2023 Care of the Older Adult

November 3-4, 2023: 2023 Care of the Older Adult
In-Person Location: MU School of Medicine, Columbia
Live Virtual: EventsAir

Health care providers need the opportunity to gain knowledge in interdisciplinary approaches to clinical management and ethical treatment of older adults. This conference provides a forum to discuss complex care issues common to all who care for the older adult, and an awareness of innovative models of geriatric care delivery. The focus is on promoting excellence in gerontology health care by keeping abreast of the latest evidence-based practice.

COVID Rise in LTC Facilities

COVID infections are on the rise in Missouri’s long-term care facilities. A few things to remember…

Follow CDC Guidance:

Skilled Nursing Facilities: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Flong-term-care.html

  • Place a patient with suspected (e.g., those with runny nose, cough, sneeze) or confirmed SARS-CoV-2 infection in a single-person room. The door should be kept closed (if safe to do so). Ideally, the patient should have a dedicated bathroom. If cohorting, only patients with the same respiratory pathogen should be housed in the same room.

Residential Care and Assisted Living may follow community guidance – https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html?CDC_AA_refVal=h

Report Positive Cases

Facilities performing their own COVID-19 testing (antigen testing) must report positive results through one of the following portals:

  1. Missouri Disease Reporting Online Portal (MODROP)
  2. In bulk via HL7 or CSV file using the DHSS- Electronic Lab Reporting process
  3. National Healthcare Safety Network (NHSN) or the Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) Platform.

Facilities using an external laboratory (PCR testing) must enter positive case information into MODROP.

The Missouri Disease Reporting Online Portal (MODROP). MODROP can be accessed directly from https://modrop.health.mo.gov/ or by using the existing ECD-1 link at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/case-reporting.php and selecting the MODROP button.

NOTE: The recommended browser for use of MODROP is Google Chrome. Other browsers may cause issues with MODROP.

Facilities will need to register for a MODROP account the first time they use the new portal. MODROP allows reporting of only COVID-19 cases. Reports of other reportable conditions may be faxed to 573-751-6417.

If you have any questions or encounter any issues utilizing MODROP or for questions about HL7 or CSV reporting, please reach out to the EpiTrax Help Desk via e-mail at epitrax@health.mo.gov.

Please see the FAQ and thank you for your efforts to provide complete and accurate COVID-19 data to public health.

The ICAR Team Can Help!

QIPMO has formed an Infection Control and Assessment and Response (ICAR) team with a primary goal to assist Missouri Long-Term Care Facilities navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Members of the ICAR Team are available for voluntary, no cost visits (virtual and/or in-person) to any residential care, assisted living, and skilled nursing facility in Missouri. These visits are intended to consultative and collaborative in nature with a non-regulatory focus to evaluate inflection control practices. Visits will consist of:

  • completion of a standardized assessment of infection control processes, focusing on highly-transmittable infectious diseases
  • observations of infection control practices
  • preliminary feedback with supplemental educational resources

See flyer for full details.

2023 Health Ethics Conference

October 5, 2023: MU Ethics of Equity and Inclusivity in Healthcare
In-person: Stoney Creek Hotel, Columbia, MO
Live Virtual: EventsAir virtual conference platform

Health inequities lead to poorer health outcomes among people of color, low-income families, non-cisgender, and families living in rural communities. This year’s conference will focus on navigating ethical questions surrounding a move towards creating more inclusive healthcare environments and closing equity gaps that unduly impede access to quality care. Participants will explore how to optimize ethical response at the bedside as well as cultivate educational experiences that prepare future clinicians to care for diverse patient populations in real-world settings.

Improving Resident Relationships in Long-Term Care (IRRL): A Train-the-Trainer Opportunity

The IRRL is an evidence-based intervention to prevent resident-to-resident aggression (RRA). The program educates staff on recognizing and managing behaviors. It empowers staff to help prevent RRA to create a safer community for residents and reduce staff stress.

Join to learn the tools needed to support staff to recognize, manage, and reduce negative resident interactions.

September 27, 2023: https://bit.ly/IRRLsep27session
September 28, 2023: https://bit.ly/IRRLsep28session

Please see the flyer for more details.

HQIN Vaccination Campaign

In our continued effort to support the well-being of older adults, the Health Quality Innovation Network (HQIN) has launched a campaign to promote and increase adult vaccinations (including the COVID-19 vaccine) that are proven to lower the risk of illness, hospitalization and death.

