Category: Long Term Care Blog

Revised Update: NHSN Person-Level Vaccination Forms: Requiring Demographics Fields

Posted on

Please be aware that the upcoming NHSN application update has been pushed back, so the demographics fields (gender, race, and ethnicity) in the Person-Level (Event-Level) COVID-19 Vaccination Forms will not become required for existing records to save and submit data until after the application release, the evening of October 27, 2022.

As a reminder, the demographics fields will only be required for all individuals without an end date or discharge date. These fields will not be required for individuals who are no longer in the facility (i.e., those with an end date or discharge date). Please keep in mind that you may select ‘Unknown’ if you are unable to obtain this information.

Please note that the use of the Person-Level Vaccination Forms remains optional, and facilities are welcome to continue using the aggregate weekly summary forms to submit COVID-19 vaccination data.

New Person-Level Vaccination Form Resources

We are also excited to let you know that two new resources are being posted to the NHSN Long-Term Care Vaccination website by the end of this week:

  • Person-Level (Event-Level) Vaccination Form Table of Instructions: Healthcare Personnel
  • Person-Level (Event-Level) Vaccination Form Table of Instructions: Residents

These new Table of Instructions (TOI) documents can be used to help users enter and manage their person-level vaccination data and contain instructions for each column you see on the Person-Level Vaccination Forms.

Additional NHSN Resources: Person-Level Vaccination Forms

Training:

CSV Materials:

If you have any questions, please reach out to nhsn@cdc.gov and include the subject line “Person-Level Vaccination Forms”. Thank you for your continued efforts to report vaccination data in NHSN.

Reminder – Data for CMS Quality Reporting Programs Due Soon!

Posted on

This message contains reporting deadline reminders for the CMS Quality Reporting Programs. The National Healthcare Safety Network (NHSN) encourages facilities to enter data in timely manner ahead of the deadlines in order to ensure data completion and accuracy. Make sure to allow ample time before the deadline to review, and if necessary, correct your HAI data. Data entered in NHSN after the submission deadline are not sent to CMS and will not be used in CMS pay-for-reporting or pay-for-performance programs. Data can be reviewed by using the Analysis reports within NHSN.

If you are unable to enter data into NHSN, it is possible that your Facility Administrator or Patient Safety Primary Contact has not accepted the updated NHSN Agreement to Participate and Consent. For questions or assistance with the updated Consent form and/or reassignment of the Facility Administrator or Primary Contact, please contact nhsn@cdc.gov as soon as possible.

The following data must be entered into NHSN by November 15, 2022, for facilities that participate in certain CMS quality reporting programs.

Long-Term Acute Care Facilities (LTACs/LTCHs) that participate in the Long-Term Care Hospital Quality Reporting Program:
2022 Quarter 2 (April 1 – June 30) CLABSI and CAUTI data (all bedded inpatient locations)
2022 Quarter 2 (April 1 – June 30) C. difficile LabID Events (FacWideIN, all healthcare-onset, and community-onset)
2022 Quarter 2 (April 1 – June 30) COVID-19 Vaccination Coverage Among Healthcare Personnel

Skilled Nursing Facilities (SNFs) that participate in the Skilled Nursing Facility Quality Reporting Program:
2022 Quarter 2 (April 1 – June 30) COVID-19 Vaccination Coverage Among Healthcare Personnel

Please ensure that at least one individual at your facility can access NHSN via their Secure Access Management Services (SAMS) account and has been assigned appropriate user rights in NHSN to enter and view your facility’s data. To guarantee that your data is accurately entered into NHSN, verify that; 1) your monthly reporting plans are complete; 2) you’ve entered appropriate summary and event data or checked the appropriate no events boxes; and 3) you’ve cleared all alerts from your NHSN facility homepage. For additional guidance on ensuring your data are accurately sent to CMS for Quality Reporting purposes, please visit our website and navigate to the appropriate section(s) for your facility type: https://www.cdc.gov/nhsn/cms/index.html.

