The Adult Day Care Program Manual has been updated and posted under the Laws, Regulations & Manuals page.
The following changes were made:
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 6, Issue 1.
In this issue:
Please visit QIPMO’s website here for this and other previous newsletters.
December 6-7, 2018: Gerontology Nursing Conference
Location: Peachtree Banquet Center, Columbia
The purpose of the 29th Annual Gerontology Nursing Conference is to provide a forum for gerontology health care providers, administrators, educators, regulatory personnel and others interested, to discuss complex care issues common to all who care for the elderly, regardless of setting. The focus is on promoting excellence in gerontology health care by keeping abreast of the latest evidence regarding strategies that result in improved clinical outcomes.
The submission deadline for the SNF Quality Reporting Programs (QRP) is approaching. MDS data for April 1 – June 30 (Q2) of calendar year (CY) 2018 are due with this submission deadline. All data must be submitted no later than 11:59 p.m. Pacific Standard Time on November 15, 2018.
As a reminder, it is recommended that providers run applicable validation/analysis reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.
CORMAC sends informational messages to IRFs, LTCHs, and 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@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.
The submission deadline for PBJ is approaching. PBJ data for 7/1/18 through 9/30/18 is due on 11-14-18. CMS uses PBJ data to determine each facility’s staffing measure on the Nursing Home Compare tool on Medicare.gov website, and calculate the staffing rating used in the Nursing Home Five Star Quality Rating System.
More information about PBJ can be found on the CMS webpage www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html.
November 9, 2018: Know Better, Do Better – Part 4
Guest: Sarah Brown, Executive Director, Empira
Empira has been working to better understand the wants and needs of older adults, given the following truths:
Based on these understandings, an approach called ResoLute (Resident Empowered Solutions on Living until the End) is currently in development to support conversations about life and mortality – to identify and uphold what matters most.
Please see the most frequently cited deficiencies report from the third quarter of 2018.
Question: When a resident who receives a monthly personal allowance from Social Security is discharged from a facility, should the facility send all of the resident’s funds with the resident or back to Social Security?
Answer: The facility should keep detailed records, which will assist the facility in determining what funds should be returned to Social Security. Only Social Security funds need to be returned to Social Security based on secure.ssa.gov/apps10/poms.nsf/lnx/0200603140. Not all funds in the resident trust fund account need to be returned to Social Security, such as birthday money, workshop earnings, money from family, etc.
The amount of SSA conserved funds may also be turned over to the beneficiary or the new payee. Social Security does grant exceptions when a resident needs the Social Security funds for their next stay. The facility must call Social Security in advance to request the exception. Once Social Security approves the exception, the facility may give all funds to the resident.
CORMAC sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.
CMS posted a Q&A document from the July 31/August 1, 2018 SNF QRP Provider Training which is available at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/July_August_2018_SNF_QRP_Provider_Training_Q_and_A-1.pdf.
Facilities must submit the Personal Funds Account Balance Report (TPL Form) to MO HealthNet for any expired resident that was a MO HealthNet participant; or was a recipient of aid, assistance, care, services; or if the resident had money expended on his/her behalf by the Department of Social Services. This does not apply to discharged residents.
If a resident had no personal funds remaining at the facility, in any account, with whatever title the account may be known when they expired, then a TPL form does not need to be sent.
Certified facilities must submit the TPL Form within 30 days of expiration, while state licensed facilities must submit within 60 days of expiration.
The TPL form can be found at manuals.momed.com/forms/Personal_Funds_Account_Balance_Report.pdf.
The SNF QRP Calculations and Reporting User’s Manual V2.0 has been added to the Downloads section of the SNF Quality Reporting Measures Information page found at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information.html. This version of the Manual is effective on October 1, 2018 and provides detailed information for each QRP QM.
SNF QRP Measure Calculations and Reporting User’s Manual Version 2.0 [PDF]
Aaron King has been chosen as Missouri’s Caregiver of the Month for October! Aaron provided care for his step-mother, Joanna King, before she passed, and continues to pay his kindness forward to the senior community in which she resided. To read Aaron’s story, go to health.mo.gov/seniors/caregiver.php. Here you will also find the nomination form and resources for caregivers.
