January 9-March 12, 2024: CMT/Insulin Certification Course
MHCA offers CMT Certification classes both in-person and hybrid. The next course is January 9, 2024 through March 12, 2024. Please contact Shellie Goodin, MHCA Director of Clinical and Quality Services, if you have questions. Pre-registration is required one week prior to the start date to assure materials are ordered.
January 24-25, 2024: MLN 2024 NHA Online Conference
Join Missouri League for Nursing in this two-day online conference. Earn up to 14 CE’s from the comfort of your home.
Nursing homes are required to electronically submit direct care staffing information to the Payroll-Based Journal (PBJ) system. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. PBJ data for 7/1/23 through 9/30/23 is due November 14, 2023.
Please submit PBJ data as soon as possible to avoid delays. CMS recommends running staffing reports in CASPER prior to the submission deadline to ensure the accuracy and completeness of submissions. Please remember, the Final File Validation Report verifies that the submission was successful.
Please note: If you need assistance with the PBJ quarterly submission and the deadline falls on a weekend, you must contact the QIES/iQIES Service Center no later than the Friday before the submission deadline, as the Service Center will be unavailable to assist on the weekend.
More information about PBJ can be found on the following webpages:
CMS PBJ webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ
PBJ Reference Manuals – https://qtso.cms.gov/vendors/payroll-based-journal-pbj-vendors/reference-manuals
PBJ Training – https://qtso.cms.gov/training-materials/payroll-based-journal-pbj
SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. The following data must be submitted no later than 11:59 p.m. on November 15, 2023:
The Minimum Data Set (MDS) 3.0 must be transmitted to the Centers for Medicare & Medicaid Services (CMS) through the Internet Quality Improvement and Evaluation System (iQIES). Data for the National Healthcare Safety Network (NHSN) measures must be submitted to the Centers for Disease Control and Prevention (CDC). No additional data submission is required for the claims-based measures.
As a reminder, it is recommended that providers run applicable MDS reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.
Swingtech sends informational messages to 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:
CMS SNF QRP Data Submission Deadlines webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Data-Submission-Deadlines
CMS SNF QRP Help webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-QRP-Help
CMS SNF QRP Measures and Technical Information webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information
CMS SNF QRP Training Webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Training
November 7, 2023: What Living as a Resident Can Teach Long-Term Care Staff
Location: Online Webinar
Presenter: Leslie Pedtke, MHA, LNHA
MC5 is pleased to be able to repeat this program after having experienced technical issues on the initial showing on October 10.
November 8, 2023: Self-Care for Helpers
Location: Methodist Church, the Celebration Center, Sedalia and Virtual
Presenter: Jessica Janis, LPC
This presentation provides information on vicarious trauma, burnout, and self-care strategies for helpers. We will also discuss ways to reduce stress, increase happiness, and promote whole person well-being. Most importantly, we will discuss common barriers for helpers to implement self-care. This fun but in-depth look at how we choose to treat ourselves is sure to help put your need for self-care into perspective.
November 9, 2023: Exploring Person-Centered Care: Where We’ve Been, Where We Are, and Where We Want To Go
Location: The Sarah Community, Bridgeton
Presenters: Joan Devine, Advocate, and Sennora Williams, MC5 Board President
Over the past years, providers have been faced with many challenges as they have worked to continue on the path to growing a culture in their communities that is person-centered. In order to find the way back to that path, we need to start by understanding the past – the ideals and the work that are the foundation of a person centered culture. Next step is to explore where we are. Current challenges, successes, and opportunities. With the past and present in mind, we are ready to define where we need to go, and what it will take, tools that can help up, and how, by working together, we can advance the work of growing person-centered cultures.
November 9, 2023: You’re Not Special: Navigating Staffing in the Me Culture
Location: Nevada Public Library, Nevada
Presenters: Wendy Boren, BSN, RN, QIPMO, University of Missouri, Sinclair School of Nursing and Nicky Martin, MPA, BS, LNHA, CDPQIPMO, Sinclair School of Nursing
Staffing is a constant battle, but the current culture makes staffing healthcare a different kind of challenge than we’ve ever faced before. Recruiting and retaining staff in the “me” culture requires ingenuity, patience, compromise, and a new spin on professionalism. This program will highlight those challenges through interactive discussion and give participants real tools to creative winning strategies that may just take them from “me” to “we.”
