QIPMO – Emergency Preparedness
October 17, 2017: QIPMO Emergency Preparedness 101
Location: Friendship Village, Village Care Center, St. Louis
Please see the flyer QIPMO Flyer for details. Space is limited. Please RSVP!
Category: Long Term Care Blog
Conversations with Carmen
Conversations with Carmen
October 20, 2017: Improving the Dining Experience for Residents – Honoring Choice, Exceeding Regulations
Guest Presenter: Suzanne Quiring, RD, CDM, SuzyQ Menu Concepts
Want to provide a great dining experience, preferences and choice – and be in compliance with new CMS requirements? Learn how to work within budget & time restrictions, tackle cold food, high food waste, endless food preference lists issues and how to move away from tray and pre-plate service to self-determined meal delivery that honors resident choice while saving money. Photos, real examples and many ideas will be shared to help communities implement practical culture change ideas with the confidence of the literature, best practices and federal requirements to back them up.
For more details, including times and full registration, please visit events.r20.constantcontact.com/register/eventReg?llr=aievf5bab&oeidk=a07eenu4xaq26132c77.
SLCR New Region 7 Manager
SLCR New Region 7 Manager
The Section for Long Term Care Regulation is pleased to announce that Lisa Sommerhauser will be the new Region 7 Manager. Lisa has a Bachelor Science in Nursing and a Master of Public Health & Certificate in Biosecurity. She has been a registered nurse for over 30 years, has experience in multiple areas of nursing and many years of experience in management and strategic planning. Most recently, Lisa has been a Facility Advisory Nurse with the complaint team in Region 7. Lisa’s first day as the Region 7 Manager will be October 1, 2017. Congratulations, Lisa!
CMS PowerPoint Presentation: 2017 RAI User’s Manual Provider Updates
CMS PowerPoint Presentation: 2017 RAI User’s Manual Provider Updates
A PowerPoint presentation that highlights the major changes to the October 1, 2017 version of the RAI Manual has been posted to the CMS MDS webpage at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html. The presentation can be found as #6 in the Related Links section at the bottom of this webpage. Please note that the presentation provides an overview of the major changes but not all of the changes to the manual. Providers should also review the RAI Manual Change Tables and the manual itself to understand all of the changes.
TMF QIN Nursing Home Quality Improvement Spotlight on….
Reducing Inappropriate Use of Antipsychotic Medications – Communication
Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotic use. However, meeting their needs can become challenging if their behaviors are not understood. Click on the following links to learn more.
Do You KNOW Your Residents? (video)
MU Enhances Leadership Development Academy (ELDA)
MU Enhances Leadership Development Academy (ELDA)
November 2017-May 2018
A professional development certificate program for RNs, NHAs and Social Workers using a proven curriculum to improve leadership behaviors with a combination of face-to-face meetings and two webinars. Offered over 7 months, it features an innovative and evidence-based curriculum with a strong focus on application to practice and peer consultation.
This will be the last time the ELDA will be taught in a face-to-face format. If you prefer to learn in a live classroom, be sure to enroll now. Beginning in Spring/Summer 2018, we are pleased and excited to offer the ELDA in a mostly online format. You will receive a separate mailing on this option.
For more information, include brochure and registration, please visit nursingoutreach.missouri.edu/lda.aspx.
Influenza Vaccination Requirements
Influenza Vaccination Requirements
There has been legislation passed in the last couple years regarding influenza vaccination requirements. Homes should be implementing these requirements as applicable.
198.053. Assisted living facilities, notification of posting of latest Vaccine Informational Sheet. — No later than October first of each year, in accordance with the latest recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, each assisted living facility, as such term is defined in section 198.006, shall notify residents and staff where in the facility that the latest edition of the Vaccine Informational Sheet published by the Centers for Disease Control and Prevention has been posted. Nothing in this section shall be construed to require any assisted living facility to provide or pay for any vaccination against influenza, allow the department of health to promulgate any rules to implement this section, or cite any facility for acting in good faith to post the Vaccine Informational Sheet.
198.054. Influenza vaccination for employees, facilities to assist in obtaining. — Each year between October first and March first, all long-term care facilities licensed under this chapter shall assist their health care workers, volunteers, and other employees who have direct contact with residents in obtaining the vaccination for the influenza virus by either offering the vaccination in the facility or providing information as to how they may independently obtain the vaccination, unless contraindicated, in accordance with the latest recommendations of the Centers for Disease Control and Prevention and subject to availability of the vaccine. Facilities are encouraged to document that each health care worker, volunteer, and employee has been offered assistance in receiving a vaccination against the influenza virus and has either accepted or declined.
