CNA Update Training – Staffing Series 2: Take off on the Journey to Improve Staffing

September 14, 2021: Staffing
Location: Ameristar Hotel, St. Charles

September 15, 2021: Staffing
Location: Oasis Hotel, Springfield

September 28, 2021: Staffing
Location: Stoney Creek Hotel & Conference Center, Independence

September 29, 2021: Staffing
Location: Comfort Inn, Macon

CNA Training Update in Missouri

We have been waiting a long time and finally we see the results coming at us from our efforts to update and improve the training of Missouri CNA’s. The process has changed significantly effective August 31, 2021 “technically”. Administrators, DON’s, RN Instructors, HR Staff and CNA Training Organizations will want to understand how these changes affect them and their programs. The CNA Registry process for verification of employment in the last 24 months has also changed and will be handled through a third party site. You should already be registered as an employer and your CNA’s in the new system. This session will review all the new regulations, the new forms and the new testing/registry process through TMU Headmaster.

Staffing Series 2: Take off on the Journey to Improved Staffing

In Series 1, we explored Staffing Turnover and Retention and formulated a Roadmap to take us on a journey to improve staffing, increasing stability and quality of care, life and service for our residents. In this series we will take off on the journey and concentrate on the areas that Series 1 attendants identified as needing the most work; Recruitment and On-Boarding/Training. We will rethink where we are spending recruiting dollars, share ideas for improving landing quality applications and then build on reducing turnover and improving retention with improved and best practice ideas for Staff on-boarding/Orientation and training. Administrators and HR Staff will benefit from this interactive session. If you missed the first session, you can view it on-line on SDS Training site through MANHA.

Trauma-Informed Care: Nursing Home Responsibilities & Plan of Action

October 5, 2021: Trauma Informed Care
Location: Oasis Hotel, Springfield

October 6, 2021: Trauma Informed Care
Location: Comfort Inn, Macon

October 7, 2021: Trauma Informed Care
Location: Ameristar Hotel, St. Charles

October 12, 2021: Trauma Informed Care
Location: Stoney Creek Hotel & Conference Center, Independence

Sponsored by Missouri Health Care Association & Missouri Association of Nursing Home Administrators

We will review the regulatory requirements, available resources and necessary policy and procedure changes to keep your facility on the right side of Trauma Informed Care Compliance.

LTC Bed Availability Portal

The healthcare continuum is again becoming strained with the number of positive cases across the state. This portal was originally established in November to improve communication across the care continuum to assist in ensuring Missourians have access to the right care in the right setting.

We are renewing our request for long-term care communities to complete a brief survey each day in order to identify available beds for potential admissions. Participation in the bed availability survey is voluntary. The survey may be accessed at https://arcg.is/1rjKy8.

The dashboard was reset on July 15th, so any homes that have not submitted data since the reset occurred will need to submit an initial survey – old update links will no longer work. Homes that have submitted data since the reset can continue to submit using the update link.

 Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

Infection Control Assessment and Response Project

QIPMO has collaborated with the Missouri Department of Health and Senior Services (DHSS) in response to the novel Coronavirus known as COVID-19. In doing so, QIPMO has formed a new Infection Control Assessment and Response (ICAR) team with a primary goal of assisting Missouri Long-Term Care Facilities to navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Please see the flyer or visit the following QIPMO webpage – https://nursinghomehelp.org/icar-project/.

Caring for the Older Adult Across the Continuum Conference

August 20-21, 2021: CARING for the OLDER ADULT Across the Continuum (Caring for the Frail Elderly) & 17th Annual Health Ethics Conference
Location: Holiday Inn Executive Center, Columbia, MO – (This is a Hybrid event, attend in-person or virtual)

The conference will provide a forum for updating interdisciplinary health professionals caring for older adults in the community, regardless of living situation, in the ethical care and treatment of older adults including, medical management, interdisciplinary care, research, and system change.

Personal Protective Equipment (PPE)

Missouri has limited PPE reserves to assist in filling these critical needs and will prioritize healthcare providers providing direct care to confirmed or suspected COVID patients. Note requests should only be submitted after all normal supply chains, including the Missouri COVID Supply Solution, have been exhausted and providers have a supply of twenty-one days or less on hand.