If you have any questions, please contact the NHSN Helpdesk: NHSN@cdc.gov. The NHSN Helpdesk is staffed Mondays thru Fridays, 7 am-5 pm ET, excluding Federal Holidays.

Revised Reporting Requirements for Facility Reported Incidents

Posted on

As noted in the CMS memo QSO-22-19-NH Revised Long-Term Care Surveyor Guidance: Revisions to Surveyor Guidance for Phases 2 & 3, Arbitration Agreement Requirements, Investigating Complaints & Facility Reported Incidents, and the Psychosocial Outcome Severity Guide, CMS revised the guidance in Chapter 5 and related exhibits of the State Operations Manual (SOM) to strengthen the oversight of nursing home complaints and Facility Reported Incidents (FRIs). Beginning October 24, 2022, nursing homes will be required to submit the following information:

FRI – Initial Report

When reporting FRIs to the state agency, nursing homes must provide as much information as possible, to the best of its knowledge at the time of submission of the report, so the state agency can initiate action necessary to oversee the protection of nursing home residents. Initial reports must be reported immediately but not later than two hours if the allegation is abuse or the incident resulted in serious bodily injury, or not later than 24 hours if the allegation is not abuse or the incident did not result in serious bodily injury. “Serious bodily injury” means an injury involving extreme physical pain; involving substantial risk of death; involving protracted loss or impairment of the function of a bodily member, organ, or mental faculty; requiring medical intervention such as surgery, hospitalization, or physical rehabilitation; or an injury resulting from criminal sexual abuse.

Information to include in the initial report:

  • Facility name, address, and contact information of the reporter (including email address and after hours phone number if not in the facility);
  • Type of allegation (physical abuse, sexual abuse, mental/verbal abuse, deprivation of goods and services by staff, neglect, misappropriation of resident property or exploitation, injury of unknown source, suspected crime);
  • Date and time when staff became aware of the incident, name of staff person to whom the information was reported, and name of person who made the allegation;
  • Date and time administrator was notified of the incident and by whom;
  • Alleged victim(s) name, date of birth, and current location;
  • Alleged perpetrator(s) name, position, contact information;
  • When and where the incident occurred and names of any witnesses;
  • Brief description of the incident;
  • Describe any type of injury (bruise, scratch, laceration, puncture wound, fracture, bleeding, redness on the skin, etc.);
  • Describe any changes in resident behavior indicating a change in the resident’s normal baseline (crying, expressions or displays of fear, cowering, anger, withdrawal, difficulty sleeping, etc.);
  • Describe all steps taken to immediately ensure protection of resident(s), such steps could include:
  • Immediate assessment of the alleged victim and provision of medical treatment as necessary;
  • Evaluation of whether the alleged victim feels safe and if he/she does not feel safe, taking immediate steps to protect the resident, such as a room relocation and/or increased supervision;
  • Immediate notification to the alleged perpetrator’s (if a resident) and/or the alleged victim’s physician and the resident representative when there is injury, a significant change in condition or status, and/or a need to alter treatment significantly;
  • If the alleged perpetrator is facility staff, removal of the alleged perpetrator’s access to the alleged victim and other residents and assurance that ongoing safety and protection is provided for the alleged victim and other residents;
  • If the alleged perpetrator is a resident or visitor, removal of the alleged perpetrator’s access to the alleged victim and, as appropriate, other residents and assurance that ongoing safety and protection is provided for the alleged victim and other residents;
  • Other measures the facility is taking to prevent further potential abuse, neglect, exploitation, and misappropriation of resident property.
  • Notification to law enforcement (if applicable), including date/time, agency name, report number, and name/title of person who reported to law enforcement;
  • Other agencies notified (Ombudsman, Adult Protective Services), including date/time and agency name.

