometimes pulling in the reigns while other times letting out the clutch! During this session, you will discover foundational building blocks that support successful change and an array of examples and ideas describing ways that leaders have encouraged, managed and driven change to provide better lives for residents and staff alike.

State RAI Coordinator Coming to a QIPMO MDS Support Group Meeting Near You!

July 10, 2018: The Communities of Wildwood Ranch, Joplin
July 19, 2018: St. Charles City-County Library, Spencer Road Branch, St Peters
July 20, 2018: Bethesda Dilworth, St. Louis
July 24, 2018: Plattsburg
July 27, 2018: Independence
October 10, 2018: Salem
October 11, 2018: Poplar Bluff
October 12, 2018: Cape Girardeau
October 15, 2018: Springfield
October 25, 2018: Festus
October 25, 2018: Willow Springs
October 26, 2018: New Madrid or Hayti
November 20, 2018: Ozark

Stacey Bryan, the State RAI Coordinator will be presenting at MDS Support Group Meetings across the state to discuss CASPER Reports. You do not have to be an MDS Coordinator to attend; other staff that may find the information helpful include ADONS, DONS, Corporate Nurses and Administrators. Please visit the QIPMO Nursing Home Help website for more details.

Please see the information here about The Association for Health Facility Survey Agencies’ (AHFSA) partnership with The Centers for Medicaid Services (CMS) and The Centers for Disease Control and Prevention on the collaborative approach to promote the prevention and control of Clostridium Difficile.

Nursing Facility Level of Care Stakeholder Meetings

The Missouri Department of Health and Senior Services invites you to join us as we work towards an updated nursing facility level of care (LOC) eligibility system. This progressive series of three meetings are offered in person and via conference call. Please see the invitation here for more details including dates, time, and location.

Because space is limited, please RSVP by emailing Leslie.Sebastian@health.mo.gov or calling 573-526-8514. Please include your name, organization, email and phone number when registering. A conference line will be emailed to those wishing to “listen in” to the sessions.

Provider Feedback Survey

The Section for Long-Term Care Regulation is seeking input from long-term care providers. We are asking for your help to identify areas in our Section where excellent customer service is provided and areas where we need to focus on improving our customer service experience.

Please take a couple minutes to complete our Provider Feedback Survey at www.surveymonkey.com/r/7TWRHGG by June 30, 2018.

CMS Fire Safety Information

CMS provided updated Fire Safety information for distribution to surveyors and providers. Please see the information here.

Note: Missouri’s state regulation for implementation of an approved fire watch in a SNF is more stringent than the federal regulations.  Facility’s must comply with state requirements:

19 CSR 30-85.022(11) (E) requires: When a sprinkler system is to be out of service for more than four (4) hours in a twenty-four- (24-) hour period, the facility shall immediately notify the department and the local fire authority and implement an approved fire watch in accordance with NFPA 101, 2000 edition, until the sprinkler system has returned to full service. I/II

Conversations with Carmen

June 8, 2018: The Value of Hosting a Kids Day Camp
Guest: Beth Irtz, Administrator Shalom Park

Learn how a day camp can easily be made part of life in your community, from lessons learned in three-day camps during the summer of 2017. Outcomes for both youth and residents were so powerful that you may wonder why every nursing home doesn’t host a summer day camp!

Guest Beth Irtz and Hostess Carmen Bowman received a CO CMP grant to offer the camps. Together they will share how you can make such a meaningful week happen in your community.

MHCA Webinar

July 10, 2018: Facility Assessment – Food and Nutrition Services
Presenter: Nichole Burnett, MS, RDN, LD with Graves Menu Maker Foods

This session will focus on the food and nutrition services portion of the facility assessment requirement. A review of areas to address during the assessment will be covered. Specific examples will be provided to illustrate why they are a concern and how they integrate into core competency training needs for the facility.

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

July 19, 2018: Story Sharing: Connecting with Residents and their Families – Toward Person-Centered Meaningful Care
Guide: Diane Heliker, RN, PhD

The focus of this presentation is to illustrate how story, the narrative of one’s lived experiences, reveals what is most meaningful to each unique resident in long-term care communities. A sampling of research findings addressing story is offered along with the relationship-based caring practice of Story Sharing. To assist all staff and caregivers, strategies that ensure the successful gathering of stories are introduced followed by exercises demonstrating the interpretation of stories and the discovery of what is most meaningful to a resident. Once these meanings are revealed, they are incorporated into each resident’s care/life plan. Examples are offered throughout.

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

August 23, 2018: Addressing the Staffing Crisis
Guide: Denise Boudreau-Scott, President DRIVE

Solving the complex staffing problem requires the involvement of stakeholders and providers like you! Leaders, including direct supervisors, have a significant impact on retention and recruitment of the best talent. Providers can no longer afford to think of an engaged workforce as an appealing goal, but essential for improving the resident experience, customer service, quality, and financial outcomes. Attracting the right people, keeping them, and inspiring them to perform at their highest level is not only a nicety in today’s world, it’s a necessity!

2018 MHCA Convention

August 26-29, 2018: 70th Annual Convention & Trade Show
Location: Branson Convention Center, Branson

MHCA is excited to bring you another year of the most requested and up-to-date education sessions available. Each day will offer a range of education to meet the needs of the entire staff, from Certified Nurse Assistants to owner. You will have the opportunity to earn up to 20 continuing education hours – a proposed schedule is now available. Held again this year at the Branson Convention Center, with the convenient location adjacent to the Branson Landing. Don’t miss the opportunity to tour the Trade Show, widely regarded as the leading long term care trade show in Missouri with over 170 booths, your time spent in the Exhibit Hall will offer you the latest products, innovations, and people who support our profession. Come prepared to see and learn about the best companies and products available in long-term care and the potential to win some great booth giveaways.

Administrator Licenses Expire June 30, 2018 – RENEW NOW

Administrator licenses expiring June 30, 2018 are up for license renewal. License renewal notifications were sent via email to the email address on file. Please note that once the renewal is complete, an electronic license will be issued via email. The Board office no longer mails paper licenses.

Please visit the Missouri Board of Nursing Home Administrator’s web page for the renewal instructions and renewal application at http://health.mo.gov/bnha. Remember to notify the Board office at BNHA@health.mo.gov with changes in your contact information, especially the email address.