The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 2, Issue 3. Topics in this issue include MDS Spotlight: Did You Know?; What People are Saying; Validation Reports; IMPACT Act; Nicky Martin’s Questions from the Field; Medication Errors; and Advanced Care Planning. Please visit QIPMO’s website here for this and other previous newsletters.
Category: Long Term Care Blog
Survey and Certification Memos
15-31: Focused Dementia Care Survey Pilot (NH – 3/27/15)
Attached to this memo is a final report that outlines the basis for the Focused Dementia Care Survey Pilot, the process utilized, conclusions gathered based upon post-pilot data analysis, as well as next steps for the future. The CMS plans to expand upon the work of the focused survey pilot and has invited States to conduct such surveys in FY2015 on a voluntary basis. The expansion project will involve a more intensive, targeted effort to improve surveyor effectiveness in citing poor dementia care and the overutilization of antipsychotic medications, and broaden the opportunities for quality improvement among providers. Deficient practices noted during the surveys will result in relevant citations. In the event that additional care concerns are identified during on-site reviews, those concerns will be investigated during the survey or will be referred to the SA as a complaint for further review. The memo is attached here and one attachment is attached here.
15-34: Grant Award: Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents (NH – 4/3/15)
The Centers for Medicare & Medicaid Services (CMS) invited proposals for a grant opportunity to utilize Federal CMP Funds for the support and further expansion of the National Partnership to Improve Dementia Care in Nursing Homes. The Eden Alternative, Inc. was deemed to be the most eligible applicant and has been awarded a grant, in the amount of $293,129.00, for their project entitled, “Creating a Culture of Person-Directed Dementia Care.” The memo is attached here.
15-35: Implementation of Section 6106 of the Affordable Care Act – Collection of Staffing Data for Long Term Care Facilities (NH – 4/10/15)
In this memorandum, CMS notified States of the posting of technical specifications and related information for the electronic submission of staffing information based on payroll data. This information is posted at: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html. The memo is here.
CMS National Nursing Home Quality Care Collaborative (NNHQCC) Change Package v2.0 – Now Available
The Change Package developed as part of the CMS National Nursing Home Quality Care Collaborative is being used by CMS and Quality Improvement Organizations and is intended to complement evidence-based tools and resources. A change package is a menu of strategies, change concepts and specific actionable items that any nursing home can choose from to begin testing for purposes of improving quality of care.
Please visit Advancing Excellence’s website here for more information and to download the full package.
Most Frequently Cited Deficiencies Report – 1st Quarter 2015
Please view the quarterly report from the Section for Long-Term Care Regulation here.
Lunch and Learn
May 18, 2015: Legal Steps in Advance Care Planning: Planning for Incapacity
Speaker: Brigid Fernandez, LCSW
This webinar will help attendees learn the tools needed to plan for incapacity, understand the Power of Attorney documents for Health Care and Finances and when to rely these documents, and also understand the different issues related to a person’s capacity.
The webinar if FREE, but registration is required. Please see the flyer attached or click here to register.
AADD’s 25th Annual Conference
May 18-19, 2015: Aging with Developmental Disabilities Conference
Location: St. Charles Convention Center, St. Charles, MO
Keynote Speakers: Joseph H. Flaherty, MD, Assistant Director Geriatric Medicine Fellowship Program, St. Louis University Division of Geriatric Medicine; Sheli Reynolds, PhD, Director, Individual Advocacy and Family Support, UMKC Institute for Human Development; and Carolyn Philpot, GNP , St. Louis University School of Medicine
Explore and understand what we need to look for to ensure the best health and wellness for people with developmental disabilities who are aging. Sessions are designed to support caregivers and professionals in enhancing the lives of people with developmental disabilities who are aging.
Please visit the Association on Aging with Developmental Disabilities’ event page here for more information.
Person-Centered Care Tips
Selfie Tip #6: Me in My New Home
Just as a “selfie” is about YOU, Person-Centered Care is all about the PERSON! Think of yourself in an unfamiliar situation. Finding the bathrooms and where to get a cup of coffee or a bite to eat is likely a top priority. And by the way… who are all these people and how will I remember their names?
Please see the flyer here for more information.
