The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS Item Sets v1.18.11 will be effective beginning October 01, 2023.
Category: Events
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- CMS has rescinded memorandum QSO-20-31-ALL, the Enhanced Enforcement for Infection Control Deficiencies, and replaced it with memorandum QSO-23-10-NH, revised guidance for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.
Action Required: Register for an MDS iQIES User Account in Preparation for MDS Transition on April 17, 2023
***Please Note: If you have already completed iQIES/HARP onboarding, no further action is required. Please also note, Payroll Based Journal (PBJ) submissions will continue to be submitted to QIES. ***
The transition to the Internet Quality Improvement and Evaluation System (iQIES) for MDS submission and reports will occur on April 17, 2023. To properly prepare for the transition, all users must create an account and establish credentials in the Healthcare Quality Information System (HCQIS) Access Roles and Profile (HARP) system, followed by requesting User Role access to iQIES. Please note that failure to obtain access prior to April 17, 2023 will impact your ability to submit MDS assessments following QIES Assessment Submission and Processing (ASAP) system for MDS submissions shutoff on Thursday, April 13 at 8:00 p.m. ET.
Register for an iQIES Account
To gain access to iQIES, please follow the steps outlined below.
- Create an account in the HARP system using your corporate email address* at: https://harp.cms.gov/register. Note: HARP User IDs cannot be adjusted. As such, please refrain from using facility names or any special characters (such as # or &) when creating the HARP User ID. *If the facility handles 2 or fewer providers and does not have a corporate email domain, a personal email address may be used.
- Access iQIES at: https://iqies.cms.gov/ and log in with your HARP credentials (completed in step 1) to complete the process to request your User Role for your provider’s CMS Certification Number (CCN).
- Once the user role request has been submitted AND approved by the Provider Security Official (PSO), you will receive a notification via email informing you that your iQIES account access request has been approved. Note: Due to increased role request volume, role request approvals or rejections may take up to 24 hours for the status to be reflected.
***IMPORTANT: If your organization has not yet identified and registered a Provider Security Official (PSO), you will not be able to complete a user role request. Nursing home and Swing bed providers who are required to submit data to CMS must have at least one staff person assigned and approved as the facility Provider Security Official (PSO), who is responsible for approving all other users for their facility.***
Please refer to the following iQIES documents for more information, located at https://qtso.cms.gov/software/iqies/reference-manuals:
- iQIES Onboarding Guide for step-by-step instructions to request a user role
iQIES User Role Matrix for a listing of user category descriptions and role privileges
Resources
For more information on HARP or iQIES, please refer to the following resources:
HARP
- Fact sheet on HARP Identity Proofing: https://qtso.cms.gov/news-and-updates/remote-identify-proofing-requirements-internet-quality-improvement-evaluation
- FAQs related to HARP: https://harp.cms.gov/login/help
iQIES
- iQIES Getting Started Overview: https://iqies.cms.gov/iqies/help
- iQIES Security Official: Manage Access Job Aid: https://qtso.cms.gov/software/iqies/reference-manuals
- iQIES Quick Reference Guide – Provider Security Official: https://qtso.cms.gov/software/iqies/reference-manuals
iQIES Service Center
If you have questions or require assistance, please contact the iQIES Service Center at iqies@cms.hhs.gov or by phone at (800) 339-9313.
MANHA-ICAR Seminar
Seminar: Public Health Emergency Ending – What’s Next?
April 6, 2023: Holiday Inn Route 66, St. Louis
April 13, 2023: Courtyard by Marriott, Columbia
April 26, 2023: Stoney Creek Hotel & Conference Center, Independence
The Public Health Emergency (PHE) is scheduled to end as of May 11, 2023. Moving forward it will be essential to apply pandemic lessons learned to maintain and improve processes that will benefit residents/families, staff and facility leadership.
