World Elder Abuse Awareness Day | June 15

World Elder Abuse Awareness Day (WEAAD) is Thursday, June 15. The Department of Health and Senior Services invites you to wear purple on this day (and anytime throughout the month of June) to commemorate this important event and raise awareness of elder abuse, neglect, bullying, and exploitation in later life.

On June 15, 2006, the World Elder Abuse Awareness Day was introduced by the International Network for the Prevention of Elder Abuse and the World Health Organization at the United Nations. The day is in support of the United Nations International Plan of Action that recognizes the significance of elder abuse as a public health and human rights issue.

Ways You Can Participate:

  • Wear Purple and Take Photos: Wear purple on June 15 to raise awareness for WEAAD, take a photo and join the conversation by posting it on social media using #WEAAD hashtag. Share photos and stories on your social media platforms with #WEAAD. Attached is a social media guide. As you plan activities, feel free to use the WEAAD tool kit. If your organization or community hosts an event, please let us know!
  • Display a Yard Sign and/or Window Cling: This is your opportunity to protect seniors by raising awareness about this serious problem and empower all Missourians to take action to end elder abuse. Light up a landmark in your community purple or use a purple porchlight during the month of June. To order promotional materials, please visit Health.Mo.Gov/weaad.
  • Join the Webinar Series: Learn about adult abuse and neglect, its prevalence, reporting and the ways in which DSDS protects and supports vulnerable Missourians impacted by abuse, neglect, and/or exploitation. Please see attached flyer for details to attend these important sessions and help us promote by posting to your social media outlets, websites, bulletin boards, as well as sharing it with your customers, partners and stakeholders via listservs.

The theme for WEAAD is Building Strong Support for Elders. As we know, no community in the world is immune from the mistreatment of older adults. Sadly, every year an estimated five million older Americans are victims of elder abuse, neglect, bullying, or exploitation, and that’s only part of the picture. Experts believe that for every case of elder abuse or neglect reported; as many as 23 cases go unreported. In Missouri, during fiscal year 2022, the Department of Health and Senior Services received and investigated 42,319 reports of abuse, neglect, bullying, and exploitation involving seniors and adults with disabilities living in the community and in facilities. That amounts to an average of 116 reports every day. The number of cases is rising, but still vastly understates the extent of the problem because the victim often has an emotional bond with the perpetrator. Seniors and people with disabilities may be socially isolated and physically dependent on the perpetrator – often a son, daughter, or caregiver – making it nearly impossible for them to report for fear of losing their last vestige of independence.

Make a difference. Make the call.

To report adult abuse, neglect, bullying, or exploitation, call the department’s hotline (1-800-392-0210), 7 AM to 8 PM, seven days a week. People who are deaf or hard of hearing may utilize Relay Missouri 1-800-735-2966. You may also report online at Health.Mo.Gov/abuse. For more information on this issue, visit our website at http://health.mo.gov/seniors/abuse.php.

As the leader in promoting, partnering, and protecting the health of Missouri citizens we urge each and every Missourian to help educate our communities, organizations, businesses, and individuals about elder abuse.

Thank you for your partnership to raise awareness about this critical public health issue!

Post PHE Modifications and Registration Information for the LTCF COVID-19 Module

Below is important information regarding Long-term care facilities (LTCF) and reporting COVID-19 data to NHSN once the Public Health Emergency has ended.

Long-term care facilities that are CMS certified will still need to report to the LTCF COVID-19 Module Surveillance Pathways (Resident Impact and Facility Capacity, Staff and Personnel Impact, and Therapeutics) and the COVID-19 Vaccination Module once the Public Health Emergency is declared over on May 11, 2023

In 2020, CMS published an IFC (CMS-5531-IFC) requiring all LTC facilities to report COVID-19 information using the Centers for Disease Control (CDC), National Healthcare Safety Network (NHSN) (42 CFR 483(g)). This requirement was extended through a final rule (CMS-1747-F) and is set to terminate on December 31, 2024. This excludes the requirements at § 483.80(g)(1)(viii), which will continue to support national efforts to control the spread of COVID-19.

Please note, the COVID-19 Module Surveillance Pathways (Resident Impact and Facility Capacity, Staff and Personnel Impact, and Therapeutics) and the COVID-19 Vaccination Module are two separate modules and data will need to be reported to both on a weekly basis. Reporting to only one module does NOT satisfy the CMS reporting requirements.