The “Your Health Can’t Wait, Vaccinate!” campaign features a variety of free resources to help encourage community members, healthcare providers and older adults to get and stay current with their vaccinations. These resources include social media messaging (images and sample posts), informational pocket cards, customizable letters, sample email signatures and flyers.

Bookmark the HQIN Resource Center and visit often to access the latest additions. New tools are added as information becomes available from nationally recognized agencies and organizations (CDC, ACIP, etc.).

Please join us in spreading the word about lifesaving vaccines. Attached is a sample newsletter article that can be used in electronic or print communications, or even on your organization’s website.

VOYCE’s Upcoming Education Events

VOYCE Community Education Series

September 19, 2023: Guidance on Guardianship and Public Administration
October 17, 2023: Dealing with Dementia: When is it Time to Take the Keys Away?
November 16, 2023: Put Yourself First While Planning the Last Chapter
December 12, 2023: Aging in Place Part 1: What’s in it for Me?
January 16, 2023: Aging in Place Part 2: Comparing Programs and Financials

VOYCE believes it is essential for long-term care residents, their loved ones, and the professionals who care for them to have up-to-date knowledge on topics affecting their community. That is why VOYCE’s Education Program is vital to fulfilling its mission. VOYCE provides free education to empower individuals and families to make better-informed decisions about the continuum of care and better understand those personally and professionally connected to aging adults. Join VOYCE for free webinars monthly on imperative topics affecting individuals and their families across the continuum of care.

 

August 30, 2023: For the Love of Quality Care: Implementing Innovative Education

Advocates for quality care, caregivers, family and friends, and aging care professionals; this webinar is truly for everyone! Training and education on dementia, meaningful activities, and person-centered care should be practice-focused and brief. Join VOYCE to learn about the practice videos and modules available and how to disseminate them, and you’ll be one step closer to ensuring quality care for all! Saint Louis University’s Geriatric Workforce Enhancement Program, along with Memory Care Home Solutions, has developed brief practice videos and modules on topics important for professionals in long-term care and other care settings. They include topics like loneliness and isolation, polypharmacy, infection, meaningful activities, geriatric assessment, dementia, and more. This presentation will provide insight into the use of these resources and the positive impact they have on training and outcomes for consumers. This event is free and open to all who are interested.

 

October 10, 2023: Summit to Protect Older Adults and Adults with Disabilities

VOYCE will host a series of four stakeholder summits to hear from the community and professional stakeholders about their experiences with Missouri’s abuse response system. October’s summit is the second in the series. The summits are open to everyone, as we are all stakeholders in responding to abuse, neglect, and exploitation. We hope to use this time to gather pain points from the community and learn how the system can be improved. The input received from the Stakeholders Summit will be used to create our final project- a strategic plan for restructuring and improving the system. Please register in advance to join.

 

October 12, 2023: Professional Development: Residents’ Rights Regarding Sex and Intimacy

Sexual rights are human rights at all stages of life. This presentation will shed light on the challenges older adults face regarding sexuality, including physical changes, personal and societal stigmas around older adults’ sexual activity, isolation, changes in brain functioning, and the loss of a partner. Those who provide services must understand their role in treating sexual expression as a right and serving all patients holistically and with dignity.

Last Call for Strike Team and Infrastructure Reimbursement Applications

Last Call for Applications – Missouri Nursing Facility Strike Team and Infrastructure Reimbursement Opportunity

This is the last call for new applications from Long Term Care and Skilled Nursing Facilities in Missouri to receive reimbursement funding from the Missouri Nursing Facility Strike Team and Infrastructure Reimbursement opportunity. Applications will be accepted up to August 31, 2023 for COVID expenses incurred between July 1, 2022 and August 31, 2023.

The intention of this funding is to provide supplemental support to Missouri’s skilled nursing, other long term care and other nursing facilities during their response to SARS-CoV-2 infections, and also to build and maintain the infection prevention infrastructure necessary to support resident, visitor, and facility healthcare personnel safety.

To apply for this reimbursement opportunity and more information on this grant can be found on the Health Care Professionals page on the DHSS website in the Information for Long-Term Care Facilities tab.

Questions and concerns can be sent to LTCStrikeTeam@health.mo.gov.

