Please see the DHSS Health Alert, entitled, “Emerging Candida auris Infection Cases in Missouri Health Care Facilities.”
Should you have any questions, please contact the Missouri Department of Health and Senior Services’ Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7).
Learn the elements of Total Safety Management, a comprehensive behavior-based safety program, to reduce employee injury and minimize workers compensation expense. Learn about claims management and the HCFM workers compensation insurance trust.
Details and registration can be found on the links below.
February 7-8, 2024: Management Strategies for Workers Compensation in Today’s Long Term Care Environment
April 10-11, 2024: Management Strategies for Workers Compensation in Today’s Long Term Care Environment
June 12-13, 2024: Management Strategies for Workers Compensation in Today’s Long Term Care Environment
October 9-10, 2024: Management Strategies for Workers Compensation in Today’s Long Term Care Environment
Reminder that the Missouri Department of Health and Senior Services (DHSS) in moving into the next Phase of the COVID Prevention and Response Project. Phase II is an effort to provide iPads, conference video cameras, electronic stethoscope and digital blood pressure unit to all Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities.
The deadline for ordering is December 8, 2023.
These kits are being provided to your facility at no charge by the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project. Should you have any questions regarding this project, please contact Mary Menges, Project Specialist, at mary.menges@health.mo.gov.
New Funding Opportunity Available – Applications accepted until February 26, 2024.
The Health Resources and Services Administration (HRSA) released a New Notice of Funding Opportunity (NOFO) to educate and train the health and supportive care workforces to care for older adults by collaborating with community partners.
The Geriatrics Workforce Enhancement Program (GWEP) aims to have applicants maximize patient and family engagement to address care gaps and improve health outcomes for older adults by integrating geriatrics with primary care and other appropriate specialties using the Age-Friendly Health Systems Framework.
View the grant opportunity for complete eligibility information.
December 4, 2023: Registration
December 14, 2023: Registration
December 20, 2023: Registration
Presenters: Terri Werner, Central Area Positive Supports Consultant Lead
Brandy Allen, Northern Area Positive Supports Consultant Lead
Katherine Earll, Eastern Area Positive Supports Consultant Lead
Cana Poteet, Western Area Positive Supports Consultant Lead
Tools of Choice is an evidence-based program focused on the implementation of universal positive practices. This two-hour introductory training is open to community members, parents, and professionals. It covers key concepts of the Tools of Choice curriculum, including: What is behavior, building positive relationships, and how to increase desirable behavior. Join the Positive Support Consultants in learning strategies to make positive change by implementing universal positive practices.
Registration is also available on the Upcoming Webinar Webpage.
Community Education In-Person Presentations
January 11, 2024: Nutrition and Dietary Changes as We Age: Feed Your Soul
Location: St. Louis County Library Lewis & Clark Branch
January 23, 2024: Nutrition and Dietary Changes as We Age: Feed Your Soul
Location: St. Louis County Library Grant’s View Branch
Discover the essential elements to guarantee that you or your friends and relatives receive assistance with making healthy choices and access to resources for ongoing support. Enjoy a cooking demonstration, and learn about how nutritional needs, dietary deficiencies, and appetite levels change throughout life.
February 14-16, 2024: Unlock the Magic of Mardi Gras
Location: Holiday Inn Executive Center, Columbia
Missouri Association of Nursing Home Administrators is pleased to invite you to attend the Winterfest Conference and Trade Show. The goal of this conference is to provide long-term care administrators and their staff practical and inspirational education hours along with the opportunity to network and socialize with colleagues. It is also the only MANHA sponsored conference that provides you a chance to view the latest technology, products, and services offered by suppliers.
2024 MANHA Winterfest Attendee Brochure
2024 MANHA Winterfest Registration Information
Beginning today, ASPR is refreshing ordering on COVIDTests.gov for every U.S. household to order additional tests at no charge. Households that ordered this fall can order four more tests, and those that have not ordered this fall can submit two orders for a total of eight tests.
Additionally, we continue to provide over four million free COVID-19 tests per week directly to long-term care facilities, schools, community health centers, and food banks. To date, ASPR has distributed over 1.6 billion free COVID-19 tests to the American people through our testing programs, with a focus on access for at-risk populations.