NHSN provides a pathway to report data but is not a regulatory or enforcement body. Please direct any questions and/or concerns regarding reporting requirements and penalties/fines to CMS for further information.

The COVID-19 Module Surveillance Pathways will undergo updates in response to the end of the Public Health Emergency, including:

  • Reducing vaccination elements to include only up to date status for residents with a positive COVID-19 test
  • Removal of influenza data field
  • Removal of staffing and supply shortages data fields
  • Removal of deaths in the Staff and Personnel Impact Pathway
  • Removal of the therapeutics pathway
  • Addition of a new data field, hospitalizations, in the Resident Impact and Facility Capacity Pathway to assess relevant outcome data on residents with a positive COVID-19 test.

New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways Webinars

Specific details regarding these changes will be reviewed during upcoming training webinars.

Registration Information for Upcoming Training Webinars

Please register in advance and plan to attend one of the training sessions to learn more about the new updates. Each webinar will cover the same information; therefore, you may only need to attend once.

When: Thursday, June 1, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_lQ92SJReSe6gu3RlRbiqaA

When: Wednesday, June 7, 2023, 01:00 PM Eastern Time (US and Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_WO7zz66lSwyFGUfEx2bU7g

When: Thursday, June 8 & Thursday June 13, 2023, 02:00 PM Eastern time (US & Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/j/1605578239?pwd=TWxwb202WW9tSUpoTi9aVWRNZXBUQT09

After registering, you will receive a confirmation email containing information about joining the webinar.

For questions about any of these updates, please send an e-mail to the NHSN Helpdesk at NHSN@cdc.gov with the subject line identifying the topic of the message.

SNF MDS 3.0 RAI v1.18.11 Guidance Training Program

REGISTRATION OPEN: The SNF MDS 3.0 RAI v1.18.11 Guidance Training Program

The Centers for Medicare & Medicaid Services (CMS is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) v1.18.11 Manual and Item Set. This training is part of a comprehensive strategy to ensure SNF providers have access to the educational materials necessary to understand and comply with the guidance changes. This guidance will affect reporting requirements associated with the SNF Quality Reporting Program (QRP) that will go into effect on October 1, 2023. A major focus of this training will be on the cross-setting implementation of the standardized patient assessment data elements to ensure more consistent reporting and evaluation across post-acute care settings.

The training program consists of two parts:

Part 1: LEARN Part 1 consists of pre-recorded training webinars that deliver foundational knowledge to assist in learning the new and/or revised items and associated guidance. A supplemental Capstone Case Study is also available to give providers additional practice in coding the new and/or revised items. These videos are intended to be viewed in advance of the Part 2 live event and are available now on CMS YouTube.

Part 2: PRACTICE Part 2 includes the live, virtual workshop sessions that provide practice coding scenarios on select data elements covered in the Part 1 training webinars. These live sessions will take place on June 21 between 12:30 p.m. and 5 p.m. ET. Registration is open and can be completed online through Zoom.

Additional training resources are located within a ZIP file in the Downloads section of the SNF Quality Reporting Program (QRP) Training page. These resources include an acronym list, Action Plan worksheet, Case Study documents, resource guide, and PDF versions of the training webinars.

If you have questions regarding access to the resources or feedback related to the training, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

VOYCE’s Upcoming Resident’s First Conference

June 15, 2023: Residents First Long-Term Care Conference
Location: St. Louis University’s Margaret McCormick Doisy LRC, St. Louis

Join VOYCE in recognizing the St. Louis region on World Elder Abuse Awareness Day for the Residents First Conference! VOYCE is a nonprofit organization that empowers and educates individuals and their families for quality living across the long-term care continuum. This year the focus will be on Residents First by providing attendees with vital information to support and inspire their journey as long-term care professionals.

VOYCE is determined to deliver education, empowerment, and advocacy so families can make informed decisions for long-term care. By working alongside professionals providing services, we can ensure residents are informed of their rights while living safely and with dignity.

2023 SLCR Annual Provider Meetings

Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation

Advanced registration is not required. There is no cost to attend any of these meetings. Please see the flyer.

Earn up to 6 CEUs (3 Admin/3 PC).