Missouri Immunization Conference
April 26-27, 2023: 2023 Missouri Immunization Conference
Location: Holiday Inn Executive Center, Columbia
The 2023 Missouri Immunization Conference brings together bright minds to give talks that are action-oriented on a wide range of subjects related to immunizations to foster learning and inspiration, as well as provoke conversations that matter and actions that lead to increased vaccination rates for Missourians. The theme of this year’s conference is Vaccines: The Building Blocks of Better Health
MANHA’s 2023 Annual Convention
June 4-7, 2023: Surfing the Waves of Success with MANHA
Location: Camden on the Lake, Lake Ozark
Missouri Association of Nursing Home Administrators is pleased to invite you to attend the 2023 Annual Convention. The goal of this conference is to provide meaningful, forward thinking, and real-time education to pave the path forward while acknowledging the past and working together.
Fit Testing Train-the Trainer Sessions
March 31, 2023: Fitzgibbon Hospital, Marshall
April 12, 2023: Heisinger Bluffs Western Campus, Jefferson City
April 27, 2023: DHSS Regional Office, Poplar Bluff
April 28, 2023: Cape Girardeau Public Library, Cape Girardeau
May 2, 2023: Comfort Inn and Suites, Macon
May 25, 2023: Maranatha Village Community Center, Springfield
Regional Respiratory Fit Testing Train-the-Trainer sessions are being offered throughout Missouri by the Health Quality Innovation Network (HQIN), which is the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network – Quality Improvement Organization (QIN-QIO) for the state, and the Quality Improvement Program for Missouri (QIPMO) Infection Control and Assessment Response (ICAR) Team. The training is to ensure long-term care facilities have qualified staff to provide respirator fit testing. In addition, the attendee can train others in the proper procedures for fit testing. This training is for qualitative testing using a hood and not quantitative testing.
See flyer for information on Fit Testing Training sessions.
CNA Updates
Employer Profile for “New” Option to Renew CNA’s Coming Soon!
If you are interested setting up your facility employer profile to verify and electronically pay for your CNA renewals, please contact Headmaster D & S at 800-393-8664 and ask for the Missouri Team. Details will be coming!
Training Programs
Please confirm your CNA Training Programs are active and has not expired when providing the CNA course. In order to remain active a renewal application and an onsite visit to the facility must be completed every two years. The renewal application should be submitted 30 days before expiration and can be found on our website under Application for Approval as a Nursing Assistant Training Agency.
Please contact HEU with any questions at 573-526-5686 or CNARegistry@health.mo.gov.
Enhanced Leadership Development Academy for LTC Leaders
Do you…..
❍ need a leadership course that addresses the unique challenges SNF leaders face?
❍ want to feel inspired and passionate about leading your SNF?
❍ want to connect with other SNF leaders and have access to free professional development, tools, and resources?
❍ want free CE credit without sacrificing quality and practical application?
❍ want to have the flexibility to learn at the pace and place the works best for you?
If you answer YES to any of these questions, this course may be for YOU!
Open to RNs, NHAs and LPNs!
For more information visit our web site, download the postcard or contact Todd Winterbower at winterbowert@missouri.edu.
Take the survey now to see if you qualify for FREE registration.
DMH Free Webinar – Tools for Everyone
April 4, 2023: Registration
April 12, 2023: Registration
April 17, 2023: Registration
April 25, 2023: Registration
Presenter: Kathleen Deppeler, Director of Positive Supports
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.
MC5 Regional Events
April 5, 2023: Trauma Informed Care Across the Lifespan
Location: MC5 West Central Region, Methodist Church, The Celebration Center, Sedalia
This training will define what trauma is and understand its prevalence in our clients, define PTSD and provide an overview of the brain and body physiology of the impact of trauma. This training will also discuss the impact of trauma at various stages in life and the prolonged effects as well as generational and cultural trauma. Participants will be able to take tools/methods with them to cope with client crisis and trauma related triggers.
ma4 Show Me Summit on Aging & Health
September 11-13, 2023: Show Me Summit on Aging and Health 2023
Location: Holiday Inn Executive Center, Columbia
The 18th Show Me Summit on Aging & Health returns to Columbia, MO September 11th to 13th, 2023. Our theme this year is Expanding the Possibilities. With the Governor launching a statewide Master Plan on Aging, Missouri’s 1.1 million adults ages 60 and older take center stage in Missouri. Join us this fall to learn innovative ideas in aging services and to exchange best practices with fellow professionals in Missouri’s growing field of aging services.
