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.

Action Pact: Conversations with Carmen

April 13, 2018: Cognitive Health and Resident Engagement
Guest Presenter: Megan Hannan, Action Pact Consultant, Developer of PersonFirst® program

We have been exploring resident health and well-being holistically, and in March we were inspired by The Transformative Power of Purpose, when we learned about and heard from residents of Rockport Healthcare Services’ 70 communities in California who serve the homeless in their respective communities every month. In keeping with our theme, the show in April will look at the connection between engagement and cognitive health. Megan will share the most current research in cognitive science, brain health and engagement. We’ll discuss types of engagement and suggestions for ensuring meaningful engagement, as well as outcomes of engagement on well-being, quality of life and staff satisfaction.

New MDS Submission Site

In compliance with CMS standards, the QTSO website at www.qtso.com has been renamed and moved to qtso.cms.gov during the March 18, 2018 downtime. Providers will need to use the new website for any MDS. Users should update any favorites/bookmarks to the new web address.

MC5 Roadshow Conference

May 21, 2018: Inspired Leaders, Inspired Teams, Inspired Results
Location: St. Joseph Medical Center, Kansas City

May 22, 2018: Inspired Leaders, Inspired Teams, Inspired Results
Location: Hilton Garden Inn Conference Center, Columbia

May 23, 2018: Inspired Leaders, Inspired Teams, Inspired Results
Location: St. Charles Community College, Cottleville

As you walk through the hallways, does EVERYONE truly appear as engaged as they do on your website? Imagine the levels of service our external customers would experience if all staff “embraced change,” “owned problems,” and took “personal accountability” for creating a service-driven community. Imagine if every member of every department was committed to the mission, vision, values of the organization. Imagine if every leader took seriously their role as a coach, advocate, and mentor and felt intimately linked to the success of their staff.

As leaders, we have the ability and accountability to close the gap between the promises of the website and reality. MC5 Welcomes Internationally Renowned Workplace Culture Expert, Christopher Ridenhour! Please see the flyer or the MC5 Roadshow Conference webpage for more details.

MC5 Restorative Sleep Vitality Program

April 3, 2018: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: Holiday Inn St. Louis-Route 66, St. Louis

April 4, 2018: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: White Oak Living Center, Independence

Part 1 – Making a Night and Day Difference: Creating a Culture of Restorative Sleep

Empira, a consortium of Aging Service providers in Minnesota, will share the findings from their Restorative Sleep program that has made a night and day difference for the residents they serve. This program was developed after identifying sleep fragmentation as a primary contributor to falls, behavioral expression, pain, incontinence, skin breakdown, unnecessary use of antipsychotics, and decline in function.

Empira will share successful strategies for creating a culture of sleep with consideration of all 24 hours in a day. This is Part 1 of a three part series. Join all or some of these presentations. Please see the Restorative Sleep Vitality Program flyer for more details.

MHCA Federal Review Course

April 9-10, 2018: Federal Review Course for Nursing Home Administrators
Location: Courtyard by Marriott, St. Louis

July 16-17, 2018: Federal Review Course for Nursing Home Administrators
Location: Ramada Oasis Hotel, Springfield

November 5-6, 2018: Federal Review Course for Nursing Home Administrators
Location: Embassy Suites Airport, Kansas City

The purpose of the Review Course is to help attendees prepare for the nursing home administrator federal licensure exam. Review Course materials have been revised and updated to reflect the structure of the current examination.

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

April 19, 2018: The New Alzheimer’s Association’s Dementia Care Practice Recommendations: Supporting the Emotional Well-Being of Individuals Living with Dementia
Guide: Danelle Hubbard, BSW, MA, Director of Family Services, Alzheimer’s Association, Colorado Chapter

This webinar will provide a brief overview of the New Dementia Care Practice Recommendations related to the emotional well-being of individuals living with dementia. Participants will learn about behavioral and communication challenges along with person-centered care strategies that offer healthier emotional support.

