Quality Measure and Coding: Bowel and Bladder
Quality measure review and proper documentation for loss of bowel and bladder control assists in improving the quality of care for your residents. Click on the following links to learn more about this quality measure and coding.
Percent of Low-Risk Residents Who Lose Control of Their Bowel or Bladder Tip Sheet (PDF)
Quality Measure Video Series: Percent of Low-Risk Residents Who Lose Control of Bowel or Bladder (Long Stay) (Video)
February 4, 2016: Conducting a Standardized Nursing Home Resident Assessment of Activities of Daily Living and Bowel/Bladder Continence Using the Minimum Data Set
Please join this webinar for a dynamic discussion about Minimum Data Set (MDS) requirements for clinical assessment to improve activities of daily living (ADLs) and bowel/bladder continence for nursing home residents. Attendees will hear an experienced MDS clinical coordinator describe the process to evaluate each aspect of ADLs and bowel/urinary continence to include MDS coding.
Please visit the event page here to register.
Pioneer Network’s Hot Topics: Culture Change in Action on demand webinars are a great resource for in-service training. You can watch/show these webinar recordings as many times as you’d like and copy the handouts if you so desire. The On-Demand version of our ten 2015 webinars are available for a special bundle price of $500 (a $990 value!). Some of the webinar titles for sale include: Moving Past the 3Bs of a Traditional Activities Calendar; A Person-centered Approach to Eliminating Alarms and Physical Restraints; Safety vs. Autonomy for Elders: What if Maslow was Wrong? For a complete list of On Demand webinars, click here. If you’re not interested in the bundle purchase for the 2015 webinars, they are still available for $99 each. The 2014 webinars listed are available for $99/each. To take advantage of the bulk discount, contact info@pioneernetwork.net.
The dates, topics and presenters are set for Pioneer Network’s 2016 webinars! We are offering all 12 webinars for a discounted bundle price of $890 (that’s3 free webinars from the individual webinar rate). Many of these webinars are from our most highly rated 2015 conference sessions. Topics are always highly relevant to person centered care/person directed living. The 2016 webinar titles are listed here. To take advantage of the bulk discount, contact info@pioneernetwork.net.
NHC Healthcare, Maryland Heights
In early August 2015, I attended the national culture change conference hosted by the Pioneer Network in Chicago, Illinois. During one of the training sessions, someone asked if nursing homes could keep live chickens…to read more and view photos, click here: NHC Healthcare, Maryland Heights
February 11, 2016: Building Community Through Meaningful Engagement
Presenters: Angie McAlister, Director of Cultural Transformation-Hometown, Signature HealthCARE and Linda McDaniel, Director of Clinical Care-Hometown, Signature HealthCARE
How can you build true community by engaging elders and the care team in new and innovative ways? Join us for this webinar as we discuss concepts that have worked in our homes to build vibrant communities that promote growth for all. We will discuss new ways to strengthen individualized approaches to protect and honor personal preferences through innovative programming methods. We will also define intentional spontaneity and outline the benefits and discuss how to build flexibility into the day.
Please visit the Hot Topics event registration page here for more details.
February 2, 2016: Resident-to-Resident Elder Mistreatment in Nursing Homes: Findings from the First Prevalence Study
Join us for a webinar hosted by Consumer Voice in collaboration with the National Center on Elder Abuse (NCEA) to discuss the prevalence of resident-to-resident mistreatment and learn how to identify, prevent, and respond to these incidents
Click here to register.
Vaccination Administration
Proper administration of flu and pneumonia vaccinations is necessary for resident safety and accurate documentation for coding. Click on the following links to learn more about recommendations for administration of these two vaccines.
Influenza Vaccination Recommendations
Pneumococcal Vaccination Recommendations
One perception often interfering with the adoption and implementation of person-centered care practices in nursing homes is apprehension by staff, administrators, and governing boards about potential legal liability and regulatory exposure if residents suffer injuries. This is primarily because a number of person-centered practices, such as offering residents meaningful choices and honoring their decisions, represent significant deviations from prior accepted more paternalistic institution-centered practice. To read the full article, please visit here.
The full Process for Care Planning for Resident Choice, which includes blank forms and case studies, are available at www.IdeasInstitute.com, www.BrushDeveloment.com, and www.momc5.com.
Tip #12: “Person-Centered Care and QAPI”
Person-Centered Care is one of nine Advancing Excellence goals — aligned with QAPI –which provide tracking charts and trend graphs to help your home monitor progress on your chosen goals. While Advancing Excellence supports the QAPI approach, participation does not automatically mean you are implementing QAPI.
Please see the flyer here for more information.
May 3-5, 2016: Honoring the Past: Challenging the Future of Culture Change
Location: Hilton Garden Inn, Columbia, MO
As the leader in promoting person-centered care and personal choice, MC5 provides this annual opportunity for care professionals and businesses to network in an exciting, and partnership-building event to bring the best ideas and services to the seniors of our state.
Please see the flyer here and stay tuned to MC5 for more registration details coming soon.
Alarms: The New Deficient Practice? Eliminating Alarms and Preventing Falls by Engaging with Life
Come on Long Term Care! Be the Best, Smash the Box and get ready for the Baby Boomers
February 10, 2016: Osage Beach, MO
February 11, 2016: Springfield, MO
February 12, 2016: Sikeston, MO
Join Carmen Bowman for an all-day event at three locations as she discusses the use of alarms. See how eliminating alarms has actually reduced falls in the homes that no longer use them. She will also help you find out if your home is really offering the right ways to attract Baby Boomers.