September 6, 2023: Region 7
Location: Crowne Plaza St. Louis Airport, Bridgeton

September 7, 2023: Region 2
Location: Drury Plaza Hotel & Convention Center, Cape Girardeau

September 13, 2023: Region 1
Location: Oasis Hotel & Convention Center, Springfield

September 14, 2023: Region 6
Location: Special Olympics Missouri, Jefferson City

September 27, 2023: Region 5
Location: Moberly Municipal Auditorium, Moberly

October 4, 2023: Region 4 Agenda
Location: Stoney Creek Hotel, St. Joseph

October 5, 2023: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs

Handouts
Handouts will not be provided at the meetings. You may choose to either have them available during the meeting on an electronic device or print them.

1. Quality Improvement and Evaluation System (QIES), Certification and Survey Provider Enhanced Reports (CASPER) & SNF Quality Reporting Program (QRP)
2. Free from Abuse & Neglect – Peeling back the Regulatory Layers for Investigating and Reporting Abuse

3. Section Update
4. Oral Health for Older Adults
5. Guardians, Resident Rights, DPOAs, and Discharges
6. Emergency Preparedness
7. Environmental Considerations in LTC
8. Artifacts of Culture Change – More than a Measurement Tool

Updated CMS Memos Related to COVID-19

CMS released the two memos below this past week. Homes may begin to change their policies and procedures and implement current CDC guidance.

QSO-20-38-NH Testing Expired
QSO-20-39-NH Visitation REVISED

Here is the link to the current CDC guidance for nursing homes: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html#create.

Older Americans Month May 2023

Each May, the Administration for Community Living leads the celebration of Older Americans Month (OAM). The theme for OAM 2023 is Aging Unbound, which offers opportunities to explore a wide range of aging experiences and to promote the importance of enjoying independence and fulfillment by paving our own paths as we age. This May is the 60th anniversary of OAM and we can participate in Aging Unbound by embracing opportunities to change, exploring the rewards of growing older, staying engaged in our communities, and forming relationships.

This May, the Department of Health and Senior Services (DHSS) invites everyone to explore the benefits of growing older. No matter the age, it is always possible to form new relationships and engage in your local community. To learn more, please visit Health.Mo.Gov/oam.

On Wednesday, May 24, DHSS is hosting a Senior Resource Fair at the Capital Mall in Jefferson City, MO, 12:00-4:00 p.m. to celebrate OAM. Please see flyer. There will be a range of exhibitors offering resources and information to our Mid-Missouri Seniors!

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 1/1/23 through 3/31/23 is due May 15, 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 May 15, 2023:

  • MDS data for 10/1/22 through 12/31/22;
  • NHSN data for COVID-19 Vaccination Coverage Among Healthcare Personnel for 10/1/22 through 12/31/22;
  • NHSN data for Influenza Vaccination Coverage Among Healthcare Personnel for 10/1/22 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

iQIES Minimum Data Set (MDS) Submission and Reports is Now Available

On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) transitioned to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports.

All MDS submissions that were performed in the QIES Assessment Submission And Processing (ASAP) system prior to April 13 at 8:00 p.m. ET were processed in that system. As part of the migration, MDS data accepted into the ASAP system prior to the start of the migration were moved into iQIES. All new, modification, or inactivation records must be submitted in iQIES, even if the original record to be corrected was accepted into the QIES ASAP system.

As part of the migration, users are now able to access and run the user-requested reports in iQIES. User’s access to the reports is similar to the access in the Certification and Survey Provider Enhanced Reporting (CASPER) Reporting application, so long as their new HCQIS Access Roles and Profile (HARP) role allows access to generate and view reports. Users are only allowed to run reports for the providers to which they have access.

Register for an iQIES Account

For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account.

User Manuals

Video Tutorials

Additionally, the iQIES Team has developed video tutorials to provide an overview of the MDS functionalities in iQIES. The video tutorials can be found on QTSO and are not mandatory: https://qtso.cms.gov/training-materials/iqies-training-videos

  • Upload an Assessment for MDS Users
  • How to Run Reports

iQIES Service Center

  • If you have questions or require assistance, please contact the QIES/iQIES Service Center by phone at (800) 339-9313 or send an email.

