Changing Antipsychotic Thinking (CAT) Tip of the Month – April 2013

CAT Tip #1, April 2013CAT Prowls in the Black Box

CAT Tip 1 April 2013 is the first monthly tip in the new series from Primaris on the use of antipsychotic medications in nursing homes.  These tips are designed after the Pressure Ulcer Prevention (PUP) tips.  Please visit Primaris’ website at www.primaris.org/antipsychotics.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

Hand in Hand: A Training Series for Nursing Homes – SLCR Reminder

(Person-Centered Care of Persons with Dementia and Prevention of Abuse)

Section 6121 of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse.  CMS created Hand in Hand training in order to address the annual requirement for nurse aide training.  While homes are not required to use Hand in Hand for their dementia and abuse training, it is a wonderful, free resource that CMS has provided to every nursing home in the nation.  CMS sent the packet containing videos and training techniques to all homes in December of 2012.

The Section for Long-Term Care Regulation realizes that the information appears voluminous, but encourages homes to take a closer look and try to implement at least some of the videos for your direct care staff.  The videos show staff how to relate to residents with dementia and how to appropriately respond to behaviors.  The training is also timely with the CMS initiative to reduce the use of antipsychotics in nursing homes.  The videos show staff how to get to know the person and understand why they are behaving a certain way, so that they can use alternative methods, rather than asking for an antipsychotic medication.  Everyone’s time is valuable; however, there is no sense in reinventing the wheel when CMS has done it for you.  We encourage you to take a look at the Hand in Hand information and try to implement some of the videos in your required training on dementia and abuse prevention.

http://www.cms-handinhandtoolkit.info/Index.aspx

 

Reducing Anti-Psychotics Through Individualized Care – Medical Perspective and Case Studies

Series #4 of the National Learning Collaborative Webinar Series on Using MDS 3.0 as an Engine for High Quality Individualized Care

  • September 20, 2012:  Part Nine – Individualizing Care and Environments: Non-pharmacologic Interventions Instead of Anti-Psychotic Medications
  • October 18, 2012:  Part Ten – Promoting Mental Health Through Team-based Individualized Assessment and Care Planning

For additional information, please visit the website: http://www.pioneernetwork.net/Events/MDS30_910/.

CMS Memorandum: Updates to the Nursing Home Compare Website

Centers for Medicare & Medicaid Services (CMS) Memorandum Ref: S&C: 12-37-NH:

Nursing Home Compare: CMS will launch a re-designed Nursing Home Compare website on July 19, 2012.

With the Nursing Home Compare website release, CMS is adding several new types of information:

  • Quality measures based on MDS 3.0 data.  The MDS 3.0 assessments will replace the MDS 2.0-based quality measures previously posted on Nursing Home Compare.  In addition, CMS will post data on two measures of use of anti-psychotic medication use (short-stay incidence and long-stay prevalence).
  • Detailed Inspection Reports (Form CMS-2567).
  • Ownership information.  CMS will post information on the legal business names of nursing homes.
  • Information on Physical Therapist staffing levels.  Physical Therapist hours per resident day will be reported.

Click here to view memo:  http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-12-37.html.

Click here to visit the Nursing Home Compare website: http://www.medicare.gov/NursingHomeCompare/