November 27, 2018: Nursing Facility Level of Care Stakeholder Meeting
Location: Capitol Plaza Hotel, Jefferson City
Please see the November Stakeholder Invitation with the updated information for the final LOC Stakeholder meeting scheduled for November.
October 7, 2018: Walk to End Alzheimer’s
Location: Ellis-Porter Riverside Park, Jefferson City
Alzheimer’s disease is the 6th leading cause of death and affects millions of people. It kills more than breast cancer and prostate cancer combined. DHSS is partnering with the Alzheimer’s Association to raise awareness for Alzheimer’s care, support and research. Please join our Director, Dr. Randall Williams, and your DHSS colleagues in the Walk to End Alzheimer’s on Sunday, October 7th at 11 a.m. This is a family friendly walk with roughly .65 miles that will be held at Ellis-Porter Riverside Park Pavilion, 1425 Riverside Dr. Jefferson City. Teams may consist of one or more persons, and may include friends, colleagues, family members, etc. Teams will need to create a team name and designate a captain to register the team online. Each team member will then go online to register under their team name. “Team DHSS” has already been created and the team roster is growing. If you would like to join our team you may do so here. However, if you choose to create your own team, please include DHSS in your team name so we can represent our department with as many staff as possible! Everyone who participates will receive a flower pinwheel to represent someone you know that has been affected by this disease. For more information and to register, go to the 2018 Walk to End Alzheimer’s – Jefferson City, MO.
October 15-18, 2018: Dementia Care Mapping for Realizing Person Centered Care
Location: The Neighborhoods by Tiger Place, Columbia
Dementia Care Mapping (DCM) is a method to evaluate the delivery of person centered care and, in general, to improve the quality of care delivered to persons with dementia in formal care settings. DCM goes to the real heart of caring by striving to assess care from the viewpoint of the person with dementia. It involves making and recording detailed observations. DCM provides valuable, clear and reliable information for those concerned with quality care for people with dementia. After the data is analyzed, immediate feedback can be given to care partners so that existing practices can be analyzed and improved.
Please see the flyer for more details including registration.
The Enhanced Leadership Development Academy (ELDA) is now on-line and FREE to Missouri NHAs and RNs working in Skilled Nursing Facilities. This professional development course offers an engaging on-line learning environment with an emphasis on practical application that will help you successfully lead your organization. 50 CEUs are available and an official certificate from MU is issued to those who complete the course. Complete the course at your pace with no travel required while staying connected in on-line conversations and discussions with others taking the course. Some of the topics include: Conflict Management; Leading and Sustaining Change; A Team Approach to QI with Guidance on PIPs; Financial Considerations for LTC Leaders; Creating & Leading PCC and much more. The on-line course starts in November but enrollment is ongoing so you may start any time after November.
Please see the flyer for more details. If you have any questions please contact Alexis Roam at roama@missouri.edu or 573-512-0816.
September 25, 2018: St. Louis – Positive Approach ® to Brain Change and St. Louis – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
September 26, 2018: Columbia – Positive Approach ® to Brain Change and Columbia – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
October 4, 2018: Springfield – State Survey Process: Surprise State is Here!
October 11, 2018: Poplar Bluff – State Survey Process: Surprise State is Here!
October 12, 2018: St. Louis – State Survey Process: Surprise State is Here!
October 24, 2018: Kansas City – State Survey Process: Surprise State is Here!
October 24, 2018: St. Louis – Intimacy, Sexuality, and Dementia
October 25, 2018: Cape Girardeau – Intimacy, Sexuality, and Dementia
October 26, 2018: Columbia – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 6, 2018: Chillicothe – Intimacy, Sexuality, and Dementia
November 7, 2018: Kirksville – Intimacy, Sexuality, and Dementia
November 7, 2018: Cape Girardeau – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 8, 2018: St. Louis – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
September 21, 2018: Know Better, Do Better: Part Two
Guest: Sarah Brown, Executive Director, Empira
Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on
Hear about their approach to quality improvement that focuses on human needs and behavior.
*The second show in the series will share Empira’s findings regarding what really causes falls, i.e. noise — and meaningful ways to reduce falls other than alarms.
December 13, 2018: The Process Behind the Passion: How Your Care Community Can Support Person-Directed Care
Guides: Lisa Rill, PhD, Claude Pepper Center at Florida State University and Lori Gonzalez, PhD, Claude Pepper Center at Florida State University
Person-directed care is an essential goal for long-term care change agents. Decades of reform have led to some changes. However, there is still work to be done. This session presents the findings of a comparison of environment and practices between a traditional nursing home to a Green House home. The findings elucidate the importance of creating environments, practices and policies, and staffing that are intentionally designed for elders and their care partners. We will conclude by offering best practices that can be applied to any care setting and assist with starting a plan for change with the participants of the session.