Summit for Acute & Post-Acute Care Providers

June 8, 2023: 2023 Acute & Post-Acute Care Summit
Location: Renaissance St. Louis Airport Hotel, St. Louis

LeadingAge Missouri, MHA, and ACHE are proud to offer the 4th annual Summit for Acute and Post-Acute Care Providers. This gathering of industry professionals is intended to produce solutions across the care continuum for a collaborative healthcare industry. You’ll hear from top experts in the field on topics such as Acute and Post-Acute relationship modeling, Workforce in Healthcare, Payment Reform, incorporating technology into your healthcare landscape, and the future of healthcare from our keynote speaker.

The Summit is a one-day event that brings together acute and post-acute healthcare industry professionals for education and networking, aiming to improve healthcare delivery. It fosters collaboration and is unique in its approach to education and networking.

VOYCE’s Upcoming Education Events

May 9, 2023: Veteran’s Benefits
Location: St. Louis County Library – Jamestown Bluffs Branch, Florissant

May 23, 2023: Veteran’s Benefits
Location: St. Louis County Library – Prairie Commons Branch, Hazelwood

May 24, 2023: The Bare Necessities – Nursing in Long-Term Care

June 15, 2023: Residents First Long-Term Care Conference
Location: St. Louis University’s Margaret McCormick Doisy LRC, St. Louis

July 11, 2023: Preventing Financial Fraud
Location: St. Louis County Library – Cliff Cave Branch, St. Louis

July 25, 2023: Preventing Financial Fraud
Location: St. Louis County Library – Jamestown Bluffs Branch, Florissant

DHSS Cannabis Prevention and Education Workgroup Survey

The passage of Amendment 3 in 2022, and legalization of adult cannabis use in Missouri created needs, challenges, and opportunities. The Missouri Department of Health and Senior Services (DHSS) is working to ensure Missourians have access to sufficient evidence-based information to make informed decisions about cannabis consumption and exposure, as well as, be knowledgeable about how it affects safety and the public health of all Missourians. We are asking stakeholder to take the survey linked below by April 28, 2023 to help identify what Missouri partners are doing to address cannabis use/misuse, resources utilized, challenges, needs and opportunities to collaborate.

Thank you for your time, interest and information. We look forward to working with you on strategies to prevent cannabis use and misuse and educate Missourians regarding legal cannabis use.

https://missouriwic.iad1.qualtrics.com/jfe/form/SV_d0eClc80miwNmho

2023 SLCR Annual Provider Meeting Topics

We are currently in the planning phase to host in-person provider meetings in all regions this year and are considering the best topics to provide the most beneficial information. We would like to hear from you about what LTC related topics and info you believe would be helpful and educational!

Please take a moment to complete a one-question survey by May 10, 2023 at https://www.surveymonkey.com/r/2C82YVN.

MDS Submissions Shut Off in QIES ASAP System in Preparation for April 17 Release

On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports. As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS submissions will be turned off on Thursday, April 13 at 8:00 p.m. ET. Providers should submit completed MDS records prior to 8:00 p.m. ET on April 13 to the QIES ASAP system or wait until 8:00 a.m. ET on Monday, April 17 to submit data in iQIES. Once the transition is complete, all new, modification, or inactivation records must be submitted in iQIES, even if the original record to be corrected was accepted into the QIES ASAP system. Providers are expected to take into account all submission requirements when determining the date that they submit completed MDS records, including but not limited to, submission timeliness, claims processing, and care planning requirements.

MDS submission and records will be available in iQIES beginning Monday, April 17, 2023 at 8:00 a.m. ET. iQIES will be the only system in which MDS data submissions can occur.

What to Expect with the Minimum Data Set (MDS) Transition to iQIES

Please note there are some system-generated reports in the CASPER application that will not be migrated over to the iQIES folders. Users should download and save or print any of these system-generated reports that they wish to retain. For more information on MDS reports, please visit: https://qtso.cms.gov/news-and-updates/what-expect-minimum-data-set-mds-transition-iqies-april-17-2023.

Register for an iQIES Account

Please note that failure to obtain access to iQIES prior to April 17, 2023 will impact your ability to submit MDS records once the migration is complete. For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account.

iQIES Service Center

If you have questions or require assistance, please contact the QIES/iQIES Service Center by phone at (800) 339-9313 or send an email. Please note that call volume may be higher than normal during this time.

COMRU Training

COMRU will be hosting a webinar/Q&A session regarding the online process and the ending of the COVID 19 waiver via WebEx.

April 24, 2023: Join Meeting Here
Time: 10:00 a.m.