Hot Topics: Culture Change in Action
May 26, 2015: Safety vs. Autonomy for Elders: What if Maslow was Wrong
Presenter: Theresa (Terri) A. Harvath, Ph.D., RN, FAAN
During this webinar, we will examine case studies and generate ideas and strategies to help care providers make well-reasoned decisions when the values of autonomy and safety collide.
Please visit www.pioneernetwork.net/Events/HotTopics for more information and to register for this webinar.
Hot Topics: Culture Change in Action
April 23, 2015: QI Closest to the Resident: Engaging Staff to Prevent Avoidable Hospitalizations and Use of Antipsychotic Medications
Presenter: Barbara Frank, co-founder of B&F Consulting, Warren, RI and Clare Hays, MD, Medical Director, Birmingham Nursing and Rehabilitation Center, Birmingham, AL, and Medical Director of Alabama CMS Innovation Center Project to Reduce Avoidable Hospitalizations among Nursing Home Residents, an AQAF initiative
This webinar provides the how-to for a simple, potent process of moving QI out of the conference room to the staff closest to the residents. During the webinar, speakers apply QI closest to the resident to preventing avoidable hospitalizations and use of antipsychotic medications for residents living with dementia but the practice can be used for any quality improvement effort.
Please visit www.pioneernetwork.net/Events/HotTopics for more information and to register for this webinar.
Conversations with Carmen
April 17, 2015: Alarms: The New Deficient Practice? Eliminating and Preventing Falls by Engaging in Life
Guest: Carmen Bowman, co-author of new book with same title published by Action Pact
Special Guest Host: Glenn Blacklock, LNHA, Action Pact Consultant
Alarms – an idea whose time has come and gone. The results may shock you. Remove alarms and avoid falls with new approaches.
Please visit actionpact.com/calendar/event_details/conversations_with_carmen_webinar for more information and to register.
Celebrate National Public Health Week
Celebrate National Public Health Week, April 6-12. Missouri’s theme is “Public Health: Better Health. Better Missouri”.
Investing in prevention and public health can make an enormous difference. During this week, help raise awareness of the critical role that public health and prevention play in keeping individuals and communities healthy.
The Missouri Department of Health and Senior Services has created an inspiring video about public health. To help raise awareness about public health, we encourage you to add a link (or embed) to the video on your webpage and facebook page. View the video at: http://health.mo.gov/information/nphw/index.php. Directions to embed the video on your webpage and facebook page can also be found on this link.
DHSS also created a video of public health photos. The photos were submitted by local health departments across the state. View the photos at: https://youtu.be/7og4Y-38ABk.
A toolkit for promoting National Public Health Week can be found at: http://health.mo.gov/information/nphw/. The toolkit includes social media messages, a sample proclamation, a sample news release, talking points, a promotional ecard and much more.
For each day of National Public Health Week, the American Public Health Association has developed a theme. DHSS has modified the national themes slightly to fit Missouri. Those themes are listed below, along with things you can do to develop better health habits in your home, workplace and community. To view the national daily activities go to: http://www.nphw.org/tools-and-tips/themes.
Monday, April 6: Raising the Grade. Missouri trails other states in life expectancy and other measures of good health, and this holds true across all ages and income levels. Individuals can take small steps to improve their health and communities can make a big difference by starting the conversation with leaders and community groups to make health the easier, available choice.
Tuesday, April 7: Starting from Zip. Today, your zip code says too much about your health. Across America, there are unacceptable disparities in health by race and ethnic group, state by state and even county by county. The effort to make Missouri a healthier state starts with equity across our communities.
Wednesday, April 8: Building Momentum. Influential leaders, companies and organizations are taking important steps in line with creating a healthier state, just look at recent actions by your local public health department, city/county government and community organizations.
Thursday, April 9: Building Broader Connections. In the work to become a healthier state we can’t do it all on our own. We have to expand our partnerships to collaborate with city planners, education officials, public, private and for-profit organizations, employers – everyone who has an impact on our health.
Friday, April 10: Building on 20 Years of Success. 2015 marks the 20th anniversary of National Public Health Week and the accomplishments of the public health community over the last two decades are significant, such as a 25-year improvement in the average lifespan for Americans and a 70 percent reduction in HIV/AIDS-related deaths. During this week, help raise awareness of the critical role that public health and prevention play in keeping individuals and communities healthy.