Please share your expertise and experience with your AAA and aging network colleagues across the state! We week session proposals that highlight leading-edge tactics, innovative program ideas, and new and diverse thoughts. This is a great way to share your experience with your colleagues and leaders in aging from all across Missouri. We look forward to showcasing your subject-matter expertise, fresh thinking, and best practices as a presenter.
Submit your proposal by April 30, 2023. Notifications will be in May 2023.
MC5 Event – Re-Imagining Person-Directed Culture: It Starts with a Conversation
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.
Using Zoom, the format will be casual – a conversation – with special guests inviting participants to share, ask questions, explore, and plan for how through MC5, we can re-imagine and “move the movement” forward as we come out of the pandemic.
March 22, 2023: Re-Imaging Person-Directed Culture: It Starts with a Conversation
Special Guest: Julie Wilson, RN, Regulatory Compliance Manager ICF/IID Unit & COMRU Unit, Section for Long-Term Care Regulation, Division of Regulation and Licensure, DHSS
Conversation Starter: One of MC5’s founders and past board President, Julie will give us a glimpse into the successes and challenges faced over the years as she shares the story of MC5 and the Culture Change Movement in Missouri. A look at the past to help guide us as we envision the future.
April 26, 2023: Save the Date
Special Guest: Sheila Winchester, Regulatory Compliance Manager, Quality Assurance and Education, Section for Long-Term Care Regulation at Missouri DHSS
Conversation: Providers and regulators share a common vision as evidenced by the Person-centered philosophy and practices that are incorporated into and supported by regulations, both Federal and State. Sheila will share ways that regulators and providers can work together as we move forward following the pandemic.
May 24, 2023: Save the Date
Special Guest: Penny Cook, Chief Culture Officer, Center for Innovation (CFI) / Pioneer Network
Conversation Starter: A goal of CFI/PN is to help support and grow state culture change coalitions. Penny will share what is happening at coalitions around the country as well as through initiatives such as the Moving Forward Coalition.
Missouri Open Door (MOD) Workshop
March 22, 2023: FREE Missouri Open Door (MOD) Workshop Series: Self-Advocacy and Assistive Technology
During this workshop, David Forbes will share his experiences in using Charting the LifeCourse tools and approaches to help him plan in his own life. The workshop will also provide information on how assistive technology can assist people with self-advocacy skills and increase self-determination.
The goals of this workshop are to provide a focus on:
- Providing immediate-use ideas for how people can implement Charting the LifeCourse and Assistive Technology
- Strengthening everyday knowledge around technology
- Incorporating and understanding local service and support strategies
MHCA Mid-Year Conference & Lobby Day 2023
March 6-7, 2023: Mid-Year Conference & Lobby Day 2023
Location: Capitol Plaza Hotel, Jefferson City
The MHCA Staff and Education Committee have created a schedule of important and hot-topic education sessions to meet your needs in the current long-term care climate, featuring 11 hours of continuing education credit.
Free Four-part Webinar Series: Brain Health and Trauma-Informed Care for People with Intellectual and Developmental Disabilities (I/DD)
March 8, 2023 (1:00 pm – 2:00 pm): Trauma and Ableism as Social Determinant of Health for People with Intellectual and Developmental Disabilities
April 26, 2023 (1:00 pm – 2:00 pm): People with an Intellectual and Developmental Disability Experiencing Abuse: Tips, Tools, and Strategies for Providers
May 10, 2023 (1:00 pm – 2:00 pm): Beyond Silos: Trauma Informed Care for People with Intellectual and Developmental Disabilities
This four-part webinar series presented by the HealthMatters Program will focus on brain health and trauma-informed care through conversations with national peer advocate survivors, allies, and healthcare providers. Brain health and trauma resources for people with I/DD will be shared to increase awareness of systems change efforts to eliminate disability bias through culturally relevant healthcare.
The Green House Project Events
March 29, 2023: Transform the Culture of Care
The alliance between The Green House Project and Pioneer Network brings together two leading drivers of cultural transformation in long-term care.
For organizations that don’t have the ability to build new or substantially renovate an existing building, we have an entire suite of solutions that bring the best of empowered, elder-directed care to even the most institutional settings.
