Category: Nursing Home Administrators

MO HealthNet Personal Funds Account Balance Report Updated

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The Mo HealthNet Personal Funds Account Balance Report was updated in March of 2023. Please use the following link to access the updated report when reporting expired residents to the MO HealthNet Division: https://manuals.momed.com/forms/Personal_Funds_Account_Balance_Report.pdf.

Please note, while the MO HealthNet Personal Funds Account Balance Report form states the completed form must be submitted within 60 days of the resident’s death, federal requirements for certified nursing facilities require the notification within 30 days of the resident’s death. Refer to F569 of the State Operations Manual. For state regulations, please refer to 19 CSR 30-88.020 (11).

Also note, the only resident funds that can be withdrawn prior to completing the Personal Funds Account Balance Report is for basic funeral expenses.

Feel free to contact Lynn Gilmore, Lead Auditor, at 573-508-4150 if you have any questions.

Health Education Unit Announcements

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Knowledge tests for 1/1/23-4/5/23 show students passed at 64.11%

These areas are below 80%:

  • Aging Process and Restorative Care – 79%
  • Basic Nursing Skills – 78%
  • Disease Process – 78%
  • Role Responsibility – 77%
  • Communication – 80%

*If your students have failed a test, please have your students review their tests so they know what areas that need more attention before retesting.

Skills tests given from 1/1/23-4/5/23 show students passed at 79.05%

Students scored the lowest on the areas below:

  • Blood Pressure – 78.85%
  • Feeding a Dependent Resident – 85.45%

NOTE: HEU and Headmaster met with our Test Advisory Panel in March to address some changes in the skills test and knowledge test. These changes will be effective on July 1, 2023 so please check the Missouri Headmaster Website for the most recent version of the Candidate Handbook.

 

CNA Live Renewals Coming Soon

HEU is excited to announce the “new” process for CNA Renewals as it is close to going “LIVE” on May 1, 2023.

Please email Headmaster at missouri@hdmaster.com if you have not setup your employer profile. This will give the employer the option to verify employment and pay for the renewal for their CNA staff. This process will increase efficiency and time as it is all done electronically for the CNA and the employer. We have included a link to review the process in a “How To Guide” and will be offering several Q & A webinars. Please see below:

What to Expect with the Minimum Data Set (MDS) Transition to iQIES on April 17, 2023

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On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) will transition to the Internet Quality Improvement and Evaluation System (iQIES) for Minimum Data Set (MDS) record submissions and reports. As part of this transition, the QIES Assessment Submission And Processing (ASAP) system for MDS submissions will be turned off on Thursday, April 13 at 8:00 p.m. ET. Providers should submit completed MDS records prior to 8:00 p.m. ET on April 13 to the QIES ASAP system or wait until 8:00 a.m. ET on April 17 to submit data in iQIES. Once the transition is complete, all new, modification, or inactivation records must be submitted in iQIES, even if the original record to be corrected was accepted into the QIES ASAP system. Providers are expected to take into account all submission requirements when determining the date that they submit completed MDS records, including but not limited to, submission timeliness, claims processing, and care planning requirements.

Register for an iQIES Account

Please note that failure to obtain access to iQIES prior to April 17, 2023 will impact your ability to submit MDS records once the migration is complete. For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account

Outlined below are a few highlights and expectations for the release of the iQIES MDS submission and reporting functionality.

Key Highlights of iQIES

  • Users will be able to securely access iQIES at any time, from any location (provided there is an internet connection).
  • Users will log in once to iQIES. No longer will users be required to log into CMSNet and then into separate applications to upload MDS records or access reports.
  • Users will have access to tips and information to guide them throughout the MDS submission process and accessing reports.
  • Users will be allowed to upload MDS assessments in a similar manner as was done in the QIES.
  • MDS reports will be similar to those in the Certification and Survey Provider Enhanced Reporting (CASPER) application, with some new functionality built in.
    • Users can initially view the report information on the screen and if desired, can then download the report to a Portable Document Format (PDF) or Comma-Separated Values (CSV) file.
    • Users can schedule reports to run at their desired interval and frequency.