Please be sure to describe the urgent need for PPE and your situation in the comments on the form.
https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/ppe.php

Quality Reporting Program: Non-Compliance Letters for FY 2022 APU

CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their FY 2022 Annual Payment Update (APU). Non-compliance notifications are being distributed by the Medicare Administrative Contractors (MACs) and were placed into SNFs’ CASPER folders in QIES on July 14, 2021. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, August 13, 2021.

If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notice of non-compliance and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.

MHCA Webinars

Cultivating LTC Leaders Webinar Series

This 12-month webinar series addresses hot topics in nursing home operations to develop skills in managing current clinical-regulatory, legal and compliance risks. A team of expert presenters offers insight on systems and strategies to advance preparedness for the varied challenges facing LTC leaders, with practical solutions, templates, tools and resources. Recordings of live sessions are included with the webinar purchase.

 

Standards of Care Webinar Series

This 12-month webinar series focuses on nursing facility systems of care and managing common conditions treated in the LTC setting. Each session addresses standards of care, staff training/competency focus areas, critical nursing assessment/documentation principles, care planning guidance, recommended QA activities, and practical daily operations guidance with extensive use of case examples. Recordings of live sessions are included with the series purchase.

COVID Related Information

LTC Bed Availability Portal

The healthcare continuum is again becoming strained with the number of positive cases across the state. This portal was originally established in November to improve communication across the care continuum to assist in ensuring Missourians have access to the right care in the right setting.

We are renewing our request for long-term care communities to complete a brief survey each day in order to identify available beds for potential admissions. Participation in the bed availability survey is voluntary. The survey may be accessed at https://arcg.is/1rjKy8.

The dashboard is being reset and all previous data is being deleted, so all communities will need to submit an initial survey – old update links will no longer work.

 Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

 

Abbott BinaxNOW Testing Supplies

To order Abbott BinaxNOW from the state (one time shipments):

Missouri Long Term Care Facilities (RCF, ALF, ICF, and SNF), private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), and Adult Day Care programs may order free Abbott BinaxNOW Testing Supplies from DHSS and SEMA via the following link: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/testing-resources.php.Then scroll down under BinaxNOW Testing to the BinaxNOW hub and click on that link – then scroll to the icon for long-term care facilities and click on that icon. It takes you to a gray colored page that says to click ‘here’ to re-order; from that re-order form, click on Facility Type in the upper right hand corner and choose LTCF from the drop down box; then click on the your facility’s name in the drop down box entitled Facility Name.

The re-order form should then auto populate your contact information into the form and you simply tell us how many tests you need toward the bottom of that form, then click submit.

To reinstate direct shipments of Abbott BinaxNOW from the federal government:

Providers should email their facility information, shipping address and the BinaxNOW delivery Point of Contact for the facility and request to be added back onto the direct shipment list to Binax.Team@hhs.gov. Please be aware this can take up to 2 weeks to begin receiving shipments again.

 

DHSS guidance related to COVID-19 outbreaks, visitation, reporting, waivers, etc.- can be found on our website:

https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php#collapseSix

 

COVID-19 Reporting Requirements

 

Reporting Process/Form

System

Purpose/Description

Required?
For Whom?

Time Frame

1

Electronic COVID-19 Case Reporting

REDCap: DHSS

Reporting form for all positive case results, including staff and residents. This includes Point of Care (POC) and PCR testing.

Yes, for all SNF, ICF, RCF, ALF, ICF-IID and Adult Day Care

Within 24 hours of positive result

2

Long Term Care Facility COVID-19 Outbreak Testing Data Reporting

REDCap: DHSS

Reporting portal for outbreak testing dates, number of residents and staff tested.

Yes, for all SNF, ICF, RCF, ALF, and ICF-IID.

Within 24 hours of testing

3

NHSN LTCF COVID-19 Module

Web Portal:

Managed by NHSN

NHSN-required fields solely for certified nursing homes (SNF/NFs).

Yes, for all certified SNF/NF. Voluntary for any state licensed only facility (RCF/ALF/Adult Day Care) or ICF-IID.