Payroll-Based Journal (PBJ) Submission Deadline Reminder

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 4/1/23 through 6/30/23 is due August 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

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. The following data must be submitted no later than 11:59 p.m. on August 15, 2023:

  • MDS data for 1/1/23 through 3/31/23;
  • NHSN data for COVID-19 Vaccination Coverage Among Healthcare Personnel for 1/1/23 through 3/31/23;

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

VOYCE’s Upcoming Education Events

August 30, 2023: For the Love of Quality Care: Implementing Innovative Education

Advocates for quality care, caregivers, family and friends, and aging care professionals; this webinar is truly for everyone! Training and education on dementia, meaningful activities, and person-centered care should be practice-focused and brief. Join VOYCE to learn about the practice videos and modules available and how to disseminate them, and you’ll be one step closer to ensuring quality care for all! Saint Louis University’s Geriatric Workforce Enhancement Program, along with Memory Care Home Solutions, has developed brief practice videos and modules on topics important for professionals in long-term care and other care settings. They include topics like loneliness and isolation, polypharmacy, infection, meaningful activities, geriatric assessment, dementia, and more. This presentation will provide insight into the use of these resources and the positive impact they have on training and outcomes for consumers. This event is free and open to all who are interested.

 

October 10, 2023: Summit to Protect Older Adults and Adults with Disabilities

VOYCE will host a series of four stakeholder summits to hear from the community and professional stakeholders about their experiences with Missouri’s abuse response system. October’s summit is the second in the series. The summits are open to everyone, as we are all stakeholders in responding to abuse, neglect, and exploitation. We hope to use this time to gather pain points from the community and learn how the system can be improved. The input received from the Stakeholders Summit will be used to create our final project- a strategic plan for restructuring and improving the system. Please register in advance to join.

 

Solving our Workforce Challenges by Successfully Recruiting and Retaining Immigrant Healthcare Staff

August 23, 2023: Solving our Workforce Challenges by Successfully Recruiting and Retaining Immigrant Healthcare Staff
Presenters: Bill Lowe, President & CEO, Chicago Methodist Services; Chona Lucila, John Knox Village; and Joe Mulligan, Managing Director, Cain Brothers

With the workforce crisis continuing and our aging population growing, organizations are having to look beyond our borders to find the caregiving workers needed. Please join LeadingAge during this webinar to learn how visa-acquired healthcare workers are an answer and how you may become involved in recruiting and retaining them within your organization. Hear trends and data about the workforce shortage impact, forecast, and what you can do to weather the storm. This session will cover various work visa categories and the employer-sponsored visa application process.

COMRU Survey Access Code

COMRU is providing the following guidance regarding the online application entitled “Application started prior to 07-16-2023” (the green link).

COMRU will be providing you with a “Survey Access Code”; please note this is different from the return code.

  • The “Survey Access Code” will allow the submitter to access the application to check the status.
  • If the submitter clicks “Submit- Ready for Processing by COMRU” or “Save and Return Later”, the submitter will be provided with a “Return Code”. At this point, the “Survey Access Code AND the “Return Code” will be needed to access the application in the future.
  • Please do not click the “Start Over” button, as this will DELETE the Entire Application. (COMRU will not be able to retrieve the application if this occurs).

Please do not hesitate to contact COMRU at 573-522-3092 for any questions.

Essentials of the LTC Director of Nursing Role – Part 1

August 9 & 10, 2023: Essentials of the LTC Director of Nursing Role – Part 1
Virtual: August 9 (12:15pm-4pm) & August 10 (1pm-4pm)

LeadingAge Missouri in partnership with LeadingAge Iowa is pleased to announce a virtual series that will take place in three segments over the second half of 2023 that will aid in developing the Director of Nursing (DON) role in nursing homes. Elements of this series will focus on understanding CMS programs that impact reimbursement and quality assurance; survey processes and regulations; and human resources, customer service, and leadership.

Each segment of this series is designed to provide in-depth information and discussion on each topic without taking the series in a sequential order or taking all 3 sections of the series. By making each of the 3 segments standalone, you can better address succession planning by having individuals attend as their nurse leadership skills are identified. Additional sections in this series will be added to the events calendar in September and December.