Join by meeting number
Meeting number (access code): 2460 830 8201
Meeting password: 67tMfa2hU6R

Tap to join from a mobile device (attendees only)
+1-650-479-3207,,24608308201## Call-in toll number (US/Canada)
+1-312-535-8110,,24608308201## United States Toll (Chicago)

Health Education Unit Announcements

Knowledge tests for 1/1/23-4/5/23 show students passed at 64.11%

These areas are below 80%:

  • Aging Process and Restorative Care – 79%
  • Basic Nursing Skills – 78%
  • Disease Process – 78%
  • Role Responsibility – 77%
  • Communication – 80%

*If your students have failed a test, please have your students review their tests so they know what areas that need more attention before retesting.

Skills tests given from 1/1/23-4/5/23 show students passed at 79.05%

Students scored the lowest on the areas below:

  • Blood Pressure – 78.85%
  • Feeding a Dependent Resident – 85.45%

NOTE: HEU and Headmaster met with our Test Advisory Panel in March to address some changes in the skills test and knowledge test. These changes will be effective on July 1, 2023 so please check the Missouri Headmaster Website for the most recent version of the Candidate Handbook.

 

CNA Live Renewals Coming Soon

HEU is excited to announce the “new” process for CNA Renewals as it is close to going “LIVE” on May 1, 2023.

Please email Headmaster at missouri@hdmaster.com if you have not setup your employer profile. This will give the employer the option to verify employment and pay for the renewal for their CNA staff. This process will increase efficiency and time as it is all done electronically for the CNA and the employer. We have included a link to review the process in a How To Guide and will be offering several Q & A webinars. Please see below:

What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023

On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports. As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS submissions will be turned off on Thursday, April 13 at 8:00 p.m. ET. Providers should submit completed MDS records prior to 8:00 p.m. ET on April 13 to the QIES ASAP system or wait until 8:00 a.m. ET on April 17 to submit data in iQIES. Once the transition is complete, all new, modification, or inactivation records must be submitted in iQIES, even if the original record to be corrected was accepted into the QIES ASAP system. Providers are expected to take into account all submission requirements when determining the date that they submit completed MDS records, including but not limited to, submission timeliness, claims processing, and care planning requirements.

Register for an iQIES Account

Please note that failure to obtain access to iQIES prior to April 17, 2023 will impact your ability to submit MDS records once the migration is complete. For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account

Outlined below are a few highlights and expectations for the release of the iQIES MDS submission and reporting functionality.

Key Highlightsof iQIES

  • Users will be able to securely access iQIES at any time, from any location (provided there is an internet connection).
  • Users will log in once to iQIES. No longer will users be required to log into CMSNet and then into separate applications to upload MDS records or access reports.
  • Users will have access to tips and information to guide them throughout the MDS submission process and accessing reports.
  • Users will be allowed to upload MDS assessments in a similar manner as was done in the QIES.
  • MDS reports will be similar to those in the Certification and Survey Provider Enhanced Reporting (CASPER) application, with some new functionality built in.
    • Users can initially view the report information on the screen and if desired, can then download the report to a Portable Document Format (PDF) or Comma-Separated Values (CSV) file.
    • Users can schedule reports to run at their desired interval and frequency.

What to Expect for Providers and Vendors

  • QIES Assessment Submission And Processing (ASAP) system for MDS submissions will be turned off as of Thursday, April 13 at 8:00 p.m. ET.
  • Beginning April 17, 2023 MDS records will be available in iQIES. iQIES will be the only system in which MDS data submissions can occur. 

