2018 SLCR Annual Provider Meetings

October 2, 2018: Region 2 Agenda
Location: Drury Plaza Hotel Cape Girardeau Conference Center, Cape Girardeau

October 3, 2018: Region 7 Agenda
Location: Holiday Inn St. Louis SW – Route 66, St. Louis

October 10, 2018: Region 5 Agenda
Location: Quality Inn & Suites, Hannibal

October 11, 2018: Region 6 Agenda
Location: Capitol Plaza Hotel & Convention Center, Jefferson City

October 23, 2018: Region 1 Agenda
Location: Oasis Hotel and Convention Center, Springfield

October 24, 2018: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs

October 25, 2018: Region 4 Agenda
Location: Red Lion Hotel, St. Joseph

Please see the updated information regarding our 2018 Annual Provider Meetings below. 

**Earn up to 5.25 CEUs (depending on the session(s) attended).
***Advanced registration is not necessary. There is no cost to attend any of these meetings.

2018 Annual Provider Meetings Flyer    

Handouts – These handouts attached will not be provided at the meeting so please print them and bring them with you.
Resident Funds
Protective Oversight-What Does That Really Mean
Opioid Crisis, “Talk About It”
Ombudsman (The things we do)
Complaint by the Numbers 2.0-A look at FY18 Complaints
Home Health and Hospice/Discharge Updated 10/10/18
Meet the Engineers
LTC Survey Process (One Year Later)
Life Safety Code Updates

September Caregiver of the Month – Vickie Failor

Vickie Failor has been chosen as Missouri’s Caregiver of the Month for September! Vickie was the caregiver for her father in law, Francis, in order to keep him out of a nursing home. She made sure he aged with dignity and respect in the comfort of his own home. To read Vickie’s story, go to health.mo.gov/seniors/caregiver.php. Here you will also find the nomination form and resources for caregivers.

If you know someone who puts his/her life on hold to care for a family member or friend, DHSS invites you to nominate them today for the Caregiver of the Month. In December, an overall Caregiver of the Year will be selected.

Walk to End Alzheimer’s Disease

October 7, 2018: Walk to End Alzheimer’s
Location: Ellis-Porter Riverside Park, Jefferson City

Alzheimer’s disease is the 6th leading cause of death and affects millions of people. It kills more than breast cancer and prostate cancer combined. DHSS is partnering with the Alzheimer’s Association to raise awareness for Alzheimer’s care, support and research. Please join our Director, Dr. Randall Williams, and your DHSS colleagues in the Walk to End Alzheimer’s on Sunday, October 7th at 11 a.m. This is a family friendly walk with roughly .65 miles that will be held at Ellis-Porter Riverside Park Pavilion, 1425 Riverside Dr. Jefferson City. Teams may consist of one or more persons, and may include friends, colleagues, family members, etc. Teams will need to create a team name and designate a captain to register the team online. Each team member will then go online to register under their team name. “Team DHSS” has already been created and the team roster is growing. If you would like to join our team you may do so here. However, if you choose to create your own team, please include DHSS in your team name so we can represent our department with as many staff as possible! Everyone who participates will receive a flower pinwheel to represent someone you know that has been affected by this disease. For more information and to register, go to the 2018 Walk to End Alzheimer’s – Jefferson City, MO.

Dementia Care Mapping

October 15-18, 2018: Dementia Care Mapping for Realizing Person Centered Care
Location: The Neighborhoods by Tiger Place, Columbia

Dementia Care Mapping (DCM) is a method to evaluate the delivery of person centered care and, in general, to improve the quality of care delivered to persons with dementia in formal care settings. DCM goes to the real heart of caring by striving to assess care from the viewpoint of the person with dementia. It involves making and recording detailed observations. DCM provides valuable, clear and reliable information for those concerned with quality care for people with dementia. After the data is analyzed, immediate feedback can be given to care partners so that existing practices can be analyzed and improved.

Please see the flyer for more details including registration.

Administrator Workforce Survey

If you are a Missouri licensed administrator, please complete a short survey from the Missouri Board of Nursing Home Administrators. Your input is valuable to the Board and very much appreciated.

Survey link – www.surveymonkey.com/r/L28VFLT

Updated Hand in Hand Training

The updated Hand in Hand: A Training Series for Nursing Homes is now available on the Centers for Medicare & Medicaid Services’ (CMS’s) Integrated Surveyor Training Website (ISTW). Hand in Hand is available as a self-paced training as well as an instructor-led course and may be accessed using the links below. The self-paced training may take approximately 24 hours to complete.