Senior Day at the MO State Fair

August 16, 2023: Senior Day at the State Fair
Location: Mathewson Building, Missouri State Fairgrounds, Sedalia

The Annual Missouri State Fair is right around the corner! As in years’ past, Senior Day at the State Fair is sponsored by the Department of Health and Senior Services and Missouri Association of Area Agencies on Aging. This yearly tradition at the State Fair honoring Missouri’s most valuable resource, senior citizens, typically draws over 800 people.

LeadingAge Missouri Annual Conference & EXPO

September 18-20, 2023: The Greater Good
Location: The Chase Park Plaza, St. Louis

Welcome to the 2023 LeadingAge Missouri Annual Meeting + EXPO. We have incorporated some changes to our planning to support everyone’s mission of collaboration, networking, and sharing. You’ll find an open exhibit hall for ease of access for attendees, exclusivity times, CEU approval for exhibitor visits, a social reception for all, and the opportunity to be part of the Innovation Café. We have expanded education to be inclusive of the entire spectrum of long-term care in Missouri. The greater good is more than a theme, it’s part of a mission. We all continue to be the greater good through learning and collaboration; Missouri is a leader in the field of compassion, togetherness, and Midwest values.

This is where GREATER GOOD begins – and you need to be a part of it.

LeadingAge – Free Webinar

July 11, 2023: Mastering QAPI
Presenter: Ralph Peterson, owner and operator of Ralph Peterson, LLC, a Management Development Company that specializes in helping Senior Care organizations REINVENT the way they do business

LeadingAge Missouri in partnership with LeadingAge Nebraska are excited to bring a new webinar!  Ralph Peterson will be sharing with us a hands-on & practical webinar on developing a QAPI program in senior living.

DESCRIPTION: Are you looking to improve the quality of care at your senior care center? Do you want to create a culture of excellence that will enhance the lives of your residents and their families? If so, then our 60-minute webinar on creating an effective Quality Assurance, Performance Improvement (QAPI) program is perfect for you!

In this webinar, we will explore the key elements of a successful QAPI program and how it can benefit your senior care center. We will use storytelling and analogies to make the concepts more relatable and memorable, and we will provide you with real-world examples to help you implement the program in your own center.

During this session, you will learn:

  • The importance of creating a culture of quality and how it can enhance the lives of your residents
  • The key components of a QAPI program, including data collection, analysis, and improvement planning
  • How to identify areas for improvement in your center and develop a plan to address them
  • How to engage your staff in the QAPI program and create a collaborative team environment
  • How to use performance data to drive positive outcomes for your residents and your center

By the end of this webinar, you will have the knowledge and tools to create an effective QAPI program that will enhance the quality of care at your senior care center. You will also have the opportunity to ask questions and share your own experiences with the group.

Free Trainings from the Department of Mental Health

Tools for Everyone!

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. Please register at the links below.

July 6, 2023: 9:30 am https://stateofmo.webex.com/weblink/register/r7b512064c968d2329638c65be13b6c7e
July 13, 2023: 1:00 pm https://stateofmo.webex.com/weblink/register/r35a043c5b76d1f68f066862680747a4c
July 20, 2023: 1:00 pm https://stateofmo.webex.com/weblink/register/r2e46c3cc93a6135dc0c455b994ff1726
July 26, 2023: 10:00 am https://stateofmo.webex.com/weblink/register/r8e0a26526488dba1f1f8246349e59a9d
August 2, 2023: 9:00 am https://stateofmo.webex.com/weblink/register/r435dfdd07bee3f1eaa1e5754ce8e023e
August 10, 2023: 1:00 pm https://stateofmo.webex.com/weblink/register/r731db903594e3704ea91cfa7f406acc4
August 16, 2023: 10:00 am https://stateofmo.webex.com/weblink/register/r123055bad864686c0af10f7375a9a903

Additional Free Training:

Introduction to Trauma – Dr. Patsy Carter
Research has revealed that the prevalence of trauma is high particularly in specific target populations. This webinar will introduce viewers to the definition and prevalence of trauma, as well as examining the social, biological and health impact.

A Taste of Mental Health First Aid – Jermine Alberty and Rita McElhany
Have you ever wondered what it would be like to take a Mental Health First Aid Class? MHFA-USA National trainer, Jermine Alberty offers a brief “Taste Of Mental Health First Aid.”

Mental Health First Aid is a skills-based training course that teaches participants about mental health and substance-use issues.
If you would like to take the class or get more information visit mhfamissouri.org.