What to Expect for Providers and Vendors

  • QIES Assessment Submission And Processing (ASAP) system for MDS submissions will be turned off as of Thursday, April 13 at 8:00 p.m. ET.
  • Beginning April 17, 2023 MDS records will be available in iQIES. iQIES will be the only system in which MDS data submissions can occur. 

Report Information – QIES/CASPER

  • The reports in the following report categories in CASPER will become permanently unavailable on Thursday, April 13, 2023 at 8:00 p.m. ET:
    • MDS 3.0 NH Final Validation Report
    • MDS 3.0 SB Final Validation Report
    • MDS 3.0 Submitter Validation Report
    • MDS 3.0 NH Provider
      • Exception for this report category: the MDS 0003D/0004D Package Reports in this category will remain available
    • MDS 3.0 SB Provider
    • MDS 3.0 QM Reports
    • SNF Quality Reporting Program
  • The ASAP system-generated Nursing Home (NH) and Swing Bed (SB) final validation reports in the facility-specific Validation Report (VR) folders will reflect processing information for MDS records submitted to the ASAP system prior to the migration. These reports will not be migrated to the iQIES folder; however, users will be able to generate a new user-requested report in iQIES.
    • Note: since the QIES system-generated final validation reports will not be moved into iQIES, users should download and save or print any system-generated reports that they wish to retain.
  • Users will continue to access reports or files in their provider’s shared non-validation report folder in CASPER until summer 2023 when delivery of the SNF VBP files and provider preview reports will be migrated into iQIES.
    • The shared non-validation report folders are named in this manner:
      • [State Code] LTC [Facility ID] for nursing home providers
      • [State Code] SB [Swing Bed ID] for swing bed providers
    • The reports/files in these folders could include those listed below.
      • SNF QRP Provider Preview Reports
        • April 2023 reports will be in CASPER
      • MDS 3.0 Provider-Level Quality Measure and MDS 3.0 Resident-Level Quality Measure Provider Preview reports
        • April 2023 reports will be in CASPER
      • SNF VBP files
      • Non-compliance Notification Letters, if applicable
  • Note: since the files listed above will not be moved into iQIES, users should download and save or print any of the reports or files that they wish to retain.

Report Information – iQIES

Following completion of the migration, users will be allowed to access and run the user-requested reports in iQIES. User’s access to the reports below will be similar to the access in the CASPER Reporting application, so long as your new HARP role allows access to generate and view reports. Users will only be allowed to run reports for the providers to which they have access.

Below are the report categories/types and each MDS report that is associated to the category/type combination.

  • Provider Report Category / Validation Report Type
    • MDS 3.0 NH Final Validation Report
    • MDS 3.0 SB Final Validation
    • MDS 3.0 Submitter Final Validation
  • Provider Report Category / Submission Report Type
    • MDS 3.0 Activity
    • MDS 3.0 Missing OBRA Assessment
  • Provider Report Category / Error Report Type
    • MDS 3.0 NH Error Detail
    • MDS 3.0 SB Error Detail
  • Provider Report Category / Admission/Discharge Report Type
    • MDS 3.0 Admissions/Reentry – Discharges Report
  • Provider Report Category / Roster Report Type
    • MDS 3.0 Roster
  • Quality Measure Report Category / Facility-Level Quality Measure
    • MDS 3.0 Facility Characteristics Report
    • MDS 3.0 Facility-Level QM Report
    • SNF Quality Reporting Program (QRP) Facility-Level QM Report
  • Quality Measure Report Category / Resident/Patient-Level Quality Measure
    • MDS 3.0 Resident-Level QM Report
    • SNF QRP Resident-Level QM Report
  • Quality Measure Report Category / Review and Correct
    • SNF QRP Review & Correct Report
  • Quality Measure Report Category / Provider Threshold Report
    • SNF QRP Provider Threshold Report
  • MDS 3.0 QM Package Reports / Package Reports
    • MDS 3.0 QM Package Reports
  • System-generated MDS 3.0 NH and SB Final Validation Reports for MDS records submitted to iQIES will be accessed in the MDS 3.0 Final Validation Reports permanent folder in iQIES.

