MLN 2019 Spring Workshops

February 27, 2019: Care for the Care Taker – St. Louis
February 28, 2019: Care for the Care Taker – Columbia
March 12, 2019: The Aging of America: Silver Tsunami or Golden Opportunity? – Poplar Bluff
March 13, 2019: The Aging of America: Silver Tsunami or Golden Opportunity? – Springfield
March 15, 2019: Managing Mental Illness and Behaviors in Person-Centered Environments – St. Louis
March 21, 2019: Managing Mental Illness and Behaviors in Person-Centered Environments – Kirksville
March 22, 2019: Managing Mental Illness and Behaviors in Person-Centered Environments – Kansas City
March 27, 2019: The Aging of America: Silver Tsunami or Golden Opportunity? – St. Louis
March 28, 2019: The Aging of America: Silver Tsunami or Golden Opportunity? – Rolla
April 25, 2019: Activities and Dementia: Fun, Meaningful and Adapting is Key! – St. Louis
April 25, 2019: Hiring and Maintaining a Multi-generational Workforce – Kansas City
April 26, 2019: Hiring and Maintaining a Multi-generational Workforce – Chillicothe
April 30, 2019: Activities and Dementia: Fun, Meaningful and Adapting is Key! – Springfield
May 1, 2019: Activities and Dementia: Fun, Meaningful and Adapting is Key! – Rolla
May 14, 2019: Activities and Dementia: Fun, Meaningful and Adapting is Key! – Poplar Bluff
May 15, 2019: Activities and Dementia: Fun, Meaningful and Adapting is Key! – Cape Girardeau
May 21, 2019: Sticking to Your North Star to Integrate Your Team to Achieve Exemplary Care and Sustainable Compliance – St. Louis
May 22, 2019: Sticking to Your North Star to Integrate Your Team to Achieve Exemplary Care and Sustainable Compliance – Columbia
May 23, 2019: Sticking to Your North Star to Integrate Your Team to Achieve Exemplary Care and Sustainable Compliance – Kansas City
June 4, 2019: Leadership from the Inside Out – Chillicothe
June 5, 2019: Hiring and Maintaining a Multi-generational Workforce – Jefferson City
June 12, 2019: Hiring and Maintaining a Multi-generational Workforce – Cape Girardeau
June 13, 2019: Hiring and Maintaining a Multi-generational Workforce – St. Louis
June 18, 2019: Leadership from the Inside Out – St. Joseph
June 20, 2019: Leadership from the Inside Out – Kansas City

MHCA Webinar Series – Moving Mountains

February 5, 2019: Phase 3: Implementing an Effective SNF Compliance and Ethics Program
April 2, 2019: PDPM: Developing ICD.10 Expertise for Effective Coding of Clinical Categories & Non-Therapy Ancillary
May 7, 2019: Phase 3: Implementing Successful Staff Training & Competency Programs
June 4, 2019: PDPM: Rehab program transitions and provider insight for SNF PT, OT & SLP service reimbursement
July 2, 2019: Phase 3: Next Steps for the Infection Preventionist
August 6, 2019: Operational Strategies for Success Under PDPM (with expert panel)
September 3, 2019: Phase 3: Trauma Informed and Culturally Competent Care

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

SLCR 2019 Annual Fall Provider Meetings

It’s a new year and the 2019 Provider Meetings are already taking shape! The Quality Assurance and Education Unit staff are currently in the planning phase and are considering the best topics to provide the most beneficial information. We would like to hear from you about what LTC related topics you believe would be helpful, informative, and ‘worth the drive.’ If you’ve also been thinking- “Gee I wish they would do a presentation on…….,” then you are invited to be on our planning team! Please forward your suggestions to:

Sheila.Winchester@health.mo.gov
Kristi.Luebbering@health.mo.gov
Steven.Vest@health.mo.gov

