DHSS teams up with Missouri Developmental Disabilities Council to launch COVID-19 plain language guide for the disability community

The Missouri Department of Health and Senior Services (DHSS) along with the Missouri Developmental Disabilities Council released a new resource, the “Missouri Plain Language Guide for People with Disabilities, their Families and Caregivers,” on COVID-19 and the vaccine.

Through this partnership, the new guide will ensure that important information related to COVID-19 and vaccine access is more accessible to people with intellectual and developmental disabilities, and others with disabilities affecting reading, comprehension and other cognitive functions.

“After reading this new Missouri Plain Language Guide, I was very impressed with two very important things: 1) the amount of important and vitally necessary information that it contains; and 2) how plain and understandable the format is, that was used to present it, without diluting any of the valuable information that it conveys to the reader. I believe that this will prove to be a very valuable tool for persons with disabilities and many others,” said Cathy Enfield, Chairperson and Self-Advocate, Missouri Developmental Disabilities Council.

“There is so much information available about COVID-19 and vaccines, that it could be hard to navigate through the information. We value the collaboration with DHSS, to provide accurate information in a plain language format that is accessible to so many who experience disabilities. We look forward to continuing this important work to ensure the disability community has information to make decisions about their health,” said Vicky Davidson, Executive Director, Missouri Developmental Disabilities Council.

People with disabilities, their family members and caregivers have been eligible to receive the COVID-19 vaccine in the earliest phases of Missouri’s vaccine rollout. Currently, any Missourian age 12 and older is eligible to receive the COVID-19 vaccine. Since the beginning of 2021, DHSS and the Missouri Advisory Committee on Equitable COVID-19 Vaccine Distribution have been focused on deploying new strategies and resources to meet the disability community where they are – this new guide is a resource to support Missouri’s disability community and those individuals, family members and caregivers who support them.

“Since day one at DHSS, our goal has been to ensure Missouri’s most vulnerable, people with disabilities and those who support them (i.e., their families, caregivers and disability service providers) were at the front of the line to receive the free vaccine throughout our vaccine roll-out process. Throughout the year, we have also been working to deploy new strategies and resources to meet the disability community where they are. Our new plain language guide is an additional resource for Missourians with disabilities and those who support them,” said Sara Hart Weir, co-chair of the Missouri Advisory Committee on Equitable COVID-19 Vaccine Distribution.

Enfield added, “We simply need information to be supplied in a clear, plain and understandable way. As Chair of the Missouri Developmental Disabilities Council, I am proud of the work that our members and staff did on the document. I applaud their efforts and the efforts of all those who were involved.”

If you or someone you know is unable to visit a COVID-19 vaccination clinic without assistance, please call the COVID-19 Hotline at 877-435-8411 and press option 4 to be routed directly to your local Area Agency on Aging to make a vaccine appointment. You can also register individuals for the vaccine by visiting Missouri’s COVID-19 website, MOStopsCovid.com. COVID-19 Hotline hours of operation are Monday-Friday 7:30 a.m.-5:30 p.m. and Saturday 8 a.m.-2 p.m. (Hotline is open on Saturdays through until June 11.) Individuals are encouraged to call soon to ensure their names are added to the list.

MALA Train the Trainer

July 7, 2021: 2021 Train the Trainer
September 8, 2021: 2021 Train the Trainer
November 3, 2021: 2021 Train the Trainer

Participants must receive approval in order to attend this workshop. Those wishing to attend must submit the application and necessary paperwork to MALA at least five days prior to the workshop date.

Upon MALA’s review of your application, you will receive an approval/confirmation or denial letter via email.

MALA ALF Assessment Training

July 26-28, 2021: 2021 ALF Assessment Training

As required by 198.005 RSMo and 19 CSR 30-86.047, residents of Assisted Living Facilities are required to undergo a community based assessment performed by an appropriately trained and qualified individual. This individual must complete a DHSS approved 24-hour training program prior to performing resident assessments. The MALA ALF Assessment Training satisfies this regulatory requirement.

BinaxNOW Recoupment – Ending Friday June 11th

DHSS will cease recoupment of excess Abbott BinaxNOW cards effective Friday, June 11 – meaning any recoupment requests must be received by 5:00 p.m. on Friday, June 11 in order to be sent a mailing label. As before, we will only accept unopened boxes and box lots that have at least 30 days or more to expiration, please refer to the most recent extension expiry letter from Abbott. After that date, the recoupment form will be removed from the DHSS website.

If your facility has an excess of Abbott BinaxNow Cards, which you are unable to use prior to them expiring, please provide your information on the recoupment form link: https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/1913bb3c639843c49b74350a4652d750.