We appreciate your ongoing assistance in reaching the broadest population throughout the country with information about the availability of additional free tests. More information on these efforts and a digital toolkit to share through your social media avenues is available at covidtests.gov.
Below is important information regarding modifications to the Long-term Care Facility COVID-19/Respiratory Pathogens Module and the COVID-19/Respiratory Pathogens Vaccination Module. The changes described below became available beginning the week of October 23, 2023, and are now visible within the NHSN application. Resources on the NHSN LTCF COVID-19/Respiratory Pathogens Module webpage and the COVID-19/Respiratory Pathogens Vaccination Modules webpage have been updated, where indicated, with revised forms, instructions, FAQs, and CSV templates.
Geolocation
Please disregard alerts asking you to confirm your facility’s geolocation. The facility geolocation function located on the ‘Facility Info’ page is not operational at this time.
Point of Care (POC) Test Reporting Tool
No enhancements
State Veterans Homes COVID-19 Event Reporting Tool
No enhancements
COVID-19/Respiratory Pathogens Pathway Data Reporting
New! The LTCF COVID-19 Module was renamed to align with the additional reporting options for Influenza and RSV that became available with the recent NHSN release.
New! Influenza/RSV Surveillance Tab (optional)
Influenza/RSV (optional) **NEW DATA TAB**
New! Influenza/RSV Surveillance Tab (optional)
The following data elements are collected for Influenza:
The following data elements are collected for RSV:
Weekly NHSN COVID-19 Vaccination Data Modules
Weekly Influenza/RSV Vaccination Reporting for Residents (optional) **NEW DATA TAB**
Reporting Influenza/RSV Vaccines for Residents under this tab is OPTIONAL. If a user opts to enter these data, information can be entered for both Influenza and RSV vaccination or only one.
Training Slides
Training webinars for the new Influenza/RSV collection tabs for LTCF residents for both the Surveillance Pathways and Vaccination Module were conducted in October 2023. The training slides can be found on the COVID-19/Respiratory Pathogens Module webpage.
Cancellation
The Office hours that were previously scheduled for November 15 regarding Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities has been cancelled. Notification will be sent out once this session has been rescheduled.
*Cancelled*
When: Nov 15, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: Office Hours: Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities
Reminder: Refresher Trainings on Reporting Annual Healthcare Personnel Influenza Vaccination Data
There will be two refresher trainings for long-term care facilities on reporting annual healthcare personnel influenza vaccination data. The deadline to report these data in the NHSN Healthcare Personnel Safety Component for the 2023-2024 influenza season is May 15, 2024.
The trainings will be held on November 21 and November 28. The content for each webinar is the same. The slides that will be presented during the webinars can be accessed here: Healthcare Personnel Safety Component Healthcare Personnel Vaccination Module Influenza Vaccination Summary Long-Term Care Facilities (cdc.gov).
Webinar registration information is listed below. After registering, you will receive a confirmation e-mail containing information about joining the webinar.
When: Tuesday, November 21, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_PcTHDlv6SC6xyA1VYUEurQ
When: Tuesday, November 28, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_lx1CWu4OSTmUDyuPgoo7AA
Additional training materials pertaining to annual healthcare personnel influenza vaccination data are organized under the “Annual” reporting headings on this webpage: HCP Flu Vaccination | HPS | NHSN | CDC.
Below is important information regarding modifications to the Long-term Care Facility COVID-19/Respiratory Pathogens Module and the COVID-19/Respiratory Pathogens Vaccination Module. The changes described below will become visible within the NHSN application and will take effect beginning the week of October 23, 2023. Resources on the NHSN LTCF COVID-19/Respiratory Pathogens Module webpage and the COVID-19/Respiratory Pathogens Vaccination Modules webpage will be updated, where indicated, with revised forms, instructions, FAQs, and CSV templates.
Geolocation
Please disregard alerts asking you to confirm your facility’s geolocation. The facility geolocation function located on the ‘Facility Info’ page is not operational at this time.
Point of Care (POC) Test Reporting Tool
No enhancements
State Veterans Homes COVID-19 Event Reporting Tool
No enhancements
COVID-19/Respiratory Pathogens Pathway Data Reporting
New! The LTCF COVID-19 Module will be renamed to align with the additional reporting options for Influenza and RSV that will become available with the upcoming NHSN release.