Follow-up Investigation Report

Within five business days of the incident, the facility must provide in its report sufficient information to describe the results of the investigation, and indicate any corrective actions taken if the allegation was verified. It is important that the facility provide as much information as possible, to the best of its knowledge at the time of submission of the report. The facility should include any updates to information provided in the initial report and the following additional information, which should include, but are not limited to, the following:

  • Additional/updated information (any additional outcomes to the resident(s) such as physical or mental harm, whether it was reported to the resident’s representative);
  • Steps taken to investigate the allegation including a summary of interview(s) with the resident/responsible party, witnesses, alleged perpetrator, other residents in contact with the AP, staff responsible for oversight and supervision of residents and the AP;
  • If available, include summary of hospital/medical progress notes, discharge summaries, law enforcement reports, and death reports;
  • Provide a brief conclusion of the investigation and indicate if the findings were verified, not verified, or inconclusive and how this was determined;
  • Provide in detail all corrective actions taken;
  • Describe any action(s) taken as a result of the investigation or allegation;
  • Describe the plan for oversight of implementation of corrective action, if the allegation is verified;
  • As a result of a verified finding of abuse, such as physical, sexual or mental abuse, identify counseling or other interventions planned and implemented to assist the resident;
  • If systemic actions (e.g., changes to facility staffing patterns, changes in facility policies, training) were identified that require correction, identify the steps that have been taken to address the systems;
  • If the allegation was reported to law enforcement or another state agency, where applicable and if available, what is the status or provide conclusions of their investigation.
  • Name of the facility individual primarily responsible for conducting the investigation;
  • Name of person submitting report, date and time of submission, and contact number/email address.

Please note: We are in the process of developing forms for initial reporting and for follow-up reporting that all Missouri LTC homes (including state-licensed only) will be able to utilize for FRIs. We will release these forms at a later date and will also schedule a webinar to discuss this information. Please review the memo in its entirety and reach out to your regional office with any questions.

https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/revised-long-term-care-surveyor-guidance-revisions-surveyor-guidance-phases-2-3-arbitration

Up to Date COVID-19 Vaccination Status: NHSN Surveillance definition change for facilities reporting data

Posted on

CDC hosted a webinar on the NHSN surveillance definition of up to date COVID-19 vaccination status on October 13, 2022. We would like to provide some important reminders on how to apply these definitions for the purpose of NHSN surveillance.

NHSN’s surveillance definition of up to date COVID-19 vaccination status is based on CDC’s clinical considerations and up to date definition for the first day of the reporting quarter. Please be sure to report up to date vaccination status in NHSN according to the definition for the reporting period associated with the reporting weeks you are submitting data for. Please refer to the definitions of key terms related to COVID-19 vaccination for the purpose of NHSN public health surveillance: https://www.cdc.gov/nhsn/pdfs/hps/covidvax/UpToDateGuidance-May2022-508.pdf.

New Up to Date Definition for Quarter 4

Individuals are considered up to date with their COVID-19 vaccines during the NHSN surveillance period of September 26, 2022-December 25, 2022 if they have received an updated (bivalent) booster dose OR if they received their last monovalent booster dose less than 2 months ago, OR if they completed their primary series less than 2 months ago. See table below. Changes for Quarter 4 of 2022 are highlighted in yellow.

Reporting deadline for Quarter 2 of 2022

As a reminder, for facilities participating in a CMS quality reporting program, the reporting deadline for COVID-19 Vaccination Coverage among Healthcare Personnel for Quarter 2 2022 (April 1, 2022-June 30, 2022) is on November 15, 2022. Highlighted in yellow below.

Data Tracking Worksheet

We are currently working to update the Data Tracking Worksheet. Stay tuned to CDC NHSN emails and check the CDC NHSN webpage often for updates.

Frequency of Reporting COVID-19 Vaccination Data:

The frequency of reporting COVID-19 vaccination data has not changed. NHSN allows for, and encourages, weekly submission of COVID-19 vaccination data via the Weekly COVID-19 Vaccination Module.

Beginning on October 1, 2021, facility types that are part of the CMS Inpatient Quality Reporting Program, Inpatient Psychiatric Facility Quality Reporting Program, Inpatient Rehabilitation Facility Quality Reporting Program, or Long-term Acute Care Quality Reporting Program will need to submit COVID-19 vaccination data via the Weekly COVID-19 Vaccination Module for at least one week per month to fulfill CMS reporting requirements. Beginning on January 1, 2022, ambulatory surgery centers are also required to submit COVID-19 vaccination data via the Weekly COVID-19 Vaccination Module for at least one week per month to fulfill CMS reporting requirements.