September 7, 2018: 9am – 11am and 1pm – 3pm
September 11, 2018: 10am – 12noon and 2pm – 4pm
September 12, 2018: 10am – 12noon and 2pm – 4pm
September 14, 2018: 9am – 11am
September 19, 2018: 9am – 1pm and 1pm – 3pm
QIPMO will be hosting webinars to go over the changes that CMS has made to the RAI Manual that will become effective on October 1, 2018. Listen in as we look at the changes and discuss the proper coding and the impact of the new items that have been added or changed.
Objectives
Sign up at attendee.gotowebinar.com/RT/6655594964548465155.
October 18, 2018: Dining Practices: Balancing Food Choice and Food Safety
Guide: Diane Hall, RD, President & CEO, Balanced Senior Nutrition
Learn how to integrate the new food safety requirements with person-centered dining. As we provide more variety of foods and more choices of when and where food is served, challenges for proper food handling and sanitation seem to begin to multiply. Balancing resident’s rights, infection control and food safety requirements can be tricky business.
November 15, 2018: Building on the Successes of Phase 2 and Your Facility Assessment
Guides: Vickie Burlew, Health Care Consultant and Educator, Linchpin Quality Solutions, LLC and Joan Devine, Director of Education, Pioneer Network
As we approach the one-year mark of the implementation of phase 2 of the CMS Revised Rules of Participation, the principles of QAPI would tell us that is time step back and evaluate where we are. Are communities successfully implementing the new requirements? Has the Facility Assessment been completed and has it been used to support daily operations and successful survey outcomes? Are you prepared to meet the new Infection Prevention standards? What has been the impact of the new requirements related to Person-Centered Care and Quality of Life?
October 9, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: Integrity Home Care, Springfield
October 10, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: St. Joseph Medical Center, Kansas City
October 11, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: St. Charles Community College, Cottleville
Tired of calling Bingo? Are you hitting copy and paste on your programs month after month? Think there must be more out there? Join us as we discuss innovative concepts that will transform your community into a vibrant place for people to live and work. Through intentional programming methods, you can build a culture that promotes life and facilitates purpose daily.
September 18, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Drury Plaza Hotel & Conference Center, Cape Girardeau
September 20, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
September 25, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Oasis Hotel & Conference Center, Springfield
September 26, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Stoney Creek Hotel & Conference Center, Independence
September 27, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Courtyard by Marriott, Columbia
The Mega Rule Hit Social Services full force. Social Services will experience much focus during upcoming surveys. Administrators, social service, and nursing personnel will not want to miss this one, where discussion will include new requirements for the admission/discharge process, grievance procedures, abuse and neglect reporting, social services role in the management of psychotic agents, and the coming addition of Trauma Informed Care in Phase III.
CMS is providing notifications to facilities that were determined to be out of compliance with SNF QRP requirements for CY 2017, which will affect their FY 2019 Annual Payment Update (APU). Non-compliance notifications were mailed by the Medicare Administrative Contractors (MACs) and have been placed into facilities’ CASPER folders in QIES on July 9, 2018. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 7, 2018. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.
The submission deadline for PBJ is approaching. PBJ data for 4/1/18 through 6/30/18 is due on 8-14-18. CMS uses PBJ data to determine each facility’s staffing measure on the Nursing Home Compare tool on Medicare.gov website, and calculate the staffing rating used in the Nursing Home Five Star Quality Rating System.
CMS encourages facilities to check provider preview reports in the CASPER system for information regarding submitted PBJ data and to run CASPER reports (1700D Employee Report, 1702D Individual Daily Staffing Report, and/or 1702S Staffing Summary Report) to ensure their PBJ data was submitted accurately.
More information about PBJ can be found on the CMS webpage www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html.
August 10, 2018: Know Better, Do Better, Part 1
Guest: Sarah Brown, Executive Director, Empira
Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on
Hear about their approach to quality improvement that focuses on human needs and behavior during this webinar.
August 15, 2018: Senior Day at the MO State Fair
Location: Mathewson Building, Sedalia
Every August the MO Department of Health and Senior Services (DHSS) looks forward to partnering with the Missouri Association for the Area Agencies on Aging (ma4) for Senior Day at the Missouri State Fair. This year’s event is going to be held on Wednesday, August 15th at the Mathewson Building on the state fairgrounds in Sedalia. Senior Day is a fun event that includes live entertainment, free Bingo with prizes, line dance lessons, dance contest with prizes, and more! There will also be a special appearance from Ms. Missouri Senior. Please see the Senior Day flyer attached or visit the website above for more details.