New! Influenza/RSV Surveillance Tab (optional)
Influenza/RSV (optional) **NEW DATA TAB**
New! Influenza/RSV Surveillance Tab (optional)
The following data elements will be collected for Influenza:
The following data elements will be collected for RSV:
Weekly NHSN COVID-19 Vaccination Data Modules
Weekly Influenza/RSV Vaccination Reporting for Residents (optional) **NEW DATA TAB**
Reporting Influenza/RSV Vaccines for Residents under this tab is OPTIONAL. If a user opts to enter these data, information can be entered for both Influenza and RSV vaccination or only one.
Upcoming Trainings
There will be training webinars for the new Influenza/RSV collection tabs for LTCF residents for both the Surveillance Pathways and Vaccination Module. Registration links as well as the accompanying training slides can be found on the COVID-19/Respiratory Pathogens Module webpage. The registration links are also located below:
When: Nov 15, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: Office Hours: Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities (1hr)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_s8SMWxtkS8GrSGn7qiAJbA
After registering, you will receive a confirmation email containing information about joining the webinar.
NHSN-ServiceNow is LIVE
Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The new portal can be accessed here or through your SAMS account at. After logging into SAMS, the NHSN-ServiceNow link is located at the bottom of the page.
NHSN-ServiceNow should be used in place of nhsn@cdc.gov, nhsntrain@cdc.gov, and nhsndua@cdc.gov. Users will be authenticated using CDC’s Secure Access Management Services (SAMS), the same way you access NHSN. If you do not have a SAMS login, or are unable to access ServiceNow, you can still email the NHSN Help Desk at nhsn@cdc.gov.
November 13-14, 2023: Federal Review Course for Nursing Home Administrators Examinees – Hybrid Workshop
The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. Prior to the workshop, it is essential the attendee understands concepts and principles involved in the long-term care industry.
November 15, 2023: Building Occupancy in your Assisted Living Center
Presenter: Lou Ann Brubaker – Lou Ann is the President of Brubaker Seminars
Traditional marketing and outreach strategies that once drove ALF move-ins are not as effective in today’s senior care marketplace. Across the country, the remarkable growth of assisted living centers and resident acuity have altered the competitive landscape. Any decline in occupancy is lost revenue that is nearly impossible to make up for. Assisted Living Centers need to be proactive to create a steady stream of inquiries by monitoring 3 data sets that enable more nimble strategies.
November 15, 2023: Registration
November 21, 2023: Registration
Presenters: Terri Werner, Central Area Positive Supports Consultant Lead
Brandy Allen, Northern Area Positive Supports Consultant Lead
Katherine Earll, Eastern Area Positive Supports Consultant Lead
Cana Poteet, Western Area Positive Supports Consultant Lead
Tools of Choice is an evidence-based program focused on the implementation of universal positive practices. This two-hour introductory training is open to community members, parents, and professionals. It covers key concepts of the Tools of Choice curriculum, including: What is behavior, building positive relationships, and how to increase desirable behavior. Join the Positive Support Consultants in learning strategies to make positive change by implementing universal positive practices.
Registration is also available on the Upcoming Webinar Webpage.
November 21, 2023: CNA Instructor Workshop – Hybrid
Presenter: Shellie Goodin, RN, MSN, MBA
This state-required and Missouri Department of Health & Senior Services approved CNA Instructor workshop is designed to prepare RNs to instruct nursing assistant students for long term care facilities in Missouri.
November 21, 2023: Clinical Supervisor Workshop – Hybrid
Presenter: Shellie Goodin, RN, MSN, MBA
This state-required and MO Department of Health & Senior Services-approved workshop is designed to prepare registered and licensed nurses to supervise nurse assistant students during their required on-the-job experience.
January 9-March 12, 2024: CMT/Insulin Certification Course
MHCA offers CMT Certification classes both in-person and hybrid. The next course is January 9, 2024 through March 12, 2024. Please contact Shellie Goodin, MHCA Director of Clinical and Quality Services, if you have questions. Pre-registration is required one week prior to the start date to assure materials are ordered.