SEMA will send you UPS shipping labels and the tests will be sent to the state warehouse for redistribution- so they do not expire before they can be used.

Please note the following:

  • Unless you have specifically ordered the tests from DHSS via an online ordering portal- the tests you are returning were from FEDERAL.
  • SEMA is unable to accept tests that are 30 days or less until expiration date (this can be within the new expiry date). With less than 30 days, they are unable to recoup and redistribute those tests to another user in a timeframe that allows the new user time to incorporate into their testing regimen.
  • Abbott’s guidance for unused kits is that all components of this kit should be discarded as Biohazard waste.

CANCELLING DIRECT SHIPMENTS

  • If there are facilities in your state receiving direct allocations of Abbott Binax NOW that would like to cancel those allocations, please submit the cancellation request to ARDxUSGovernmentSupport@abbott.com. Note: this is a cancellation not a pause. Pausing allocations is not an option. Once received allocations can be transferred to other facilities within the state.

Monthly Infection Control and Prevention Webinar Series: What you need to know to keep you, your patients and community safe.

June 2021 -December 2022 – 2nd Tuesday of each month from 12-1 p.m.: ICP Monthly Webinar Series

June 10 – Inaugural Webinar: Vaccines are Safe – How we know!
Lynelle Phillips, MPH, RN, Assistant Teaching Professor, Department of Public Health, School of Health Professions, Extension Service Nurse Specialist, University of Missouri, Columbia

  • General rules of vaccines
  • FDA approval process and Emergency Use Authorization Use (EUA) process
  • How were we able to get a vaccine to market in such a short time and still cut no corners?
  • Compare the different vaccines – safety and efficacy
  • Is the lesser protection by J&J significant enough to be important? J&J Case Study.

 

July 8 – How do COVID vaccines affect immunity to COVID?
Taylor Nelson, DO, Infectious Disease, Internal Medicine, University of Missouri Health Care, Columbia. Board Certified by the American Board of Internal Medicine/Infectious Disease

  • Natural immunity vs vaccine-induced immunity – which is best?
  • How long does the vaccine protect me?
  • What is Herd immunity and is it reasonable to expect we will ever achieve it?
  • If I’ve had COVID, why get vaccinated?
  • To boost or not to boost?
  • I’m young, isn’t it less risky to take chance with COVID than the vaccine?

 

August 10 – Environmental Health: Air Purification and Quality
Loie Couch, RN, BS, CIC, FAPIC, Infection Prevention Specialist, Barnes Jewish Christian (BJC) Hospital, St. Louis

  • Functions of a ventilation system
  • Benefits and limitations of bi-polar ionization
  • Minimum filtration requirements
  • Apply filtration flexibility on a space-by-space approach
  • Appropriate use of UV light disinfection and accompanying hazards
  • Visible light disinfection and its appropriate use and considerations

2021 Missouri Suicide Prevention Conference

July 28, 2021: Missouri Suicide Prevention Conference

The Missouri Suicide Prevention Network invites you to join us for our annual conference!

This year’s conference is brought to you by the Missouri Department of Mental Health, Missouri Behavioral Health Council and Community Counseling Center.

Visit us online at www.mospn.org/conference.

The virtual conference will be free of charge, unless you are needing continuing education. Continuing Education (CE) will be $10 per person.

The Missouri Behavioral Health Council has approved this program for up to 6.3 behavioral health continuing education contact hours. MBHC will be responsible for this program and maintain a record of your continuing education hours earned. See agenda for session breakdown.

Continuing Medical Education (CME) is currently pending approval for select sessions. See agenda for those eligible sessions.

Cream of the Crop Webinars

CE Available for Nurses, Social Workers, Nursing Home Administrators, and pharmacotherapeutics (RX)
We hand selected 12 of our most popular webinars from 2020.
https://web.cvent.com/event/dcf77498-045c-48e7-aa2a-d17a5cd8aa09/summary

Sessions for NHA CE:

Age Friendly Health Systems
John Morley, MD, Professor Geriatrics, St. Louis University Medical School
This session will address recognizing and managing geriatric syndromes. The 4M framework will be included to ascertain specific health outcome goals and care preferences.

Preserving Integrity in Turbulent Times
Cynda Ruston, PhD, RN, FAAN, Anne & George L. Bunting Professor of Clinical Ethics, German Institute of Bioethics/School of Nursing, Professor of Nursing & Pediatrics, John Hopkins University
Listen to a recognized and international leader in nursing ethics, from John Hopkins University. This session will focus on selected sources of moral suffering, consequences of moral suffering, and offers a pathway of moral resilience by restoring integrity.

