Category: Long Term Care Blog

Updated RAI Manual

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CMS has posted the updated version (v.1.12.0) of the Resident Assessment Instrument (RAI) User’s Manual, which goes into effect on October 1, 2014.

Go to https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html, and then look under Downloads where you can view/print the entire manual or only the replacement pages.  Change tables are also available which summarize the deleted and added wording.

You may also sign up for any of the following FREE webinars done by Carol Siem, MSN, RN, BC, GNP, Clinical Educator, QIPMO.
Monday, September 22, 2014: 2:00 p.m. – 4:00 p.m.
Tuesday, September 23, 2014: 10:00 a.m. – 12:00 noon
Tuesday, September 23, 2014: 1:00 p.m. – 3:00 p.m.
Thursday, September 25, 2014: 10:00 a.m. – 12:00 noon
Friday, September 26, 2014: 9:00 a.m. – 11:00 a.m.
Friday, September 26, 2014: 2:00 p.m. – 4:00 p.m.
To sign up go to: https://attendee.gotowebinar.com/rt/8072217808620282113.  After registering, you will receive a confirmation email containing information about joining the webinar.

Along with the updated manual is a new version of the Minimum Data Set (MDS) Item Set (v.1.12.0).  Software vendors should be making contact with providers to update/patch the MDS software.  In order to successfully transmit the MDS on and after October 1, 2014, providers will need to use the new version Item Set with Assessment Reference Dates (ARDs) of October 1, 2014 and later.

Questions may be directed to the MDS unit at 573-751-6308 or 573-522-8421.

Top 5 Life Safety Code (LSC) Deficiencies cited by CMS during LSC Comparative surveys in FY’14

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As part of CMS’s annual evaluation of the State Agency’s compliance with specific responsibilities, CMS conducts a LSC “comparative” survey in a number of facilities after SLCR completes the annual LSC survey in these facilities.  The results of these comparative surveys are shared with SLCR.  Here is a list containing the top five deficiencies CMS identified during completion of the past year’s LSC comparative surveys, including a brief summary of the most commonly identified issues found for each of these deficiencies.

Missouri League for Nursing One-Day Workshops

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Developing a Safety Culture in Long-Term Care
September 23, 2014:  Kansas City, Mo.
September 24, 2014:  Columbia, Mo.
October 8, 2014:  Hannibal, Mo.
November 13, 2014:  St. Louis, Mo.

Management of Depression in a Long-Term Continuum
September 17, 2014:  Cape Girardeau, Mo.
October 8, 2014:  Springfield, Mo.
October 15, 2014:  St. Louis, Mo.
November 5, 2014:  Kirksville, Mo.

Mental Health First Aid in the Long-Term Care Setting
September 23, 2014:  Rolla, Mo.
October 21, 2014:  Macon, Mo.
October 22, 2014:  Jefferson City, Mo.
November 5, 2014:  Poplar Bluff, Mo.
November 6, 2014:  St. Louis, Mo.

Visit Missouri League for Nursing for more information.

Bed Classification Forms – SLCR Process Change

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Effective immediately the survey and inspection teams will no longer have facilities complete or verify their Licensed and Certified Bed Classification forms (DA 113) at the time of inspection/survey.  Instead, we will ask facilities to review and verify the accuracy of the most recent approved bed listing that we have on file during the relicensure-application process every two years.  The most recent approved listing will be provided to facilities in their relicensure packet for easy reference.

We hope this change will make it easier to verify the continued accuracy of our records and it will be one less thing to worry about during the onsite survey process for you and our staff.

CMS Memorandum S&C 14-43-NH: Completion of Minimum Data Set(MDS) 3.0 Discharge Assessments for Transfer from Medicare- and/or Medicaid-Certified Beds to Non-Certified Beds

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CMS reinforces the need to do MDS discharge assessments in the attached Survey & Certification memo 14-43-NH dated August 25, 2014.  Specifically, if a resident is moving from a certified bed to a non-certified bed in the same facility, then a discharge assessment is completed and transmitted.  The reverse then would apply:  If the resident moves from a non-certified bed to a certified bed, the OBRA MDS process begins.  The MDS is required to be completed and transmitted only for certified beds.  Furthermore, if a facility chooses to do the MDS for a non-certified bed, then they must not transmit that MDS.

View the memo here:  S&C 14-43-NH or visit http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-43.html

Utilizing Process Improvement (QAPI) to Avoid a Missouri Top Ten Deficiency Part 2

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This seminar puts the process improvement portion to work utilizing case studies based on MO 2013 top 10 deficiencies.
October 3, 2014: Macon, Mo.
October 7, 2014: Springfield, Mo.
October 8, 2014: Blue Springs, Mo.
October 14, 2014: St. Charles, Mo.

Please view the flyer here: MANHA – Utilizing Process Improvement QAPI Part 2
Visit the Missouri Association of Nursing Home Administrators at www.mlnha.org.

October is National Residents’ Rights Month

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The theme for Residents’ Rights Month 2014 is, “Better Staffing: The Key to Better Care” with the goal of encouraging residents and others to be educated about staffing and long-term 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.  Visit www.theconsumervoice.org/events/residents-rights-month-2014.

Long-Term Care National Collaborative – Opportunity to Reduce Infections

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Missouri nursing homes are invited to join a national collaborative to improve safety culture and reduce infections in long-term care, including Catheter Associated Urinary Tract Infections (CAUTIs).  This collaborative is being led through a partnership between the Center for Patient Safety and the Missouri Hospital Association.  Please view the flyer here: Long-Term Care Opportunity Reduce Infections or visit www.centerforpatientsafety.org/ltc-cauti.

AHRQ and Joint Commission Launch E-Learning Module to Reduce Infections

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Applying High Reliability Principles to Infection Prevention and Control in Long-Term Care

Free online learning module and index of resources!

Staff at all levels can help prevent healthcare-associated infections by using a 50-minute e-learning tool based on high reliability principles.  The online module teaches long-term care facilities to apply these principles, which can help them achieve safety, quality and efficiency goals, prevent infections and achieve high safety performance over extended periods.  Visit www.jointcommission.org/HRipcLTC.aspx.