Category: Alzheimer’s/Dementia

Good Care Should be a Given!

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January 17, 2014:  Conversations with Carmen

Guest: Maricel Glova, RN, Action Pact Consultant and experienced DON.

Quality of life includes quality of care. In your community, do residents get to the bathroom when they need to? Better yet, are residents’ bathroom needs anticipated?  In addition to the obvious benefits, this also leads to preventing falls. Is mouth care happening regularly every day? Are medications administered according to residents’ schedules? And is sleep honored according to the person’s circadian rhythm?

Hear strategies for the varying stages of culture – from traditional to households – for ensuring that good care is a given. Only then can a resident achieve highest practicable well-being. This is not only a great idea but also a federal requirement.

To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.

To learn more about Action Pact, click on the links below:

http://actionpact.com/

http://blog.actionpact.com/

https://www.facebook.com/ActionPact

Parkinson Disease Educational Programs

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February 2, 2014:  Deep Brain Stimulation

This program sponsored by the American Parkinson Disease Association – Greater St. Louis Chapter is free of charge to anyone who would like to attend. Visit http://stlapda.org/calendar/ to view all upcoming events. For more information contact Michelle Brooks at 314-362-3299 or email brooksmi@neuro.wustl.edu.

Dementia: Early Detection and Intervention

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Dementia:  Early Detection and Intervention – Registration Now Open

March 22, 2014:  The Division of Geriatric Medicine at Saint Louis University’s School of Medicine, in partnership with the Department of Neurology and Psychiatry, Division of Geriatric Psychiatry, and the Alzheimer’s Association St. Louis Chapter, are proud to present Dementia:  Early Detection and Intervention.

This activity is funded by a grant from HRSA and is open to all attendees at no charge.  The grant also covers the CME fees for physicians, psychologists, nurses, social workers, nursing home administrators, and PT/OT.  Location:  Margaret McCormick Doisy Learning Resources Center, 3545 Vista Ave., St. Louis, Mo.  Visit aging.slu.edu or click on the links below:

View Conference Details

View Agenda

Register for Event

MC5 Regional Meetings – January 2014

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Visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com.

Person-Centered Care in Behavioral Health

Interventions to keep people in the home, and when it is time to intervene with inpatient care
Location:  East Hills Library, 502 North Woodbine Rd., St. Joseph.  RSVP to Karen Fletchall at karen.fletchall@yahoo.com or 660-564-3304; or Freda Miller at fmiller@nwmoaaa.org or 660-822-6209.

Webinar #1: The Big Picture

MC5 and Primaris Learning Collaborative

Please view the flyer here:  January 8, 2014 Southwest MC5 and Primaris

Creating Well-Being for Those Who Live with Dementia:  Alternatives to Medication Use

Would you like to provide your staff with high quality training from world-renowned experts, but just can’t afford it?  Now you can!  MC5 and Primaris have teamed up to bring you the six part webinar series developed by Dr. Al Power and The Eden Alternative.  Each meeting will include one of the hour-long webinars, followed by a learning session led by Primaris Program Manager Judy Halley, RN-BC, LNHA.  Location:  Council of Churches, 627 N.  Glenstone, Springfield.  RSVP to cindybutler@mchsi.com.

  • January 10, 2014:  East

All Aboard!

Caregiver Empowerment in Culture Change:  Mentoring, Assigning, and Engaging for a Better Life
Successfully delivering person-centered care greatly depends on caregiver commitment to the Culture Change effort.  This presentation will include the community-wide mentoring program at Parc Provence, the use of consistent assignment at West County Care Center; and caregiver huddles, memory care training, and QAPI responsibilities at Bethesda Dilworth.  Location:  Brentwood Community Center, Rm. 104, 2502 S. Brentwood Blvd., Brentwood.  RSVP to Ruthie at rrochman@alz.org or 314-801-0446.

Caring for Individuals with Alzheimer’s Disease in a Culture Change World

Location:   Community Center, 200 North Ash, Nevada.  RSVP to sghouser@medicalodges.com.