Pioneer Network’s Hot Topics: Culture Change in Action

February 21, 2019: How Do We Make Sense of the Images We See of Aging and Our Everyday Experiences?
Guide: Penny Cook, Pioneer Network

We’re hearing and reading more about growing older than ever before. Maybe because we’re all doing it. We see images of 90-year old people running marathons, skydiving and bodybuilding. There is an indirect message that this is what we should aspire to be. And yet we provide care and support to other 90-year old people who live in assisted living communities and nursing homes. Do we see them differently because of where they live and their abilities? Is there a different kind of ageism happening in care communities? Come with us on this journey of exploration as we present the first of a year-long series of webinars looking at the perceptions of aging, ageism and person-centered living.

MLN Nursing Home Administrator Conference

February 28-March 2, 2019: 28th Annual Nursing Home Administrator Conference
Location: Lodge of the Four Seasons, Lake Ozark

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. This conference was specifically designed to provide 20 hours of CE in 2 ½ days.

National Partnership/QAPI Medicare Learning Network Call

March 12, 2019: National Partnership/QAPI Medicare Learning Network Call
Speakers: Adrienne Mihelic, National Nursing Home Quality Improvement Campaign; David Reynolds, National Nursing Home Quality Improvement Campaign; Jay Weinstein, CMS; Debra Lyons, CMS; and Michele Laughman, CMS

During this call, gain insight on the Dementia Care & Psychotropic Medication Tracking Tool, a free, publicly available electronic tool that facilitates a structured approach to tracking preference-based care and psychotropic medication use among residents living with dementia. Also, learn about a recently released Nursing Home Staff Competency Assessment toolkit. Additionally, CMS provides updates on the Phase 3 Requirements for Participation from the Reform of Requirements for Long-Term Care Facilities final rule and the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

Pioneer Network’s Hot Topics: Culture Change in Action

January 23, 2019: Trauma-Informed Care: Resilience and Vulnerability
Guide: Dr. Susan Wehry, a geriatric psychiatrist, Chief of Geriatrics at the University of New England College of Osteopathic Medicine (UNE COM)

Adverse life events–including adverse childhood events (ACEs)–can affect us throughout our lifespan.  As the number of these events increases, so does the risk for negative health and diminished well-being. This is true for both caregivers and residents of long-term care. However, even in the face of trauma, people still possess an ability to return to being healthier and more hopeful, with less caregiver burnout.

At the end of this presentation, participants will be able to:

  1. Discuss the relationship between person-centered and trauma-informed care
  2. Define trauma, trauma-informed care, resilience and vulnerability
  3. Nurture resilience
  4. List resources for providing a trauma-informed approach to care

PDPM Workshop: Strategies for Balancing Current Operations While Preparing for Future Shift

March 12, 2019: Chamberlain University College of Nursing, St. Louis
March 13, 2019: Stoney Creek Inn, Columbia
March 14, 2019: Truman Medical Center Lakewood, Kansas City

The upcoming CMS’ Patient-Driven Payment Model (PDPM) represents the largest change to skilled nursing facility reimbursement in 20 years. That’s why it’s critical for leaders to develop a plan to smooth the transition and promote financial health. Join us for a one-day workshop designed to help you implement PDPM, featuring deep-dive sessions specific to executives, clinicians and revenue cycle professionals.

This workshop is co-sponsored by BKD CPAs & Advisors, LeadingAge Missouri and the Missouri League for Nursing.

Patient Driven Payment Model (PDPM ) – Prepare for Success

April 29, 2019: Holiday Inn SW Route 66, St. Louis
April 30, 2019: Comfort Inn, Macon
May 1, 2019: Stoney Creek Hotel & Conference Center, Independence
May 2, 2019: Oasis Hotel & Convention Center, Springfield
June 20, 2019: Hawthorn Bank, Jefferson City

The Patient Driven Payment Model (PDPM) will overhaul SNF Medicare reimbursement starting October 1, 2019 and represents the largest change to Medicare reimbursement in 20 years. PDPM will replace the current Resource Utilization Groups (RUGs)-based system. This transition will impact each employee at your organization, so it is critical that SNFs develop a PDPM preparation plan to ease the transition burden and facilitate future financial health.