Medication Considerations in the Elderly During the COVID-Pandemic
Curt Wood, R.PD., BCGP, FASP, Elder Care Pharmacy Consultant, LLC
Medication usage is even more critical in a pandemic as many long-term care communities are experiencing outbreaks of the virus. Ideas on gradual dose reduction and managing chronic diseases will be discussed.

Resiliency: Using Gratitude to Thrive Through Adversity
T.J. Sweet, MHA, Practice Manager, Ellis Administration, University of Missouri Hospital, Columbia
Learn how to use strategies to validate feelings and practical ways to support colleagues when exposed to high stress levels in uncertain times. Learn to thrive despite adversity and maintain a resilient mindset using gratitude.

Reducing Meds – The When, What and How to Minimize Adverse Outcomes
Craig Sever, BS, R.Ph., Clinical Coordinator Eversprings Pharmacy, St. Louis, Missouri
The speaker will provide insight on how to pharmacologically assess the most reducible meds and develop an appropriate reduction strategy for older adults.

Leadership Development Academy for LTC Leaders

Join us for the MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in Long-term Care. We know that Long-term Care can be challenging. With an 11 year proven track record, hundreds of graduates and life-changing testimonials, this leadership course is designed for busy LTC professionals, all while earning 50 hours of CE credit.

The academy has been proven to increase leadership skills and improve confidence, which will help to create a working environment that encourages teamwork and quality improvement.

NO COST for RNs and NHAs from Skilled Nursing Facilities in Missouri (excludes Veterans Administration facilities).
The complimentary option is available to Missouri SNFs since the support for this academy is provided by CMP funds designated for Missouri SNFs.

More Information: https://extension.missouri.edu/programs/nursing-outreach/enhanced-leadership-development-academy.

COVID-19 Testing and other Necessary COVID-19 Related Invoices – Important Update: Please Read!

ALFs, ICFs, and RCFs that have billed for “other” costs as of 5/3/2021 may continue to submit “other” necessary COVID-19 related invoices through June 30, 2021. All “other” invoices (as of 5/3/2021) submitted by ICFs, ALFs, and RCFs must include a new signed addendum.

SNFs may continue to bill for “other” necessary COVID-19 related invoices through June 30, 2021.

All Long-Term Care facilities (SNFs, ICFs, ALFs, and RCFs) may continue to submit testing invoices until further notice.

Due to time constraints, please do not wait until the last minute to submit these invoices.

The web portal can be found here: https://apps.dss.mo.gov/LongTermCareCovid19Invoices/

CMS Social Media Campaign – Community Champions

On May 5, 2021, as a part of CMS’ ongoing COVID response efforts to support the long term care community, CMS debuted their first social media video highlighting staff, also referred to as Community Champions, who moved from being initially uncertain about receiving the COVID-19 vaccine to accepting the vaccine – and encouraging their peers to do the same.

Throughout the COVID-19 pandemic, staff in nursing homes have been providing ongoing care to our nation’s most vulnerable. This social media campaign is intended to help increase vaccine acceptance amongst long-term care staff.

SNF Quality Reporting Program (QRP) Submission Deadline Reminder

SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. MDS data for October 1 – December 31 (Q4) of CY 2020 must be submitted no later than 11:59 p.m. on May 17, 2021.

The Minimum Data Set (MDS) 3.0 must be transmitted to CMS through the Assessment Submission and Processing (ASAP) system to the Quality Improvement Evaluation System (QIES). No additional reporting is required.

As a reminder, it is recommended that providers run applicable CASPER reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.

Swingtech sends informational messages to IRFs, LTCHs, and SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

More information about SNF QRP can be found on the following webpages:

Pioneer Network’s Virtual Symposium

June 16, 2021: Envisioning the Future – Dementia Care: 2021 and Beyond

The second in our 2021 four symposium series based on the theme, Envisioning the Future, this virtual event is designed to provide valuable learning on the topic of Dementia Care. Held within a 6-hour window, there will be four general sessions followed by an opportunity to gather together with the general session speakers to ask questions, explore the topics, and further define our vision for the future.

Pioneer Network: Hot Topics – Culture Change in Action

May 6, 2021: Spring Forward: Three Person Centered Care Strategies to Change the Trajectory for Residents in Senior Living
Speakers: Rosemary Laird, M.D.,M.H.S.A; Deanna Vigliotta, National Sales Manager, TZMO USA, Inc; and Penny Cook, President & CEO, Pioneer Network

Join us for a discussion on some Hot Topics, including the importance of a person-centered approach to care; how now may be the perfect time for senior living communities to reevaluate their outdoor space for residents; how rethinking a community’s indoor space may help to increase social engagement for residents; and how revisiting current policies related to continence care may lead to better outcomes and costs savings. Three strategies will be explored in hopes that through education and understanding, together we can change lives.