Please see the flyer here for more details.
October 9, 2015: Aging: Life’s Most Dangerous Game
Location: Kranzberg Arts Center-Black Box Theater, St. Louis, MO
Join Dr. Bill Thomas and musical guest Nate Silas Richardson for an entertaining and highly disruptive evening exploration of aging as part of his national Age of Disruption Tour. His message is invigoratingly simple – the transition into our elder years should not be spent in frenzied disharmony. In order to play “life’s most dangerous game” successfully we need to re-imagine and create clear and satisfying purpose to how we spend the rest of our lives.
Please see the flyer attached for more information or visit Dr. Bill Thomas’ St. Louis events page here to register.
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.
Tip #10: “Simple Pleasures: Preferences and Choices”
Learn how to honor each person’s “Simple Pleasures.” Personal preference is essential in almost every piece of our lives. Honoring a resident’s choice and discovering their likings can make a big difference in their lives.
Please see the attached tip for more information.
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.
October 1, 2015: Creating Rampant Normalcy
Guest Speaker: Glenn, Blacklick, NHA, Action Pact Consultant
The September webinar received such positive reviews that Action Pact is going to offer it again on Thursday, October 1. If you missed it the first time, here is your 2nd chance. This is a hot topic!
Nationally known for successfully bringing normal life pursuits to nursing home residents, Glenn will share how to accomplish this, from his dual perspective as a recreation therapist and innovative administrator. Hear how residents have ventured out of the community to climb trees, navigate rivers, go boating, fishing, motorcycling; and also ventured inside the community, engaging their talents and pursuing wellness. Glenn encourages others to look at their home and community through residents’ eyes – where a good life every day is within their reach.
Please visit the Conversations with Carmen event page here for more details including registration.
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 antipsychotics. However, meeting their needs can become very challenging if their behaviors are not understood. Click on the links below to learn more.
CDI Prevention
It is important to understand Clostridium difficile infections and guidelines for preventing infections. Click on the links below to learn more.
The assessment of risk in long-term care is often an unbalanced exercise. In order to optimize opportunities for resident choice; to attain each resident’s highest practicable level of well-being; and to mitigate risk, the Rothschild Foundation has created a task force. This group is charged with developing a care planning process to plan for each resident’s choice when that choice carries potential risk.
For more information, including the pilot summary and process, please visit the MC5 resource page here.
The Neighborhood at Les Maisons consists of four assisted living homes located on a private cul-de-sac in St. Louis. They are owned and operated by Dolan Memory Care Homes. The homes are named after French cities, Calais Manor, Clermont Manor, Lourdes Manor, and Lyon Manor. Each home has…to read more and view photos, click here: Dolan Memory Care Homes
ChangingAging brings you this inspiring article about a 76-year-old woman who was rejected when she applied to adopt a second “senior” dog to keep her aging pet company. She was denied sight unseen, just based on her age alone. Read the article, When the Tail Wags the Dog, to see the true struggle this woman had endured.
You may also visit ChangingAging’s website here for this publication and other recent articles.
September 3, 2015: Reducing the Inappropriate Use of Antipsychotic Medications (12:00 Noon-1:00 p.m. CT)
Join this webinar to learn more about key interventions, strategies and the importance of reducing antipsychotic medications.
For more information, please visit the TMF website here and sign in. You may also register on the event page here.
September 21, 2015: Opening Our Eyes to a Person-Directed Culture
October 1, 2015: Communicating in a Person-Directed Culture
October 27, 2015: Rolling Out the Person-Centered Care Tool with Advancing Excellence
November 5, 2015: Learning from the Experts: Using Data to Improve Care with Abramson Center
November 19, 2015: Engaging Lives – It’s So Much More than Bingo!
MOLANE (Missouri Local Area Network for Excellence) is part of the Advancing Excellence in America’s Nursing Home Campaign. MOLANE and MC5 are sponsoring this five part webinar series on the topic of person-directed culture. And it’s FREE!
Please see the brochure here or visit the MC5 website here for details including registration and speaker information.
October 9, 2015: Disrupt Infections: Creating a Community of Prevention
Location: Meramec Bluffs, Ballwin, MO
This workshop explores how creating commUNITY immUNITY in the care setting can help break the web of infection in simple, practical ways. It also describes a continuum of organizational infection prevention, raising awareness of how acceptance of some current practices inhibits additional practical actions that would better disrupt infections. Attendees will have an opportunity to start developing an organizational plan for infection prevention with elevated steps to apply to their usual infection care routines. Lynda Crandall (CEO of Pioneer Network), Carol Scott (Executive Director of Advancing Excellence), and Dr. Bill Thomas (founder of the Eden Alternative and Green Houses) will be presenting the 2-hour production.
Please see the brochure or the link on Advancing Excellence’s website, or Dr. Bill Thomas’ Disrupt Tour website. You may also go directly to the registration page.
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.
Selfie Tip #9: The Power of Meaningful Activities
We all need to have a purpose: to be needed, to make a difference, to be a part of something. It is no different for those living in long-term care. Helping residents find meaning and purpose in their daily life is not just the Activity Director’s job. Find out what makes an activity meaningful, according to what each resident values.
Please see the flyer here for more information.