Facilities can select any week within the month to report data. A week is designated as belonging to the month of the week-end date. For example, reporting data for the week of September 27-October 3 is considered as submitting data for a week in October.

COVID-19 vaccination data should be submitted by the end of the quarter as defined by CMS.

NHSN COVID-19 Vaccination Resources:

Please visit the Weekly HCP COVID-19 Vaccination Resource page for additional information: https://www.cdc.gov/nhsn/hps/weekly-covid-vac/index.html#anchor_93402.

Please pay particular attention to the COVID-19 Vaccination Modules Key Terms: https://www.cdc.gov/nhsn/pdfs/hps/covidvax/UpToDateGuidance-May2022-508.pdf.

During the webinar we received some questions about COVID-19 Hospital Data. Please send any questions related to the upcoming transition of COVID-19 hospital data to NHSN@cdc.gov using the subject line “COVID-19 Hospital.” Resources and information can be found on the transition webpage: https://www.cdc.gov/nhsn/covid19/transition.html.

MC5 Meetings

Posted on

West Central MC5 Region

November 2, 2022: Are We Making Progress or Spinning Our Wheels?
Presenter: Carol Scott, BS, Former MO Ombudsman, Trainer

This presentation will take a look at the past and discuss what the future can hold. Culture change doesn’t have an end date. It’s a continuous road that organizations must commit to on a daily basis.

 

Farmington MC Region

November 4, 2022: Psychiatry and Culture Change
Presenter: Gabe Crawford, NP

This program will give attendees the opportunity to learn new approaches to psychiatry related to culture change. Attendees will learn alternate treatments for dementia residents and will learn how to decrease the use of psychotropics.

NHSN Person-Level Vaccination Forms: Requiring Demographics Fields

Posted on

Reminder that the demographics fields (gender, race, and ethnicity) in the Person-Level (Event-Level) Vaccination Forms will become required in order to save and submit data as of Monday, October 24, 2022.

 These fields will be required for all individuals without an end date or discharge date. These fields will not be required for individuals who are no longer in the facility (i.e., those with an end date or discharge date). Please keep in mind that you may select ‘Unknown’ if you are unable to obtain this information. 

NHSN Resources: Person-Level Vaccination Forms

Training:

CSV Materials:

If you have any questions, please reach out to nhsn@cdc.gov and include the subject line “Person-Level Vaccination Forms”. 

Show-Me ECHO

Posted on

Show-Me ECHO (Extension for Community Healthcare Outcomes) uses videoconferencing to connect interdisciplinary teams of experts with clinicians and other healthcare professionals. Together participants and teams collaborate in interactive, individualized, case-based learning environments to develop skills and discuss best practices. Some ECHOs meet every week, some twice a month, and some have a completely different timeline. We know how challenging it can be to commit time away from your other responsibilities, but by building and supporting a strong community of learners, the ECHO model improves care access, quality, and efficiency. Show-Me ECHO learning sessions offer free continuing education and are provided at no cost to participating sites and individuals. Check out the ECHO schedule to see when you can attend the next session!

PAC/LTC: Post-Acute & Long-Term Care
2nd & 4th Thursdays: 9:30 am – 10:30 am

Topics or Learning and Discussion:

  • Post-Vaccination Practices: Including Visitation Policies and PPE practices
  • Ongoing COVID-19 Identification and Treatment: Plans for Recognizing Patients with COVID, Post-COVID Syndromes, Testing, Treatment and Cohorting
  • Emotional and Organizational Support for Staff
  • Vaccinations: Vaccine Confidence, Testing, Logistics, Ongoing Compliance and Complications
  • Addressing and Supporting Needs of Residents, Families or Care Partners: Isolation and Family Communication
  • Stopping the Spread (Infection Control): Building Sustainable Infection Control Practices
  • Leadership Communication for COVID-19: Huddles, Rounding, Etc.
  • Leadership Behaviors to Support Teams During COVID-19: Teamwork, Roles and Psychological Safety

Resident Advocate Newsletter Fall 2022

Posted on

The Fall 2022 issue of The Resident Advocate is now available. This newsletter provides information on residents’ rights and care issues; news and updates on national policy; and self-advocacy tips for obtaining person-centered, quality care.

