In April, I visited Ratliff Care Center in Cape Girardeau. The 46-resident skilled nursing home is owned and operated by husband-and-wife team Emmagene and Carlos Ratliff, and their son Mike. They also operate Sprigg Street Manor, a…to read more and view photos, click here: Ratliff Care Center
Category: Long Term Care Blog
World Wide Pressure Ulcer Prevention Day
November 19, 2015: History of Pressure Ulcers and Wound Care: Past, Present, & Future
The National Pressure Ulcer Advisory Panel (NPUAP) is proud to announce that World Wide Pressure Ulcer Prevention Day will be November 19, 2015. The objective of World Wide Pressure Ulcer Prevention Day is to increase national awareness for pressure ulcer prevention and to educate the public on this topic. NPUAP has developed a free, extensive media materials package appropriate for all healthcare settings and organizations.
In honor of World Wide Pressure Ulcer Prevention Day, the NPUAP is pleased to offer a free webinar, hosted by NPUAP Director Dr. Jeffrey Levine, titled “History of Pressure Ulcers & Wound Care: Past, Present and Future.” Please visit the National Pressure Ulcer Advisory Panel’s webinar page here for more information.
Age of Disruption Tour
October 9, 2015: Aging: Life’s Most Dangerous Game
Location: Kranzberg Arts Center-Black Box Theater, St. Louis, MO
Join Dr. Bill Thomas and musical guest Nate Silas Richardson for an entertaining and highly disruptive evening exploration of aging as part of his national Age of Disruption Tour. His message is invigoratingly simple – the transition into our elder years should not be spent in frenzied disharmony. In order to play “life’s most dangerous game” successfully we need to re-imagine and create clear and satisfying purpose to how we spend the rest of our lives.
Please see the flyer attached for more information or visit Dr. Bill Thomas’ St. Louis events page here to register.
Readmissions, Medication Safety, and Behavioral Health Open Forum
October 14, 2015: Readmissions & Medication Safety Open Forum
Attend this free WebEx event to meet with TMF QIN-QIO Readmissions, Medication Safety and Behavioral Health quality improvement consultants who will be available to answer questions and provide technical assistance. During this monthly Open Forum, your team can network with other providers and TMF QIN-QIO staff, ask questions and problem-solve on topics such as Care Transitions, Readmissions Reduction, Medication Safety, Adverse Drug Events, Behavioral Health, or other issues your project may have.
Please see the TMF QIN-QIO registration page for this event here.
Person-Centered Care Tip
Tip #10: “Simple Pleasures: Preferences and Choices”
Learn how to honor each person’s “Simple Pleasures.” Personal preference is essential in almost every piece of our lives. Honoring a resident’s choice and discovering their likings can make a big difference in their lives.
Please see the attached tip for more information.
Certificate of Need (CON) Quarterly Survey
The 3rd Quarter 2015 CON quarterly survey opened on October 1, 2015 and is due by October 15, 2015. Facility administrators will be receiving a post card in the mail with the Facility Number and PIN, which are needed to log in. This information can be found above the facility name on the post card. The Facility Number and PIN have not changed, so you can also obtain this information from past survey letters. Be sure to record and save these numbers for future surveys.
Survey instructions are available once you are logged in, and can be found by pressing HELP at the bottom of the survey. If you have any questions, please send an email to consurvey@health.mo.gov or call 573-526-8553.
Per 19 CSR 30-82.010 (8) Every skilled nursing facility, intermediate care facility, residential care facility and assisted living facility issued a license or temporary operating permit by the department shall submit the required certificate of need quarterly surveys to the department on or before the fifteenth day of the first month following the previous Social Security quarter.
Failure to respond could cause the facility to become ineligible for expansion under CON law. It could also result in a competitor being granted a CON to build or expand in the facility’s service area.
26th Annual Gerontology Clinical Update
December 3-4, 2015: MU Gerontology Clinical Update
Location: Peachtree Banquet Center, Columbia, MO
This gerontology conference is two days of evidence-based and application-oriented educational programming based on a combination of suggestions from past participants, current literature and hot topics suggested by the conference planning committee. Experienced gerontology nurses from hospitals, LTC settings, rehabilitation, home and community health, as well as gerontology nursing faculty, a licensed nursing home administrator, social worker and a LTC facility surveyor, have determined the topics for this year’s event. Every effort has been made to translate the latest evidence into practical and useful knowledge for the gerontology practitioner.