Weekly, with a preference for submission on the same day each week

4

NHSN Point of Care Laboratory Reporting Tool

Web Portal:

NHSN

POC test reporting that includes both positive and negative POC test results (even if potentially a false positive).

Yes, for any facility not reporting to DHSS in Row 5

Within 24 hours of result of POC test

5

Electronic COVID-19 Laboratory Reporting

Secure File Transfer/CSV file: DHSS

POC test reporting that includes both positive and negative POC test results (even if potentially a false positive).

Yes, for any facility not reporting to NHSN in Row 4

Within 24 hours of result of POC test

 

Archived Listserv messages can be found on our blog site: https://ltc.health.mo.gov/

Abbott BinaxNOW Testing Supplies

Missouri Long Term Care Facilities (RCF, ALF, ICF, and SNF), private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), and Adult Day Care programs may order free Abbott BinaxNOW Testing Supplies from DHSS and SEMA via the following link:  https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/testing-resources.php.

If your organization is a new requester from the state, the form will direct you to complete a new application for tests rather than just re-ordering. The link for the initial application for each user type is within the above re-order link.

Missouri Nursing Home Advisory Council – Infection Preventionist Roadmap Series

The Missouri Nursing Home Advisory Council is pleased to provide the third iteration of the “IP Tip Sheets” intended to assist and support the Infection Preventionist (IP) in the long-term care setting. In the first installment of the “IP Tip Sheets” series, the antibiotic stewardship aspects of the Infection Prevention & Control Program (IPCP), with the Infection Preventionist leading the team in a successful IPCP was explored. In the second installment, the focused was on the system of prevention, identification, reporting, investigating, and controlling infections. For this edition, the annual activities and reviews performed by the IP will be highlighted. Please see the MO Nursing Home Advisory Council IP Tip Sheet.

NHSN Deadline Tracking & Troubleshooting Assistance

The Centers for Medicare & Medicaid Services (CMS) requires nursing homes to submit information each week to the National Healthcare Safety Network’s (NHSN) COVID-19 Vaccination Data Reporting Module. The deadline for reporting the previous week’s cumulative vaccination rates is every Sunday by 11:59 p.m. ET.

To help keep your reporting weeks organized at-a-glance, the Health Quality Innovation Network (HQIN) has developed a printable NHSN Weekly COVID-19 Vaccination Data Reporting sheet outlining the NHSN submission deadlines for 2021.

HQIN has provided NHSN reporting assistance to many facilities across the state. If you would like to receive no-cost assistance, we encourage you to join the HQIN Nursing Home NHSN Reporting Group. This will enable HQIN to view your data for problem-solving and quality improvement purposes. Download How to Join the HQIN Nursing Home Reporting NHSN Group for easy instructions on how to join.

As your dedicated Quality Innovation Network-Quality Improvement Organization (QIN-QIO), HQIN is available to support you and your facility with the required COVID-19 vaccine administration reporting. If you have questions, please contact HQIN.

About the Health Quality Innovation Network

Led by Health Quality Innovators and its quality improvement partners, the Carolinas Center for Medical Excellence, KFMC Health Improvement Partners, and the Kansas Healthcare Collaborative, HQIN is the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Kansas, Missouri, South Carolina and Virginia. To learn more visit https://www.hqin.org.

COVID-19 FREE Testing

Testing remains a key tool to keeping Missourians safe and open for activity. Testing is not only for those who are symptomatic, but important for periodic surveillance especially when interacting with vulnerable populations and crowds. Many camps, events, and travel now require evidence of a test result before participation.

A simple test can provide peace of mind. Missouri provides several options for obtaining a free COVID-19 PCR test without any symptom criteria. The opportunities for testing include:

More information about testing can be found at www.health.mo.gov/communitytest.

Conversations with Carmen

July 16, 2021: Lots of Ideas for Getting Outdoors – An Artifact of Culture Change
Guest: Maggie Calkins, PhD, EDAC, Ideas Institute

Join us to grow your list of possibilities for getting people outdoors. We all know it is important but consider during this conversation taking a step into making it a priority for your culture. Getting outside benefits all of us. Do you ensure getting outdoors is on each person’s care plan?

