October 23-25, 2019: Oktoberfest Long-Term Care Conference
Location: Hilton Branson Convention Center, Branson
The purpose of this conference is to enable long-term care professionals to increase their knowledge and skills to better care for the elderly. Expert speakers will get you recharged while providing the latest information on hot topics in long-term care.
Please see more details on the conference link.
August 15, 2019: A Cruel Irony: Ageism and Ableism in Senior Living Environments
Guide: Jill Vitale-Aussem, President & CEO of The Eden Alternative
We know that our society is full of ageist and ableist messaging. Senior living communities should be a safe haven from this barrage of negativity, right? Wrong. Unfortunately, some of the most damaging examples of ageism and ableism occur right under our noses as residents living with frailty or different abilities are marginalized, ostracized and segregated from the rest of the population. This webinar will expose some of the most common examples of ageism and ableism in community living settings and provide tools to begin to build a culture of inclusivity.
June 25, 2019: It’s Happening: How Anti-Ageism Activists are Changing the Culture of Aging! (FREE WEBINAR)
Guide: Ashton Applewhite, Anti-Ageism Activist
Join us for an interactive discussion with nationally known author and anti-ageism activist Ashton Applewhite about what’s happening in the movement to change the culture of aging. We’ll talk about international and domestic campaigns to dismantle ageism, and how pro-aging advocates can find resources, confront our own internalized ageism, participate in these initiatives, and help build a better world in which to grow old.
On 5-20-19, CMS posted the MDS 3.0 RAI Manual v1.17, which will be implemented on 10-1-19. The MDS 3.0 RAI Manual v1.17 contains many updates including information related to the Patient Driven Payment Model (PDPM). You can find the new manual at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html. It is at the bottom of the page in the Related Links section. Please check back prior to October 1, 2019 for a final posting which may contain additional updates.
June 7, 2019: Not Just Your Friendly Ghost: CASPER – CERTIFICATION AND SURVEY PROVIDER ENHANCED REPORTS
Location: Cape Girardeau Public Library, Cape Girardeau
Stacey Bryan, the State RAI Coordinator, will present about CASPER Reports at this QIPMO Administrator Support Group Meeting.
June 21, 2019: Trenton
June 25, 2019: Louisiana
June 26, 2019: Jefferson City
July 9, 2019: Gower
July 11, 2019: Canton
July 12, 2019: Independence
July 19, 2019: Marshall
July 23, 2019: Macon
Stacey Bryan, the State RAI Coordinator, will present at QIPMO MDS Support Group Meetings across the state. More dates and locations to come!
June 20, 2019: Evidence Based Practices for Cleaning and Disinfection in Ambulatory and Hospital Settings (FREE WEBINAR)
Time: 12-1 pm CDT
Speaker: Elaine Allrich, MS, MT (ASCP), Infection Preventionist, Ambulatory Services, SSM Health, St. Louis
What you will learn by attending:
June 27, 2019: The Central Steward: Describing the Role of Nursing in Antibiotic Stewardship (FREE WEBINAR)
Time: 12-1 pm CDT
Speaker: Elizabeth Monsees, PhD, MBA, RN, CIC, FAPIC, Antibiotic Stewardship Program Manager & Senior Patient Care Services Researcher, Children’s Mercy Hospital, Kansas City
What you will learn by attending:
September 4, 2019: Region 6
Location: Capitol Plaza Hotel & Convention Center, Jefferson City
September 10, 2019: Region 4 Agenda
Location: Stoney Creek Hotel & Conference Center, St. Joseph
September 11, 2019: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs
September 18, 2019: Region 7 Agenda
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
September 19, 2019: Region 2 Agenda
Location: Drury Plaza Hotel Cape Girardeau Conference Center, Cape Girardeau
October 2, 2019: Region 1 Agenda
Location: Oasis Hotel and Convention Center, Springfield
October 4, 2019: Region 5 Agenda
Location: Quality Inn & Suites, Hannibal
Please see the flyer. Stay tuned for more details coming including handouts for each meeting.
Individualized Services Plans
Fire Alarm Trouble Signals
Legionnaires Disease for SLCR
Certificate of Need Quarterly Occupancy Survey
Pre-Admission Screening and Resident Review
Missouri Medicaid Fraud Control Unit
Medical Marijuana
Patient Driven Payment Model (PDPM)
Phase III Requirements
MDS Coding of Pressure Ulcers and Other Skin Conditions
Specialized Infection Prevention and Control Training for Nursing Home Staff in the Long-Term Care Setting is Now Available
Please see the memo for further details.
