Category: Long Term Care Blog

State RAI Coordinator Coming to a QIPMO MDS Support Group Meeting Near You!

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State RAI Coordinator Coming to a QIPMO MDS Support Group Meeting Near You!

July 10, 2018: The Communities of Wildwood Ranch, Joplin
July 19, 2018: St. Charles City-County Library, Spencer Road Branch, St Peters
July 20, 2018: Bethesda Dilworth, St. Louis
July 24, 2018: Plattsburg
July 27, 2018: Independence
October 10, 2018: Salem
October 11, 2018: Poplar Bluff
October 12, 2018: Cape Girardeau
October 15, 2018: Springfield
October 25, 2018: Festus
October 25, 2018: Willow Springs
October 26, 2018: New Madrid or Hayti
November 20, 2018: Ozark

Stacey Bryan, the State RAI Coordinator will be presenting at MDS Support Group Meetings across the state to discuss CASPER Reports. You do not have to be an MDS Coordinator to attend; other staff that may find the information helpful include ADONS, DONS, Corporate Nurses and Administrators. Please visit the QIPMO Nursing Home Help website for more details.

AHFSA Clostridium Difficile Infection

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Please see the information here about The Association for Health Facility Survey Agencies’ (AHFSA) partnership with The Centers for Medicaid Services (CMS) and The Centers for Disease Control and Prevention on the collaborative approach to promote the prevention and control of Clostridium Difficile.

Provider Feedback Survey

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Provider Feedback Survey

The Section for Long-Term Care Regulation is seeking input from long-term care providers. We are asking for your help to identify areas in our Section where excellent customer service is provided and areas where we need to focus on improving our customer service experience.

Please take a couple minutes to complete our Provider Feedback Survey at www.surveymonkey.com/r/7TWRHGG by June 30, 2018.

CMS Fire Safety Information

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CMS Fire Safety Information

CMS provided updated Fire Safety information for distribution to surveyors and providers. Please see the information here.

Note: Missouri’s state regulation for implementation of an approved fire watch in a SNF is more stringent than the federal regulations.  Facility’s must comply with state requirements:

19 CSR 30-85.022(11) (E) requires: When a sprinkler system is to be out of service for more than four (4) hours in a twenty-four- (24-) hour period, the facility shall immediately notify the department and the local fire authority and implement an approved fire watch in accordance with NFPA 101, 2000 edition, until the sprinkler system has returned to full service. I/II

TMF QIN Spotlight

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Reducing Antipsychotic Medication Use

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Reducing Antipsychotic Drug Use in Long-Term Care Settings (Video)
Create Connect: Creative Activity Workbook

Action Pact: Conversations with Carmen

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Conversations with Carmen

June 8, 2018: The Value of Hosting a Kids Day Camp
Guest: Beth Irtz, Administrator Shalom Park

Learn how a day camp can easily be made part of life in your community, from lessons learned in three-day camps during the summer of 2017. Outcomes for both youth and residents were so powerful that you may wonder why every nursing home doesn’t host a summer day camp!

Guest Beth Irtz and Hostess Carmen Bowman received a CO CMP grant to offer the camps. Together they will share how you can make such a meaningful week happen in your community.

MHCA Webinar

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MHCA Webinar

July 10, 2018: Facility Assessment – Food and Nutrition Services
Presenter: Nichole Burnett, MS, RDN, LD with Graves Menu Maker Foods

This session will focus on the food and nutrition services portion of the facility assessment requirement. A review of areas to address during the assessment will be covered. Specific examples will be provided to illustrate why they are a concern and how they integrate into core competency training needs for the facility.

Pioneer Network’s Hot Topics: Culture Change in Action Webinar

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Pioneer Network’s Hot Topics: Culture Change in Action Webinar

July 19, 2018: Story Sharing: Connecting with Residents and their Families – Toward Person-Centered Meaningful Care
Guide: Diane Heliker, RN, PhD

The focus of this presentation is to illustrate how story, the narrative of one’s lived experiences, reveals what is most meaningful to each unique resident in long-term care communities. A sampling of research findings addressing story is offered along with the relationship-based caring practice of Story Sharing. To assist all staff and caregivers, strategies that ensure the successful gathering of stories are introduced followed by exercises demonstrating the interpretation of stories and the discovery of what is most meaningful to a resident. Once these meanings are revealed, they are incorporated into each resident’s care/life plan. Examples are offered throughout.