If you know someone who puts his/her life on hold to care for a family member or friend, DHSS invites you to nominate them today for the Caregiver of the Month. In December, an overall Caregiver of the Year will be selected.
October 12, 2018: Know Better, Do Better, Part 3
Guest: Sarah Brown, E.D. Empira
The status quo had to change. Consider these facts:
Empira recognized the challenge and is now making a “night and day” difference for the residents they serve through a culture of restorative sleep. For this, the 3rd show in our series, Sarah Brown will share what Empira has learned, how they transformed their culture and the impact of this on residents
October 2, 2018: Region 2 Agenda
Location: Drury Plaza Hotel Cape Girardeau Conference Center, Cape Girardeau
October 3, 2018: Region 7 Agenda
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
October 10, 2018: Region 5 Agenda
Location: Quality Inn & Suites, Hannibal
October 11, 2018: Region 6 Agenda
Location: Capitol Plaza Hotel & Convention Center, Jefferson City
October 23, 2018: Region 1 Agenda
Location: Oasis Hotel and Convention Center, Springfield
October 24, 2018: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs
October 25, 2018: Region 4 Agenda
Location: Red Lion Hotel, St. Joseph
Please see the updated information regarding our 2018 Annual Provider Meetings below.
**Earn up to 5.25 CEUs (depending on the session(s) attended).
***Advanced registration is not necessary. There is no cost to attend any of these meetings.
2018 Annual Provider Meetings Flyer
Handouts – These handouts attached will not be provided at the meeting so please print them and bring them with you.
Resident Funds
Protective Oversight-What Does That Really Mean
Opioid Crisis, “Talk About It”
Ombudsman (The things we do)
Complaint by the Numbers 2.0-A look at FY18 Complaints
Home Health and Hospice/Discharge Updated 10/10/18
Meet the Engineers
LTC Survey Process (One Year Later)
Life Safety Code Updates
November 27, 2018: Nursing Facility Level of Care Stakeholder Meeting
Location: Capitol Plaza Hotel, Jefferson City
Please see the November Stakeholder Invitation with the updated information for the final LOC Stakeholder meeting scheduled for November.
Vickie Failor has been chosen as Missouri’s Caregiver of the Month for September! Vickie was the caregiver for her father in law, Francis, in order to keep him out of a nursing home. She made sure he aged with dignity and respect in the comfort of his own home. To read Vickie’s story, go to health.mo.gov/seniors/caregiver.php. Here you will also find the nomination form and resources for caregivers.
If you know someone who puts his/her life on hold to care for a family member or friend, DHSS invites you to nominate them today for the Caregiver of the Month. In December, an overall Caregiver of the Year will be selected.
October 7, 2018: Walk to End Alzheimer’s
Location: Ellis-Porter Riverside Park, Jefferson City
Alzheimer’s disease is the 6th leading cause of death and affects millions of people. It kills more than breast cancer and prostate cancer combined. DHSS is partnering with the Alzheimer’s Association to raise awareness for Alzheimer’s care, support and research. Please join our Director, Dr. Randall Williams, and your DHSS colleagues in the Walk to End Alzheimer’s on Sunday, October 7th at 11 a.m. This is a family friendly walk with roughly .65 miles that will be held at Ellis-Porter Riverside Park Pavilion, 1425 Riverside Dr. Jefferson City. Teams may consist of one or more persons, and may include friends, colleagues, family members, etc. Teams will need to create a team name and designate a captain to register the team online. Each team member will then go online to register under their team name. “Team DHSS” has already been created and the team roster is growing. If you would like to join our team you may do so here. However, if you choose to create your own team, please include DHSS in your team name so we can represent our department with as many staff as possible! Everyone who participates will receive a flower pinwheel to represent someone you know that has been affected by this disease. For more information and to register, go to the 2018 Walk to End Alzheimer’s – Jefferson City, MO.
October 15-18, 2018: Dementia Care Mapping for Realizing Person Centered Care
Location: The Neighborhoods by Tiger Place, Columbia
Dementia Care Mapping (DCM) is a method to evaluate the delivery of person centered care and, in general, to improve the quality of care delivered to persons with dementia in formal care settings. DCM goes to the real heart of caring by striving to assess care from the viewpoint of the person with dementia. It involves making and recording detailed observations. DCM provides valuable, clear and reliable information for those concerned with quality care for people with dementia. After the data is analyzed, immediate feedback can be given to care partners so that existing practices can be analyzed and improved.