The Section for Long-Term Care Regulation is again seeking input from long-term care providers. We are asking for your help in identifying areas in our Section where excellent customer service is provided and areas where we need to focus on improving our customer service experience. Please take a couple minutes to complete our 2019 Provider Feedback Survey at https://www.surveymonkey.com/r/RRR9NG9 by June 30, 2019.
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 6, Issue 3.
In this issue:
Please visit QIPMO’s website here for this and other previous newsletters.
ICD-10 Bootcamp – Advanced
May 23, 2019: Independence
June 13, 2019: Columbia
July 11, 2019: Springfield
August 13, 2019: St. Louis
This one-day bootcamp is designed for individuals with some coding experience. The session will walk individuals through various coding scenarios, including scenarios with common coding errors found during First Class Solutions, Inc. SNF coding audits. Case scenarios will also include PDPM specifics such as clinical categories and NTA comorbidities.
ICD-10 Bootcamp – Just the Basics
June 11-12, 2019: Columbia
This two-day bootcamp is designed for individuals with minimal ICD-10 coding experience. The bootcamp will review SNF relevant coding guidelines and coding conventions. Attendees will participate in case scenarios that utilize the coding conventions and guidelines, and address PDPM coding specifics.
July 18, 2019: Applying Person-Centeredness to Trauma-Informed Care: A planned person-centered approach to the new CMS Trauma-Informed Care Regulations
Guide: Cynthia E. Baker, MSW, LCSW, LSCSW, LIMHP, and CSW-Gerontology, Regional Clinical Manager for Deer Oaks Behavioral Health
This 60-minute webinar describes person-centered trauma-informed care as it relates to this year’s newest phase of CMS regulation regarding Trauma-Informed care. §483.25 effective Nov. 28, 2019.
The presenter will identify types trauma events, educate about physical and mental manifestations of trauma, and provide strategies for person-centered response plans when residents disclose trauma histories.
Attendees will leave the webinar with interpretation of the trauma-informed guidelines, related F tags, interpret the Behavioral and Emotional Status Critical Element Pathway used by state survey, assessment tools for staff, and apply four actions steps to prepare your community for person centered trauma informed care.
July 16-18, 2019: The 2019 National Emerging Leadership Summit
Location: Washington D.C.
The 10th annual National Emerging Leadership Summit (NELS) for Health and Aging Services Executives will be held in Washington, D.C. from July 16-18, 2019. The three-day summit, unique in its kind, is geared towards the enrichment of leadership skills for emerging health service executives working in skilled nursing facilities, assisted living centers, continuing care retirement communities, life plan communities, rehabilitation hospitals, home- and community-based services, and more. Summit participants will enjoy an engaging, interactive experience that is focused on hearing their voice and helping them grow professionally, all while crafting solutions to improve the field of health and aging services and the profession of administration and leadership therein. Sponsors for this year’s Summit include ACHCA, NAB, AHCA/NCAL, Argentum, LeadingAge, and NIC, as well as several university partners. We are grateful to our wonderful Summit partners and sponsors for their support to make NELS an exciting event each year.
The complete Summit package includes approximately 19 CE credits for administrators from the National Association of Long-Term Care Administrator Boards (NAB), admission to all speaker events and presentations, breakfast and lunch each day, a reception with past NELS attendees and leaders in health and aging services, and a unique Washington, D.C. group event and dinner one evening. Lodging information at the host hotel, with the NELS discounted rate, will be provided upon application and acceptance (each participant will reserve his/her own room in the room block). For more information and how to apply to attend the 2019 NELS Summit, you can visit the NELS website at: www.nelssummit.org/. Limited scholarship support is available, which covers the registration fee, with a link to a scholarship application found on the “How to Apply” page on the website. The 2019 NELS application deadline is Friday, May 24, 2019. Questions regarding the NELS Summit can be sent to Kevin Hansen, NELS Director, at hansekev@uwec.edu or to Doug Olson, NELS Senior Advisor, at olsondou@uwec.edu.
The DMH PASRR Level II Assessment webpage is a resource to assist Nursing Facilities with the level II process and care planning for behavioral and mental health conditions. The web page includes an overview of the preadmission screening and resident review process, reporting requirements for NF, who to contact for assistance, how to file an appeal, where to find answers to FAQ and links to crisis planning and other resources.
Please visit the website at https://dmh.mo.gov/programs.html.
May 17, 2019: Real Babies and Children; How to Welcome Children All the Time
Guest: Angie McAllister, Director of Quality of Life and Culture Change Operations, Signature HealthCARE
This month learn how to successfully incorporate children into the life of a nursing home from Angie McAllister. She will also share ways to welcome employees’ children and host camp all summer long. Join Angie and Carmen for this illuminating discussion about adding more Real Life to the care environment.