Pioneer Network’s Hot Topics: Culture Change in Action Webinar

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Pioneer Network’s Hot Topics: Culture Change in Action Webinar

August 23, 2018: Addressing the Staffing Crisis
Guide: Denise Boudreau-Scott, President DRIVE

Solving the complex staffing problem requires the involvement of stakeholders and providers like you! Leaders, including direct supervisors, have a significant impact on retention and recruitment of the best talent. Providers can no longer afford to think of an engaged workforce as an appealing goal, but essential for improving the resident experience, customer service, quality, and financial outcomes. Attracting the right people, keeping them, and inspiring them to perform at their highest level is not only a nicety in today’s world, it’s a necessity!

LeadingAge 2018 Annual Conference

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LeadingAge 2018 Annual Conference

September 17-19, 2018: Life on Purpose
Location: The Chase Park Plaza Hotel, St. Louis

The theme this year is LIFE ON PURPOSE. Inspired by your purpose – serving older adults – LeadingAge Missouri has organized a remarkable 2 1/2 days of opportunities to learn together and celebrate one another. The goal is to help you achieve your goals and purposes in life. Please see the event page for more details including the registration brochure.

2018 MHCA Convention

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2018 MHCA Convention

August 26-29, 2018: 70th Annual Convention & Trade Show
Location: Branson Convention Center, Branson

MHCA is excited to bring you another year of the most requested and up-to-date education sessions available. Each day will offer a range of education to meet the needs of the entire staff, from Certified Nurse Assistants to owner. You will have the opportunity to earn up to 20 continuing education hours – a proposed schedule is now available. Held again this year at the Branson Convention Center, with the convenient location adjacent to the Branson Landing. Don’t miss the opportunity to tour the Trade Show, widely regarded as the leading long term care trade show in Missouri with over 170 booths, your time spent in the Exhibit Hall will offer you the latest products, innovations, and people who support our profession. Come prepared to see and learn about the best companies and products available in long-term care and the potential to win some great booth giveaways.

2018 MALA Fall Conference

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2018 MALA Fall Conference

October 7-9, 2018: MALA Fall Conference
Location: Camden on the Lake, Lake Ozark

The conference agenda is now accessible and includes several speakers and presentations over a three-day period. The option to attend all or just one day is included on the registration form. Please see the agenda and attendee registration form for further details.

2018 MLN Oktoberfest

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2018 MLN Oktoberfest

October 17-19, 2018: Oktoberfest Long-Term Care Conference
Location: Hilton Branson Convention Center, Branson

The purpose of this intimate conference is to enable long-term care professionals to increase their knowledge and skills to better care for the elderly. Expert speakers will get you recharged while providing the latest information on hot topics in long-term care. The brochure along with registration details is now available on MLN’s Oktoberfest web page at the link above.

Administrator Licenses Expire June 30, 2018

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Administrator Licenses Expire June 30, 2018 – RENEW NOW

Administrator licenses expiring June 30, 2018 are up for license renewal. License renewal notifications were sent via email to the email address on file. Please note that once the renewal is complete, an electronic license will be issued via email. The Board office no longer mails paper licenses.

Please visit the Missouri Board of Nursing Home Administrator’s web page for the renewal instructions and renewal application at http://health.mo.gov/bnha. Remember to notify the Board office at BNHA@health.mo.gov with changes in your contact information, especially the email address.

Payroll-Based Journal (PBJ)

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PBJ

May 15, 2018 is the deadline for submitting staffing data for the Q1 of CY 2018 (1/1/18 through 3/31/18). 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.

CMS encourages facilities to check provider preview reports in the CASPER system for information regarding submitted PBJ data and to run CASPER reports (1700D Employee Report, 1702D Individual Daily Staffing Report, and/or 1702S Staffing Summary Report) to ensure their PBJ data was submitted accurately.

Questions regarding PBJ policy information can be directed to NHStaffing@cms.hhs.gov.

Questions regarding PBJ Data Specifications can be directed to NursingHomePBJTechIssues@cms.hhs.gov.

Skilled Nurses Facility (SNF) Quality Reporting Program (QRP) Deadline

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SNF QRP Deadline

The submission deadline for the SNF QRP is approaching. MDS data for all four quarters (January-December) of CY2017 is due on 5-15-18. Providers must submit all data necessary to calculate SNF QRP measures on at least 80% of the MDS assessments submitted to be in compliance with FY 2019 SNF QRP requirements.

The list of measures required for this deadline can be found on the CMS QRP SNF Quality Reporting Program Data Submission Deadlines.

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.

MU Enhances Leadership Development Academy (ELDA)

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ELDA

May to October, 2018

For RNs, NHAs, & SWs from settings other than skilled nursing facilities, this professional development certificate program offers a proven curriculum to help you build the self-confidence, talents and persistence you need to lead a top performing team. In addition, through this 50 CE credit certificate program you’ll gain enhanced knowledge and skills you can immediately apply to your work setting.