This issue includes:

  • Ways to build community within and outside of the long-term care facility in order to increase residents’ well-being,
  • Resources for residents as they prepare to vote in elections,
  • Tips for staying hydrated as well as common signs and symptoms of dehydration,
  • Flu season and COVID-19 booster resources, and
  • Information about this year’s Residents’ Rights Month.

The Resident Advocate is a great resource to share with long-term care residents. Nursing home staff, long-term care Ombudsman programs, family members, and other advocates are encouraged to forward this newsletter to residents or print and share copies. Download this issue or past issues from the website.

Administrator License Renewals for 2023 and Forward

Posted on

Administrators due to renew in 2023 and forward are required to complete all required continuing education (CE) clock hours in-seat or can complete a maximum of half of the total required hours through online continuing education programs (web-based, teleconference, self-study and webinar).

 Refer to the “License Renewal Checklist” on the website https://health.mo.gov/information/boards/bnha/.

 Please contact the Board of Nursing Home Administrators with any questions or concerns at BNHA@health.mo.gov.

VOYCE’S Upcoming Community Education

Posted on

October 11, 2022: Residents’ Rights and the Intersection of State Policy
Presenters: Chien Y. Hung, MSW, MA-G, RYT, Program Director, VOYCE; and Nicole Lynch, Policy and Advocacy Director, VOYCE

October is Residents’ Rights Month, an annual initiative highlighting the legally enshrined rights of long-term care residents throughout the United States. Residents’ Rights Month is an annual event designated by the Consumer Voice and is celebrated to honor residents living in all long-term care facilities and consumers receiving services in their home or community. It is a time for celebration and recognition, offering an opportunity for every facility to focus on and celebrate awareness of dignity, respect, and the value of each resident. Residents’ Rights are guaranteed by the federal 1987 Nursing Home Reform Law.

In this presentation, we will explore Residents’ Rights and examine some of the state laws VOYCE has successfully advocated for, including the Essential Caregivers Program Act and the Authorized Electronic Monitoring in Long-Term Care Facilities Act.

COMRU Online Application

Posted on

We are aware that some providers are experiencing issues with the link to the COMRU online application. We apologize for this inconvenience. Please first try the following alternative link to see if this will work to access the online application:  https://redcapdrlltc.azurewebsites.net/redcap/surveys/?s=RNMP48LRWY.

If this link does not work, please contact COMRU at COMRU@health.mo.gov for assistance. 

CMS Memo: QSO-20-38-NH: Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements (Revised 9-23-22)

Posted on

CMS has issued updated visitation guidance to reflect the new CDC guidance related to routine testing of staff. Routine screening testing of asymptomatic staff is no longer recommended but may be performed at the discretion of the facility.

Testing is not necessary for asymptomatic people who have recovered from COVID-19 infection in the prior 30 days. Testing should be considered for those who have recovered in the prior 31-90 days.

Please review the memo in its entirety at https://www.cms.gov/files/document/qso-20-38-nh-revised.pdf.

CMS Memo: QSO-20-39-NH: Nursing Home Visitation – COVID-19 (Revised 9-23-22)

Posted on

CMS has issued updated visitation guidance to reflect the new CDC guidance, released September 23, related to face coverings and masks. The safest practice is for residents and visitors to wear facing coverings or masks, however, the facility could choose not to require visitors to wear face coverings or masks while in the facility if the nursing home’s county COVID-19 community transmission is not high, except during an outbreak.

Please review the memo in its entirety at https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf.