PLEASE NOTE – MEETING LOCATION CHANGE

Please view the flyer here:  January 21, 2014 new location East Central MC5 and Primaris Collaborative

Operationalizing Person-Centered Care and Building Capacity for QAPI – Part I: Aligning Daily Documentation and Communication

MC5 and Primaris Learning Collaborative

Pioneer Network Webinar Series on Using MDS 3.0 as an Engine for High Quality Individualized Care.  Monthly meetings will be facilitated by Primaris Program Manager Nursing Home Services, Alexis Roam, MSN, RN. 

Monthly meetings will include:

     Toolkit

     Webinars

     Facilitation with Alexis Roam

     Sharing with all group members

Please note location change:  Comfort Inn and Suites, 1650 Old Wire Outer Road, Rolla.
Registration in advance is appreciated – please RSVP to mary.ehrenreich@alz.org or 314-801-0462; or to tracy.rosenow@mvc.dps.mo.gov or 573-265-3271.

Exercise Makes a Difference: Why and How to Incorporate Daily Exercise in Person-Centered Care

Location:  Loch Haven Senior Living Community Apartments, New Activity Rm., 701 Sunset Hills Dr., Macon.

RSVP to Wendy or Katie at 660-385-3113.

  • January 22, 2014:  West

Culture Change 101

Presented by Missouri Department of Health and Senior Services State Culture Change Coordinator Sam Plaster.
Location:  Centerpoint Medical Center, East Auditorium, 19600 East 39th St., Independence.  RSVP to Kathy Vogt or Leslie Carter at 816-228-5655. 

For more information about these regional meetings, including available CEUs, please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html.

Changing Antipsychotic Thinking (CAT) Tip #4

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Changing Antipsychotic Thinking (CAT) Tip #4

CAT Bath

To reduce resident and care partner distress, take the time to examine and modify the bathing routine to best accommodate the wishes of each person.  Learn how to effectively communicate, build a relationship, and meet the needs of persons with dementia during the bathing process.  Visit http://primaris.org/tool/cat-bath.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

Nursing Home Quality Initiatives – Questions and Answers

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The Centers for Medicare & Medicaid Services (CMS) and Advancing Excellence in America’s Nursing Homes national campaign coordination group developed a set of common questions and answers for nursing homes, in order to clarify how some of the many initiatives relate to and are aligned with each other.  The purpose is to help nursing homes better understand how to participate in and benefit from various initiatives.

  • Quality Assurance and Performance Improvement (QAPI)
  • National Nursing Home Quality Care Collaborative (NNHQCC)
  • National Partnership to Improve Dementia Care in Nursing Homes
  • Advancing Excellence in America’s Nursing Home’s Campaign
  • Alignment of Quality Initiatives

Questions include:

  • Must nursing homes use CMS QAPI tools and resources to be considered in compliance with the QAPI regulation?
  • What is the National Nursing Home Quality Care Collaborative (NNHQCC)?
  • What is a LAN?
  • How does the mission of the National Partnership to Improve Dementia Care in Nursing Homes align with non-pharmacological, person-centered care approaches?
  • What does a nursing home have to do to become part of Advancing Excellence?
  • How does QAPI overlap or align with topic specific initiatives such the NNHQCC, the National Partnership to Improve Dementia Care in Nursing Homes, and Advancing Excellence in America’s Nursing Homes?
  • If we participate in the NNHQCC or Advancing Excellence or the National Partnership to Improve Dementia Care in Nursing Homes, are we implementing QAPI?

Find the answers to these questions and more – click on the link below

CMSFAQsNHQualityInitiatives

This document is also available for download by visiting http://www.nhqualitycampaign.org/.

MC5 Regional Meetings – December, 2013

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Visit the NEW Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/.

The Parkinson Journey:  From Diagnosis to Treatment to Cure

Free CEUs for nursing home administrators and social workers.