January 24-25, 2024: MLN 2024 NHA Online Conference
Join Missouri League for Nursing in this two-day online conference. Earn up to 14 CE’s from the comfort of your home.
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls (Volume 11, Issue 1).
In this issue:
Please visit QIPMO’s website here for this and other previous newsletters.
Nursing homes are required to electronically submit direct care staffing information to the Payroll-Based Journal (PBJ) system. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. PBJ data for 7/1/23 through 9/30/23 is due November 14, 2023.
Please submit PBJ data as soon as possible to avoid delays. CMS recommends running staffing reports in CASPER prior to the submission deadline to ensure the accuracy and completeness of submissions. Please remember, the Final File Validation Report verifies that the submission was successful.
Please note: If you need assistance with the PBJ quarterly submission and the deadline falls on a weekend, you must contact the QIES/iQIES Service Center no later than the Friday before the submission deadline, as the Service Center will be unavailable to assist on the weekend.
More information about PBJ can be found on the following webpages:
CMS PBJ webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ
PBJ Reference Manuals – https://qtso.cms.gov/vendors/payroll-based-journal-pbj-vendors/reference-manuals
PBJ Training – https://qtso.cms.gov/training-materials/payroll-based-journal-pbj
SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. The following data must be submitted no later than 11:59 p.m. on November 15, 2023:
The Minimum Data Set (MDS) 3.0 must be transmitted to the Centers for Medicare & Medicaid Services (CMS) through the Internet Quality Improvement and Evaluation System (iQIES). Data for the National Healthcare Safety Network (NHSN) measures must be submitted to the Centers for Disease Control and Prevention (CDC). No additional data submission is required for the claims-based measures.
As a reminder, it is recommended that providers run applicable MDS reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.
Swingtech sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.
More information about SNF QRP can be found on the following webpages:
CMS SNF QRP Data Submission Deadlines webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Data-Submission-Deadlines
CMS SNF QRP Help webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-QRP-Help
CMS SNF QRP Measures and Technical Information webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information
CMS SNF QRP Training Webpage – https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Training
November 7, 2023: What Living as a Resident Can Teach Long-Term Care Staff
Location: Online Webinar
Presenter: Leslie Pedtke, MHA, LNHA
MC5 is pleased to be able to repeat this program after having experienced technical issues on the initial showing on October 10.
November 8, 2023: Self-Care for Helpers
Location: Methodist Church, the Celebration Center, Sedalia and Virtual
Presenter: Jessica Janis, LPC
This presentation provides information on vicarious trauma, burnout, and self-care strategies for helpers. We will also discuss ways to reduce stress, increase happiness, and promote whole person well-being. Most importantly, we will discuss common barriers for helpers to implement self-care. This fun but in-depth look at how we choose to treat ourselves is sure to help put your need for self-care into perspective.
November 9, 2023: Exploring Person-Centered Care: Where We’ve Been, Where We Are, and Where We Want To Go
Location: The Sarah Community, Bridgeton
Presenters: Joan Devine, Advocate, and Sennora Williams, MC5 Board President
Over the past years, providers have been faced with many challenges as they have worked to continue on the path to growing a culture in their communities that is person-centered. In order to find the way back to that path, we need to start by understanding the past – the ideals and the work that are the foundation of a person centered culture. Next step is to explore where we are. Current challenges, successes, and opportunities. With the past and present in mind, we are ready to define where we need to go, and what it will take, tools that can help up, and how, by working together, we can advance the work of growing person-centered cultures.
November 9, 2023: You’re Not Special: Navigating Staffing in the Me Culture
Location: Nevada Public Library, Nevada
Presenters: Wendy Boren, BSN, RN, QIPMO, University of Missouri, Sinclair School of Nursing and Nicky Martin, MPA, BS, LNHA, CDPQIPMO, Sinclair School of Nursing
Staffing is a constant battle, but the current culture makes staffing healthcare a different kind of challenge than we’ve ever faced before. Recruiting and retaining staff in the “me” culture requires ingenuity, patience, compromise, and a new spin on professionalism. This program will highlight those challenges through interactive discussion and give participants real tools to creative winning strategies that may just take them from “me” to “we.”