 

Data Availability for iQIES User-Requested Reports

  • Data for the Provider reports above will be available for Calendar Year (CY) 2013 (01/01/2013-12/31/2013) forward.
  • Data for the Quality Measure reports above will be available for Fiscal Year (FY) 2022 (10/01/2021-09/30/2022) forward.
    • Users wishing to retain Quality Measure reports for older time periods should obtain those reports from CASPER prior to the migration.

Resident Internal IDs on MDS and SNF QRP Reports

  • As part of the MDS submission and reporting transition, MDS 3.0 records that had previously been processed and accepted into the QIES ASAP system will be migrated into iQIES. As part of this migration, a new unique state-level patient identifier has been created and will replace the previous QIES ASAP system-assigned Resident Internal ID on all MDS assessment records.
  • This new state-level patient ID will display on any MDS or SNF QRP report(s) that currently display the Resident Internal ID value.
  • For example, a resident whose Resident Internal ID was initially 58608036 as assigned from QIES ASAP, will now be 298899278 as assigned by iQIES for all reporting and processing purposes.

SNF QRP Quality Measure Report Information

  • The SNF QRP quality measures in iQIES will be calculated using the quality measure specifications and supportive documentation that were in effect 10/01/2022, including the following:
    • SNF-Quality-Measure-Calculations-and-Reporting-User’s-Manual-V4.0
    • Risk-Adjustment-Appendix-File-for-SNF-Effective-10-1-2022
    • SNF-Mobility-Model-ICD10-HCC-Crosswalk-Effective-10-01-2022
    • SNF-Self-Care-Model-ICD10-HCC-Crosswalk-Effective-10-01-2022

The above files can be downloaded from the SNF QRP Measures and Technical Information page on the CMS website: 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.

  • The SNF QRP Facility-Level QM report will contain updated Medicare Fee-For-Service claims measure results when a Quarter End Date of 03/31/2022 or later is selected when requesting the report.
  • The new SNF Healthcare Personnel (HCP) Influenza vaccination measure will display on the iQIES SNF Provider Threshold Report following the migration; however, submission success results for this measure will not display on the report until the data submission deadline date for Q4, 2022 (12/31/2022) has passed.
    • The data submission deadline date for Q4, 2022 is May 15, 2023.

iQIES Service Center

If you have questions or require assistance, please contact the QIES/iQIES Service Center by phone at (800) 339-9313 or send an email. Please note that call volume may be higher than normal during this time.

NOW AVAILABLE: Draft MDS 3.0 RAI User’s Manual version 1.18.11

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The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning October 01, 2023.

This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care (PAC) settings. Standardized data will enable cross-setting data collection, outcome comparison, exchangeability of data, and comparison of quality within and across PAC settings. Additionally, the language of the manual has been updated throughout to be gender neutral. Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. Due to the scope of the revisions, CMS will not issue Replacement Pages for v1.18.11; those wishing to continue using a physical copy of the manual are encouraged to print the new version.

Instructor Info Meet Up Meetings

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The DHSS Health Education Unit is conducting Weekly Instructor Info Webinars/Q&A Meet-Ups. These sessions will be held same day and time each week – Tuesdays at 2:00 p.m.

April 11, 2023: Instructor Info Meet Up Meeting
April 18, 2023: Instructor Info Meet Up Meeting
April 25, 2023: Instructor Info Meet Up Meeting

Please see the CNA Registry webpage for past meetings and more information.

If you have questions, please call our office at 573-526-5686.