S&C Memo: 17-43-ALL: Quality and Certification Oversight Reports (QCOR) Website Launch
S&C Memo: 17-43-ALL: Quality and Certification Oversight Reports (QCOR) Website Launch
New Website Platform and Data System: The Centers for Medicare & Medicaid Services (CMS) is releasing information related to the new QCOR website in an overarching initiative for increased transparency.
Please see the full memo at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-43.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending.
New MDS 3.0 RAI Manual Posted
New MDS 3.0 RAI Manual Posted
CMS posted the MDS 3.0 RAI Manual v1.15 on their website on 8/31/17, which will be effective October 1, 2017. The new Manual can be found in the Related Links Section at the bottom of the following CMS website www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-instruments/NursingHomeQualityInits/MDS30RAIManual.html
The Related Links section at the bottom of this page contains:
- MDS 3.0 RAI Manual v1.15 October 1, 2017
- A Single PDF file of the entire RAI manual for use as an electronic version with bookmarks that you can click on to take you to each section of the manual.
- MDS 3.0 RAI Manual v1.15 and Change Tables October 1, 2017
- Traditional zip files of the RAI manual and the change tables that crosswalk the changes made to this year’s manual. Note: This is the same material as the first item above, except there are separate files for each chapter or subchapter.
- MDS 3.0 RAI Manual v1.15 Replacement Manual Pages and Change Tables October 1, 2017
- Replacement pages for this year’s manual changes for those that want to just update their existing paper based manual with the pages that have changed. It also includes the change tables that crosswalk the changes made to this year’s manual.
- MDS Forms (Item Sets) v1.15.1 October 1, 2017
- Two folders separate the v1.15.1 MDS forms (MDS item sets) into those used in long term care facilities (SNFs and NFs) and those used in swing bed facilities.
MDS 3.0 Section M in Advances in Skin & Wound Care
MDS 3.0 Section M in Advances in Skin & Wound Care
Elizabeth Ayello has published an article on the MDS 3.0 Section M in Advances in Skin & Wound Care, September 2017 – Volume 30 – Issue 9. This is a free access article, which means anyone can read the article free of charge. There is also an option for CEUs. Elizabeth’s article is available on the Advances in Skin & Wound Care website at journals.lww.com/aswcjournal/Pages/currenttoc.aspx, in the Clinical Management Section, and is titled: CMS MDS 3.0 Section M Skin Conditions in Long-term Care: Pressure Ulcers, Skin Tears, and Moisture-Associated Skin Damage Data Update.
SNF QRP Review and Correct Reports & Confidential Feedback Reports
SNF QRP Review and Correct Reports & Confidential Feedback Reports
SNF providers were recently notified of two issues affecting the SNF QRP Review and Correct Reports & Confidential Feedback Reports.
An issue was identified within the SNF Review and Correct Report, if one or more modification records are submitted for a patient stay, the most recent submitted assessment, which was accepted by the ASAP system on or prior to the submission deadline for Q1 and Q2 of CY2017, was not being used in the measure calculation.
All quality measure data has been recalculated and is now available in the SNF Quality Reporting Program report category in the CASPER Reporting application. Providers are encouraged to request the report to view updated measure results. The updated report should replace versions of the report requested prior to the issue notification.
The second issue that was identified in the technical coding, which affected our calculation of one measure contained in the SNF Review and Correct Report related to the measure Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function, also affected the SNF QRP Confidential Feedback Report (SNF Quality Reporting Program (QRP) Quality Measure Report) is still being resolved and further guidance is forthcoming.
As a reminder, all data for assessment-based measures required in the SNF QRP in CY2017 will remain open to modifications until May 15, 2018. We anticipate that the data currently “frozen” as of August 15, 2017 to be subject to updates as of mid-September. Another notice will be issued once the Review and Correct Report Q1 2017 SNF QRP data is open again.
Further guidance and timelines has been posted to the SNF Quality Reporting Program Data Submission Deadlines webpage.
All facilities will receive an email blast notifying them of the above. We will continue to send follow-up announcements as further guidance can be given.