Resolution of Issues: NHSN Person-Level (Event-Level) COVID-19 Vaccination Forms

Posted on

We want to provide an update on the issues related to the Person-Level (Event-Level) COVID-19 Vaccination Forms that occurred following the recent NHSN application update. These issues are now resolved, and users can do all of the following:

  • Users can search and filter their data
  • Users can import .CSV files that contain more than one row per individual (for example, if an individual was discharged and later re-admitted)
  • Users can modify all fields, including ID and name
  • Users can no longer delete staff IDs from the other event-level forms (e.g., from the POC tool) if the staff ID is linked to a staff vaccination record

As a reminder, users cannot delete rows. If you have incorrect data that needs to be removed, please do one of the following:

  1. Edit the row/ repurpose the row with someone else’s data, or
  2. Change the discharge/end date to a date that is before the person-level forms could be used to submit date (i.e., before 3/28/2022). This way, the incorrect row won’t contribute to any data that can be submitted. In addition, you should change the ID so that it is not linked to a real ID. Also, add a note to the Comments column on the far right to document that this entry is incorrect.

In addition, updated CSV materials for the Person-Level (Event-Level) COVID-19 Vaccination Forms are now posted to the website, and links are provided below. Please note that is it optional to use the CSV materials, as users can manage all data within the application without using the CSV files.

Resources:

All resources: https://www.cdc.gov/nhsn/ltc/weekly-covid-vac/index.html

Trainings:

Guidance:

.CSV variable description and file layout:

.CSV template and example – HCP:

.CSV template and example – Residents:

Please contact NHSN@cdc.gov with “COVID-19 Person-level Vaccination Forms” in the subject line with any additional questions or concerns. Thank you for your efforts with submitting data to the Weekly COVID-19 Vaccination Modules.

NHSN Long-term Care Release September 2022

Posted on

Below is important information regarding modifications to the Long-term Care Facility COVID-19 Module, and COVID-19 Vaccination Module. The changes described below will take effect after the September 2022 NHSN release. Resources on the NHSN LTCF COVID-19 Module webpage and the COVID-19 Vaccination Module webpage will be updated, where indicated, with revised forms, instructions, FAQs, and .CSV templates.

Point of Care (POC) Test Reporting Tool:

No enhancements

COVID-19 Pathway Data Reporting:

Please refer to the below data reporting pathways to learn about enhancements that will be made within each pathway.

Resident Impact and Facility Capacity Pathway:

The Primary Series Vaccination Status section of the Resident Impact and Facility Capacity Pathway has been revised with simplified language to account for the recent approval of the Novavax Vaccine. The reporting process for this pathway has not changed and users will not need to go back and make any revisions to their data. Please continue using the Table of Instructions, found on the LTCF COVID-19 Webpage, as a guide while reporting data for this pathway.

Staff and Personnel Impact Pathway:

No enhancements

Therapeutics Pathway:

For those that upload data via CSV files, please be sure to use the templates that are posted on the LTCF COVID-19 Module Webpage. The following therapeutics must be listed for each submission date within the CSV file.

Each Therapeutic should have a line within the CSV file:

  • Casirivimab plus Imdevimab (Regeneron)
  • Bamlanivimab plus etesevimab (Lilly)
  • Sotrovimab (GlaxoSmithKline)
  • Evusheld (AstraZeneca)
  • Bebtelovimab (Lilly)
  • Paxlovid (Pfizer)
  • Molnupiravir (Merck)

State Veterans Homes COVID-19 Event Reporting Tool

No enhancements

Weekly NHSN COVID-19 Vaccination Data

Optional NHSN Person-Level (Event-Level) Vaccination Forms

  • Enhanced security for Staff-Person-level (event-level) vaccination data.
  • Action item for users: If a user is not a NHSN facility administrator (FA) and submits person-level vaccination data for healthcare personnel, the user must have the ‘Staff/Visitor- Add, Edit, Delete’ and ‘Staff/Visitor- view’ boxes checked under user rights. A user with administrative rights can grant these additional rights to users. Facility administrators will continue to have access to these person-level vaccination data.

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.