Updated Missouri Nurse Aid Candidate Handbook

The DHSS Health Education Unit and Headmaster D & S would like to announce some revisions to the skills portion of the CNA exam shown in the Candidate Handbook effective July 1, 2023. Please see the new updated version at Missouri Nurse Aide Candidate Handbook (hdmaster.com) for the changes.

Please contact the DHSS Health Education Unit at 573-526-5676 and/or Headmaster D & S at 800-393-8664 for any questions.

Dangerous Heat Warnings for Missouri

The National Weather Service has issued a heat advisory for portions of Missouri for Thursday, June 29 and Friday, June 30. As temperatures rise this summer, it is important to prioritize heat related safety measures. Heat-related illnesses can have serious consequences, but with some precautions and awareness, we can create a safer work environment.

Heat-related illnesses often affect the very young, the elderly and the chronically ill, but summer temperatures can also take a toll on healthy young and middle-aged adults. In 2022, 23 people died from heat exposure in Missouri, ranging in age from 2-83 years.

During prolonged periods of high temperatures, using air conditioning – either at home or by seeking shelter in a local cooling center – is the best preventive measure.

“Heat and humidity can place a lot of stress on the body,” said DHSS Director Paula Nickelson. “Heat exhaustion can come on suddenly, with little warning, and lead to heatstroke which becomes a very dangerous situation.”

During excessive heat, Nickelson urges Missourians to check on friends and neighbors, especially those who are elderly and chronically ill. To report a senior citizen or an adult with disabilities who is in need of assistance due to the heat, call the state’s toll-free abuse and neglect hotline at 1-800-392-0210, or make a report online. Medications, as well as use of drugs or alcohol, can impair a body’s response to heat, making one more vulnerable to the heat.

Never leave a child or pet alone in a vehicle. Four of Missouri’s heat-related deaths in 2022 were individuals in vehicles. Even on a cooler day, the temperature inside a vehicle can rise by 20 degrees in 10 minutes and pose a real threat to anyone left inside. Stress, distraction and being out of a normal routine can all contribute to forgetting a child in a car seat. Check the back seat each time you exit your vehicle.

There are a number of steps individuals can take to stay cool including:

  • Stay hydrated. Drink plenty of water regardless of your activity level, and do not wait until you are thirsty to do so. Avoid sugary and alcoholic beverages; these actually cause you to lose body fluids.
  • Wear appropriate clothing. Wear lightweight, breathable, and loose-fitting clothing that allows air circulation. When outside, consider wearing a hat and sunglasses to protect yourself from the sun.
  • Stay cool indoors. Stay in air-conditioned places as much as possible. Find a local cooling center if needed.
  • Schedule outdoor activities carefully. Try to plan outdoor activity for morning or evening hours when the temperature is coolest.
  • Pace yourself. Reduce exercise or physical activity during the hottest part of the day, and take frequent breaks in the shade or in an air-conditioned place.
  • Wear sunscreen. Sunburn affects your body’s ability to cool down and can make you dehydrated.
  • Prepare your home. Change air conditioner filters, and cover windows that receive morning or afternoon sun with drapes or shades.
  • Stay informed. Pay attention to weather forecasts and heat advisories. Stay informed about the local heat index and adjust safety measures accordingly.

Knowing the signs and symptoms of heat related illness and how treat them is also important. Signs of heat exhaustion may include muscle cramps; heavy sweating; cold, pale and clammy skin; dizziness; headache; nausea or vomiting; and fainting or passing out. If you think you or a loved one are experiencing heat exhaustion, you should stop physical activity move to a cool place – preferably air-conditioned, loosen clothing, and sip cool water. Seek medical attention immediately if you are throwing up, your symptoms get worse or symptoms last longer than one hour.

Signs of heat stroke may include high body temperature (103°F or higher); hot, red, dry or damp skin; fast, strong pulse; headache; dizziness; nausea; confusion; or loss of consciousness. If you think you or a loved one are experiencing heat stroke you should call 911 immediately. Heat stroke is a medical emergency. Move the person to a cool place – preferably air-conditioned. Help lower the person’s body temperature with cool cloths or a cool bath until medical personnel arrive. Do not give the person anything to drink.

For more information regarding heat-related illness and prevention, visit the websites of DHSS or the CDC.