For more information, contact Lori Buchanan, Missouri Department of Health and Senior Services, Lori.Buchanan@health.mo.gov or 573-751-6060.
On the Road to Culture Change…Visit to Marshfield Care Center
In February 2015, Section for Long-Term Care Regulation Communications Representative Leslie Sebastian and I visited Marshfield Care Center and Marshfield Place. Marshfield Care Center is a 77-resident skilled nursing home and Marshfield place, next door, is a 40-resident residential care home… to read more and view photos, click here: Marshfield Care Center.
Conversations with Carmen
April 17, 2015: Alarms: The New Deficient Practice? Eliminating and Preventing Falls by Engaging in Life
Guest: Carmen Bowman, co-author of new book with same title published by Action Pact
Special Guest Host: Glenn Blacklock, LNHA, Action Pact Consultant
Alarms – an idea whose time has come and gone. The results may shock you. Remove alarms and avoid falls with new approaches.
Please visit actionpact.com/calendar/event_details/conversations_with_carmen_webinar for more information and to register.
MANHA’s 2015 Annual Convention
May 31 – June 3, 2015: Create a “Monopoly Empire” of Care with MANHA Education
Location: Camden on the Lake, Lake Ozark, MO
Registration for attending the Missouri Association of Nursing Home Administrators’ 2015 Annual Convention is now available.
Please see the brochure here or visit the MANHA’s Conventions & Seminars webpage for more information.
Missouri Assistive Technology Conference & Expo 2015
April 13-14, 2015: Power Up 2015
Location: Holiday Inn Executive Center, Columbia, MO
Speakers: Mark Richert and Josh Blue
This year’s conference features a host of national and regional presenters to appeal to disability organizations, rehabilitation and other health professionals, case coordinators, social workers, state and local agencies, and more. Sessions include a wide variety of AT topics like what’s new with mobile devices, augmentative communication devices and apps, remote monitoring systems, AT for intellectual disabilities, AT in the community, electronic health records, and more. Transition will be another big focus this year. And don’t miss this year’s Expo which will include more assistive technology and disability exhibitors than ever. A limited number of scholarships for individuals with disabilities and family members are available.
Please visit Missouri Assistive Technology’s conference site here for all of the details including on-line registration, conference schedule, and session descriptions.
MANHA’s Spring 1 day Seminars
- April 9, 2015: Nursing Home Compare 3.0 & New 5-Star Quality Rating Unveiled
Location: Ramada Oasis Hotel, Springfield, MO - April 10, 2015: Nursing Home Compare 3.0 & New 5-Star Quality Rating Unveiled
Location: Harrah’s North Kansas City Hotel, North Kansas City, MO - April 15, 2015: Nursing Home Compare 3.0 & New 5-Star Quality Rating Unveiled
Location: Comfort Inn, Macon, MO - April 16, 2015: Nursing Home Compare 3.0 & New 5-Star Quality Rating Unveiled
Location: Sheraton Lakeside Chalet, St. Louis, MO - April 28, 2015: Dementia: Connecting Through Music
Location: Harrah’s North Kansas City Hotel, North Kansas City, MO - April 29, 2015: Dementia: Connecting Through Music
Location: Courtyard By Marriott, Columbia, MO - April 30, 2015: Dementia: Connecting Through Music
Location: Sheraton Lakeside Chalet, St. Louis, MO
The brochures are located here: Nursing Home Compare 3.0 & New 5-Star Quality Rating Unveiled and Dementia: Connecting Through Music.
Please visit the MANHA’s Conventions & Seminars web pagefor more information.
Person-Centered Care Tips
Selfie Tip #5: The Power of Huddles: Making sure we all see the same picture
As in football, a caregiver huddle gathers to briefly exchange information, share observations and develop strategy. Use huddles to pass insights about what really helps each resident feel comfortable and understood, so that all caregivers are equipped to provide the best person centered care.
Please see the flyer here for more information.