COMRU Update

Posted on

Beginning October 3, 2022, the Level 2 determination letters will be sent from Bock Associates instead of COMRU. The Level 2 determination letter will continue to be uploaded to the online application. If you have any questions regarding the change in the determination letter, please contact COMRU at 573-522-3092 (option #4).

Please ensure the processed online application and Level 2 screening has been printed/saved for your records. COMRU will begin purging the online system in October, so all Skilled Nursing Facilities (SNF) will need to have copies of these documents prior to them being deleted.

The Green House Team and Pioneer Network – FREE Fall Webinars

Posted on

September 27, 2022: Person-Directed Leadership: Creating a Coaching Culture
October 4, 2022: Invest in Your Workforce for 2023
October 11, 2022: Communicating for Policy Success

Join Amanda Loomis of SWBR for a dynamic exploration of the ways that design can promote vitality and wellbeing for elders – and how small touches can go a long way toward revitalizing a nursing home, assisted living community, or other eldercare setting.

2022 MOADD Summit

Posted on

November 9, 2022: Missouri Alliance for the Dually Diagnosed (MOADD) Summit
Location: Holiday Inn Executive Center, Columbia

MOADD (Missouri Alliance for Dual Diagnosis) established in 2018, is a collaborative effort between Department of Mental Health (DMH) staff and DMH providers with interest in developing expertise in supporting individuals with dual intellectual/developmental disabilities (I/DD) and behavioral health diagnosis.

MOADD provides resources to assist providers to:

  • Be current in best practices
  • Develop an integrated system to make agencies more aware of resources for behavioral health and DD available through Regional Professional Learning Communities.
  • Provider better outcomes for individuals

MALA’s 2022 ALF Community Based Assessment Training

Posted on

November 29-December 1, 2022: 2022 ALF Community Based Assessment Training

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.

LTC Survey: Staff Emotional Trauma and Need for Peer Support

Posted on

The Center for Patient Safety is working with Dr. Sue Scott from MU Healthcare/University of Missouri to learn more about the experiences of LTC staff (at all levels) that might involve emotional trauma and the need for peer support. Experts from the MU Sullivan School of Nursing have also contributed to its development.

The online Long-Term Care Survey 2022 should take about 5 minutes. All responses are anonymous; Dr. Scott will aggregate them as a single group.

The Center for Patient Safety looks forward to input from the LTC community as they develop peer support/second victim programs.

Please contact the Center for Patient Safety for questions:

Kathy Wire, Executive Director
kwire@centerforpatientsafety.org
(573) 636-1014, ext. 1224

Eunice Halverson, Patient Safety Specialist
ehalverson@centerforpatientsafety.org
(573) 636-1014, ext. 1226

iQIES Provider Security Officials Onboarding for MDS

Posted on

CMS announced they are preparing to release the Internet Quality Improvement Evaluation System (iQIES) for Minimum Data Set (MDS) submission in early 2023. Although the MDS submission functionality will not be available immediately, CMS encourages Provider Security Officials (PSOs) to request access to iQIES as soon as possible, as doing so will allow for a smoother transition prior to the go live date. At a minimum, at least one PSO needs to be selected, but CMS highly recommends that at least two PSOs are designated so that there is a higher likelihood that there will be someone available to approve/reject iQIES access requests. Nursing homes and Swing Beds in CMS Region 7 (which includes Missouri) should onboard their Provider Security Officials October 31, 2022 through November 11, 2022. The onboarding of other nursing home and swing bed hospital staff can begin on November 15.

Onboarding Schedule for MDS Transition to iQIES:
https://qtso.cms.gov/system/files/qtso/Provider%20Security%20Officials%20Schedule%20-%20QTSO%20posting%20final%20-%20Copy.pdf

iQIES Onboarding Process Quick Reference Guide for the Provider Security Official Role:
https://qtso.cms.gov/system/files/qtso/iQIES%20Onboarding%20Process%20Quick%20Reference%20Guide%20-%20Provider%20Security%20Official.pdf

Harp Help: https://harp.cms.gov/login/help