The 2018 program is offered over 5 months, May to October. The course first and last days (May 18 and October 19) are required face-to-face sessions in Columbia, MO. The remainder of course is online. The program target audience includes RNs (you do not have to be a DoN), NHAs and Social Workers. We highly encourage the RN-NHA leadership team to enroll together to foster the team’s ability to make sustainable improvement in their organization. The course includes the Leadership Practices Inventory (LPI) – evidence-based leadership assessment instrument and professional development planning package with one on one consultation.

For more information, please see the ELDA Brochure or visit the course event page.

LPN Licenses Expire May 31, 2018

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LPN Licenses Expire May 31, 2018 – RENEW NOW

Approximately 25,000 renewal postcards were mailed to LPNs in early March. The postcard contains online renewal instructions. You must either renew online or with a paper renewal. If you did not receive your postcard or need a paper renewal, complete this form and email, mail or fax it to our office. It takes 3-4 business days after your renewal is received before your license is renewed. You will not receive a license card. Go to www.nursys.com and enroll yourself in e-Notify as a Nurse in order to receive notification when your license is actually renewed. As an added benefit, you will also receive license renewal reminders and notification of any changes to your license or discipline status by enrolling yourself in this free service.

May 2018 QIPMO Newsletter

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New QIPMO Newsletter – May 2018

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 5, Issue 3.

In this issue:

  • Survey Preparedness Guide
  • Under Pressure
  • CMS Clarification
  • Changes in the 5-STAR Report
  • Complementary and Alternative Medicine for PTSD
  • Staffing: It’s Everybody’s Problem

Please visit QIPMO’s website here for this and other previous newsletters.

SNF Quality Reporting Program (QRP) Quality Measure (QM) Reports Available

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SNF Quality Reporting Program (QRP) Quality Measure (QM) Reports Available

As of 4/18/18, the SNF QRP report issues outlined in QTSO Memo numbers 2018-012 and 2018-046 were resolved. Data for SNF QRP Facility-Level QM Report, SNF QRP Resident-Level QM Report, and the SNF Review and Correct report has been recalculated to exclude the duplicated records, and the correct Admission Date displays on the SNF QRP Resident-Level Quality Measure report.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

CMS Memo: QSO 18-17-NH

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CMS Memo: QSO 18-17-NH: Transition to Payroll-Based Journal (PBJ) Staffing Measures on the Nursing Home Compare tool on Medicare.gov and the Five Star Quality Rating System

  • Transition to Payroll-Based Journal (PBJ) Data – Starting in April 2018, CMS will use 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.
  • Staffing data audits – We are providing lessons-learned from audits conducted, and guidance to facilities for improving their accuracy. Nursing homes whose audit identifies significant inaccuracies between the hours reported and the hours verified, or facilities who fail to submit any data by the required deadline will be presumed to have low levels of staff. This will result in a one-star rating in the staffing domain, which will drop their overall (composite) star rating by one star for a quarter.
  • Requirement for registered nurse (RN) staffing – We are reminding nursing homes of the importance of RN staffing and the requirement to have an RN onsite 8 hours a day, 7 days a week. Nursing homes reporting 7 or more days in a quarter with no RN hours will receive a one-star rating in the staffing domain, which will drop their overall (composite) star rating by one star for a quarter. This action will be implemented in July 2018, after the May 15, 2018 submission deadline for data for 2018 Calendar Quarter 1, 2018 (January – March 2018) data.
  • Technical assistance – CMS is continuing its efforts to help nursing homes submit accurate data, and there are a variety of ways described below in which facilities can seek support.
  • Future Actions – As of June 1, 2018, we will no longer collect facility staffing data through the CMS-671 form, and we will announce other future activities.

More information regarding this memo is available at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/QSO18-17-NH.pdf.

Conversations with Carmen

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Action Pact: Conversations with Carmen

May 11, 2018: Black Balloons or a Rainbow of Colors: How Our Perceptions of Aging Affect the Care We Provide
Guest Presenter:  Penny Cook, MSW; President/CEO of the Pioneer Network

We’ve all done it – sent an “over the hill” card to someone, purchased “anti-aging” products, refused to say our age and maybe even given the dreadful black balloons on a milestone birth celebration. It’s part of our culture, right? It’s meant to be funny. It helps us cope with the fact we’re getting older. But how does it really affect us? More importantly, how does it affect the care and support we provide to Elders? In this conversation, we’ll explore how our own perceptions of getting older as well as those of the general society affect our long-term care system as well as our specific care practices. Let’s be the change we want to see!