Missouri Nursing Facility Strike Team and Infrastructure Reimbursement Opportunity

On March 1, 2023, the Missouri Department of Health and Senior Services (DHSS) released information about the Missouri Nursing Facility Strike Team and Infrastructure Award, a reimbursement opportunity available to Skilled Nursing Facilities (SNF) and Long Term Care and Other Nursing Facilities (LTC).

Beginning March 1, facility owners and operators may apply for reimbursement for expenses incurred between July 1, 2022 and August 31, 2023, directly related to preparing, preventing, and responding to the COVID-19 pandemic. The intention of this funding is to provide supplemental support to Missouri’s skilled nursing, other long-term care and other nursing facilities during their response to SARS-CoV-2 infections, and also to build and maintain the infection prevention infrastructure necessary to support resident, visitor, and facility healthcare personnel safety. If you operated a Skilled Nursing Facilities or Long Term Care and Other Nursing Facilities licensed with DHSS between July 1, 2022 and August 31, 2023, you are eligible for reimbursement for allowable expenses.

After the application period was opened March 1, 2023, the program was made aware of additional federal administrative requirements that impact the implementation of the program. These requirements do not change the eligibility criteria for facilities or the allowable cost categories but do identify that expenditures for activities that were previously paid or reimbursed by federal funds are not allowed for reimbursement through this award. Only expenses that have not been reimbursed by another federal fund source are allowable for reimbursement from this opportunity.

A very few additional facilities have also been made eligible for this opportunity. This does slightly impact the eligible amount per licensed bed for both skilled nursing facilities (SNF) and long-term care and other nursing facilities (LTC/Other), but the impact is less than a percentage point different in each type of facility.

Facility operators that have already applied for these funds do not need to do anything to adjust their applications, but do need to be aware of the additional guidance and revised amounts, and be prepared to assure that costs submitted for reimbursement meet the federal requirements. DHSS will provide additional information to existing applicants and will advise if any adjustments or additional information are needed on a case-by-case basis.

Updated guidance and eligible amounts are posted on the DHSS website for COVID-19 Health Care Professionals under the heading “Information for Long-Term Care Facilities” at the following link: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php.

All questions should be directed to the DHSS Strike Team via email at LTCStrikeTeam@health.mo.gov.

This program is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award ending May 10, 2024 totaling $14,994,016 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

MHCA Annual Convention

August 27-30, 2023: Celebrating 75 Years of Caring!
Location: Branson Convention Center, Branson

The Missouri Health Care Association is excited to bring you another year of the most requested and up-to-date educational sessions available. Each day is scheduled to offer a wide range of education to meet the needs of the entire staff. More information as well as a proposed schedule is included at the link above and a complete schedule with seminar details will be available soon. Don’t miss the opportunity to tour the Trade Show, widely regarded as the leading long-term care trade show in Missouri with over 150 booths.

2023 Provider Feedback Survey

The Section for Long-Term Care Regulation is again seeking input from providers we serve. We are asking for your help in identifying areas in our Section where excellent customer service is provided and areas where we need to focus on improving our customer service experience. Please take a couple minutes to complete our 2023 Provider Feedback Survey by July 5, 2023 at https://www.surveymonkey.com/r/6K86SF6.

Rule Change Effective June 30, 2023

19 CSR 73-2.130 Notice of Change of Contact Information and Missouri Administrator Employment

PURPOSE: This rule describes the conditions and procedures for reporting change of address.

(1) Each administrator shall notify the board office of his/her current contact information within ten (10) calendar days of change for any of the following:

(A) Personal contact information, which shall include administrator license number, personal mailing address, email, and telephone number(s); and
(B) Missouri administrator employment, which shall include, administrator license number, facility name, mailing address, telephone number(s), and employment dates.

AUTHORITY: section 344.070, RSMo 2016. *This rule was previously filed as 13 CSR 73-2.130. Original rule filed May 13, 1980, effective Aug. 11, 1980. Amended: Filed Oct. 17, 1985, effective March 14, 1986. Moved to 19 CSR 73-2.130, effective March 3, 2003. Amended: Filed June 15, 2011, effective Jan. 30, 2012. Amended: Filed Nov. 28, 2022, effective June 30, 2023.

A direct link to the Rules for the Missouri Board of Nursing Administrators can be found at https://s1.sos.mo.gov/cmsimages/adrules/csr/current/19csr/19c73-2.pdf. The rule referenced above is located on the last page.