This spring seminar is sponsored by the Missouri Association for Nursing Home Administrators and the Missouri Health Care Association. More information including registration can be found in the online brochure.

MC5 Restorative Sleep Vitality Program (RSVP)

January 9, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: Holiday Inn St. Louis-Route 66, St. Louis

January 10, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: White Oak Living Center, Independence

Part 3 – Making a Night and Day Difference: Creating a Culture of Restorative Sleep

Empira, a consortium of Aging Service providers in Minnesota, will share the findings from their Restorative Sleep program that has made a night and day difference for the residents they serve. This program was developed after identifying sleep fragmentation as a primary contributor to falls, behavioral expression, pain, incontinence, skin breakdown, unnecessary use of anti-psychotics, and decline in function.

Empira will share successful strategies for creating a culture of sleep with consideration of all 24 hours in a day. This is Part 3 of a three part series. Join the presentation even if you missed Parts 1 and/or 2.

Conversations with Carmen

January 18, 2019: Weaving the Eden Alternative Domains of Well-BeingSM into LIFE
Guest: Schlegel Villages of Canada Team

Schlegel Villages takes their culture change journey, initiated in 2010, very seriously. With three years of transformation work behind them, they began incorporating Eden Alternative’s seven “Domains of Well-Being” into their organization in 2014. In this show, the Schlegel Villages team will share-

  • How they introduced the domains to the larger team
  • How they use the domains
  • Their ME form, and
  • How they use the Wellbeing tool developed by Dr. Al Power, Eden Educator and Board Member.

What this team has learned is worth sharing! And… did you know the seven Domains of Well-Being made it into the new CMS regulations? Don’t miss this show! Join us to learn more.

Conversations with Carmen

February 15, 2019: Fake Life and Real Life – Let’s Talk!
Guest: Sonya Barsness, Gerontologist

How much of what is offered to people living in long term care communities is fake?

Much is at stake with fake. Let’s call it out and consider why we think it’s okay. We’ll talk about examples, like using fake pets and babies, mock tails and near beer, the folding of fake towels and whether we are asking the right questions in thinking about if and when to use them. Let’s compare it to real and what each says about how we care for and treat older adults. We’ll be honest, our bias is to encourage all to move more in the direction of real life rather than fake. Let’s compare what our goals are when we are fake and contrast it with what we want for people – real living.

2019 MALA ALF Assessment Training

March 18-20, 2019: ALF Assessment Training
July 8-10, 2019: ALF Assessment Training
November 18-20, 2019: ALF 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.

2019 MALA Train the Trainer

January 23, 2019: Train the Trainer
March 6, 2019: Train the Trainer
May 1, 2019: Train the Trainer
July 10, 2019: Train the Trainer
September 11, 2019: Train the Trainer
November 6, 2019: Train the Trainer

Participants must receive approval in order to attend this workshop. Those wishing to attend must submit the application and all other necessary paperwork to MALA at least two weeks prior to the workshop date.

SNF PPS: New Patient Driven Payment Model Webpage

On October 1, 2019, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Visit the new PDPM webpage to prepare for this change. This site includes a variety of educational and training resources to assist stakeholders in preparing for PDPM implementation.

RAI Process from Start to Finish

January 22-23, 2019: Columbia
April 17-18, 2019: Kansas City
June 18-19, 2019: Chesterfield
August 6-7, 2019: Columbia
October 15-16, 2019: Springfield

This workshop will look at the RAI process from the beginning to the end. The MDS is used for both a clinical assessment and a financial assessment and this workshop will discuss the rules on scheduling these assessments and meeting the requirements individually and combined. From coding the MDS, we will then look at the CAA to care plan process.