MC5 Event – Alzheimer’s Disease and Dementia Care Seminar

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May 23, 2023: Alzheimer’s Disease and Dementia Care Seminar
Location: The Sarah Community, Bridgeton
Trainer: Madisen Mendez, MOT, OTR/L, MSCS, CDP, CADDCT, CMDCP

The prevalence of dementia is on the rise. Successful dementia care in skilled nursing facilities, residential communities, and the home setting requires an understanding of the disease process, communication techniques, and possible causes of unwanted behaviors in persons living with dementia. The Alzheimer’s Disease and Dementia Care Seminar is a National Council of Certified Dementia Practioners (NCCDP) curriculum and will provide fundamental education on dementia care to enhance the quality of life of those living with cognitive dysfunction and their caregivers. In addition, this course will provide participants with approaches for daily activities, unmet needs, behavioral care, and interdisciplinary support.

REGISTRATION is LIMITED. No Refunds will be given, however substitutions can be made.

CMS Memo: QSO-23-10-NH: Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes

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Memorandum Summary

  • CMS has rescinded memorandum QSO-20-31-ALL, the Enhanced Enforcement for Infection Control Deficiencies, and replaced it with memorandum QSO-23-10-NH, revised guidance for Strengthened Enhanced Enforcement for Infection Control Deficiencies. This revised guidance strengthens enforcement efforts for noncompliance with infection control deficiencies. The enhanced enforcement actions are more stringent for infection control deficiencies that result in actual harm or immediate jeopardy to residents. In addition, the criteria for enhanced enforcement on infection control deficiencies that result in no resident harm has been expanded to include enforcement on noncompliance with Infection Prevention and Control (F880) combined with COVID-19 Vaccine Immunization Requirements for Residents and Staff (F887).
  • CMS is providing guidance to the State Survey Agencies and CMS locations on handling enforcement cases before and after the revisions of Enhanced Enforcement for Infection Control Deficiencies.
  • Quality Improvement Organizations have been strategically refocused to assist nursing homes in combating COVID-19 through such efforts as education and training, creating action plans based on infection control problem areas, and recommending steps to establish a strong infection control and surveillance program.

Please see the full memo for complete details at https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-states/strengthened-enhanced-enforcement-infection-control-deficiencies-and-quality-improvement-activities.

Facility Reported Incidents (Self-Reports)

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There has been some confusion on where providers should send the FRI Initial Reporting Form and FRI Follow-Up Investigation Form.

The FRI Initial Reporting Form can be sent to the Adult Abuse and Neglect Hotline fax number (listed on the form) or to the regional office.

The FRI Follow-Up Investigation Form should be sent directly to the regional office. Please do not send the follow-up investigation to the Adult Abuse and Neglect Hotline.

Action Required: Register for an MDS iQIES User Account in Preparation for MDS Transition on April 17, 2023

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***Please Note: If you have already completed iQIES/HARP onboarding, no further action is required. Please also note, Payroll Based Journal (PBJ) submissions will continue to be submitted to QIES. ***

The transition to the Internet Quality Improvement and Evaluation System (iQIES) for MDS submission and reports will occur on April 17, 2023. To properly prepare for the transition, all users must create an account and establish credentials in the Healthcare Quality Information System (HCQIS) Access Roles and Profile (HARP) system, followed by requesting User Role access to iQIES. Please note that failure to obtain access prior to April 17, 2023 will impact your ability to submit MDS assessments following QIES Assessment Submission and Processing (ASAP) system for MDS submissions shutoff on Thursday, April 13 at 8:00 p.m. ET.

Register for an iQIES Account
To gain access to iQIES, please follow the steps outlined below.

  1. Create an account in the HARP system using your corporate email address* at: https://harp.cms.gov/register. Note: HARP User IDs cannot be adjusted. As such, please refrain from using facility names or any special characters (such as # or &) when creating the HARP User ID. *If the facility handles 2 or fewer providers and does not have a corporate email domain, a personal email address may be used.
  2. Access iQIES at: https://iqies.cms.gov/ and log in with your HARP credentials (completed in step 1) to complete the process to request your User Role for your provider’s CMS Certification Number (CCN).
  3. Once the user role request has been submitted AND approved by the Provider Security Official (PSO), you will receive a notification via email informing you that your iQIES account access request has been approved. Note: Due to increased role request volume, role request approvals or rejections may take up to 24 hours for the status to be reflected.

