The Section for Long-Term Care Regulation (SLCR) has recently received questions related to the procedure for releasing medications upon a resident’s discharge from a Medicare/Medicaid certified facility. Please find the article addressing this issue here: Medications and Discharge
Category: Antipsychotic Medications
Navigating the 2014 Advancing Excellence Website – Free Webinar
July 9, 2014: Advancing Excellence has a new website. While the new site contains all the information from the old site, things have moved. Join the webinar for a cruise around the website, including:
- Logging in
- Downloading the data collection tools
- Looking at the resources
- Uploading aggregate data to the AE website
- Viewing your progress
- Signing up for the newsletter, viewing the calendars, etc.
Plenty of time will be available for questions and answers. To learn more, please visit www.nhqualitycampaign.org.
Dementia Beyond Disease – Conversations with Carmen
May 16, 2014: Conversations with Carmen
Guest: Al Power, MD, Board-certified Geriatrician, Eden Educator, Author of Dementia beyond Drugs and Dementia beyond Disease. To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.
Alive Inside – A Story of Music & Memory
Special Free Screening Coming to a Theatre Near You!
You are invited to attend a free screening of “Alive Inside,” a documentary about the power of music to restore some neurological function and quality of life to nursing home residents with Alzheimer’s disease and other conditions.
June 11, 2014 – St. Louis (Des Peres 14) June 12, 2014 – Lake Ozark (Eagles’ Landing 8) June 13, 2014 – Bethany (BigTime Cinema)Stay after the film for a live question & answer session with Dan Cohen, MSW, founding Executive Director of Music & Memory.
Discover the power of music. Do not miss this truly inspirational and heart-warming film!
Advanced registration is not required.
- FREE Nursing Home Administrator 2.0 Patient Care CEUs
- FREE Social Worker 2.0 CEUs
- FREE Activity Professionals 2.0 CEUs
Please view the flyer here: Alive Inside – A Story of Music and Memory June 2014
This event is sponsored by the Alzheimer’s Association St. Louis Chapter, the Section for Long-Term Care Regulation, the Missouri Coalition Celebrating Care Continuum Change (MC5), and Primaris. Read more about this event in New Generations – Volume 12, Issue 2, Spring 2014!
New Generations Quarterly Newsletter – Spring 2014
The Section for Long-Term Care Regulation has published New Generations – Volume 12, Issue 2, Spring 2014.
A complimentary color copy will be distributed via regular mail to each licensed home in Missouri. The spring issue is now available on the Department’s website, along with an archive of previous issues. Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.
24th Annual Caring for the Frail Elderly Conference
August 15 – 16, 2014: Holiday Inn Select Executive Center – Columbia, Mo.
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. To learn more, please visit http://medicine.missouri.edu/cfe/.
Reducing Antipsychotic Use in Nursing Homes: A Team Approach – Webinar
April 30, 2014: Speaker: Charles A. Crecelius, MD, PhD, CMD
Objectives:
1. Discuss recent regulatory changes regarding antipsychotic prescribing.
2. Review recent national efforts to decrease antipsychotic use.
3. Compare the role of various team members in ensuring appropriate antipsychotic use.
4. Recognize the elements of an effective gradual dose reduction program.
To learn more about this webinar, please visit Primaris at http://primaris.org/calendar/reducing-antipsychotic-use-in-nursing-homes-a-team-approach, or view the flyer here: Reducing Antipsychotic Use April 30, 2014.
Changing Antipsychotic Thinking (CAT) Tip #7
Cat Without a Tail
Do you see a TIGER in your percentages when you expect a KITTEN? Are unexpected names on your Quality Measure (QM) Report for antipsychotic drug usage? Even the “appropriate” diagnosis of Schizophrenia will trigger the measure if not correctly reported. Schizophrenia, Tourette’s, and Huntington’s are the three accepted diagnoses for the use of an antipsychotic. Report these on the pre-printed section of the Minimum Data Set (MDS) Resident Assessment by checking I6000 for Schizophrenia, I5350 for Tourette’s Syndrome, and/or I5250 for Huntington’s Disease. In I8000 Additional active diagnoses, you may manually input “Schizophrenia with a tail.” One example is “Schizophrenia with Psychosis.” Please view CAT Tip #7 here: CAT_Tip_7. View more tips at http://primaris.org/tool. The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.
Hearing the Voice of Persons Living with Dementia – Conversations with Carmen
Hearing the Voice of Persons Living with Dementia
April 18, 2014: Conversations with Carmen… A Monthly Webinar
Guest: Megan Hannan, MS, Action Pact Consultant, Developer of PersonFirst®, author of Becoming Who They Were. To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.
Alive Inside – Conversations with Carmen March 21, 2014
Alive Inside
March 21, 2014: Conversations with Carmen
Guest: Dan Cohen, MSW, Founder and Executive Director of Music & Memory
Rooted in neuroscience research, the results are described as “nothing short of miraculous” and certainly contribute to efforts to reduce anti-psychotics. To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar or click here to register.
Changing Antipsychotic Thinking (CAT) Tip #6
“Help, help, help, help, help.” The repetition of a word or question is likely a cry for comfort and security. Learn ways to make a connection with those who have dementia. View Tip #6 here: CAT Tip #6, or visit http://primaris.org/tool/changing-antipsychotic-thinking-cat-calls.
View more tips at http://primaris.org/tool. The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.
Antipsychotic Drug use in Nursing Homes: Trend Update
CMS is tracking the progress of the Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported MDS quality measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington’s Disease or Tourette’s Syndrome.