November 17, 2023: “Let’s Talk” on Regulation and Person-Centered Care
Location: Farmington Public Library, Farmington
Presenters: Kate Parsons, Regulatory Auditor Supervisor, and Cindy Rexroad, Regulatory Compliance Manager, DHSS Region 2
In this program we will talk about current hot topics related to long term care, frequently asked questions, recent changes, and frequent citations seen in the region. We will be focusing on moving forward with person centered care after the end of the COVID PHE.
November 17, 2023: You’re Not Special: Navigating Staffing in the Me Culture
Location: Cape Girardeau Public Library, Cape Girardeau
Presenters: Wendy Boren, BSN, RN, QIPMO, University of Missouri, Sinclair School of Nursing and Nicky Martin, MPA, BS, LNHA, CDPQIPMO, Sinclair School of Nursing
Staffing is a constant battle, but the current culture makes staffing healthcare a different kind of challenge than we’ve ever faced before. Recruiting and retaining staff in the “me” culture requires ingenuity, patience, compromise, and a new spin on professionalism. This program will highlight those challenges through interactive discussion and give participants real tools to creative winning strategies that may just take them from “me” to “we.”
The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.v2.October.20.2023” is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The errata document contains revisions to the MDS 3.0 RAI Manual version (v)1.18.11R to provide clarity and additional guidance in Section D and Chapter 6 to support item D0100, Should Resident Mood Interview be Conducted? serving as a gateway item for the Resident Mood Interview (PHQ-2 to 9©) and D0500, Staff Assessment of Resident Mood (PHQ-9-OV©). Minor revisions also included are corrections to language in Section Q to provide proper guidance on Care Area Assessment (CAA) requirements, corrections to language in Chapter 2 to provide proper guidance on combining Omnibus Budget Reconciliation Act (OBRA) discharge assessments, an updated Internet Quality Improvement & Evaluation System (iQIES) warning error message in Chapter 5, updated screenshots in Section A and Section O, and an updated MDS Item Matrix. The errata document also includes all issues from previous MDS 3.0 RAI Manual v1.18.11R errata releases.
Changed manual pages are marked with the footer “October 2023 (R).”
The errata document begins with a table that lists all identified revisions and the pages to which they have been applied. Following the table are the actual corrected replacement pages for insertion into the printed manual.
December 5, 2023: Transportation Resources for Older Adults
Location: St. Louis County Library Lewis & Clark Branch
What can I do when my ride cancels, and I cannot attend doctor appointments, shopping, church, and other social events? Learn about community resources and organizations specializing in transportation for older adults that help to address loneliness and isolation in our community.
November 16, 2023: Reaching Maximum Capacity: Improving Sales & Customer Experience
The selling landscape has changed: more competition, more individuals involved in the decision-making process, and more ways for buyers to research their options before ever talking with someone on your team. To reach and maintain maximum capacity, there are two key areas where you need to excel: (1) delivering a customer experience that creates champions for your community’s brand and (2) providing a prospect experience that sets you apart immediately and moves them forward efficiently. With the right strategies, you’ll not only convert more prospects but also foster strong customer–and employee–satisfaction.
November 29, 2023: Missouri Medicaid Reimbursement Update
Speakers: Camille Lockhart, Sherri Robbins and Juli Pascoe
Join LeadingAge for this webinar that will include the implementation of the MO Medicaid plan and the impact on providers, strategies on what matters now, and discuss findings in other CMI states that are calculating CMI under PDM.
Below is some key information to help long-term care facilities (LTCFs) prepare for collecting annual healthcare personnel (HCP) influenza vaccination summary data for the 2023-2024 influenza season.
Which facilities are required to report these data?
What data are submitted?
How should facilities submit these data?
Who can activate the HPS Component?
How can LTCFs add the HPS Component?
Where can facilities access training materials?
What are key training materials for LTCFs?
Are there any upcoming trainings for LTCFs?