Location:  N.H. Scheppers Distributing Co., The Clydesdale Rm., 1306 Hathman Pl., Columbia.  RSVP to Beth at 573-443-5823 or bbusseau@cmaaa.net.

What I’m Really Trying to Say Is…

Strategies for Reducing Antipsychotics for the Dementia Resident, presented by Chateau Girardeau Staff Educator/MDS Coordinator Wendy Boren, RN.

Location:  Cape Girardeau Public Library, 711 N. Clark St., Cape Girardeau.

No Fear: How to Have a Body Alarm Free Home

Presented by Jaque Bershauer, LPN, and Regina Owens, RN, Missouri Veterans Home, Warrensburg.  Free CEUs – pending approval.

Location:   Methodist Church, The Celebration Center, 1701 W.  32nd, Sedalia.  RSVP to Kathy Ray-Smith at kraysmith@goaging.org or call 1-800-748-7826, or 660-747-3107.

The Path to Culture Change

Presented by Dave Walker, LTC Leadership Coach, Sinclair School of Nursing, University of Missouri.  Mr. Walker will present the five key domains from the Artifacts of Culture Change.  This tool can be used to create a benchmark for person-centered care in your home and can help “jump start” your journey.  A film clip from “If I had a Million” will be shown with discussion to follow.  Free CEUs for nursing home administrators and social workers – pending approval.

Location:  Livingston County Public Library, 450 Locust St., Chillicothe.  RSVP to Judy Bagley at jbagley@grm.net, or 660-748-4407.

 

New Generations – Autumn 2013 Quarterly Newsletter

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The Section for Long-Term Care has published New Generations – Volume 11, Issue 4, Autumn 2013.  This issue is now available on our website, along with an archive of previous newsletters.  Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.

MC5 Regional Meetings – November, 2013

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  • November 8, 2013:   East

Music & Memory:  Bringing Joy to Persons with Dementia Through Personalized Music

Location:  Brentwood Community Center, Rm. 104, 2505 South Brentwood Blvd., Brentwood.  RSVP to Ruthie at 314-801-0446 or rrochman@alz.org.

 

  • November 19, 2013:   East Central

Using MDS 3.0 as an Engine for High Quality Individualized Care

In 2012, Missouri was selected by Pioneer Network to participate in the National Learning Collaborative: Using MDS 3.0 as an Engine for High Quality Individualized Care.  In Missouri, 19 homes completed the 16-month collaborative, putting in place four foundational practices – consistent assignment, huddles, involving CNAs in care planning, and Quality Improvement closest to the resident – and then using the practices to individualize care for improvements in high priority clinical areas, such as reducing falls, alarms, rehospitalizations, antipsychotic medications, and pressure ulcers.  View the video documenting some of the incredible results experienced by Missouri homes that participated:  www.youtube.com/watch?v=n8teFIKGLHg.

The national collaborative has concluded, but it is not too late for your team!  MC5 and Primaris are partnering to bring the learning collaborate tools to the East Central Region.  Monthly meetings will be facilitated by Primaris Program Manager Nursing Home Services, Alexis Roam, MSN, RN.  To learn more and join the collaborative, plan to attend the next East Central MC5 meeting.  Your home does not have to be in the East Central region to participate.  Location:  Presbyterian Manor, 1200 Homelife Plaza, Rolla.  RSVP to Mary Ehrenreich at 314-801-0462 or mary.ehrenreich@alz.org; or Tracy Rosenow at 573-265-3271 or tracy.rosenow@mvc.dps.mo.gov. View the flyer here: MC5 and Primaris – Using MDS as an Engine for High Quality Individualized Care. 

 

  • November 20, 2013:  Northwest

Durable Power of Attorneys and the Appointed Decision Maker – presented by Attorney Doug Tschauder.  Appointed Decision Makers in Long-Term Care – presented by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation Supervisor Jamie Dixon.

Location:  East Hills Library, 502 North Woodbine Rd., St. Joseph.  RSVP to Karen Fletchall at wccc.karen@yahoo.com or 660-564-3304, or Freda Miller at fmiller@nwmoaaa.org or 660-822-6209. 