May 17, 2018: Meet and Go Beyond New CMS Regulations by Engaging Residents with Real LIfe (focus: Activities Critical Element Pathway)
Guide: Carmen Bowman, MHS, BSW, Owner Edu-Catering

The institution has failed us by compartmentalizing parts of the persons we serve and then compartmentalizing who serves which part of the divided person. All staff need education, encouragement and permission to engage residents. Contrived group activities often fail people, they need personalized and purposeful engagement to fill their otherwise empty days. See what can happen when all team members learn the value of meaningful engagement to move from “activity programming” to meaningful engagement with real life. Soon gone are the days of groups. Residents are telling us they don’t want them, and many can’t function in them. We need to design the use of budgeted time differently. Engagement holds promise for reducing depression, anxiety, falls and more. If Bingo is the best we can do, that is not a compliment; be inspired to compete with Bingo. Residents want meaning and purpose, to give and contribute. From serving Baby Boomers, to people living with dementia, it needs to be different.

June 21, 2018: Activities of Daily Living – Supporting Independence (Focus on ADL and Rehab Restorative CEP)
Guide: Dr. Kathleen Weissberg , Select Rehab

As a caregiver, it is important to encourage independence in seniors and to provide the opportunity for them to maintain a better quality of life for themselves. Because of the many demands on our time in our daily roles in health care, it is easy to get into the habit of doing things “for” individuals rather than “with” them. Let’s face it — it can be more efficient to do everything yourself. But is that helping elders to maintain function, improve quality of life, stay healthier and live independently longer.

The true art of caregiving for the elderly extends beyond task-oriented responsibilities and includes engaging in activities that help maintain a healthy spirit and body.

In this session, you will learn about ways in which you can assist an individual with everyday activities of daily living while supporting independence and helping him/her keep a sense of self-respect.

Dementia Care Seminar

April 27, 2018: Alzheimer’s Disease/Dementia Care Seminar
Location: MHCA Office, Jefferson City

October 24, 2018: Alzheimer’s Disease/Dementia Care Seminar
Location: MHCA Office, Jefferson City

Sponsored by the National Council of Certified Dementia Practitioners, this is the required seminar for those pursuing certification who qualify as CDP/Certified Dementia Practitioner or for those who just want to enhance their dementia education.

Social Service Designee Workshop

May 21-24, 218: Social Service Designee Workshop
Location: MHCA Office, Jefferson City

Held in partnership with Missouri Association of Nursing Home Administrators (MANHA), participants in this 36-hour course will receive training and insight to working in the Social Service department of a long-term care facility. This course will discuss the philosophy of long-term care, the settings in which a Social Service Designee works and the demographics of the people they serve.

2018 Pioneer Network Conference

August 12-15, 2018: Pioneering a New Culture of Aging Conference
Location: Sheraton Denver Downtown, Denver, Colorado

Pioneer Network will be hosting our annual conference, Pioneering a New Culture of Aging, bringing together individuals from across the United States and other countries who care deeply about changing the culture of aging, creating opportunities for communication, networking and learning with and from each other as they share innovative thought and best practices.

You are invited to tour the conference website to learn about all the exciting opportunities you will have when you join your fellow Pioneers in Denver this coming August. We promise, as one of our attendees shared with us after her first Pioneer Network conference, that you will “find your people” and that during our time together in Denver, you will fill your bucket, and go back home renewed and ready to go the next mile, knowing that culture change and transformation are not destinations, but journeys, always works in progress.

New QIPMO Newsletter – February 2018

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 5, Issue 2.

In this issue:

  • CMS Errata Document
  • Text Communication S and C
  • Infection Control Practices
  • Having Fun with ADLs
  • Alphabet Soup (Help with Acronyms)
  • Oral Diabetic Agents

Please visit QIPMO’s website here for this and other previous newsletters.

SNF QRP QM and Review and Correct Report Data Issues (2/1/18)

A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports. Duplicate stays and invalid admission dates can appear on these reports.

The issue is isolated to corrected stay-level records (A0050 = 2 [Modification] or A0050 = 3 [Inactivation]) accepted by the ASAP system since 12/18/2017. The issue does not affect new (A0050 = 1 [New]) stay-level records.

A fix to the QM calculation and Resident-Level report display is in progress. The data for the assessment-based measures will be recalculated once the fix is in place. The reports will continue to be available in CASPER until the fixes are implemented.

We will send follow-up announcements as each of these issues are resolved and further guidance can be given.