***IMPORTANT:  If your organization has not yet identified and registered a Provider Security Official (PSO), you will not be able to complete a user role request. Nursing home and Swing bed providers who are required to submit data to CMS must have at least one staff person assigned and approved as the facility Provider Security Official (PSO), who is responsible for approving all other users for their facility.***

Please refer to the following iQIES documents for more information, located at https://qtso.cms.gov/software/iqies/reference-manuals:

  • iQIES Onboarding Guide for step-by-step instructions to request a user role
    iQIES User Role Matrix for a listing of user category descriptions and role privileges

Resources
For more information on HARP or iQIES, please refer to the following resources:

HARP

iQIES

iQIES Service Center
If you have questions or require assistance, please contact the iQIES Service Center at iqies@cms.hhs.gov or by phone at (800) 339-9313.

MANHA-ICAR Seminar

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Seminar: Public Health Emergency Ending – What’s Next?

April 6, 2023: Holiday Inn Route 66, St. Louis
April 13, 2023: Courtyard by Marriott, Columbia
April 26, 2023: Stoney Creek Hotel & Conference Center, Independence

The Public Health Emergency (PHE) is scheduled to end as of May 11, 2023. Moving forward it will be essential to apply pandemic lessons learned to maintain and improve processes that will benefit residents/families, staff and facility leadership.

Missouri Immunization Conference

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April 26-27, 2023: 2023 Missouri Immunization Conference
Location: Holiday Inn Executive Center, Columbia

The 2023 Missouri Immunization Conference brings together bright minds to give talks that are action-oriented on a wide range of subjects related to immunizations to foster learning and inspiration, as well as provoke conversations that matter and actions that lead to increased vaccination rates for Missourians. The theme of this year’s conference is Vaccines: The Building Blocks of Better Health

MANHA’s 2023 Annual Convention

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June 4-7, 2023: Surfing the Waves of Success with MANHA
Location: Camden on the Lake, Lake Ozark

Missouri Association of Nursing Home Administrators is pleased to invite you to attend the 2023 Annual Convention. The goal of this conference is to provide meaningful, forward thinking, and real-time education to pave the path forward while acknowledging the past and working together.

Fit Testing Train-the Trainer Sessions

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March 31, 2023: Fitzgibbon Hospital, Marshall
April 12, 2023: Heisinger Bluffs Western Campus, Jefferson City
April 27, 2023: DHSS Regional Office, Poplar Bluff
April 28, 2023: Cape Girardeau Public Library, Cape Girardeau
May 2, 2023: Comfort Inn and Suites, Macon
May 25, 2023: Maranatha Village Community Center, Springfield

Regional Respiratory Fit Testing Train-the-Trainer sessions are being offered throughout Missouri by the Health Quality Innovation Network (HQIN), which is the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network – Quality Improvement Organization (QIN-QIO) for the state, and the Quality Improvement Program for Missouri (QIPMO) Infection Control and Assessment Response (ICAR) Team. The training is to ensure long-term care facilities have qualified staff to provide respirator fit testing. In addition, the attendee can train others in the proper procedures for fit testing. This training is for qualitative testing using a hood and not quantitative testing.

See flyer for information on Fit Testing Training sessions.