This is a new Artifact of Culture Change along with the already existing artifacts of raised gardens and a walking/wheeling path. Don’t let your expensive courtyards or your vast grass lawns become wasted space. We’ve also learned we are all at lower risk of infection when spending time outdoors. Dine outside and hold meetings and other events in the great outdoors. Hear some of the insights from Dr. Calkins’ new white paper “Designing Gardens to Attract Activity: A primer for elder care communities.”

Pioneer Network’s Hot Topics Webinar

July 15, 2021: Giving and Receiving: Creating a Culture of Relationship with Persons Living with Dementia
Speakers: Anna Ortigara, RN, MS and Chris Mulrooney, MPS, PhD

Direct care workers face many challenges every day. Leaders also face many challenges if we are to be in right relationship with direct care workers. Do we understand, and are we sensitive to the needs of the direct care workforce? Do we provide education and support to help staff to be their best selves? Do care staff believe in us?

Anna and Chris will begin this webinar by discussing these and similar questions to assess where we are from an “organizational relationship” perspective post-pandemic. They will then explore the components of outstanding person-directed and relationship-based care, as well as identify what is different or added to these components for those who work with individuals living with dementia.

Attendees will gain an understanding of theories and applications they can draw on. These will include the work of Tom Kitwood, as well as Chris’ own research on the characteristics that distinguish outstanding caregivers, such as service orientation and empathy.

If you are looking for practical tools to help you create a culture of relationship, you won’t be disappointed.

 

August 12, 2021: Innovative Intergenerational Arts Programming in Response to the Pandemic: Five Programs in Three Countries
Speakers: Elizabeth “Like” Lokon, MGS, PhD, Founder/Director of Opening Minds through Art (OMA), Scripps Gerontology Center; Cindy Paulin, Executive Director for Art for the Journey (AFJ); Amy Skeels, third-year medical student at Marian University College of Osteopathic Medicine (MUCOM); Kathryn Bender, Recreationist, Trinity Village Care Centre in Kitchener, Ontario, Canada; Chloé Bradwell, Drama Practitioner, PhD Candidate at the University of Exeter in the United Kingdom; and Meghan Young, MGS, Associate Director of Opening Minds through Art (OMA), Scripps Gerontology Center

Five organizations responded to the challenge created by the pandemic: How to maintain intergenerational connections around the arts when in-person visits are not possible? Three programs went virtual and two programs did not. All five programs are rooted in person-centered philosophy, yet distinct from one another. They address the older adults’ needs for social and creative engagement while providing students with opportunities to develop communication skills and to build relationships with older adults, with and without dementia, outside their own families.

Presenters include faculty members, a recreationist, a visual artist, and students, representing universities, a non-profit arts organization, and retirement communities in three countries, the USA, Canada, and the UK.

The goal of this workshop is to inspire attendees to think outside the box and consider limitations imposed by the pandemic as opportunities to diversify offerings. Videos, example artistic creations, research findings, and tools for replication will be shared.

Recall Class 1 High Priority: Tyson Frozen RTE Chicken Products Potentially Associated with Listeria

Missouri Department of Health and Senior Services Recall Alert

To:         Local Public Health Agencies
From:    Dusty Johnson
Date:     07/06/2021

CLASS:  Class I High Priority

This announcement is distributed to Environmental staff and LPHA Administrators.

  • Please notify the affected facilities in your jurisdiction ASAP.
  • Conduct follow-up checks within 2 working days.
  • See attached distribution information.
  • See the original announcement for examples of labels.

 Necessary Information:

 Tyson Foods Inc., a Dexter, Mo. establishment, is recalling approximately 8,492,832 pounds of ready-to-eat (RTE) chicken products that may be adulterated with Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The frozen, fully cooked chicken products were produced between December 26, 2020 and April 13, 2021. The products that are subject to recall are listed here. View the labels here.

The products subject to recall bear establishment number “EST. P-7089” on the product bag or inside the USDA mark of inspection. These items were shipped nationwide to retailers and institutions, including hospitals, nursing facilities, restaurants, schools and Department of Defense locations.

