New QIPMO Newsletter – August 2018

New QIPMO Newsletter – August 2018

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 5, Issue 4.

In this issue:

  • Wanted: RN Coverage
  • The Revolving Door of MO Nursing Home Administrators
  • CPR – Let’s Do It or NOT
  • Alzheimer’s and Dementia
  • Resources for Infection Control
  • Caring for a Resident with a Pacemaker
  • Committees? Tasks?

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

Medicare Learning Network National Provider Call

Medicare Learning Network National Provider Call

September 18, 2018: Dementia Care: Opioid Use & Impact for Persons Living with Dementia Call
Speakers: Dr. Karl Steinberg, Mariner Health Care; Dr. Abraham Brody, Hartford Institute for Geriatric Nursing; and Michele Laughman, CMS

National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement (QAPI)

During this call, gain insight on opioid use in the post-acute and long-term care setting. Also, learn about the impact of opioid use on persons living with dementia. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

The Silent Epidemic: When undiagnosed cognitive impairment affects healthcare outcomes

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.

QAPI Provider Call

National Partnership/QAPI Provider Call

March 20, 2018: Dementia Care: Person-Centered Care Planning and Practice Recommendations Call
Speakers: Debra Lyons, CMS; Douglas Pace, Alzheimer’s Association; and Michele Laughman, CMS

During this call, gain insight on the phase two changes for person-centered care planning and discharge planning. Also, learn about the new Alzheimer’s Association Dementia Care Practice Recommendations. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

TMF QIN Nursing Home Quality Improvement Spotlight on….

Reducing Inappropriate Use of Antipsychotic Medications – Communication

Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotic use. However, meeting their needs can become challenging if their behaviors are not understood. Click on the following links to learn more.

Do You KNOW Your Residents? (video)

Managing Personality and Behavior Changes

Communication and Alzheimer’s

Montessori for Aging and Dementia

Montessori for Aging and Dementia

  • May 18-19, 2017:  Montessori for Aging and Dementia
  • Location:  The Montessori Training Center of St. Louis, St. Louis

Montessori for Aging and Dementia is an innovative approach to dementia care that can be adopted for individuals or groups as a philosophy of care. The goal of the Montessori program is to support people living with dementia by creating a prepared environment, filled with cues and memory supports, that enables individuals to care for themselves, others, their community, and their choices so that they may live as independently as possible. This two-day program focuses on the Montessori for Aging and Dementia program criteria as established by the AMI. Participants will receive handouts, a copy of the book I Care: A Handbook for Care Partners of People with Dementia and a certificate of completion from AMI.

 

Please see the brochure and registraion for more information.

Bathing Without a Battle Online Training

Bathing Without a Battle Online Training

Bathing Without a Battle Launches Online Training Portal with Free Continuing Education Credit for Long-Term Care Staff.

The award-winning, evidence-based Bathing Without a Battle training on person-centered bathing for people with Alzheimer’s disease and other dementias is now accessible online free of charge. The interactive training provides 2½ hours of free continuing education credit for nurses and 2 hours of free credit for nursing assistants. Students who plan to enter long-term care or geriatric home care are also encouraged to participate in the online training.

Training can be accessed through the website www.bathingwithoutabattle.unc.edu. Once registered, users can open modules on practical approaches to showering, tub bathing, in-room bathing, and hair washing; information on innovative bathing equipment and supplies; recommendations for policy change within long-term care organizations; and guidance on regulatory compliance.

This new training modality is provided by a grant from the Retirement Research Foundation to the University of North Carolina at Chapel Hill. A condensed training DVD with printable Instructor’s Guide continues to be available for purchase for group in-service training or individual study.

CMS Memo S&C 16-04-NH: Focused Dementia Care Survey Tools

In response to feedback from stakeholders and partners of the National Partnership to Improve Dementia Care in Nursing Homes, CMS is sharing the revised survey materials that were developed for the 2014 Focused Dementia Care Survey Pilot and 2015 expansion effort. The intent is that facilities would use these tools to assess their own practices in providing resident care.

Please see the memo and attachments below or you may visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-04.html?DLPage=1&DLEntries=10&DLSort=3&DLSortDir=descending.

SC16-04.01
SC16-04.02
SC16-04-03

Region 2 – 2015 Annual Long-Term Care Provider Meeting

Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation

November 3, 2015:  Region 2
Location: Cape Girardeau, MO

As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year.  Advance registration is not required.

Please see the agenda and handouts for this specific location attached.  These handouts attached will not be provided at the meeting so please print them and bring them with you.

2015 Provider Meeting Agenda- Region 2
Antipsychotic Reduction in Dementia

Money Follows the Person
Social Media in Long-Term Care
Culture Change in Residential Care and Assisted Living
Path to Safety, Minimal Assistance, More than Minimal Assistance

Readmissions, Medication Safety, and Behavioral Health Open Forum

October 14, 2015:  Readmissions & Medication Safety Open Forum

Attend this free WebEx event to meet with TMF QIN-QIO Readmissions, Medication Safety and Behavioral Health quality improvement consultants who will be available to answer questions and provide technical assistance.  During this monthly Open Forum, your team can network with other providers and TMF QIN-QIO staff, ask questions and problem-solve on topics such as Care Transitions, Readmissions Reduction, Medication Safety, Adverse Drug Events, Behavioral Health, or other issues your project may have.

Please see the TMF QIN-QIO registration page for this event here.