 

  • November 27, 2013:  Northeast

Music & Memory

Location:   Loch Haven Senior Living Community Apartments, New Activity Room, 701 Sunset Hills Dr., Macon.  RSVP to Wendy or Katie at 660-385-3113. 

Visit the NEW Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/

 

The Benefits Beyond Less Falls from Eliminating Alarms

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October 18, 2013:  Conversations with Carmen

Final show in the series on Eliminating Alarms and Preventing Falls!

Guest: Theresa Laufmann, RN, Co-DON, Oakview Terrace, SD – an alarm-free home for 6 years.  To learn more and register, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.

To learn more about Action Pact, click on the links below:

http://actionpact.com/

http://blog.actionpact.com/

https://www.facebook.com/ActionPact

Regulation Update Notice

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The revision to regulation 19 CSR 30-82.070 Alzheimer’s Demonstration Projects (Rescinded September 30, 2013) has been published in the Code of State Regulations.  The official new rule can be found on the Missouri Secretary of State’s website at: http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp.  The rule is located under Division 30 in Chapter 82.  The effective date for the new rule is September 30, 2013.  If you have any questions regarding implementation of the rules, please contact the Section for Long-Term Care Regulation, Policy Unit Manager Carmen Grover-Slattery, at 573-526-8570.

New Data Show Antipsychotic Drug Use is Down in Nursing Homes Nationwide

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Nursing homes are using antipsychotics less and instead pursuing more patient-centered treatment for dementia and other behavioral health care, according to new data released on Nursing Home Compare in July by the Centers for Medicare & Medicaid Services (CMS).  Please read this press release on the CMS website:  www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-08-27.html.

Enhanced Well-Being: The Key to Reducing Antipsychotic Drugs

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NEW!  Event for Long-Term Care Providers!  9:30 a.m. – 4 p.m.

October 3, 2013: Join Dr. G. Allen Power, internationally acclaimed gerontologist, author and Associate Professor of Medicine at the University of Rochester.

  • Understand how people with dementia communicate their needs and emotions and the ways antipsychotic reduction benefits both your home and your residents.
  • Discover how your team – CNAs, Activity Directors, DONs, Floor Nurses, Administrators – can work together to improve residents’ quality of life.
  • Decode distress through communication for better care.

CEUs available!  Location:  Ethical Society of St. Louis, 9001 Clayton Road, St. Louis.

Please view the flyer with registration form here:  Enhanced Well-Being – Dr. Power October 3, 2013, or visit www.primaris.org/node/1746.

Creating Well-Being for Those Who Live with Dementia: Alternatives to Medication Use -A Webinar Series

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Developed by Dr. G. Allen Power and The Eden Alternative, presented in association with Pioneer Network

In spite of growing awareness of the lower benefits and higher risks of antipsychotic drug use in people living with dementia, we cannot successfully reduce these medications until we find more effective approaches to care.  This 6-part webinar series will describe how the Eden Alternative Domains of Well-Being™ provide a powerful framework for caring for people who live with dementia.  Coming up next:

  • November 12, 2013:  Security is More Than an Alarm System
  • December 10, 2013: Understanding the Many Levels of Autonomy
  • January 7, 2014:  Defining Purpose, Meaning & Growth
  • February 4, 2014:  Creating Joy by Decoding Distress

Visit http://archive.constantcontact.com/fs177/1101511475155/archive/1114501911708.html.

Alzheimer’s Disease and Related Dementias – Empowering Webinar Series

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Primaris and the Alzheimer’s Association – St. Louis Chapter are working together to engage patients and families living with Alzheimer’s disease and related dementias.  Registration is now open for the three-part webinar series on early dementia detection and management presented by international leaders in geriatrics and dementia.  The webinars will take place during World Alzheimer’s Month in September starting at 6:00 pm CST.  Continuing Medical Education units are available.  Intended audience: physicians, medical directors of nursing homes, nurse practitioners, physician assistants and office managers.

