CMS S&C Memo 16-40-NH/HHA/CLIA

CMS S&C Memo 16-40-NH/HHA/CLIA:  Notice of Interim Final Rule (IFR) Agjusting Civil Monetary Penalties (CMPs)

CMS S&C Memo 16-38-ALL

CMS S&C Memo 16-38-ALL:  Notification of Final Rule Published-Emergency Preparedness

 

CMS S&C Memo 16-37-ALL

CMS S&C Memo 16-37-ALL:  Office of Civil Rights (OCR) Clearance

Oral Liquid Docusate Sodium Recall

The FDA and CDC announced the voluntary nationwide recall of oral liquid docusate sodium manufactured by PharmaTech and distributed by Rugby Laboratories.  The agency confirmed the product has been contaminated with Burkholderia cepacia, a bacteria linked to an outbreak in five states.  The bug, with resistance to some antibiotics, is more harmful in immunocompromised individuals.

 

More information can be found here.

LeadingAge MDS Webinar

Commonly Asked Questions on the MDS, M-Section

Webinar – November 10, 2016, 11:00 a.m. – 12:15 p.m. CT

Presenter: Pamela Scarborough,  American Medical Technologies

The purpose of this presentation is to provide education regarding commonly asked questions from clinicians about the MDS 3.0, M-Section and wounds.

 

Please find registration and more information here

LeadingAge Busy Doing Nothing? Webinar

Busy Doing Nothing? How to Foster Purpose and Meaning for Seniors in LTC

Webinar –November 9, 2016 webinar 11:30 a.m. – 12:45 p.m. CT. 

Presenter: Kathleen Weissberg, Select Rehabilitation

Are your residents busy doing nothing?  Are they actively engaged?  Research evidence indicates today’s seniors prefer continued engagement in meaningful and purposeful activities and occupations.  Those who are occupationally active show positive therapeutic benefits, demonstrate fewer negative behaviors, need less help with self-care tasks, report positive mood, and describe greater quality of life.

Please find registration and more information here.

LeadingAge Where Did the Stars Go? Webinar

Where Did the Stars Go? An Overview of the Five-Star Quality Rating System

Webinar–October 12, 2016, 10-11:15 a.m.

Presenter: Suzy Harvey, BKD National Health Care

This webinar will review the three components of the Five-Star rating system, how they are calculated and proactive ways to improve your facility’s Five-Star Rating. Please find registration and more information here.

Leading Age Annual Conference

47th Annual Conference

September 12-14, 2016:  47th Annual Conference

Location: Chase Park Plaza Hotel

Come join us at the historic Chase Park Plaza Hotel for our 47th annual conference.  Our educational offerings cover topics of interest to all levels of staff.   Our location brings the amenities of St. Louis within easy reach, including Downtown St. Louis, the Clayton business district, the Metro link rail system and Lambert International Airport.  Earn a maximum of 15 CE hours, 11 of them PC.

 

Please find registration and more information here

Consumer Voice – webinar series

Webinar  – Obtaining Quality Care for Residents with Dementia

September 13, 2016: Webinar 1:00 p.m.-2 p.m.

Presenter:   Jonathan Evans, MD

This webinar presents successful person-centered strategies that lead to quality care for residents with dementia.

 

Webinar  – Piecing Together Quality Long-Term Care

October 11, 2016: Webinar 1:00 p.m.-2 p.m.

Presenter:   Robyn Grant, MSW               

This webinar will walk you through the different pieces you, or your client, need to consider to obtain quality long-term services and supports.

 

More information and registration is available here

Empira researcher Sue Ann Guildermann coming to Missouri

Empira researcher Sue Ann Guildermann coming to Missouri to share research findings that link long-term care residents’ falls with sleep interruptions and discuss interventions proven to reduce falls and improve residents’ quality of life

Three half-day seminars will be held at the following locations:

  • November 29, 2016 – St. Charles
  • November 30, 2016 – Osage Beach
  • December 1, 2016 – Blue Springs

CEUs will be available for long-term care administrators, social workers, and activity professionals.

Funding for this project provided by MOLANE, Missouri Health Care Association, MC5, and Health Systems, Inc.

Pleas see the flyer attached for more information including registration.