Nursing Home Quality Improvement Collaborative Learning Session II

October 1, 2015:  Collaborative Learning Session II:  Activities for Daily Living, Incontinence and Antipsychotic Medications

Join this webinar to learn more about key interventions, strategies for improving activities of daily living, incontinence and antipsychotic medication quality measures through experiences shared by nursing home peers.

Please visit the event page here to register for this webinar.

Learning to Use Dementia Care Mapping

November 9-12, 2015:  Basic Level – Edition 8
Location:  Primaris, Columbia, MO

Dementia Care Mapping (DCM) is a process of evaluating the delivery of person-centered care and, in general, to improve the quality of care delivered to persons with dementia.  DCM goes to the real heart of caring by striving to assess care from the viewpoint of the person with dementia and provides valuable, clear and reliable information for those concerned with quality care.  This four-day course assists participants becoming thoroughly familiar with the method and theory of DCM in order to immediately apply learning in practical ways.  The course is designed for care partners of persons with dementia and those responsible for improving care practice.

Please see the brochure here for more information including registration details.

Hot Topics: Culture Change in Action

September 22, 2015:  SESSION ONE – Pain Assessment in Dementia: One Person at a Time
October 20, 2015:  SESSION TWO – Pain Assessment in Dementia: One Person at a Time
Presenter:  Kristen Swafford, RN, PhD, CNS

SESSION ONE – Using a lecture format with case studies to provide clinical examples, the content in this session will cover key components of assessing pain in the person living with dementia.  Clinically feasible, evidence-based observational tools will be discussed, promoting a team approach to addressing pain in this unique population.

SESSION TWO – Using a lecture format with case studies to provide clinical examples, the content in this session will cover key components of managing pain the older adult with dementia. This session provides follow up to the pain assessment session. An overview of options for individualized pain care will be provided, focusing on the importance of analgesic trials, communication, and documenting results.

Please visit www.pioneernetwork.net/Events/HotTopics for more information and to register for these webinars.

See Me – Not My Dementia

Language can have tremendous impact on how people living with dementia feel about themselves and how they are treated and considered by others.  Using appropriate language is respectful, supportive, and non-discriminatory.  In this issue of Living Fully With Dementia: Words Matter, see the many words that are recommended to use versus those to avoid along with the rationale behind them.

Please see the Dementia Action Alliance’s website here for the full publication and more information.

A Meeting of the Minds Webinar with guest Dr. Al Power

June 23, 2015:  2:00 p.m. CT

Dr. Al Power is the author of Dementia Beyond Disease: Enhancing Well-Being.  In this webinar, Dr. Power will look at the experience of dementia through the seven domains of well-being — identity, connectedness, security, autonomy, meaning, growth, and joy — and explore how each is challenged, both by brain changes and by our attitudes and care systems, and how we can use transformational approaches to restore each domain even for people with advanced cognitive change.

Dr. Power will also talk about why many “nonpharmacological interventions” and alternative therapies don’t really work any better than pills.  Participants in the webinar will learn to view dementia in a new light and will challenge many of the approaches that have been taken for granted.

To register for this FREE webinar, please visit here.  You may also visit the Dementia Alliance International’s event page located here.

Care and Conquer Education Series

The Alzheimer’s Association, St. Louis Chapter announces the fourth annual Care & Conquer Education Series.  This is the region’s premier resource for the latest information on research and early detection of Alzheimer’s disease.
November 6, 2014: Cape Girardeau, Mo.
November 8, 2014: St. Charles, Mo.
November 11, 2014: Fairview Heights, Mo.
November 13, 2014: St. Louis, Mo.
November 15, 2014: North St. Louis
November 18, 2014: Rolla, Mo.
Please visit www.alz.org/stl/in_my_community_56765.asp for more information and registration.

National Partnership Announces New Goal

The National Partnership to Improve Dementia Care announced a new national goal of reducing the use of antipsychotic medications in long-stay nursing home residents by 25 percent by the end of 2015, and 30 percent by the end of 2016 through a media press call.  Below you will find links to a Press Release and Fact Sheet released in conjunction with this announcement.

Accelerating Antipsychotic Reduction While Improving Quality of Life With Personalized Music

October 2, 2014:  Noon – 1:00 p.m. CT

This is a FREE webinar, presented by Dan Cohen, MSW, Executive Director, Music & Memory, to learn how music benefits and reduces the need for antipsychotic medications for those with dementia.  For more information, please visit www.tmfqin.org/Networks/Nursing-Home-Quality-Improvement and to register.

The Pivotal Role of Nurses in Assuring Quality and Person-Directed Care

This 4-part webinar series introduces evidence-based framework including person-directed care principles targeting current issues for residents living with dementia.

September 23, 2014:   Nursing Practice Model for Long-Term Care Settings
October 21, 2014: Preventing Hospitalizations of Nursing Home Residents-Focus on the role of the Nurse
November 20, 2014: Eliminating the Use of Antipsychotic Medications- It Can’t BE Done Without Professional Nurses
December 11, 2014: Teamwork: Nurses and Nursing Assistants Working Together to Provide Person-Centered Care

Please visit www.pioneernetwork.net/Events/HotTopics for more information about this webinar series.

MC5 Regional Meetings – July 2014

Please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html or click on the regional links below to view upcoming meetings near you!

Central (Jefferson City/Columbia)
East (St. Louis)
East Central (Rolla)
North Central (Chillicothe)
Northeast (Macon)
Northwest (St. Joseph)
Poplar Bluff
Route 71 (Nevada)
Southeast (Cape Girardeau)
Southwest (Springfield)
West (Independence)
West Central (Sedalia)