CMS Memo: QSO 18-24-ESRD: Guidance and Survey Process for Reviewing Home Dialysis Services in a Nursing Home (REVISED 3/22/2023)

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Memorandum Summary

  • Dialysis Services in a Long-Term Care (LTC) Facility: In 2018, CMS issued guidance that addressed care at home provisions for nursing home residents that were receiving home dialysis. Since that time, CMS has received questions, comments, and feedback from the state survey agencies, the dialysis provider community, as well as other Federal and non-Federal stakeholders. This memorandum addresses those questions and incorporates the feedback that we received.
  • Survey Process for Evaluation of Home Dialysis in an LTC Facility: The End-Stage Renal Disease (ESRD) Core Survey Process has been updated to include additional survey activities which evaluate dialysis services provided by an ESRD facility to residents in an LTC facility.
  • Attachments: Included as an attachment to this memorandum is an advance copy of the survey procedures for ESRD surveyors reviewing dialysis in nursing homes.

Please see the full memo for complete details at https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-states/guidance-and-survey-process-reviewing-home-dialysis-services-nursing-home.

Missouri Certificate of Need Program

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What does the Missouri Certificate of Need Program (CONP) do? The CONP reviews proposals for new and additional long-term care beds, major medical equipment, and new hospitals. Approval by the Missouri Health Facilities Review Committee is required before an applicant may proceed with their proposal or obtain licensure. CONP also collects LTC occupancy every quarter.

You can view CON applications filed with DHSS on our website here under the Upcoming Meetings section. This section also includes details about an upcoming CON meeting and agenda items, and additional documentation received regarding a project. Any person or facility may submit written support, neutral, or opposing letters on a CON project up to three (3) business days before a scheduled CON meeting. Written support/neutral/opposition may be emailed to CONP@health.mo.gov or mailed to 3418 Knipp Drive, Jefferson City, Mo 65102. Any person may also testify in support, neutral, or opposition at an in-person CON meeting. Questions can be emailed to CONP@health.mo.gov.

CNA Updates

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Employer Profile for “New” Option to Renew CNA’s Coming Soon!

If you are interested setting up your facility employer profile to verify and electronically pay for your CNA renewals, please contact Headmaster D & S at 800-393-8664 and ask for the Missouri Team. Details will be coming!

 

Training Programs

Please confirm your CNA Training Programs are active and has not expired when providing the CNA course. In order to remain active a renewal application and an onsite visit to the facility must be completed every two years. The renewal application should be submitted 30 days before expiration and can be found on our website under Application for Approval as a Nursing Assistant Training Agency.

Please contact HEU with any questions at 573-526-5686 or CNARegistry@health.mo.gov.

Enhanced Leadership Development Academy for LTC Leaders

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Do you…..

❍ need a leadership course that addresses the unique challenges SNF leaders face?
❍ want to feel inspired and passionate about leading your SNF?
❍ want to connect with other SNF leaders and have access to free professional development, tools, and resources?
❍ want free CE credit without sacrificing quality and practical application?
❍ want to have the flexibility to learn at the pace and place the works best for you?

If you answer YES to any of these questions, this course may be for YOU!

Open to RNs, NHAs and LPNs!

For more information visit our web site, download the postcard or contact Todd Winterbower at winterbowert@missouri.edu.

Take the survey now to see if you qualify for FREE registration.

DMH Free Webinar – Tools for Everyone

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April 4, 2023: Registration
April 12, 2023: Registration
April 17, 2023: Registration
April 25, 2023: Registration

Presenter: Kathleen Deppeler, Director of Positive Supports

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.

MC5 Regional Events

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April 5, 2023: Trauma Informed Care Across the Lifespan
Location: MC5 West Central Region, Methodist Church, The Celebration Center, Sedalia

This training will define what trauma is and understand its prevalence in our clients, define PTSD and provide an overview of the brain and body physiology of the impact of trauma. This training will also discuss the impact of trauma at various stages in life and the prolonged effects as well as generational and cultural trauma. Participants will be able to take tools/methods with them to cope with client crisis and trauma related triggers.

ma4 Show Me Summit on Aging & Health

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September 11-13, 2023: Show Me Summit on Aging and Health 2023
Location: Holiday Inn Executive Center, Columbia

The 18th Show Me Summit on Aging & Health returns to Columbia, MO September 11th to 13th, 2023. Our theme this year is Expanding the Possibilities. With the Governor launching a statewide Master Plan on Aging, Missouri’s 1.1 million adults ages 60 and older take center stage in Missouri. Join us this fall to learn innovative ideas in aging services and to exchange best practices with fellow professionals in Missouri’s growing field of aging services.