When: Tuesday, November 21, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_PcTHDlv6SC6xyA1VYUEurQ
When: Tuesday, November 28, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_lx1CWu4OSTmUDyuPgoo7AA
Who do facilities contact with questions?
Thank you for your efforts reporting annual HCP influenza vaccination summary data through NHSN.
Artifacts of Culture Change 2.0
MC5 would like to thank the Section for Long-Term Care Regulation for allowing us to share the Artifacts of Culture Change at the recent provider meetings and for their continued support of our work to grow person-centered cultures in Missouri’s Senior Living Communities. It is our hope that providers will utilize the Artifacts tool to further advance resident-directed practices in their communities.
The Artifacts of Culture Change 2.0 (ACC) tool and associated supporting materials can be found at https://www.pioneernetwork.net/artifacts-culture-change/.
Watch for additional training opportunities related to implementing the Artifacts of Culture Change in future MC5 newsletters and here in the listserv.
Revitalizing MC5
MC5 is a non-profit organization whose mission is “to promote and support ongoing collaboration within the adult care continuum to create environments where the dignity and value of each individual who lives or works there is respected and celebrated”. Our mission, led by a team of passionate volunteers, is accomplished through education and networking, and provided through forums such webinars, symposiums, and at meetings held in the 13 regions located throughout Missouri.
As we plan for 2024, we would like to hear from you. What do you need from MC5, and perhaps, what talents might you be able to share with our team.
Please click here to complete a short survey.
Join members of the team from MC5 and special guests the 4th Wednesday of each month as we share stories and best practices, explore challenges faced, and together re-envision what Person-Directed Care can look like for seniors in Missouri, especially for those living and working in Missouri’s Long-Term Care and Assisted Livings communities.
October 25, 2023: Filling the Holidays with Meaning and Purpose
Special Guest: Carrie Chiusano, Executive Director for Presbyterian SeniorCare Network’s Dementia Care Center of Excellence
Conversation Starter: Come prepared to discuss best practices as well as challenges faced as you work to make the holiday season one that has meaning and purpose for the residents in your community.
Special guest, Carrie Chiusano has thirty plus years of long-term care experience with Presbyterian SeniorCare Network. Most of those years were spent helping to shape and implement the internationally renowned Woodside Place philosophy of specialty care for persons living with Alzheimer’s disease and other related dementias. Carrie is a Certified Dementia Practitioner (CDP) and a Certified Alzheimer’s Disease and Dementia Care Trainer (CADDCT) through the National Council of Certified Dementia Practitioners.
Long-Term Care has been among the most litigated field in the USA. This series, delivered by expert attorneys, will share experiences and best practices to incorporate into your community. The entire series or individual sessions can be purchased.
October 11, 2023: Survey Process
October 12, 2023: Staffing Agency Potholes/Temporary Staffing
November 15, 2023: Hot Survey Issues (More information soon)
November 28, 2023: Best Practices for Policies (More information soon)
October 17, 2023: A Deep Dive into Security Compliance
With continuing changes in technology innovations and the increasing number of attacks, both foreign and domestic, on information systems, it is important for senior living communities to ensure that your business partners prioritize IT security and compliance with HIPAA privacy and security requirements. Learn what your organization and your partners should be doing to protect your data, provide staff training and establish a plan for ongoing protection.
October 18, 2023: Are SNF’s a Financial Sinkhole or Golden Goose?
A high level discussion about the financial challenges of operating skilled nursing facilities and the strategies utilized to mitigate.
Learning Objectives
Tools of Choice is an evidence-based program focused on the implementation of universal positive practices. This two-hour introductory training is open to community members, parents, and professionals. It covers key concepts of the Tools of Choice curriculum, including: What is behavior, building positive relationships, and how to increase desirable behavior. Join the Positive Support Consultants in learning strategies to make positive change by implementing universal positive practices.
October 18, 2023 1:00 – 3:00 – Registration
October 23, 2023 10:00 – 12:00 – Registration
Presenters:
Target Audience:
Registration is also available on the Upcoming Webinar Webpage.