Missouri Vaccinators to Resume Janssen/J&J Vaccine

The CDC and FDA lifted the pause on the Janssen/J&J vaccine, and use of the vaccine will resume in Missouri. Please follow the links below to updated information for Missouri.

Conversations with Carmen

May 21, 2021: Artifacts of Culture Change (ACC) 2.0 and ACC – Assisted Living: Part 3
Presenters: Host Carmen Bowman and her Guest Karen Schoeneman

An Artifacts 2.0 version for nursing homes, and a first-ever Artifacts for Assisted Living are now available, thanks to the Pioneer Network. The ACC is an internal self-assessment tool — inspirational and educational, reflecting concrete practices that change institutional culture or “artifacts” of culture change. Walk through each of the over-130 items with the developers Karen Schoeneman and Carmen Bowman in three sessions (March 19, April 23 and May 21) and be inspired to learn culture change practices you may have not considered – to shift the focus from institutional to individual, and institution to home.

These detailed and in-depth sessions build on the overview provided during the Pioneer Network’s webinar (Feb. 18, 2021) introducing the Artifacts.

SPECIAL COVID PRICING STILL IN EFFECT!

Preceptor Training

June 6, 2021: Camden on the Lake, Lake Ozark
October 21, 2021: MANHA Office, Jefferson City

The Missouri Board of Nursing Home Administrators requires an individual applying to become a preceptor to future nursing home administrators who require an AIT program in Missouri to complete a prescribed course of instruction and training. A work internship in a nursing home under the direct supervision of a licensed nursing home administrator who is designated as a preceptor by the board is an important part of the preparatory training. The supervision by a preceptor is a valuable contribution to the growth and development of the intern, to nursing home administration, and ultimately, long term care. This course has been approved by the Missouri Board of Nursing Home Administrators as a requirement in the application process of becoming a preceptor.

Please see the brochure for registration details.

Pioneer Network’s Hot Topics

April 22, 2021: Compassionate Leadership in Action

A characteristic we look for in leaders is compassion, but what does it look like in practice? How do leaders support a culture of compassion in their organization? What characteristics do they share?

Our panelists are leaders at organizations known for their compassionate cultures. Donna Moore, serves as COO at Isakson Living, Deke Cateau, is the CEO, at A.G. Rhodes, and Jill Vitale-Aussem, who through most of the pandemic served as CEO of The Eden Alternative and is now CEO of Christian Living Communities. Each will share the beliefs and values that guide their leadership philosophies and discuss how they have put them into action to grow and support a culture of compassion in their organizations. They will also provide tangible ideas you can take away as you work to support and grow a culture of compassion in your organization.

As a Thank-You to our Coalition Partners, use code PNCoalition2021 for a 15% Discount

COVID-19 FREE Testing

The Missouri Department of Health and Senior Services continues to offer FREE COVID-19 testing. Individuals seeking a free testing opportunity are not required to pre-register or have an appointment, simply show up to one of the events below to receive the test. A government issued ID is not a requirement for this testing, but having one available onsite speeds up the registration process. Testing is still a very important tool in fighting the COVID-19 pandemic.

Event information can always be found at www.health.mo.gov/communitytest. Additional sites (with regular or one-time opportunities) may be added as indicators suggest the need for additional testing.

Personal Needs Allowance

This memo was originally released in 2013 and was a collaboration with the Family Support Division and the Social Security Administration to clarify their expectations regarding resident funds. The memo has been updated to reflect the current monthly personal needs allowance only. The remainder of the guidance remains the same.

If you have any questions feel free to contact Lynn Gilmore, Senior Auditor, at Lynn.Gilmore@health.mo.gov or 573-508-4150.

Reimbursement for COVID-19 Outbreak Testing and Other Necessary Expenses – Deadline Extended to June 30, 2021

Deadline Extended to June 30, 2021

All LTC facilities (SNF-ICF-RCF-ALF) may submit for reimbursement of outbreak testing through March 31, 2021.

All Skilled Nursing Facilities may invoice for other necessary COVID-19 expenditures up to a maximum cap of $345 per licensed bed. The previous cap of $303, which originally expired on December 30, 2020, has been extended to June 30, 2021 and the cap increased to $345 which is a $42 per licensed bed increase. Facilities cannot bill for expenses that have been previously invoiced.

All other facilities may submit invoices for other necessary COVID-019 expenses up to the previous existing cap of $330/licensed bed, which originally expired on December 1, 2020 and has been extended to June 30, 2021. Facilities cannot bill for expenses that have been previously invoiced.