On June 9, 2021, FSIS was notified of two persons ill with listeriosis. Working in conjunction with the Centers for Disease Control and Prevention (CDC) and state public health partners, FSIS determined there is evidence linking the Listeria monocytogenes illnesses to precooked chicken produced at Tyson Foods Inc. The epidemiologic investigation identified three listeriosis illnesses, including one death, between April 6, 2021 and June 5, 2021. During routine sample collection, FSIS collected two precooked chicken samples from two establishments that are closely related genetically to Listeria monocytogenes from ill people. One of the samples was collected at Tyson Foods Inc. FSIS is continuing to work with federal and state public health partners to determine if there are additional illnesses linked to these products.

Additional information on the investigation may be found on the Centers for Disease Control and Prevention website.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, persons outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems. Listeriosis is treated with antibiotics. Persons in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

FSIS is concerned that some product may be in consumer and institutional freezers. Consumers should not eat these products. Institutions should not serve these products. These products should be thrown away or returned to the place of purchase.

FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers of the recall and that steps are taken to make certain that the product is no longer available to consumers. When available, the retail distribution list(s) will be posted on the FSIS website at www.fsis.usda.gov/recalls.

Members of the media who have questions regarding the recall can contact Derek Burleson, Communications Manager, Tyson Foods, at (479) 290-6466 or derek.burleson@tyson.com. Consumers who have questions can contact Tyson Foods customer relations, at (855) 382-3101.

Consumers with food safety questions can call the toll-free USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-674-6854) or live chat via Ask USDA from 10 a.m. to 6 p.m. (Eastern Time) Monday through Friday. Consumers can also browse food safety messages at Ask USDA or send a question via email to MPHotline@usda.gov. For consumers that need to report a problem with a meat, poultry, or egg product, the online Electronic Consumer Complaint Monitoring System can be accessed 24 hours a day at https://foodcomplaint.fsis.usda.gov/eCCF/.

 Additional Information:

When to contact the Engineering Consultation Unit

We have received questions regarding when communication with Engineering Consultation Unit (ECU) is needed. When completing any of the activities listed below, please reach out to the ECU for review.

  • Additions to existing licensed facilities or premises
  • Major remodeling
  • Equipment replacement (mechanical, generator, fire alarm components)
  • Relocation of any resident use areas (physical therapy, dining rooms, conversion of rooms to resident bedrooms)
  • Creation of designated units (memory care units and special care units)
  • Removal or construction of ANY walls, doors, and ceilings – even if not located in a rated wall
  • Changing the use of existing rooms
  • Exterior changes to the building that include addition of structures (canopy, gazebo, trellis), site work such as sidewalk revisions at exit paths and lighting
  • Adding locking hardware to exit doors including interior and exterior doors
  • Roof replacement
  • Some interior finish work such as flooring and wallcovering may need to be reviewed to determine the fire rating classification.

When is ECU approval not required?

  • Interior finish work (painting, flooring, ceiling tiles)

ECU does not charge any fees to review projects.
If uncertain whether a review is needed, please contact the ECU at ECU@health.mo.gov.
Please retain all ECU correspondence with other facility records.

David East and Carrie (Brixey) Schaumburg
ECU@health.mo.gov

National Pause for the Distribution and Utilization of Bamlanivimab and Etesevimab for the Treatment of Mild to Moderate COVID-19

Below is the DHSS Health Advisory, dated 06/30/2021, entitled, “National Pause for the Distribution and Utilization of Bamlanivimab and Etesevimab for the Treatment of Mild to Moderate COVID-19” 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.

06.30.21 DHSS HA – National Pause fo

COVID-19 FREE Testing

Of special note, because of the increase in cases in the Southwest region, there will be one additional testing day this week and one next week, Friday, July 2 in Joplin, and Tuesday, July 6 in Wright County– see below.

Testing remains a very important tool in fighting the COVID-19 pandemic. The Missouri Department of Health and Senior Services is now offering two options for FREE COVID-19 testing.

First, there are in-person testing events hosted around the state. Individuals are not required to pre-register or have an appointment, simply show up to one of the events below to receive the test. A government issued ID is not a requirement for this testing, but having one available onsite speeds up the registration process. Additional testing sites (with regular or one-time opportunities) may be added as indicators suggest the need for additional testing. The following events listed below are scheduled as of today. The latest information can always be found at www.health.mo.gov/communitytest.