Report Information – QIES/CASPER

  • The reports in the following report categories in CASPER will become permanently unavailable on Thursday, April 13, 2023 at 8:00 p.m. ET:
    • MDS 3.0 NH Final Validation Report
    • MDS 3.0 SB Final Validation Report
    • MDS 3.0 Submitter Validation Report
    • MDS 3.0 NH Provider
      • Exception for this report category: the MDS 0003D/0004D Package Reports in this category will remain available
    • MDS 3.0 SB Provider
    • MDS 3.0 QM Reports
    • SNF Quality Reporting Program
  • The ASAP system-generated Nursing Home (NH) and Swing Bed (SB) final validation reports in the facility-specific Validation Report (VR) folders will reflect processing information for MDS records submitted to the ASAP system prior to the migration. These reports will not be migrated to the iQIES folder; however, users will be able to generate a new user-requested report in iQIES.
    • Note: since the QIES system-generated final validation reports will not be moved into iQIES, users should download and save or print any system-generated reports that they wish to retain.
  • Users will continue to access reports or files in their provider’s shared non-validation report folder in CASPER until summer 2023 when delivery of the SNF VBP files and provider preview reports will be migrated into iQIES.
    • The shared non-validation report folders are named in this manner:
      • [State Code] LTC [Facility ID] for nursing home providers
      • [State Code] SB [Swing Bed ID] for swing bed providers
    • The reports/files in these folders could include those listed below.
      • SNF QRP Provider Preview Reports
        • April 2023 reports will be in CASPER
      • MDS 3.0 Provider-Level Quality Measure and MDS 3.0 Resident-Level Quality Measure Provider Preview reports
        • April 2023 reports will be in CASPER
      • SNF VBP files
      • Non-compliance Notification Letters, if applicable
  • Note: since the files listed above will not be moved into iQIES, users should download and save or print any of the reports or files that they wish to retain.

Report Information – iQIES

Following completion of the migration, users will be allowed to access and run the user-requested reports in iQIES. User’s access to the reports below will be similar to the access in the CASPER Reporting application, so long as your new HARP role allows access to generate and view reports. Users will only be allowed to run reports for the providers to which they have access.

Below are the report categories/types and each MDS report that is associated to the category/type combination.

  • Provider Report Category / Validation Report Type
    • MDS 3.0 NH Final Validation Report
    • MDS 3.0 SB Final Validation
    • MDS 3.0 Submitter Final Validation
  • Provider Report Category / Submission Report Type
    • MDS 3.0 Activity
    • MDS 3.0 Missing OBRA Assessment
  • Provider Report Category / Error Report Type
    • MDS 3.0 NH Error Detail
    • MDS 3.0 SB Error Detail
  • Provider Report Category / Admission/Discharge Report Type
    • MDS 3.0 Admissions/Reentry – Discharges Report
  • Provider Report Category / Roster Report Type
    • MDS 3.0 Roster
  • Quality Measure Report Category / Facility-Level Quality Measure
    • MDS 3.0 Facility Characteristics Report
    • MDS 3.0 Facility-Level QM Report
    • SNF Quality Reporting Program (QRP) Facility-Level QM Report
  • Quality Measure Report Category / Resident/Patient-Level Quality Measure
    • MDS 3.0 Resident-Level QM Report
    • SNF QRP Resident-Level QM Report
  • Quality Measure Report Category / Review and Correct
    • SNF QRP Review & Correct Report
  • Quality Measure Report Category / Provider Threshold Report
    • SNF QRP Provider Threshold Report
  • MDS 3.0 QM Package Reports / Package Reports
    • MDS 3.0 QM Package Reports
  • System-generated MDS 3.0 NH and SB Final Validation Reports for MDS records submitted to iQIES will be accessed in the MDS 3.0 Final Validation Reports permanent folder in iQIES.

 

Data Availability for iQIES User-Requested Reports

  • Data for the Provider reports above will be available for Calendar Year (CY) 2013 (01/01/2013-12/31/2013) forward.
  • Data for the Quality Measure reports above will be available for Fiscal Year (FY) 2022 (10/01/2021-09/30/2022) forward.
    • Users wishing to retain Quality Measure reports for older time periods should obtain those reports from CASPER prior to the migration.

Resident Internal IDs on MDS and SNF QRP Reports

  • As part of the MDS submission and reporting transition, MDS 3.0 records that had previously been processed and accepted into the QIES ASAP system will be migrated into iQIES. As part of this migration, a new unique state-level patient identifier has been created and will replace the previous QIES ASAP system-assigned Resident Internal ID on all MDS assessment records.
  • This new state-level patient ID will display on any MDS or SNF QRP report(s) that currently display the Resident Internal ID value.
  • For example, a resident whose Resident Internal ID was initially 58608036 as assigned from QIES ASAP, will now be 298899278 as assigned by iQIES for all reporting and processing purposes.