Please see the brochure attached or visit the MU Gerontology Clinical Update conference page here for more information.
Missouri Association of Nursing Home Administrators Workshop
October 27, 2015: MANHA’s Compliance & HIPAA Workshop
Location: Ameristar Convention Center, St. Charles, MO
Whether new to compliance or a pro looking to fine tune your program, this workshop will help you take it to the next level. Identify strategies for avoiding and responding to compliance falls. Learn practical approaches for developing and keeping an effective approach to compliance. And problem solve and strategize to improve your compliance program and keep it effective.
Please see the brochure for more details or visit the Missouri Association of Nursing Home Administrators Convention & 1 day Seminar’s page.
Center for Patient Safety’s Long-Term Care Safety Improvement Program
The Center for Patient Safety has a new program to gather data to help Missouri providers address two major concerns: falls with injury and adverse events with high-risk medications. Participants in the program will spend a few minutes per event on a web-based data-gathering platform. CPS will process the information and, together with Primaris, develop solutions for issues identified in the reports. In addition to their contribution to safety, participants will benefit in several ways:
- Access to a data platform that can function as an internal electronic incident reporting system,
- Federal confidentiality protection for the participant’s work on the reported areas, and
- Access to an excel-based tool to record root cause investigations and CPS resources for effective investigation.
For more information, please see the flyer here or contact Kathy Wire at kwire@centerforpatientsafety.org.
Readmissions/Medication Safety/Behavioral Health Webinar
October 21, 2015: Transitional Care in a Small Rural Community: The Effects on Reductions of Readmissions
Speaker: Debbie Burchfield, RN, Director of Nursing and Chief Operations Officer with Grayson County Home Health
Join this webinar to explore the differences between a transitional care nursing program and usual care post-discharge, as well as the effect all-cause re-admissions has on geriatric patients with LACE risk scores of 9 or greater.
Please visit the event page here to register for this webinar.
Nursing Home Quality Improvement Collaborative Learning Session II
October 1, 2015: Collaborative Learning Session II: Activities for Daily Living, Incontinence and Antipsychotic Medications
Join this webinar to learn more about key interventions, strategies for improving activities of daily living, incontinence and antipsychotic medication quality measures through experiences shared by nursing home peers.
Please visit the event page here to register for this webinar.
Conversations with Carmen
October 1, 2015: Creating Rampant Normalcy
Guest Speaker: Glenn, Blacklick, NHA, Action Pact Consultant
The September webinar received such positive reviews that Action Pact is going to offer it again on Thursday, October 1. If you missed it the first time, here is your 2nd chance. This is a hot topic!
Nationally known for successfully bringing normal life pursuits to nursing home residents, Glenn will share how to accomplish this, from his dual perspective as a recreation therapist and innovative administrator. Hear how residents have ventured out of the community to climb trees, navigate rivers, go boating, fishing, motorcycling; and also ventured inside the community, engaging their talents and pursuing wellness. Glenn encourages others to look at their home and community through residents’ eyes – where a good life every day is within their reach.
Please visit the Conversations with Carmen event page here for more details including registration.
SLCR Region 1 Manager Announcement
It is with great pleasure that SLCR announces the appointment of Ruth Tuttle as the SLCR manager for Region 1 located in Springfield. Ruth’s promotion was effective September 16, 2015. Ruth has been with the section for several years and has held positions as a Facility Inspector, Facility Surveyor II and most recently as a Facility Surveyor III. In her most recent role as an FSIII, Ms. Tuttle supervised the Complaint Team and the Assisted Living and Residential Care Inspection Team. Ms. Tuttle welcomes your telephone calls at (417)895-6435.
October is National Residents’ Rights Month: “CARE Matters”
The theme for Residents’ Rights Month 2015 is, “CARE Matters” with the goal of highlighting quality care. Each year, the Consumer Voice develops a packet to help you plan your Residents’ Rights events. The packet is completely downloadable and features ready-to-use items, including promotional materials, activities to celebrate Residents’ Rights Month, training tools and resources.
Please visit the Consumer Voice website here for packet details and more information.
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 antipsychotics. However, meeting their needs can become very challenging if their behaviors are not understood. Click on the links below to learn more.