Since the Partnership began in 2012, this data indicates Missouri’s percentage rates have dropped every quarter, with an overall decrease of 9.17 percent. This is encouraging and shows that Missouri is making improvements towards decreasing the use of antipsychotic medications for residents with dementia when their use is not indicated or appropriate. Please view the trend update here: CMS Trend Update – Antipsychotic Drug Use in Nursing Homes.
National Provider Call: CMS National Partnership to Improve Dementia Care in Nursing Homes
February 26, 2014: Presentation topics include the critical role of both state and federal surveyors in the implementation of the partnership, the importance of leadership, and the correlation between proper pain assessment and antipsychotic medication use. A question and answer session will follow.
These calls are free of charge. Registration is required. For detailed information, please visit CMS at www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html, or register at www.eventsvc.com/blhtechnologies/register/f32af1b2-3be3-4015-bd0f-3a7f529a867b.
The Validation® Method: A Tried and True Method of Reducing Antipsychotics
February 21, 2014: Conversations with Carmen
Guest: Naomi Feil, MSW, SCSW. Treat yourself to learning from developer Naomi Feil about the Validation® method, which provides a means for successfully communicating with persons with dementia – something desperately needed by them, their caregivers and family members. 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:
MC5 Regional Meetings – March 2014
Visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com.
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March 4, 2014: Central
Customer Service: Beyond a Warm Welcome
Location: Lenoir Woods, LSS, Nifong Hall, 3710 South Lenoir St., Columbia.
RSVP to Beth at bbusseau@cmaaa.net or 573-443-5823.
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March 11, 2014: West Central
Caring for Individuals with Alzheimer’s Disease in a Culture Change World
Presented by Alzheimer’s Association Heart of America Chapter, Education Director Michelle Niedens.
Location: Methodist Church, The Celebration Center, 1701 W. 32nd, Sedalia.
RSVP to Kathy Ray-Smith at kraysmith@goaging.org, 800-748-7826, or 660-747-3107.
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March 12, 2014: Northwest
Enhancing Communication: Dealing with challenging “behaviors” and the principles of person-centered care
Presented by Alzheimer’s Association Northwest Region Dementia Care Specialist Brenda Gregg.
Location: East Hills Library, 502 North Woodbine Rd., St. Joseph.
RSVP to Karen Fletchall at karen.fletchall@yahoo.com or 660-562-3515; or Freda Miller at fmiller@nwmoaaa.org or 660-822-6209.
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March 12, 2014: Southwest
Creating Well-Being for Those Who Live with Dementia: Alternatives to Medication Use Webinar Series
Webinar #2: Seeing & Relating to the Whole Person
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 North Glenstone Ave., Springfield.
RSVP to cindybutler@mchsi.com
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March 13, 2014: North Central
Music & Memory
Sunnyview Nursing Home and Apartments Assistant Administrator Matt Arthaud will present video clips that demonstrate the benefits of personalized music for individuals with dementia. The soon to be public documentary Alive Inside and the Music & Memory program will also be discussed. The presentation will be followed by a brief Learning Circle training and discussion. Please view the flyer here: MC5 North Central 03-13-14
Location: BTC Bank, 400 West Business 36, Chillicothe
RSVP to Judy Bagley at jbagley@grm.net, or call 660-748-4407.
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March 14, 2014: East
Words Hurt: How Using Culture Change Language Improves Care
Presented by Lutheran Senior Services Director of Performance Improvement Joan Devine.
Location: Brentwood Community Center, Rm. 104, 2502 S. Brentwood Blvd., Brentwood.
Please RSVP by calling 314-432-3422.
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March 18, 2014: East Central
Using MDS 3.0 as an Engine for High Quality Individualized Care
MC5 East Central and Primaris Learning Collaborative
Please view the flyer here: MC5 East Central 03-18-14
Primaris Program Manager Nursing Home Services Alexis Roam, MSN, RN, will facilitate monthly meetings.
Location: The Centre, 1200 Holloway St., Rolla.
RSVP to Mary Ehrenreich at mary.ehrenreich@alz.org or 314-801-0462; or Tracy Rosenow at tracy.rosenow@mvc.dps.mo.gov or 573-265-3271.
For more information about these regional meetings, please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html.
Changing Antipsychotic Thinking (CAT) Tip #5
CAT Purrs Interpreted
Please view CAT Tip #5 here: CAT Tip #5. View more tips at http://primaris.org/tool. The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.
Changing Antipsychotic Thinking (CAT) Tip #4
Changing Antipsychotic Thinking (CAT) Tip #4
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.
MC5 Regional Meetings – December, 2013
Visit the NEW Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/.
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December 3, 2013: Central
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.
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December 6, 2013: Southeast
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.
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December 11, 2013: West-Central
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.
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December 12, 2013: North Central
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.
MC5 Regional Meetings – November, 2013
- 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
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/
New Data Show Antipsychotic Drug Use is Down in Nursing Homes Nationwide
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
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
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.
SHOW-ME QUALITY – QAPI IN ACTION Webinars
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.
Changing Antipsychotic Thinking (CAT) Tip #3
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.
QAPI in Action: Rapid Cycle Improvement Webinar
July 16, 2013: David Gifford, MD, MPH, will review the Plan-Do-Study-Act (PDSA) model and the rapid-cycle improvement method. Strategies of how to incorporate rapid-cycle techniques into your organization and the daily workflow will be provided by using examples of rehospitalization and antipsychotics reduction efforts. To learn more about this webinar, please view the flyer: QAPI in Action – Rapid Cycle Improvement Webinar or click here.