Please share your expertise and experience with your AAA and aging network colleagues across the state! We week session proposals that highlight leading-edge tactics, innovative program ideas, and new and diverse thoughts. This is a great way to share your experience with your colleagues and leaders in aging from all across Missouri. We look forward to showcasing your subject-matter expertise, fresh thinking, and best practices as a presenter.

Submit your proposal by April 30, 2023. Notifications will be in May 2023.

Learning Modules Explain Sepsis in 3-Minute Doses

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The Health Quality Innovation Network (HQIN), the Quality Innovation Network-Quality Improvement Organization (QIN-QIO), has released a brief Sepsis Learning Module Series to help frontline staff recognize and treat sepsis.

The series includes four modules:

  • Act Fast! Early Detection of Sepsis Requires Fast Action
  • It Takes Teamwork to Beat Sepsis
  • Effective Communication is Critical for Rapid Sepsis Intervention
  • The Transition Home: Stop, Look and Listen for Sepsis

The modules average three minutes in length and the series webpage includes free downloadable resources to accompany the information. The modules can be accessed via the link above or visit the HQIN Resource Center to access the series and supplementary resources, which include printable wallet cards and a poster.

MC5 Event – Re-Imagining Person-Directed Culture: It Starts with a Conversation

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Join members of the team from MC5 and special guests the 4th Wednesday of each month as we share stories and best practices, explore challenges faced, and together re-envision what Person-Directed Care can look like for seniors in Missouri, especially for those living and working in Missouri’s Long-Term Care and Assisted Livings communities.

Using Zoom, the format will be casual – a conversation – with special guests inviting participants to share, ask questions, explore, and plan for how through MC5, we can re-imagine and “move the movement” forward as we come out of the pandemic.

March 22, 2023: Re-Imaging Person-Directed Culture: It Starts with a Conversation
Special Guest: Julie Wilson, RN, Regulatory Compliance Manager ICF/IID Unit & COMRU Unit, Section for Long-Term Care Regulation, Division of Regulation and Licensure, DHSS
Conversation Starter: One of MC5’s founders and past board President, Julie will give us a glimpse into the successes and challenges faced over the years as she shares the story of MC5 and the Culture Change Movement in Missouri. A look at the past to help guide us as we envision the future.

April 26, 2023: Save the Date
Special Guest: Sheila Winchester, Regulatory Compliance Manager, Quality Assurance and Education, Section for Long-Term Care Regulation at Missouri DHSS
Conversation: Providers and regulators share a common vision as evidenced by the Person-centered philosophy and practices that are incorporated into and supported by regulations, both Federal and State. Sheila will share ways that regulators and providers can work together as we move forward following the pandemic.

May 24, 2023: Save the Date
Special Guest: Penny Cook, Chief Culture Officer, Center for Innovation (CFI) / Pioneer Network
Conversation Starter: A goal of CFI/PN is to help support and grow state culture change coalitions. Penny will share what is happening at coalitions around the country as well as through initiatives such as the Moving Forward Coalition.

Missouri Open Door (MOD) Workshop

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March 22, 2023: FREE Missouri Open Door (MOD) Workshop Series: Self-Advocacy and Assistive Technology

During this workshop, David Forbes will share his experiences in using Charting the LifeCourse tools and approaches to help him plan in his own life. The workshop will also provide information on how assistive technology can assist people with self-advocacy skills and increase self-determination.

The goals of this workshop are to provide a focus on:

  • Providing immediate-use ideas for how people can implement Charting the LifeCourse and Assistive Technology
  • Strengthening everyday knowledge around technology
  • Incorporating and understanding local service and support strategies