Self-Paced Online TrainingHand in Hand: A Training Series for Nursing Homes Online
Downloadable Materials for Instructor-Led Training Hand in Hand: A Training Series for Nursing Homes Download

This training focuses on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matter experts, created this training to address the need for nurse aides’ in-service training on these important topics.

The Hand in Hand: A Training Series for Nursing Homes was previously developed as an instructor-led training conducted by nursing home staff for nurse aides. The Hand in Hand training will now be available as a self-paced, online training and available to download for use as an instructor-led course.

Federal law requires that nurse aides complete in-service training on dementia management and resident abuse prevention. Additionally, facilities must provide dementia management and resident abuse prevention training to all facility staff, (direct and indirect care and auxiliary functions) contractors, and volunteers.

For help with registration and all other technical issues, please contact the ISTW Helpdesk at cmstraininghelp@hendall.com.

Quality Measures and Coding: Flu and Pneumonia Vaccinations

Quality measures (QM) review and proper documentation for flu and pneumonia vaccinations can assist in improving quality of care for your residents. Click on the following links to learn more about these QMs and coding.

QM: Percent of Residents Accessed and Appropriately Given the Pneumococcal Vaccine (video)
QM Tip Sheet: Pneumonia Vaccine – Long Stay (PDF)
QM: Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine (video)
QM Tip Sheet: Influenza Vaccine – Long Stay (PDF)

MU Enhanced Leadership Development Academy (ELDA)

The Enhanced Leadership Development Academy (ELDA) is now on-line and FREE to Missouri NHAs and RNs working in Skilled Nursing Facilities. This professional development course offers an engaging on-line learning environment with an emphasis on practical application that will help you successfully lead your organization. 50 CEUs are available and an official certificate from MU is issued to those who complete the course. Complete the course at your pace with no travel required while staying connected in on-line conversations and discussions with others taking the course. Some of the topics include: Conflict Management; Leading and Sustaining Change; A Team Approach to QI with Guidance on PIPs; Financial Considerations for LTC Leaders; Creating & Leading PCC and much more. The on-line course starts in November but enrollment is ongoing so you may start any time after November.

Please see the flyer for more details. If you have any questions please contact Alexis Roam at roama@missouri.edu or 573-512-0816.

MLN Fall Workshops

September 25, 2018: St. Louis – Positive Approach ® to Brain Change and St. Louis – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
September 26, 2018: Columbia – Positive Approach ® to Brain Change and Columbia – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
October 4, 2018: Springfield – State Survey Process: Surprise State is Here!
October 11, 2018: Poplar Bluff – State Survey Process: Surprise State is Here!
October 12, 2018: St. Louis – State Survey Process: Surprise State is Here!
October 24, 2018: Kansas City – State Survey Process: Surprise State is Here!
October 24, 2018: St. Louis – Intimacy, Sexuality, and Dementia
October 25, 2018: Cape Girardeau – Intimacy, Sexuality, and Dementia
October 26, 2018: Columbia – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 6, 2018: Chillicothe – Intimacy, Sexuality, and Dementia
November 7, 2018: Kirksville – Intimacy, Sexuality, and Dementia
November 7, 2018: Cape Girardeau – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 8, 2018: St. Louis – Diabetes Self-Management Education Community Based DSME Complementing other DSMES

Conversations with Carmen

September 21, 2018: Know Better, Do Better: Part Two
Guest: Sarah Brown, Executive Director, Empira

Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on

  1. Falls
  2. Restorative sleep
  3. Behavioral expression and
  4. Work of aging

Hear about their approach to quality improvement that focuses on human needs and behavior.

*The second show in the series will share Empira’s findings regarding what really causes falls, i.e. noise — and meaningful ways to reduce falls other than alarms.

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

December 13, 2018: The Process Behind the Passion: How Your Care Community Can Support Person-Directed Care
Guides: Lisa Rill, PhD, Claude Pepper Center at Florida State University and Lori Gonzalez, PhD, Claude Pepper Center at Florida State University

Person-directed care is an essential goal for long-term care change agents. Decades of reform have led to some changes. However, there is still work to be done. This session presents the findings of a comparison of environment and practices between a traditional nursing home to a Green House home. The findings elucidate the importance of creating environments, practices and policies, and staffing that are intentionally designed for elders and their care partners. We will conclude by offering best practices that can be applied to any care setting and assist with starting a plan for change with the participants of the session.

October RAI Manual Updates Webinars

September 7, 2018: 9am – 11am and 1pm – 3pm
September 11, 2018: 10am – 12noon and 2pm – 4pm
September 12, 2018: 10am – 12noon and 2pm – 4pm
September 14, 2018: 9am – 11am
September 19, 2018: 9am – 1pm and 1pm – 3pm

QIPMO will be hosting webinars to go over the changes that CMS has made to the RAI Manual that will become effective on October 1, 2018. Listen in as we look at the changes and discuss the proper coding and the impact of the new items that have been added or changed.