November 14, 2023: PDPM for Leaders
The Patient Driven Payment Model is the payment methodology used for traditional Medicare Part A residents, some managed care companies, and for some state Medicaid systems. This session will highlight what SNF leaders need to know and monitor for financial integrity and documentation compliance. We will discuss effective oversight of the MDS process and what data/reports exist that can be used for monitoring.
October 10, 2023: What a Living Resident can Teach Long-Term Care Staff
Presenter: Leslie Pedtke, MHA, LNHA
In this virtual event we will be discussing ‘Through the Looking Glass’: a program developed at Aviston Countryside Manor to teach empathy to our caregivers. Staff members moved into the nursing home, lived the role of a real diagnosis, and accepted daily ‘challenges’ our residents experience every day.
From learning the importance of communication to creating meaningful engagement, the resulting insights of these caregivers sensitized other staff members – new and veteran – to practical and effective ways that they were able to immediately improve daily care for residents.
November 28-30, 2023: ALF Resident Assessment Training
Location: Courtyard by Marriott, Columbia
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.
The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data through the NHSN Vaccination Modules.
Key Points:
Webinar Dates and Registration:
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ
The Missouri Department of Health and Senior Services is looking to simplify your online experience. To help us evolve that experience, we need your help. We’d like to invite you to take a short survey to share your thoughts, feedback and reactions about the experiences you have had with the DHSS website.
This survey should take 10 minutes to complete and will be open through October 2, 2023.
Upon completion of this survey, you will be entered into a drawing for one of three $100 gift cards. Click here to start the survey.
We appreciate your continued partnership with DHSS and look forward to hearing from you.
Beginning September 2023, the Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) will host six (6) one-hour monthly cohort sessions. These sessions are FREE to attend! Join us for the opportunity to learn industry best practices from other nursing facilities and behavioral health subject matter experts. With the support of COE-NF behavioral health specialists, you will be able to implement the learnings in your facility.
October 19, 2023: Mental Health Basics
November 16, 2023: Screening for Mental Health & Substance Use in the Skilled Setting
December 14, 2023: Engaging with Residents: Effective Communication Skills
January 18, 2024: Incorporating BH & SUD into Individualized Assessment & Person-Centered Care
February 15, 2024: De-escalating Behavior
Please see the flyer and register here.
The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data and RIFC Pathway data through the NHSN Vaccination and COVID-19 Modules.
Key Points:
Webinar Dates and Registration:
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Initial)
When: September 18, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_YxYp42hwT5KncquBBpLttg
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 22, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_7bPDRWYETNSf6mnIo6qQvw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ
Registration Information for Upcoming Training Webinars
Please register in advance and plan to attend the initial session and/or the replay to learn more about the new updates. After registering, you will receive a confirmation email containing information about joining the webinar. The initial webinar and the webinar replays will cover the same information; therefore, you may only need to attend once but may attend more than one.
The Registration information seen above is also available on LTCF | Weekly HCP & Resident COVID-19 Vaccination |NHSN | CDC
For any questions, please send an e-mail to the NHSN Helpdesk at NHSN@cdc.gov with “COVID-19 Vaccination” in the subject line of the e-mail, along with your facility type.
October 10-12, 2023: Oktoberfest Long-Term Care Conference
Location: Harrah’s Casino, North Kansas City
The purpose of this intimate conference is to enable long-term care professionals to increase their knowledge and skills to better care for senior residents. Expert speakers will get you recharged while providing the latest information on hot topics in long-term care.
Please see the Oktoberfest Brochure for session details.
Born Naked: Rethinking Behavior Management in Long-Term Care
October 3, 2023: Oasis Hotel, Springfield
October 11, 2023: Macon Comfort Inn, Macon
October 26, 2023: Ameristar Casino, St. Charles
Presenters: Wendy Boren, RN, BSN, QIPMO and Crystal Plank, RN, BSN, RAC-CTA, QIPMO
It’s time to bring behavior management into the future. As the population demographics of our residents shifts and our need to meet census increases, it’s time to look beyond the traditional roles of managing behaviors in our homes. This workshop will focus on getting to the root of behaviors based on where they started; how to manage those behaviors in a diagnosis-driven focused treatment regimen; and performing an assessment of your facility and services in order to appropriately meet behavioral health needs.