If any facility previously submitted for reimbursement and did not get reimbursed up to the cap, they can submit for additional reimbursement up to the cap. If you have previously submitted invoices for reimbursement that meets or exceeds the cap, please do not resubmit those items. They are being re-reviewed at this time.

Please see this link for the portal and other additional information: https://apps.dss.mo.gov/LongTermCareCovid19Invoices/.

COVID-19 FREE Testing

The Missouri Department of Health and Senior Services continues to offer FREE COVID-19 testing. Individuals seeking a free testing opportunity are not required to pre-register or have an appointment, simply show up to one of the events below to receive the test. A government issued ID is not a requirement for this testing, but having one available onsite speeds up the registration process. Testing is still a very important tool in fighting the COVID-19 pandemic.

Event information can always be found at www.health.mo.gov/communitytest. Additional sites (with regular or one-time opportunities) may be added as indicators suggest the need for additional testing. The following events are available for the month of April 2021:

St. Louis Area

    • Every Monday – 11:00 am -7:00 pm
      IBEW Local #1
      5850 Elizabeth Avenue
      St. Louis, MO 63110
    • Every Thursday – 11:00 am -7:00 pm
      Laborers Local #110
      4532 S Lindbergh Blvd
      St. Louis, MO 63127
    • Every Saturday – 11:00 am -7:00 pm
      Machinist Lodge #777
      12365 St Charles Rock Rd
      Bridgeton, MO 63044

Central MO Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      April 11, 18
      American Legion #1423
      Tanner Bridge Road
      Jefferson City, MO 65101

Southwest Area

    • Every Tuesday – 11:00 am – 7:00 pm
      Mother’s Brewing Company
      Open Lot located on the corner of West College and Grant Avenue
      Springfield, MO 65806

Kansas City Area

    • Every Monday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Thursday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Saturday – 11:00 am – 7:00 pm
      Teamsters Local #955
      4501 Emanuel Cleaver II Blvd.
      Kansas City, MO 64130

Southeast Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      April 25
      Red Show Barn
      410 Kiwanis Drive
      Cape Girardeau MO 63701

Vaccine Information

This COVID-19 Vaccine document outlines processes to address the ongoing vaccination needs for residents and staff in long term care communities.

  • For residents and staff who received their first dose at the final clinic conducted by CVS or Walgreens and are in need of a second dose of Moderna vaccine: Regional Implementation Teams and the Missouri National Guard will be coordinating with local partners to provide onsite vaccine for these residents and staff. Please review the attached document for additional information on this process.
    • Walgreens has indicated they will also be conducting outreach to those communities where they provided onsite clinics to ensure there is opportunity for administration of this second dose. This outreach by Walgreens may be ideal for ensuring residents who have been discharged to home have access to the vaccine if they don’t have the ability to return to the long term care community for the second dose.
  • For residents and staff who have yet to receive vaccine (new residents and staff, and residents and staff who did not receive vaccine at the onsite clinics): Several options are outlined in the attached document for ensuring ongoing access to vaccine. The University of Missouri-Columbia COVID Accountability Team (CAT) team will be available to assist communities with determining which option best meets their needs and with navigating through the process. DHSS hosted a WebEx call on Monday, March 29th at 1:30 for long term care communities that are interested in becoming a vaccinator. The WebEx was recorded and can be viewed by clicking on the link below.

Long Term Care Facilities and Vaccination-20210329 1830-1

Thank you to our partners for assisting us with developing these processes and for assisting with coordination efforts moving forward! Questions related to ongoing vaccine efforts may be addressed to Shelly Williamson at shelly.williamson@health.mo.gov.

Action Pact’s Conversations with Carmen

April 23, 2021: Artifacts of Culture Change (ACC) 2.0 and ACC for Assisted Living
Presenters: the developers of the Artifacts, our Host Carmen Bowman and her guest Karen Schoeneman

An Artifacts 2.0 version for nursing homes, and a first-ever Artifacts for Assisted Living are now available, thanks to the Pioneer Network. The ACC is an internal self-assessment tool — inspirational and educational, reflecting concrete practices that change institutional culture or “artifacts” of culture change. Walk through each of the over-130 items with the developers Karen Schoeneman and Carmen Bowman in three sessions (March 19, April 23 and May 21) and be inspired to learn culture change practices you may have not considered – to shift the focus from institutional to individual, and institution to home.

These detailed and in-depth sessions build on the overview provided during the Pioneer Network’s webinar (Feb. 18, 2021) introducing the Artifacts. (The recording of that webinar will soon be offered for free on the Pioneer website.)