CDI Prevention
It is important to understand Clostridium difficile infections and guidelines for preventing infections. Click on the links below to learn more.
Care Planning for Resident Choice
The assessment of risk in long-term care is often an unbalanced exercise. In order to optimize opportunities for resident choice; to attain each resident’s highest practicable level of well-being; and to mitigate risk, the Rothschild Foundation has created a task force. This group is charged with developing a care planning process to plan for each resident’s choice when that choice carries potential risk.
For more information, including the pilot summary and process, please visit the MC5 resource page here.
e-Notify Nurse License Status
Do you have all of your nursing staff signed up? This free service from Nursys provides information about any changes to a nurse’s license status within 24 hours of a modification. This can benefit all licensed nurses, both RNs and LPNs as well as contracted nurses such as CNA instructors.
For more information, including sign up, please visit www.nursys.com.
Missouri History Museum Presents Professional Development Workshop
September 28, 2015: Dementia Arts: Celebrating Creativity in Elder Care Workshop
Location: AT&T Foundation Multipurpose Room
Poet Gary Glazner, founder and executive director of the Alzheimer’s Poetry Project and Institute of Dementia Education and Arts, leads a public workshop using the Missouri History Museum’s exhibits as inspiration for a performance and the creation of an original group poem.
Please see the brochure here for details including the registration link.
Region 5 – 2015 Annual Long-Term Care Provider Meeting
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
October 2, 2015: Region 5
Location: Macon, MO
As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year. Advance registration is not required.
Handouts will not be provided at the meeting so please print them and bring them with you. Please see the agenda and handouts for this specific location below.
2015 Provider Meeting Agenda- Region 5
Misappropriation: Medication Theft
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance
On the Road to Culture Change…Visit to Dolan Memory Care Homes (Update)
The Neighborhood at Les Maisons consists of four assisted living homes located on a private cul-de-sac in St. Louis. They are owned and operated by Dolan Memory Care Homes. The homes are named after French cities, Calais Manor, Clermont Manor, Lourdes Manor, and Lyon Manor. Each home has…to read more and view photos, click here: Dolan Memory Care Homes
MU Leadership Development Academy for Long-Term Care
November 2015 – May 2016: Columbia and St. Louis
April 2016 – October 2016: Kansas City and Springfield
Enrollment is now open for the next (Year Six) professional development certificate program offered by the University of Missouri. Long-term care can be challenging, but the academy will help you better manage daily crises and get the most out of your employees. The academy has been proven to increase leadership skills and improve confidence, which will help to create a working environment that encourages teamwork and quality improvement.
Please see the brochure here or visit the MU Leadership Development Academy’s web page here.
Nursing Home Quality Improvement Webinar
September 10, 2015: Key Interventions and Strategies for the Prevention of Clostridium difficile Infections (12:00 Noon-1:00 p.m. CT)
Join this webinar to learn more about Clostridium difficile infection (CDI) prevention. This session will feature an infectious disease specialist discussing key CDI interventions and strategies.
For more information, please visit the TMF website here and sign in. You may also register on the event page here.
When the Tail Wags the Dog
ChangingAging brings you this inspiring article about a 76-year-old woman who was rejected when she applied to adopt a second “senior” dog to keep her aging pet company. She was denied sight unseen, just based on her age alone. Read the article, When the Tail Wags the Dog, to see the true struggle this woman had endured.
You may also visit ChangingAging’s website here for this publication and other recent articles.
ICD-10 Resources
CMS has released a ICD-10 Resources Guide. The guide concentrates on quick references and key steps to take to get ready for the October 1 transition. Some of the resources include the Quick Start Guide, Infographics, Videos, and more ways to stay up to date on other information regarding ICD-10.
Please see the ICD-10 Resources Flyer for more information located here. You may also visit the CMS ICD web page here and the Road to 10 webpage here for the latest news and resources to help prepare.
Invasive Ventilator Program
This is a re-issue of the Invasive Ventilator Program bulletin that was originally published March 13, 2014.
The MO HealthNet Division (MHD), in collaboration with the Department of Health and Senior Services (DHSS), has implemented the Invasive Ventilator Program. This program provides additional reimbursement to nursing facilities in the State of Missouri for care of ventilator dependent participants.
Please see the bulletin here or visit the MO HealthNet Division Provider Bulletin’s web page here.