Resident to Staff Aggression: Prevention & Response Training
March 30-July 20, 2023: Resident to Staff Aggression: Prevention & Response Training (Webinar)
April 20, 2023: Resident to Staff Aggression: Prevention & Response Training (In Person)
Resident to staff aggression occurs, but it shouldn’t be thought of as just part of a caregivers’ job. Tools for prevention and response to resident aggression are critical for promoting worker safety and satisfaction as well as the resident experience. This interactive, application-based training will explore some of the reasons for resident aggression, provide strategies for violence prevention, de-escalation and during incident response as well as post incident response strategies that promote the prevention of future incidents. The role of policy, consistent and effective communication and a workplace violence prevention culture will be explored. Interactive learning experiences and discussions will help trainees practice and apply learning.
MALA Spring Conference
April 16-18, 2023: Don’t Take a Chance – Bet On MALA
Location: Branson Hilton Landing Hotel and Convention Center
Information including the conference agenda and registration for attending the Missouri Assisted Living Association’s 2023 Spring Conference is now available.
MLN Annual Nursing Home Administrator Conference
May 9-11, 2023: 32nd Annual Nursing Home Administrator Conference
Location: Stoney Creek Inn, Columbia, MO
Nursing Home Administrators will be provided with essential information needed to effectively serve long-term care residents and successfully perform their leadership role and job responsibilities.
MALA’s ALF Community Based Assessment Training
June 5-7, 2023: 2023 ALF Community Based 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 Green House Project 2023 Conference
July 23-26, 2023: Ready to Impact
Location: Pittsburg, PA
It’s official: Green House and Pioneer are coming together for one incredible event.
Everything you’ve come to expect from our conferences — fellowship, education, new ideas, and fun — now with even more leaders, caregivers, visionaries, and supporters from around the country and the world!
The theme of the first annual Center for Innovation Conference, Ready to Impact, reflects the power our organizations have under one banner. Together, let’s make 2023 a year of real change for elders in the United States and around the world, uniting in one voice to broaden the reach and deepen the impact of our work to build something better.
Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers
On February 9, the Department of Health and Human Services (HHS) announced the Public Health Emergency (PHE) for COVID-19 will end on May, 11, 2023. COVID-19 remains a significant priority for the Biden-Harris Administration and over the next several months, the Centers for Medicare & Medicaid Services (CMS) will work to ensure a smooth transition. During the PHE, CMS has used a combination of emergency authority waivers, regulations, enforcement discretion, and sub-regulatory guidance to ensure easier access to care during the PHE for health care providers and their beneficiaries.
Some of the flexibilities that were created during the pandemic were recently expanded by the Consolidated Appropriations Act, 2023. Others, while critical during our initial responses to COVID-19, are no longer needed. CMS has made further updates to our CMS Emergencies Page with useful information for providers – specifically around major telehealth and individual waivers – that were initiated during the Public Health Emergency (PHE).
Please reference the following guidance in response to the PHE ending May 11, 2023:
Provider-specific fact sheets about COVID-19 Public Health Emergency (PHE) waivers and flexibilities: https://www.cms.gov/coronavirus-waivers
CMS COVID-19 Waivers and Flexibilities for Providers include:
- Physicians and Other Clinicians
- Hospitals and CAHs (including Swing Beds, DPUs), ASCs and CMHCs
- Teaching Hospitals, Teaching Physicians and Medical Residents
- Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities)
- Home Health Agencies
- Hospice
- Inpatient Rehabilitation Facilities
- Long Term Care Hospitals & Extended Neoplastic Disease Care Hospitals
- Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
- Laboratories
- Medicare Shared Savings Program
- Durable Medical Equipment, Prosthetics, Orthotics and Supplies
- Medicare Advantage and Part D Plans
- Ambulances
- End Stage Renal Disease (ESRD) Facilities
- Participants in the Medicare Diabetes Prevention Program
- Intermediate Care Facility for Individuals with Intellectual Disabilities
Department of Health & Human Services Fact Sheet: https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html
In the coming weeks, CMS will be hosting stakeholder calls and office hours to provide additional information. Please continue to visit the CMS Emergencies Page for continuous updates regarding PHE sunsetting guidance as information becomes available to the public.