If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.
Have you been to a QIPMO MDS Support Group Meeting lately???
You don’t have to be an MDS Coordinator to attend
Often, the topics discussed are beneficial not only for MDS Coordinators but also for floor nurses, Social Services staff, DONs, ADONS and Administrators. You can find a schedule of meetings and topics by going to the Nursing Home Help website found at www.nursinghomehelp.org/supgr.html. Some past topics have included Quality Measures, QRP requirements, Phase 1 and 2 Regulation Implementation, discussions with the State RAI Coordinator and State Surveyors, PPS Scheduling, CAA documentation, Care Plans, MDS Review for Social Workers, Wounds, Section GG Coding, Behavior Documentation and ICD-10 Coding. You are welcome to attend any meeting anywhere in the state, no RSVP needed.
TMF QIN Nursing Home Quality Improvement Spotlight on….
Reducing Incontinence
Urinary incontinence can cause a variety of issues in older adults. Tools are available for identifying and improving incontinence such as assessment techniques and established care plans. Click on the following links to learn more.
Sample Care Plan: Urinary Incontinence (PDF)
Urinary Incontinence Assessment in Older Adults (PDF)
Low-Risk Residents Who Lose Control of Their Bowel or Bladder (Long Stay) Root Cause Analysis Tool (Excel)
MHCA Workshops
MHCA Workshops
September 25-28, 2017: Social Service Designee Workshop
Location: MHCA Office, Jefferson City
November 1-2, 2017: CNA/Nurse Leadership Conference
Location: Camden on the Lake, Lake Ozark
November 6-7, 2017: Federal Review Course for Nursing Home Administrators
Location: Embassy Suite Airport Hotel, Kansas City
MLN Fall Workshops
MLN Fall Workshops
Cape Girardeau
September 27, 2017: Addressing Psychiatric Crises
Chillicothe
October 26, 2017: Addressing Psychiatric Crises
Columbia
November 17, 2017: Staff Empowerment and Making a Home
Kansas City
September 27, 2017: Staff Empowerment and Making a Home
October 5, 2017: Improv for Caregivers
October 25, 2017: Addressing Psychiatric Crises
November 9, 2017: A Fresh and Nutritious Perspective
Kirksville
November 8, 2017: Addressing Psychiatric Crises
Poplar Bluff
October 5, 2017: A Fresh and Nutritious Perspective
Springfield
October 4, 2017: Staff Empowerment and Making a Home
St. Louis
September 28, 2017: Addressing Psychiatric Crises
October 26, 2017: Improv for Caregivers
November 2, 2017: A Fresh and Nutritious Perspective
November 16, 2017: Staff Empowerment and Making a Home
MHCA Events
MHCA Events
Seminars
October 3-4, 2017: AHCA/NCAL Silver Quality Award Seminar
October 24-25: AHCA/NCAL Bronze Quality Award Seminar
MALA Fall Conference
MALA Fall Conference
October 8-10, 2017: Fall Conference 2017
Location: Camden on the Lake Hotel, Lake Ozark, MO
MHCA Webinar
MHCA Webinar
October 11, 2017: Increase in ADL Help, Ability to Move Independently Worsened, & Improvement in Function
Building An Effective QAPI Plan to Meet Regulatory Requirements
Building An Effective QAPI Plan to Meet Regulatory Requirements
October 12, 2017: Ramada Oasis Hotel, Springfield
October 17, 2017: Stoney Creek Hotel & Conference Center, Independence
October 18, 2017: Comfort Inn, Macon
October 19, 2017: Courtyard by Marriott, St. Peters
Please see the full brochure and registration information at www.mlnha.org/educational-offeringsconventions/.
MLN Oktoberfest
MLN Oktoberfest
October 18-20, 2017: Oktoberfest Long-Term Care Conference
Location: Hilton Convention Center, Branson
The purpose of this 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.
Please see the full details and brochure at www.mlnmonursing.org/events/nursing-home-administrator-oktoberfest-2/.
TMF QIN Clinical Pharmacist-led Calls: Medication Safety and Adverse Drug Event Reduction
TMF QIN Clinical Pharmacist-led Calls: Medication Safety and Adverse Drug Event Reduction
October 18, 2017: 3:30 – 4:30 p.m. CT
Register for this Event
November 15, 2017: 3:30 – 4:30 p.m. CT
Register for this Event
December 20, 2017: 3:30 – 4:30 p.m. CT
Register for this Event
January 17, 2018: 3:30 – 4:30 p.m. CT
Register for this Event
You will receive a confirmation email with meeting information, URL, phone number, password and registration ID to use on the day of the event. Please save this email.