Objectives

  1. Review the coding additions in section GG.
  2. Discuss the changed in Section I in regards to additional diagnosis.
  3. Review Section M clarifications and additional information regarding pressure ulcers.

Sign up at attendee.gotowebinar.com/RT/6655594964548465155.

MDS Section K Updates for 10-1-18

The RAI Manual v.1.16, dated 10-1-18, in Chapter 3 in Section K states CMS does not require completion of Column 1 (While Not a Resident) for items K0510C (Mechanically altered diet), or K0510D (Therapeutic diet), K0710A (Proportion of total calories the resident received through parenteral or tube feeding) or K0710B (Average fluid intake per day by IV or tube feeding). Some states continue to require completion of these items. It is important to know your State’s requirements for completing these items. If the State does not require the completion of these items, use the standard “no information” code (a dash, “-”).

There are no Missouri State Regulation requirements for the MDS. Any MDS records for residents in Missouri SNFs and NFs with an ARD of 10-1-18 or later will no longer be required to answer Column 1 (While Not a Resident) for items K0510C, K0510D, K0710A or K0710B; dashing will be allowed for these items. Please note- Column 2 (While a Resident) will still be required to be completed for these items.

2018 RAI User’s Manual and Item Sets Posted

The MDS 3.0 RAI Manual v1.16, effective 10-1-18, has been posted to the CMS MDS 3.0 RAI Manual webpage at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html. The RAI Manual can be found in the Related Links Section at the bottom of the webpage.

Also, the final versions of the 2018 MDS item sets (v1.16.1) were posted to the CMS MDS 3.0 Technical Information webpage at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html.

August Caregiver of the Month – Anita Cline

Anita Cline has been chosen as Missouri’s Caregiver of the Month for August! Anita became the caretaker of her mother in law after her husband passed away. To read Anita’s story, go to health.mo.gov/seniors/caregiver.php. Here you will also find the nomination form and resources for caregivers.

If you know someone who puts his/her life on hold to care for a family member or friend, DHSS invites you to nominate them today for the Caregiver of the Month. In December, an overall Caregiver of the Year will be selected.

Primaris – Informal Dispute Resolution (IDR)

The Primaris office in Columbia is moving to a different location mid-September. Because Informal Dispute Resolution (IDR) conferences are sometimes held at the Primaris office, please see the flyer for more details on their new place.

CMS Memo: QSO-18-24-ESRD: Survey Process for Reviewing Home Dialysis Services in a Long Term Care (LTC) Facility

  • Dialysis Services in a LTC Facility: Medicare participating End Stage Renal Disease(ESRD) facilities must comply with the Conditions for Coverage at 42 CFR Part 494.Under this provision, Medicare-approved ESRD facilities may provide dialysis services to LTC residents in a LTC facility with an approved Home Training and Support modality. ESRD facilities that provide home hemodialysis or peritoneal dialysis services to LTC residents must maintain compliance with these requirements, including the requirements set forth at §494.100: Care at home.
  • Survey Process for Evaluation of Home Dialysis in a LTC Facility: The ESRD Core Survey Process has been updated to include additional survey activities which address dialysis services provided by an ESRD facility to residents in a LTC facility.
  • Attachments: Included as an attachment to this memorandum is Exhibit IV: Survey Process for ESRD Surveyors Reviewing Dialysis in Nursing Homes for evaluation of home dialysis services provided in a LTC facility.

For more information, please see the full memo at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/QSO18-24-ESRD.html.

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

October 18, 2018: Dining Practices: Balancing Food Choice and Food Safety
Guide: Diane Hall, RD, President & CEO, Balanced Senior Nutrition

Learn how to integrate the new food safety requirements with person-centered dining. As we provide more variety of foods and more choices of when and where food is served, challenges for proper food handling and sanitation seem to begin to multiply. Balancing resident’s rights, infection control and food safety requirements can be tricky business.

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

November 15, 2018: Building on the Successes of Phase 2 and Your Facility Assessment
Guides: Vickie Burlew, Health Care Consultant and Educator, Linchpin Quality Solutions, LLC and Joan Devine, Director of Education, Pioneer Network

As we approach the one-year mark of the implementation of phase 2 of the CMS Revised Rules of Participation, the principles of QAPI would tell us that is time step back and evaluate where we are. Are communities successfully implementing the new requirements? Has the Facility Assessment been completed and has it been used to support daily operations and successful survey outcomes? Are you prepared to meet the new Infection Prevention standards? What has been the impact of the new requirements related to Person-Centered Care and Quality of Life?