November 17, 2023: “Let’s Talk” on Regulation and Person-Centered Care
Location: Farmington Public Library, Farmington
Presenters: Kate Parsons, Regulatory Auditor Supervisor, and Cindy Rexroad, Regulatory Compliance Manager, DHSS Region 2
In this program we will talk about current hot topics related to long term care, frequently asked questions, recent changes, and frequent citations seen in the region. We will be focusing on moving forward with person centered care after the end of the COVID PHE.
November 17, 2023: You’re Not Special: Navigating Staffing in the Me Culture
Location: Cape Girardeau Public Library, Cape Girardeau
Presenters: Wendy Boren, BSN, RN, QIPMO, University of Missouri, Sinclair School of Nursing and Nicky Martin, MPA, BS, LNHA, CDPQIPMO, Sinclair School of Nursing
Staffing is a constant battle, but the current culture makes staffing healthcare a different kind of challenge than we’ve ever faced before. Recruiting and retaining staff in the “me” culture requires ingenuity, patience, compromise, and a new spin on professionalism. This program will highlight those challenges through interactive discussion and give participants real tools to creative winning strategies that may just take them from “me” to “we.”
The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.v2.October.20.2023” is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The errata document contains revisions to the MDS 3.0 RAI Manual version (v)1.18.11R to provide clarity and additional guidance in Section D and Chapter 6 to support item D0100, Should Resident Mood Interview be Conducted? serving as a gateway item for the Resident Mood Interview (PHQ-2 to 9©) and D0500, Staff Assessment of Resident Mood (PHQ-9-OV©). Minor revisions also included are corrections to language in Section Q to provide proper guidance on Care Area Assessment (CAA) requirements, corrections to language in Chapter 2 to provide proper guidance on combining Omnibus Budget Reconciliation Act (OBRA) discharge assessments, an updated Internet Quality Improvement & Evaluation System (iQIES) warning error message in Chapter 5, updated screenshots in Section A and Section O, and an updated MDS Item Matrix. The errata document also includes all issues from previous MDS 3.0 RAI Manual v1.18.11R errata releases.
Changed manual pages are marked with the footer “October 2023 (R).”
The errata document begins with a table that lists all identified revisions and the pages to which they have been applied. Following the table are the actual corrected replacement pages for insertion into the printed manual.
The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Changes in this version (listed below) align the item sets with the Errata V3.01.3 for MDS Data Specifications V3.01.1 (FINAL) posted September 21, 2023, on the Minimum Data Set (MDS) 3.0 Technical Information page. For a full list of changes to the final posted item sets since v1, see the Item Set Change Table Supplement that accompanies the posting. The MDS Item Sets v1.18.11 were effective beginning October 01, 2023.
|
M0300G1 on NPE |
Replaced erroneous skip pattern <Skip to N2005, Medication Intervention> with the correct one: <Skip to N0415, High-Risk Drug Classes: Use and Indication>. |
|
O0300A on NP and NQ |
Corrected transposition of verbs in skip patterns (changed <Skip> to <Continue> in choice 0 and <Continue> to <Skip> in choice 1). |
|
O0400 on NC and NQ |
Removed completion language <Complete only when A0310B = 1 (complete O0400D2 when required by state)>. |
|
O0400 on NP and SP |
Removed completion language <Complete only when A0310B = 1>. |
|
O0420 on NC, NP, and NQ |
Removed completion language <Complete only when A0310B = 1>. |
December 5, 2023: Transportation Resources for Older Adults
Location: St. Louis County Library Lewis & Clark Branch
What can I do when my ride cancels, and I cannot attend doctor appointments, shopping, church, and other social events? Learn about community resources and organizations specializing in transportation for older adults that help to address loneliness and isolation in our community.
November 16, 2023: Reaching Maximum Capacity: Improving Sales & Customer Experience
The selling landscape has changed: more competition, more individuals involved in the decision-making process, and more ways for buyers to research their options before ever talking with someone on your team. To reach and maintain maximum capacity, there are two key areas where you need to excel: (1) delivering a customer experience that creates champions for your community’s brand and (2) providing a prospect experience that sets you apart immediately and moves them forward efficiently. With the right strategies, you’ll not only convert more prospects but also foster strong customer–and employee–satisfaction.