Providers in Arkansas, Missouri, Oklahoma, Puerto Rico and Texas are invited to participate in this clinical pharmacy sharing series to improve care for Medicare patients by learning about the following:
- Improving medication reconciliation among providers
- Reducing adverse drug events and polypharmacy
- Reducing unnecessary hospital admissions and readmissions
- Improving medication adherence
- Best practices, lessons learned and evidence-based guidelines from other providers in the region
About the Presenter: Niki Carver, PharmD, CPPS, and Pharmacy Consultant
Dr. Carver is currently the pharmacy director at Arkansas Continued Care Hospital (ARCCH) of Jonesboro, a 44-bed long-term acute care hospital. In addition to her role with ARCCH, she serves as pharmacy consultant for the TMF Quality Improvement Network. In this role, she is a valuable resource for medication safety initiatives and care transitions.
Pioneer Network’s Hot Topic: Culture Change in Action
Webinar Series: Sharing Power – Creating Choice
Pioneer Network stands ready to help! In our final webinar series of 2017, join expert guides as they share with you tips, techniques, tools and a dose of inspiration, to help you grow leaders in your organization.
See the dates and topics below. OR Click here to learn more about the Sharing Power – Creating Choice Series
October 19, 2017: Stuck in the Middle – Creating a Supervisor Training Experience for Mid-Level Staff
Guides: Elizabeth Schave-Bemis, VP Marketing, Promotions & Assisted Living Operations, United Methodist Home and Faith Wajdowicz, VP of Clinical Services, United Methodist Home
- Define what is meant by a relationship-centered mission.
- Discuss the challenges faced by mid-level staff.
- Learn how to create a training module to support the educational needs of mid-level staff.
November 16, 2017: Effective Nurse Leadership: Leading Change with Enthusiasm
Guide: Kelly Papa, MSN, RN, Corporate Director of Learning Masonicare University
- Discuss the skills needed to lead transformation when bringing culture change to your organization.
- List the steps required to facilitate change.
- List methods used when creating a culture which is adaptable to change.
December 14, 2017: Leaders Can Influence Care: Successful Pain Management for Elders Living with Dementia
Guide: Jeannine Forrest, PhD
- Discuss how the way you lead can influence clinical outcomes for residents.
- Define the impact of poorly controlled pain on individual residents and organizational outcomes.
- List ways that leaders can support better outcomes.
15th Annual Missouri Health Policy Summit
15th Annual Missouri Health Policy Summit
October 26-27, 2017: Setting the Table for Success
Location: Hilton Garden Inn, Columbia
ALF Resident Assessment Training
ALF Resident Assessment Training
October 30-November 1, 2017: 2017 ALF Resident Assessment Trainings
2017 PROVIDER MEETINGS
Please plan now to join us for one of the 2017 Annual Long Term Care Provider Meetings.
Location Flyer – 2017 Provider Meeting Locations Flyer
Region 1 – September 27, 2017
Region 1 Agenda
Region 2 – October 24, 2017
Region 2 Agenda
Region 3 – October 11, 2017
Region 3 Agenda
Region 4 – October 12, 2017
Region 4 Agenda
Region 5 – October 5, 2017
Region 5 Agenda
Region 6 – October 16, 2017
Region 6 Agenda
Region 7 – October 25, 2017
Region 7 Agenda
The Provider Meetings will continue to be held in two sessions, the first session will be for Residential Care Facilities/Assisted Living Facilities, and the second session will be for Skilled Nursing Facilities/Intermediate Care Facilities. This year in order to avoid repetition in the program we will conduct a combined session for all provider types to cover topics of interest relevant to all levels of care. The combined session will run from 10:15 until noon. Registration is not required. CEU’s will be available for Nursing Home Administrators.
Presentation handouts – As in previous years, handouts will not be provided at each meeting. It is your responsibility to print them and bring them to the meeting if you desire.
Most Frequently Cited Deficiencies
Safe and Effective Medication System
Survey Process/ CMS Updates UPDATED 10/5/17
Emergency Preparedness UPDATED 10/5/17