The submission deadline for PBJ is approaching. PBJ data for 1/1/19 through 3/31/19 is due on May 15, 2019. CMS uses PBJ data to determine each facility’s staffing measure on the Nursing Home Compare tool on Medicare.gov website, and calculate the staffing rating used in the Nursing Home Five Star Quality Rating System.
More information about PBJ can be found on the CMS webpage www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html.
The submission deadline for the SNF Quality Reporting Programs (QRP) is approaching. MDS data for October 1 – December 31 (Q4) of calendar year (CY) 2018 are due with this submission deadline. All data must be submitted no later than 11:59 p.m. Pacific Standard Time on May 15, 2019.
As a reminder, it is recommended that providers run applicable validation/analysis reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.
CORMAC sends informational messages to IRFs, LTCHs, and 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@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.
Please see the most frequently cited deficiencies report from the first quarter of 2019.
In response to feedback to the original draft Nursing Facility Level of Care algorithm, revisions have been made and a revised version, Version 2.0, has been developed. Please review the draft algorithm and accompanying documents and provide feedback as directed below. Your feedback is critical to this process.
In addition to the actual revised algorithm, a level of care determination guide has been developed to serve as a summary of the DRAFT LOC Algorithm 2.0. This guide serves as a blueprint for stakeholders and participants to understand proposed LOC updates. (The DRAFT LOC Algorithm 2.0 along with the InterRAI Home Care assessment tool is specific and should be used to determine a participant’s LOC.)
InterRAI Home Care – MO Version PW
DRAFT LOC 2.0 Algorithm
Nursing Facility Level of Care (LOC) Determination Guide 4-16-2019
Participant Worksheet
Please submit feedback until May 20, 2019, by emailing your participant worksheets, determination guides and comments to LOCTransformation@health.mo.gov.
The password for the InterRAI Home Care assessment tool and any questions regarding the revised algorithm may be sent to slcr@health.mo.gov.
Due to a continued increase in the volume of complaints received by the Adult Abuse and Neglect Hotline, long term care providers have had difficulty in reaching the hotline via telephone. A reminder that you may utilize the Mandated Reporter Form and fax it to CRU at 573-751-4386 at any time, in order to fulfill your requirement to report abuse and neglect.
PIONEER CONNECTION: We know that over the years pioneers have traveled in search of new and exciting opportunities in horse drawn wagons, canoes and on foot. As a modern Pioneer seeking the answers to Pioneering a New Culture of Aging, how about traveling to the 2019 annual conference in Louisville, KY in a luxury motor coach? Please see the flyer for more details.
June 25, 2019: It’s Happening: How Anti-Ageism Activists are Changing the Culture of Aging! (FREE WEBINAR)
Guide: Ashton Applewhite, Anti-Ageism Activist
Join us for an interactive discussion with nationally known author and anti-ageism activist Ashton Applewhite about what’s happening in the movement to change the culture of aging. We’ll talk about international and domestic campaigns to dismantle ageism, and how pro-aging advocates can find resources, confront our own internalized ageism, participate in these initiatives, and help build a better world in which to grow old.
May 23, 2019: Person Centered Dementia Care: First Came the Recommendations, Now Let’s Explore the Outcomes!
Guides: Sam Fazio, Senior Director of Quality Care and Psychosocial Research Care and Doug Pace, MHA, Director of Mission Partnerships, Alzheimer’s Association
The Dementia Care Practice Recommendations were released over a year ago. Join Sam Fazio and Doug Pace from the Alzheimer’s Association as they share data and stories of what has happened over the past year as these recommendations have been put into practice. You will learn how these standards can be the basis of a culture of quality improvement that can be achieved in any long-term care or community-based setting. In addition, as sponsors of the Dementia Track at this year’s Pioneering a New Culture of Aging conference, Sam and Doug will share with you some of the highlights from of what’s happening in the world of Dementia Care that will be shared at this year’s conference.
April 17, 2019: The Double Whammy of Ageism and Ableism (FREE WEBINAR)
Guide: Mel Coppola
By now, you’ve probably heard some buzz around ageism-the prejudice of people based on their age. And hopefully you have gained some awareness around it and are taking steps against it—after all, you WILL grow old. But how much have you thought about ableism-the prejudice of someone based on their different abilities, whether physical or cognitive? None of us want to think of ourselves as prejudiced, but we make assumptions based on age and ability more than we think. Especially in the work that we do, these two “isms” collide on a daily basis. In this webinar, we will discuss the intersection of ageism and ableism and the double whammy it has for the people we support.