This workshop is for individuals in long-term care who coordinate and/or code the MDS. Typically, this is an RN or LPN with the title of MDS Coordinator or Care Plan Coordinator. This is also for the DON or ADM who needs a better understanding of the complexity of the RAI process.

 

Medicare from Start to Finish

March 19, 2019: Columbia
May 21, 2019: Springfield
July 16, 2019: Kansas City
September 17, 2019: Chesterfield
November 13, 2019: Columbia

This one-day workshop will begin with how to gain access to and read the MDS reports from CASPER in order to self-audit your RAI process. The completion of the MDS is becoming more and more difficult and confusing. This workshop will help the MDS Coordinator and other members of the interdisciplinary team to understand the admitting criteria and the ongoing documentation needs of the Medicare resident. The RAI process in relationship to Medicare is also confusing and errors can be a financial nightmare for facilities. This workshop will help clear up the confusion surrounding the process.

This workshop is geared towards those individuals working in long-term care who have a leadership role such as the ADM, DON, ADON, or MDS Coordinator.

TMF Nursing Home Quality Improvement

December 2-8, 2018: National Influenza Vaccination Week

The Centers for Disease Control and Prevention reports that the number of flu vaccinations decreases significantly after November, even though flu season can last as late as May. During National Influenza Week, help raise awareness of the importance of continuing flu vaccinations during and after the holiday season.

Click on the following resources for more information:
National Influenza Vaccination Week Resources and Tools
Who Is at High Risk for the Flu: People 65 and Older
Seasonal Influenza Vaccination Resources for Health Professionals

2019 MANHA Winterfest

February 6-8, 2019: Becoming Agents of Change
Location: Ameristar Hotel and Spa, St. Charles

Missouri Association of Nursing Home Administrators is pleased to invite you to attend the February Conference & Trade Show, Winterfest. The goal of this conference is to provide long-term care administrators and their staff practical and inspirational education hours along with the opportunity to network and socialize with colleagues. It is also the only MANHA-sponsored conference that provides you a chance to view the latest technology, products, and services offered by suppliers.

Final Nursing Facility Level of Care Stakeholder Meeting

Final SNF LOC Stakeholder Meeting

The final Nursing Facility Level of Care Stakeholder Meeting was held November 27, 2018. The presentation materials from the meeting are below. At this meeting, a revised method for determining nursing facility level of care was discussed. Please take time to review the information presented. Around the holidays, the revised method along with an algorithm will be sent to you to pilot test. Please take advantage of this opportunity – we want to make sure the right people are getting the right services at the right time in the right setting – that’s a lot of “rights” to get right! More to come closer to the holidays!

SNF LOC Stakeholder Presentation 11-27-18

CMS Launches Nationwide Effort to Improve Quality of Care in Nursing Homes

Nationwide Effort to Improve Quality of Care in Nursing Homes

As part of its continued commitment to the nation’s most vulnerable populations, the Centers for Medicare & Medicaid Services (CMS) has launched the Civil Money Penalty Reinvestment Program (CMPRP), a three-year effort to reduce adverse events, improve staffing quality and improve dementia care in nursing homes. This effort is funded by the Federal portion of CMPs to conduct activities that support and protect nursing home residents.

Through this program, CMS and its contractor will develop and implement evidence-based interventions, activities tools, and resources help to improve dementia care, reduce adverse events, and improve staffing quality. Staffing quality includes areas such as reducing turnover, improving tenure, and enhancing general staff performance. Additionally, the CMPRP will support projects for resident and family councils, develop and maintain the ability to provide temporary management of a nursing home, and support activities to protect residents during facility closures. Lastly, this program will support efforts to administer, monitor, and evaluate the effectiveness of CMP projects implemented throughout the country.

For more information, visit:
www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/LTC-CMP-Reinvestment.html.
www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/CMPRP-Civil-Money-Penalty-Reinvestment-Program.html.