Conversations with Carmen

Getting Residents Out of Wheeled Chairs

September 16, 2016, Webinar 1pm CDT

Presenters: Carmen Bowman and Diana Waugh, BSN, RN, CDP

We all know that wheels were put on chairs for transportation. That certainly makes sense and provides people with any limitation on their ability to get from point A to point B. How is it then that individuals who reside in many communities dedicated to caring, spend the vast majority of their time awake sitting in a wheeled chair? Something has gone awry with the application of a very specialized piece of equipment.   Wheeled chairs were never meant as seating devices.   We can also state all of the negative effects of having people sitting in a wheeled chair… but there are still way too many people doing just that.  We will look at the underlying change in belief that must occur to move to a new culture where wheeled chairs become simply a mode of transportation, and are unoccupied most of the time.

 

More information and registration is available here

Pioneer Network Hot Topics Webinar

Improving the Dining Experience: Practical Solutions backed by CMS Regulations and the New Dining Practice Standards

September 15, 2016, 1-2:30 p.m. CDT

Presenters: Carmen Bowman and Suzanne Quiring, RD

Do you want to provide a great dining experience for your residents, honor their preferences and choices and be in compliance with both current and proposed CMS requirements? Learn how to move away from tray and pre-plate service to self-determined meal delivery that honors resident choice while saving money. Photos, real life examples and many ideas will be shared to help food service professionals implement practical culture change ideas with the confidence of the literature, best practices and federal requirements to back them up.

 

More information and registration is available here.

Region 6 – Manager

Laura Smith

Laura Smith is the new Section for Long-Term Regulation Region 6 Program Manager. Laura has been with the Section for over 16 years, and has held various positions as a Facility Advisory Nurse. She has served as the interim Region 6 Program Manager in the past and most recently has been the complaint supervisor. Laura may be reached at 573-751-2270 or by email at laura.smith@health.mo.gov.

FCSR IMPORTANT NOTICE – Registration Fee increase

Registration Fee Increase

Effective October 1, 2016, the Family Care Safety Registry Worker Registration fee will increase to $13.00. The fee increase results from a change in state law and is required by the Missouri State Highway Patrol.

 

The Family Care Safety Registry will return Worker Registration forms, submitted with the incorrect fee, that are postmarked on or after 10/01/2016. Updated Worker Registration forms will be available to download at http://health.mo.gov/safety/fcsr no later than September 15, 2016, or may be obtained by contacting the FCSR toll free at 866-422-6872.

 

This information is available on the FCSR website and the Registration and Background Screening System (BSEES).

CMS S&C Memo:16-33-NH: Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff

Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff

  • Each resident has the right to be free from all types of abuse, including mental abuse. Mental abuse includes, but is not limited to, abuse that is facilitated or caused by nursing home staff taking or using photographs or recordings in any manner that would demean or humiliate a resident(s).
  • This CMS memo discusses the facility and State responsibilities related to the protection of residents

The CMS memo is attached or you may visit https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-16-33.pdf

New State Law Effective August 28, 2016

Senate Bill 732

  • Senate Bill 732 established requirements for long-term care facilities to have policies and procedures that require the facility to give advance notification to emergency medical services personnel prior to the transportation of any at-risk behavioral health patient. An at-risk behavioral health patient is defined as any patient who displays violent, homicidal, or suicidal ideation or behavior.
  • There are other provisions of this law regarding emergency transports of at-risk behavioral patients that are of interest, but do not impose additional requirements on long-term care facilities.
  • Please review the bill and ensure appropriate policies and procedures are developed and implemented by the effective date of the legislation. Please contact Shelly Williamson, Assistant Administrator of the Section, at shelly.williamson@health.mo.gov with any questions regarding these new requirements.

CMS S&C Memo 16-31-NH: Mandatory Immediate Imposition of Federal Remedies and Assessment Factors Used to Determine the Seriousness of Deficiencies for Nursing Homes

CMS is implementing a national policy that requires the use of federal enforcement remedies when one or more residents suffer significant harm.

This new policy is effective for all surveys completed on or after September 1, 2016.

Please see the attached memo or you may visit https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-31.html?DLPage=1&DLEntries=10&DLFilter=nh&DLSort=2&DLSortDir=descending

Nursing Home Quality Improvement Spotlight On…

Staff Stability

Creating a quality-driven environment within a nursing home requires staff stability. Establishing processes, setting expectations and supporting staff are important aspects of this concept. Click on the following links to learn more about enhancing staff stability.

Change Package: Strategy 2 – Recruit & Retain Quality Staff (page 10)
New Employee Feedback Communication Tool
Advancing Excellence: Staff Stability Resources