  • September 5, 2013:  Physician Reimbursement for Detection and Management of Dementia
  • September 12, 2013:  Early Detection of Alzheimer’s and Differential Diagnosis of Dementia
  • September 17, 2013:  Assessing Cognition with Clinical Practice Tools Including the AD8 Screening

To register and learn more about this series, please visit Primaris at www.primaris.org/alzheimers.

Well-Being for All: Living with Dementia Beyond Drugs

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October 3, 2013: Alzheimer’s Association St. Louis Chapter – Speakers Series Evening Program

Book Signing:  5 p.m.; Program:  6 p.m. – 7:30 p.m.  Join Dr. G. Allen Power, internationally acclaimed gerontologist, author and Associate Professor of Medicine at the University of Rochester, as he discusses ways to embrace current alternative practices, other than the use of medication, and addresses the most common challenges facing individuals living with dementia and their caregivers.  This program is free.  Location:  Ethical Society of St. Louis, 9001 Clayton Road, St. Louis.  View flyer here: Well-Being for All 10-03-2013.  You may also visit visit www.alz.org/stl/in_my_community_58781.asp or Register online here.

SHOW-ME QUALITY – QAPI IN ACTION Webinars

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August 9, 2013:  Resident Safety Culture Success Stories

Learn about the National TeamSTEPPS program and Just Culture.  For more information, please visit Primaris at www.primaris.org/node/1715 or Click Here to Reserve your Webinar seat now.

August 20, 2013:  Summary of CMS Updates for Antipsychotic Medication Use for People with Dementia

Tracy Niekamp, Missouri Department of Health and Senior Services, will provide a summary of the recently updated guidelines survey teams will use to investigate and determine compliance regarding antipsychotic medication use for people with dementia.  Valuable resources and insights will be shared regarding compliance and quality care.  For more information, please visit Primaris at www.primaris.org/node/1715 or Click Here to Reserve your Webinar seat now.

Carnegie Village to hold Alzheimer’s Fundraiser

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September 14, 2013:  Bikes, Bingo & Babybacks in Belton, Missouri
Enjoy a 120-mile scenic tour from Belton to Weston with four bingo stops along the way.  The ride will end with a BBQ lunch at The Farmer’s House.  Pre-registration cost is $30 for rider & $25 for passenger and includes a T-shirt, breakfast, one bingo card and BBQ lunch.  Online registration is available at http://bikesbingoandbabybacks.ezregister.com/. 

For more information, please contact Gina Hodges, LNHA, Carnegie Village Assisted Living, 103 Bernard Drive, Belton, Missouri, 64012, Telephone 816-322-8444.  

Each year, individuals and organizations such as civic groups, social clubs, restaurants and businesses raise thousands of dollars for the Alzheimer’s Association – Heart of America Chapter.  To learn more about DIY fundraisers, please visit http://www.alz.org/kansascity/in_my_community_13212.asp

Changing Antipsychotic Thinking (CAT) Tip #3

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Cat on the Prowl

We all want meaningful lives, a sense of identity and a feeling of connectedness.  When spotting someone wandering in your home, consider some of the possible reasons for doing so.  The person could be lost or confused, in need of exercise or companionship, or trying to find the bathroom.  Instead of labeling people as “wanderers,” get to know their routines, and what makes them feel comfortable and important.  Visit www.primaris.org/cat_tips to view all tips.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

New Generations – Summer 2013 Quarterly Newsletter

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The Section for Long-Term Care has published New Generations – Volume 11, Issue 3, Summer 2013.  This issue is now available on our website, along with an archive of previous newsletters.  Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.

Changing Antipsychotic Thinking (CAT) Tip #2

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CAT Tip #2 Be a CAT Detective!  

Click on the link above to view the second monthly tip in the new series from Primaris on the use of antipsychotic medications in nursing homes.  Visit www.primaris.org/cat_tips to view all tips.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.