Second, Missouri residents may order a free test to be mailed to their Missouri address. These are PCR kits that are designed for self-collection with a return FedEx shipping container. Once received back by the laboratory, the result is returned to the person tested (via email provided) within 48 hours. More information about the at home self-collection kits and a link to order are also found at www.health.mo.gov/communitytest.

In-person Testing Events Scheduled as of June 29, 2021:

St. Louis Area

    • Every Monday – 11:00 am – 7:00 pm
      IBEW Local #1
      5850 Elizabeth Avenue
      St. Louis, MO 63110
    • Every Tuesday 11:00 am – 7:00 pm
      “Legacy Bar & Café”
      Delmar Plaza
      5261 Delmar Blvd
      St. Louis, MO 63108
    • Every Thursday – 11:00 am – 7:00 pm
      Laborers Local #110
      4532 S Lindbergh Blvd
      St. Louis, MO 63127
    • Every Saturday – 11:00 am – 7:00 pm
      Machinist Lodge #777
      12365 St Charles Rock Rd
      Bridgeton, MO 63044

Central Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 18
      August 8, 22
      September 12, 26
      American Legion #1423
      Tanner Bridge Road
      Jefferson City, MO 65101

Southwest Area

    • Tuesday – July 6
      9:00 am – 5:00 pm
      Wright County Health Department Annex
      602 East State Street, Suite B
      Mountain Grove, MO 65711
    • Every Tuesday – 11:00 am – 7:00 pm
      Mother’s Brewing Company
      Open Lot located on the corner of West College and Grant Avenue
      Springfield, MO
    • Wednesday (dates below)
      9:00 am – 4:30 pm

      June 30
      Webster County Health Unit
      233 E. Washington Street
      Marshfield, MO 65706
    • Friday – July 2
      11:00 am – 7:00 pm
      “The Roxy” Parking Lot
      108 N. Joplin
      Joplin, MO 64801
    • Every Friday – 11:00 am – 7:00 pm
      Branson/Lakes Area Chamber of Commerce
      4100 Gretna Rd
      Branson, MO 65616

Kansas City Area

    • Every Monday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Thursday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Saturday – 11:00 am – 7:00 pm
      Teamsters Local #955
      4501 Emanuel Cleaver II Blvd
      Kansas City, MO 64130

Southeast Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 11, 25
      August 1, 15
      Red Show Barn
      410 Kiwanis Drive
      Cape Girardeau MO 63701

COVID-19 Vaccination Tools for Long-Term Care Facilities

Community Corps Members:

Throughout the COVID-19 pandemic, staff in nursing homes have been providing ongoing care to our nation’s most vulnerable. It’s on trusted messengers like you to make sure we’re reaching people who need to be protected from the COVID-19 virus.

Building vaccine confidence among Long-Term Care Facility staff and residents is important. That’s why we wanted to pass along useful data, materials, and resources to be able to guide conversations, answer questions, and help get people vaccinated.

Centers for Medicare & Medicaid Services Resources:

Centers for Disease Control and Prevention Resources:

Keeping our communities safe has never been more critical. Thanks for all you do.
The HHS COVID-19 Community Corps Team

2021 Provider Meeting

We are currently in the planning phase to host a virtual provider meeting this year and are considering the best topics to provide the most beneficial information. We would like to hear from you about what LTC related topics and info you believe would be helpful and educational!

Please take a moment to answer complete a short questionnaire by July 15, 2021 at https://www.surveymonkey.com/r/83YX6GZ.

Residents of Long-Term Care Facilities Are Invited to Get Creative in the 2021 Resident’s Voice Challenge

Creative writing and artistic expression are meaningful and compelling ways to highlight the importance of residents’ rights and how these rights can be carried out in all long-term care settings.

Residents of long-term care facilities are invited to get creative by participating in this year’s Resident’s Voice Challenge. The Resident’s Voice Challenge is an opportunity for long-term care consumers to respond to and reflect on this year’s Residents’ Rights Month theme – Reclaiming My Rights, My Home, My Life.

Find other resources for promoting Residents’ Rights Month.