September 18, 2018: Dementia Care: Opioid Use & Impact for Persons Living with Dementia Call
Speakers: Dr. Karl Steinberg, Mariner Health Care; Dr. Abraham Brody, Hartford Institute for Geriatric Nursing; and Michele Laughman, CMS
National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement (QAPI)
During this call, gain insight on opioid use in the post-acute and long-term care setting. Also, learn about the impact of opioid use on persons living with dementia. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.
For those of you unable to attend, we encourage you to review the presentations below.
NFLOC Stakeholder PPT (June 25, 2018)
NFLOC Stakeholder PPT (July 13, 2018)
**Also, the August 2nd meeting has been rescheduled for August 21 at the Governor’s Office Building in Jefferson City. Please see the updated flyer here.
Please see the memo for more details.
August 17-18, 2018: 28th Annual Conference Caring for the Frail Elderly
Location: Holliday Inn Executive Center, Columbia
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.
September 20, 2018: Change: Managing It to Drive Success
Guides: Margie McLaughlin, MA and David Farrell, Vice-President of Sub-Acute Operations, Telecare
“Change will not come if we wait for some other person, or if we wait for some other time. We are the ones we’ve been waiting for. We are the change that we seek.” This statement delivered by President Obama describes perfectly the work of the Pioneer Network. For the past twenty years, WE are the ones creating the change we seek. In settings all across the country, committed staff have discovered ways to move from institutional care to individualized care. WE have reinvented systems to support the independent lifestyles and choices of residents. In the midst of it all WE have recognized the fine balance involved in leading and managing change- sometimes pulling in the reigns while other times letting out the clutch! During this session, you will discover foundational building blocks that support successful change and an array of examples and ideas describing ways that leaders have encouraged, managed and driven change to provide better lives for residents and staff alike.
July 10, 2018: The Communities of Wildwood Ranch, Joplin
July 19, 2018: St. Charles City-County Library, Spencer Road Branch, St Peters
July 20, 2018: Bethesda Dilworth, St. Louis
July 24, 2018: Plattsburg
July 27, 2018: Independence
October 10, 2018: Salem
October 11, 2018: Poplar Bluff
October 12, 2018: Cape Girardeau
October 15, 2018: Springfield
October 25, 2018: Festus
October 25, 2018: Willow Springs
October 26, 2018: New Madrid or Hayti
November 20, 2018: Ozark
Stacey Bryan, the State RAI Coordinator will be presenting at MDS Support Group Meetings across the state to discuss CASPER Reports. You do not have to be an MDS Coordinator to attend; other staff that may find the information helpful include ADONS, DONS, Corporate Nurses and Administrators. Please visit the QIPMO Nursing Home Help website for more details.
June 8, 2018: The Value of Hosting a Kids Day Camp
Guest: Beth Irtz, Administrator Shalom Park
Learn how a day camp can easily be made part of life in your community, from lessons learned in three-day camps during the summer of 2017. Outcomes for both youth and residents were so powerful that you may wonder why every nursing home doesn’t host a summer day camp!
Guest Beth Irtz and Hostess Carmen Bowman received a CO CMP grant to offer the camps. Together they will share how you can make such a meaningful week happen in your community.
July 10, 2018: Facility Assessment – Food and Nutrition Services
Presenter: Nichole Burnett, MS, RDN, LD with Graves Menu Maker Foods
This session will focus on the food and nutrition services portion of the facility assessment requirement. A review of areas to address during the assessment will be covered. Specific examples will be provided to illustrate why they are a concern and how they integrate into core competency training needs for the facility.
July 19, 2018: Story Sharing: Connecting with Residents and their Families – Toward Person-Centered Meaningful Care
Guide: Diane Heliker, RN, PhD
The focus of this presentation is to illustrate how story, the narrative of one’s lived experiences, reveals what is most meaningful to each unique resident in long-term care communities. A sampling of research findings addressing story is offered along with the relationship-based caring practice of Story Sharing. To assist all staff and caregivers, strategies that ensure the successful gathering of stories are introduced followed by exercises demonstrating the interpretation of stories and the discovery of what is most meaningful to a resident. Once these meanings are revealed, they are incorporated into each resident’s care/life plan. Examples are offered throughout.