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

Newly Revised Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) (2/1/18)

CMS is releasing a newly revised SNFABN along with newly developed, concise and separate instructions for form completion. The revised SNFABN has the requirements from the denial letters and looks very similar to the ABN with three different options. They will be discontinuing the five SNF Denial Letters and the Notice of Exclusion from Medicare Benefits – Skilled Nursing Facility (NEMB-SNF). Since the NEMB-SNF was used as a voluntary notice for care that is never covered by Medicare, we will continue to encourage SNFs to issue the revised SNFABN in this voluntary capacity. Chapter 30, Section 70 of the Medicare Claims Processing Manual revisions will be forthcoming. The revised SNFABN will be mandatory for use on May 7, 2018. During the interim, SNFs may continue to use the old version of the SNFABN, the Denial Letters or the NEMB-SNF, however, it is recommended that the revised SNFABN be used as soon as possible. The revised SNFABN and the form instructions may be located at: http://www.cms.gov/Medicare/Medicare-General-Information/BNI/index.html.

Enhanced MDS 3.0 Quality Measure Reports Available (1/31/18)

Facility Level QM Report, Monthly Comparison Report and Resident Level QM Report

These reports have been updated to include the following new measures:

  • Percent of Residents Whose Ability to Move Independently Worsened (Long Stay)
    • Displayed as Move Indep Worse (L) on the reports
  • Percent of Residents Who Used Antianxiety or Hypnotic Medication (Long Stay)
    • Displayed as Antianxiety/Hypnotic % (L) on the reports
  • Percent of Residents Who Made Improvements in Function (Short Stay)
    • Displayed as Improvement in Function (S) on the reports

Data for the three new measures have been retroactively calculated to June 3, 2015. If a report date range includes dates prior to June 3, 2015, an “I” (Incomplete) will display indicating data are not available for all days selected.

Section 26 – MDS 3.0 Quality Measure (QM) Reports of the CASPER Reporting User’s Guide has been updated to include the new measure information.
The updated CASPER Reporting User’s Guide is available in the following locations:

  • Training and Education page on the QIES to Success website
  • MDS 3.0 User Guides & Training Information page on the QIES Technical Support Office (QTSO) website (https://www.qtso.com/mdstrain.html)

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

Infection Control Seminar

April 18, 2018: Oasis Hotel & Conference Center, Springfield
April 19, 2018: Stoney Creek Hotel & Conference Center, Independence
April 24, 2018: Courtyard by Marriott, St. Peters
April 25, 2018: Drury Plaza Hotel & Conference Center, Cape Girardeau
April 26, 2018: Comfort Inn, Macon

Coming into compliance with the new infection control regulations can leave you scratching your head and wondering just how this is going to work! In this session, we will take the guesswork out by reviewing the regulatory guidance. Then, together, we will formulate the building blocks for an infection control program that not only meets the regulation but works in your facility to keep your census healthy. This foundation will prepare your staff to use antibiotics wisely, reduce infection rates, and improve infection responses.

Missouri Association of Nursing Home Administrators and Missouri Health Care Association are sponsoring this seminar. Please see the full brochure and registration information on MANHA’s webpage.

The Silent Epidemic: When undiagnosed cognitive impairment affects healthcare outcomes

April 27, 2018: The Silent Epidemic: When undiagnosed cognitive impairment affects healthcare outcomes
Location: Il Monastero Center on Saint Louis University campus, St. Louis

Memory Care Home Solutions & the Gateway Geriatric Education Center present an exciting and interactive day of learning with local dementia experts. Attendees will learn the impact of undiagnosed cognitive impairment on our healthcare system, and how to best support clients and their families by practicing innovative dementia care-giving strategies. Please see the event page for more information including registration, CEUs, speakers, and the flyer.

What is all the talk about Psychotic Agents

May 1, 2018: Comfort Inn, Macon
May 2, 2018: Drury Inn & Conference Center, Cape Girardeau
May 3, 2018: Courtyard by Marriott, St. Peters
May 9, 2018: Ramada Oasis Hotel, Springfield
May 10, 2018: Stoney Creek Hotel & Conference Center, Independence

New CMS regulations changed how we use any psychotic agents, not just anti-psychotics, and what drugs are classified under psychotic agents. The same guidance also changes the responsibilities of the medical director in monitoring the response of all physicians in the facility to pharmacy recommendations. Learn what these new requirements are and what they mean. Begin to build a foundation for careful stewardship in the use of Psychotic agents in your facility by creating a program that fosters staff competence, careful monitoring and 5-Star friendly results.

Missouri Association of Nursing Home Administrators and Missouri Health Care Association are sponsoring this seminar. Please see the full brochure and registration information on MANHA’s webpage.