How to Participate: Artwork Contest

This year’s theme emphasizes that the long-term care facility is the residents’ home. As part of the Resident’s Voice Challenge, we will be selecting original resident artwork to be featured on door hangers. These door hangers will serve as a reminder for anyone who visits that this is a home.

  • Residents are invited to create a piece of art that reflects what home means to them or how they make their space feel like home.
  • We will select one or more pieces of resident artwork to be featured on the Consumer Voice website and on door hangers available in the Consumer Voice online store.
  • Residents will be notified if their artwork has been selected. Residents whose artwork is selected will receive complimentary door hangers.

Alternatively, residents can respond to the Resident’s Voice Challenge in writing, audio, or via video by answering one or more of the following questions:

  • What did you miss most during the pandemic? What is your life like now as a long-term care resident?
  • What are you looking forward to most in the next year (doing an activity, seeing a loved one, etc.)?
  • What does home mean to you? How do you make where you live feel like home?
  • What can your facility staff do to help make your residence a home?

Possible entries include: Video or audio recordings, poems, essays, word collages, songs, artwork or drawings, or photos. Get creative!

Each participant featured in a photo or video must fill out a release form.

Find out how to submit entries.
Read full Resident’s Challenge guidelines here.

 Entries are due September 1, 2021.

VOYCE Upcoming Professional Education

Professional Education Series 2021

June 29, 2021: Abuse in the Workplace: Identifying and Rectifying Abuse Towards Residents
Speaker: Robin Pendleton, Senior Staff Development Training Specialist for Adult Protective Services

Abuse and neglect in long-term care settings is an ongoing topic of concern amongst LTC professionals and advocates. Those on the front lines of care are, arguably, the best people to fight elder abuse and neglect in their communities. Learn how to identify abuse and neglect at the hands of family or caregivers. Further, learn what steps to take to protect residents – and yourself- when a coworker is a perpetrator.

July 27, 2021: How to Invest Strategically in Technology for your Long-Term Care Organization
Speaker: Amber Bardon, CEO, Parasol Alliance

Now more than ever before having a comprehensive technology strategy in place is essential for long-term care providers to succeed. In this session, learn how to build a customized technology plan for your community. Walk through how to create an actionable technology roadmap designed to meet their community’s unique business objectives and review the must-have components for any effective technology plan related to resident care, workforce collaboration, and security.

August 24, 2021: Working with Challenging Residents
Speaker: Chien Y. Hung, MSW, MA-G, RYT, Program Director of the Long Term Care Ombudsman Program

Long-term care professionals will encounter individuals with a wide assortment of cultural beliefs and perceptions. Too many times, this creates situations that are deeply offensive to the caregiver. In a work setting, how can LTC professionals navigate “isms” (racism, sexism, etc.) directed at them by residents? How can you mitigate workplace toxicity and protect yourself against residents with this mindset?

Nursing Assistant Training Program – REGULATION UPDATE NOTICE

The Department of Health and Senior Services, Section for Long-Term Care Regulation has drafted emergency and proposed amendments affecting the nursing assistant training program referenced in regulation sets 19 CSR 30-84.010 and 19 CSR 30-85.042.

The emergency amendment for 19 CSR 30-84.010 was filed on June 14, 2021, with an effective of June 28, 2021 and expiration of December 24, 2021. The emergency amendment can currently be viewed at: https://www.sos.mo.gov/adrules/EmergenciesforInternet/emergency. The proposed amendment covering this same material will also be published in the same issue of the Missouri Register. The Register publication date is July 15, 2021 for the emergency and proposed amendments and can be found at: http://www.sos.mo.gov/adrules/moreg/moreg.asp.

NOTE: The public comment period for the proposed amendments will be from July 15, 2021 – August 14, 2021. The Department will be accepting comments during the comment period by mailing the comments to: Carmen Grover-Slattery, Regulation Unit Manager, Section for Long-Term Care Regulation, Division of Regulation and Licensure, PO Box 570, Jefferson City, MO 65102-0570 or by emailing to: RegulationUnit@health.mo.gov.

The emergency and proposed amendments can be reviewed on our website at: https://health.mo.gov/about/proposedrules/.