SNF QRP Quality Measure Report Information

  • The SNF QRP quality measures in iQIES will be calculated using the quality measure specifications and supportive documentation that were in effect 10/01/2022, including the following:
    • SNF-Quality-Measure-Calculations-and-Reporting-User’s-Manual-V4.0
    • Risk-Adjustment-Appendix-File-for-SNF-Effective-10-1-2022
    • SNF-Mobility-Model-ICD10-HCC-Crosswalk-Effective-10-01-2022
    • SNF-Self-Care-Model-ICD10-HCC-Crosswalk-Effective-10-01-2022

The above files can be downloaded from the SNF QRP Measures and Technical Information page on the CMS website: 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.

  • The SNF QRP Facility-Level QM report will contain updated Medicare Fee-For-Service claims measure results when a Quarter End Date of 03/31/2022 or later is selected when requesting the report.
  • The new SNF Healthcare Personnel (HCP) Influenza vaccination measure will display on the iQIES SNF Provider Threshold Report following the migration; however, submission success results for this measure will not display on the report until the data submission deadline date for Q4, 2022 (12/31/2022) has passed.
    • The data submission deadline date for Q4, 2022 is May 15, 2023.

iQIES Service Center

If you have questions or require assistance, please contact the QIES/iQIES Service Center by phone at (800) 339-9313 or send an email. Please note that call volume may be higher than normal during this time.

NOW AVAILABLE: Draft MDS 3.0 RAI User’s Manual version 1.18.11

The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning October 01, 2023.

This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care (PAC) settings. Standardized data will enable cross-setting data collection, outcome comparison, exchangeability of data, and comparison of quality within and across PAC settings. Additionally, the language of the manual has been updated throughout to be gender neutral. Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. Due to the scope of the revisions, CMS will not issue Replacement Pages for v1.18.11; those wishing to continue using a physical copy of the manual are encouraged to print the new version.

Instructor Info Meet Up Meetings

The DHSS Health Education Unit is conducting Weekly Instructor Info Webinars/Q&A Meet-Ups. These sessions will be held same day and time each week – Tuesdays at 2:00 p.m.

April 11, 2023: Instructor Info Meet Up Meeting
April 18, 2023: Instructor Info Meet Up Meeting
April 25, 2023: Instructor Info Meet Up Meeting

Please see the CNA Registry webpage for past meetings and more information.

If you have questions, please call our office at 573-526-5686.

MC5 Event – Alzheimer’s Disease and Dementia Care Seminar

May 23, 2023: Alzheimer’s Disease and Dementia Care Seminar
Location: The Sarah Community, Bridgeton
Trainer: Madisen Mendez, MOT, OTR/L, MSCS, CDP, CADDCT, CMDCP

The prevalence of dementia is on the rise. Successful dementia care in skilled nursing facilities, residential communities, and the home setting requires an understanding of the disease process, communication techniques, and possible causes of unwanted behaviors in persons living with dementia. The Alzheimer’s Disease and Dementia Care Seminar is a National Council of Certified Dementia Practioners (NCCDP) curriculum and will provide fundamental education on dementia care to enhance the quality of life of those living with cognitive dysfunction and their caregivers. In addition, this course will provide participants with approaches for daily activities, unmet needs, behavioral care, and interdisciplinary support.

REGISTRATION is LIMITED. No Refunds will be given, however substitutions can be made.

CMS Memo: QSO-23-10-NH: Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes

Memorandum Summary

  • CMS has rescinded memorandum QSO-20-31-ALL, the Enhanced Enforcement for Infection Control Deficiencies, and replaced it with memorandum QSO-23-10-NH, revised guidance for Strengthened Enhanced Enforcement for Infection Control Deficiencies. This revised guidance strengthens enforcement efforts for noncompliance with infection control deficiencies. The enhanced enforcement actions are more stringent for infection control deficiencies that result in actual harm or immediate jeopardy to residents. In addition, the criteria for enhanced enforcement on infection control deficiencies that result in no resident harm has been expanded to include enforcement on noncompliance with Infection Prevention and Control (F880) combined with COVID-19 Vaccine Immunization Requirements for Residents and Staff (F887).
  • CMS is providing guidance to the State Survey Agencies and CMS locations on handling enforcement cases before and after the revisions of Enhanced Enforcement for Infection Control Deficiencies.
  • Quality Improvement Organizations have been strategically refocused to assist nursing homes in combating COVID-19 through such efforts as education and training, creating action plans based on infection control problem areas, and recommending steps to establish a strong infection control and surveillance program.

Please see the full memo for complete details at https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-states/strengthened-enhanced-enforcement-infection-control-deficiencies-and-quality-improvement-activities.