Please see the flyer for more details including registration.
If you are a Missouri licensed administrator, please complete a short survey from the Missouri Board of Nursing Home Administrators. Your input is valuable to the Board and very much appreciated.
Survey link – www.surveymonkey.com/r/L28VFLT
The updated Hand in Hand: A Training Series for Nursing Homes is now available on the Centers for Medicare & Medicaid Services’ (CMS’s) Integrated Surveyor Training Website (ISTW). Hand in Hand is available as a self-paced training as well as an instructor-led course and may be accessed using the links below. The self-paced training may take approximately 24 hours to complete.
Self-Paced Online Training – Hand in Hand: A Training Series for Nursing Homes Online
Downloadable Materials for Instructor-Led Training – Hand in Hand: A Training Series for Nursing Homes Download
This training focuses on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matter experts, created this training to address the need for nurse aides’ in-service training on these important topics.
The Hand in Hand: A Training Series for Nursing Homes was previously developed as an instructor-led training conducted by nursing home staff for nurse aides. The Hand in Hand training will now be available as a self-paced, online training and available to download for use as an instructor-led course.
Federal law requires that nurse aides complete in-service training on dementia management and resident abuse prevention. Additionally, facilities must provide dementia management and resident abuse prevention training to all facility staff, (direct and indirect care and auxiliary functions) contractors, and volunteers.
For help with registration and all other technical issues, please contact the ISTW Helpdesk at cmstraininghelp@hendall.com.
Quality measures (QM) review and proper documentation for flu and pneumonia vaccinations can assist in improving quality of care for your residents. Click on the following links to learn more about these QMs and coding.
QM: Percent of Residents Accessed and Appropriately Given the Pneumococcal Vaccine (video)
QM Tip Sheet: Pneumonia Vaccine – Long Stay (PDF)
QM: Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine (video)
QM Tip Sheet: Influenza Vaccine – Long Stay (PDF)
The Enhanced Leadership Development Academy (ELDA) is now on-line and FREE to Missouri NHAs and RNs working in Skilled Nursing Facilities. This professional development course offers an engaging on-line learning environment with an emphasis on practical application that will help you successfully lead your organization. 50 CEUs are available and an official certificate from MU is issued to those who complete the course. Complete the course at your pace with no travel required while staying connected in on-line conversations and discussions with others taking the course. Some of the topics include: Conflict Management; Leading and Sustaining Change; A Team Approach to QI with Guidance on PIPs; Financial Considerations for LTC Leaders; Creating & Leading PCC and much more. The on-line course starts in November but enrollment is ongoing so you may start any time after November.
Please see the flyer for more details. If you have any questions please contact Alexis Roam at roama@missouri.edu or 573-512-0816.
September 25, 2018: St. Louis – Positive Approach ® to Brain Change and St. Louis – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
September 26, 2018: Columbia – Positive Approach ® to Brain Change and Columbia – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
October 4, 2018: Springfield – State Survey Process: Surprise State is Here!
October 11, 2018: Poplar Bluff – State Survey Process: Surprise State is Here!
October 12, 2018: St. Louis – State Survey Process: Surprise State is Here!
October 24, 2018: Kansas City – State Survey Process: Surprise State is Here!
October 24, 2018: St. Louis – Intimacy, Sexuality, and Dementia
October 25, 2018: Cape Girardeau – Intimacy, Sexuality, and Dementia
October 26, 2018: Columbia – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 6, 2018: Chillicothe – Intimacy, Sexuality, and Dementia
November 7, 2018: Kirksville – Intimacy, Sexuality, and Dementia
November 7, 2018: Cape Girardeau – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 8, 2018: St. Louis – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
September 21, 2018: Know Better, Do Better: Part Two
Guest: Sarah Brown, Executive Director, Empira
Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on
Hear about their approach to quality improvement that focuses on human needs and behavior.
*The second show in the series will share Empira’s findings regarding what really causes falls, i.e. noise — and meaningful ways to reduce falls other than alarms.