Hot Topics: Culture Change in Action
March 19, 2015: Using the Dining Standards and Toolkit to Balance Compliance with Honoring Choice, Mitigating Risk and Preventing Accidents
Presenter: Carmen Bowman, Edu-Catering: Catering Education for Compliance and Culture Change
This is your opportunity to learn practical strategies to use the Dining Standards and tools to balance your home’s compliance with the requirements to both honor choice and prevent accidents.
Please visit www.pioneernetwork.net/Events/HotTopics for more information and to register for this webinar.
Long Term Care Administrator’s Week is March 8-14, 2015
The Missouri Board of Nursing Home Administrators commends and thanks our licensed administrators for their commitment in providing quality of care and quality of life for the residents. Take time during this week to honor our administrators for their leadership and hard work.
2015 Cancer Summit
April 30-May 2, 2015: Provided by the Missouri Department of Health and Senior Service’s Comprehensive Cancer Control Program and the Missouri Cancer Consortium
Location: Hilton Garden Inn, Columbia, MO
Keynote Speaker: Anne Katz, PhD, RN, FAAN from CancerCare Manitoba
The purpose of this conference is to enhance knowledge of the learner in the area of evidence-based cancer care with the end result of improving the quality of life of the cancer survivor. Medical and health professionals will present on a wide variety of topics including cancer and sexuality, mammography quality, disparities in primary care systems, cancer registry, oncology rehab and physical therapy, genetics and hereditary cancer, lung cancer screening, life after surgery – recovery and reconstruction, and promoting a smokefree Missouri.
Health care professionals involved in the care of people with cancer, regardless of setting or practice specialty, are encouraged to attend along with those interested in organizing or participating in a local smokefree initiative. Continuing education credits for Registered Nurses, Licensed Practical Nurses, Social Workers, Registered Dieticians, Dietetic Technicians and Mammography Technologists have been requested.
Summit Presentations
-Day 1 Presentation Materials
- Promoting a Smokefree Missouri (Reliford, Martin)
- Comprehensive Smokefree Ordinances (Kennedy)
- Coalition Building for Policy Change (Warren)
- Working with City and County Officials (Reliford, Martin, Warren)
- Guide to Power Mapping
- Sample Strategic Plan Guide
-Day 2 Presentation Materials
- Comprehensive Cancer Care – Is Sexuality In There? (Katz)
- Measuring Mammography Quality to Decrease Breast Cancer Mortality Disparities (Tossas-Milligan)
- Facing Disparities in Primary Care Systems (Grotefendt)
- What is a Cancer Registry? (Currence)
- Oncology Rehabilitation: An Evidence-Based Approach to Restoring Function, Health, and Wellness (Stout)
- Working in Cancer/Nutrition Trenches: Nuts and Bolts of Effective Patient-Centered Care (Borchardt)
-Day 3 Presentation Materials
MALA Spring Conference
April 19-21, 2015: Reaching New Heights
Location: DoubleTree Hotel, Chesterfield, MO
Registration for attending the Missouri Assisted Living Association’s 2015 Spring Conference is now available.
Please visit MALA’s website here for registration forms for this conference.
MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in Long-Term Care – April 2015
April – October 2015: Springfield and Kansas City area
Enrollment is now open for the next MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in Long Term Care in the Springfield and Kansas City area. Long-term care can be challenging, but the Academy will help you better manage daily crises and get the most out of your employees, all while earning over 40 hours of CE credit. 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 attached or visit their website here.
Personal Needs Allowance Increase
Effective January 1, 2015, the Personal Needs Allowance for MO HealthNet participants residing in a Supplemental Nursing Care and Vendor facility increased from $45.00 to $50.00 per month. The Personal Needs Allowance is a portion of the resident’s income that is not applied to the payment for the costs of the care in the facility, but is income they retain and may choose to use for personal needs or expenses not provided by the facility
Visit the MO HealthNet Division Provider Bulletins’ web page here.
MC5 Music & Memory Certification Incentive
The MC5 Board of Directors recently approved funding the full $600 reduced cost of completing the MUSIC & MEMORY℠ Certification Program for 40 Missouri care provider organizations. The participation requirements and application for this incentive are now available online.
Please see the flyer attached and visit the MC5 Music & Memory Certification Incentive web page here.