24th Annual Caring for the Frail Elderly Conference

August 15 – 16, 2014:  Holiday Inn Select Executive Center – Columbia, Mo.

The Caring for the Frail Elderly Conference is the premiere Midwest conference dedicated to improving care for the frail elderly.  This inter-professional meeting advances care for older patients in clinical, hospital, nursing home, and end-of-life settings.  Since 1991, this annual event has provided state-of-the-art information on medical management, interdisciplinary care, and system change for physicians, nurses, social workers, state surveyors, nursing home administrators, attorneys, pharmacists, and other professionals.  To learn more, please visit http://medicine.missouri.edu/cfe/.

MC5 Regional Meetings – May / June 2014

Please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html, or click on the regional area links below.


May 7, 2014:  Southwest

Webinar #3: Security is More Than an Alarm System

MC5 and Primaris Learning Collaborative

MC5 Southwest May 7, 2014

Location:  The Library Center, 4653 S. Campbell Ave., Springfield, Mo.


May 9, 2014:  East

Through the Looking Glass

MC5 East May 9, 2014

Location:  Brentwood Community Center, 2505 S. Brentwood Blvd., Brentwood, Mo.


May 20, 2014:  East Central


MC5 and Primaris Learning Collaborative

MC5 East Central May 20, 2014

Location: The Centre, 1200 Holloway Rd., Rolla, Mo.


May 21, 2014:  Northwest

Phishing for Memories: Helping Reel in the Catch!

MC5 Northwest May 21, 2014

Location:  East Hills Library, 502 N. Woodbine Rd., St. Joseph, Mo.


May 23, 2014:  Poplar Bluff

Person Centered Care in Activities

MC5 Poplar Bluff May 23, 2014

Location: DHSS, 2875 James Blvd., Poplar Bluff, Mo.



CENTRAL – Columbia

June 3, 2014:  De Minner will not be able to present “Dementia Care Mapping” on June 3. Culture Change for Surveyors will be presented by DHSS State Culture Change Coordinator Sam Plaster.

Not only is Culture Change the right thing to do, it is required by regulations. Come learn how State long-term care surveyors are taught to apply Culture Change concepts to the regulatory process.

FREE Administrator (2A) and Social Worker CEUs available!

Location: The Neighborhoods by Tiger Place, Community Room, 3003 Falling Leaf Court, Columbia, Missouri. There is no charge to attend, but registration in advance would be appreciated. RSVP to Beth at bbusseau@cmaaa.net or 573-443-5823.


SOUTHEAST – Cape Girardeau

June 6, 2014:  Developing Foundational Tools for Change: A Discussion of four Organizational Practices, presented by Julie Ballard, R.N., Director of Culture Change, Health Systems Inc.
This session will focus on lessons learned from the Pioneer Network Learning Collaborative which MC5 participated in over 2012-2013. Many useful tools were created from this Collaborative and are now part of the “Pioneer Network Starter Toolkit: Engaging Staff in Individualized Care.” The four foundational organizational practices of dedicated assignment, huddles, CNAs in care planning, and quality improvement closest to the resident will be highlighted.
FREE Administrator and Social Worker CEUs Available!

Location: Cape Girardeau Public Library, 711 North Clark St., Cape Girardeau, Missouri. RSVP to John Langley at cypress@americareusa.net.


NORTH CENTRAL – Chillicothe

June 12, 2014:  Staff Retention and Stability

Presented by Primaris Program Manager Kent McGeeney, LNHA, MPA, MSE.



June 17, 2014:  MC5 and Primaris Learning Collaborative – It Takes a Team to Provide High Quality Individualized Care

Utilizing the Pioneer Network National Learning Collaborative Webinar Series on Using MDS 3.0 as an Engine for High Quality Individualized Care.  Monthly meetings will be facilitated by Primaris Program Manager Nursing Home Services Alexis Roam, MSN, RN.

Missouri League for Nursing (MLN) Summer Fest!

  • May 7 – 8, 2014:  Stoney Creek Inn, Columbia, Mo.
  • June 10 – 11, 2014:  Ameristar Casino, St. Charles, Mo.
  • June 17 – 18, 2014:  Holiday Inn Coco Key, Kansas City, Mo.

Topics include:

Elder Abuse:  Calming the Sea of Violence

Management Skills for Proven Success

The Three R’s of Culture Change: Residents, Rights, and Responsibilities

To view all upcoming events, please visit MLN at www.mlnmonursing.org.

Special Offer from the Missouri Coalition Celebrating Care Continuum Change (MC5)

Special Offer from the Missouri Coalition Celebrating Care Continuum Change (MC5)

The Missouri Coalition Celebrating Care Continuum Change (MC5) would love to see every senior care organization in Missouri represented at the annual Pioneer Network Culture Change Conference.

MC5 would like to help every community / organization in Missouri.  Here’s how:

  • If you send one person to the conference, you will receive a $50.00 gift certificate, good at the Pioneer Network Bookstore and participating vendors.
  • If you send four or more people, you will receive an additional $50.00 gift certificate.
  • If one of the people you send is a direct caregiver, you will receive an additional $25.00 gift certificate.

MC5 would love to see everyone come back home from the conference fired up and ready to move forward with new and innovative ideas for their Culture Change journey!  For more information, please visit the MC5 website at www.momc5.com.

Pioneer Network’s 14th Annual Culture Change Conference, “Journey to the Heartland,” will be held Aug. 4 to 7, 2014, at the Sheraton Kansas City-Crown Center in Kansas City, Mo.

      Early Bird Registration now through April 18 – visit www.pioneernetwork.net

Changing Antipsychotic Thinking (CAT) Tip #7

Cat Without a Tail

Do you see a TIGER in your percentages when you expect a KITTEN?  Are unexpected names on your Quality Measure (QM) Report for antipsychotic drug usage? Even the “appropriate” diagnosis of Schizophrenia will trigger the measure if not correctly reported. Schizophrenia, Tourette’s, and Huntington’s are the three accepted diagnoses for the use of an antipsychotic. Report these on the pre-printed section of the Minimum Data Set (MDS) Resident Assessment by checking I6000 for Schizophrenia, I5350 for Tourette’s Syndrome, and/or I5250 for Huntington’s Disease. In I8000 Additional active diagnoses, you may manually input “Schizophrenia with a tail.” One example is “Schizophrenia with Psychosis.” Please view CAT Tip #7 here: CAT_Tip_7.  View more tips at http://primaris.org/tool.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

New High School Equivalency is Acceptable Prerequisite to Enroll in CMT Training Programs

January 1, 2014 was the deadline for passing the GED® High School Equivalency (HSE) exam.  The Missouri Department of Elementary and Secondary Education has replaced the GED® with a new HSE exam, the HiSET™.  To learn more about the new exam, please visit http://dese.mo.gov/alrs/hse/.

Regulation 19 CSR 30-84.020 Certified  Medication Technician Training Program (6) (A) 1., indicates that a high school diploma or General Education Development (GED) Certificate is required to be eligible to enroll in the course.  Since the HiSET™ exam has replaced the GED® exam in Missouri, passing the HiSET™ exam is also acceptable.

If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit at 573-526-5686.

End-of-Life Care Manual: Online Questionnaire

A committee has formed to revise and improve the manual titled “Guidelines for End-of-Life Care in Long-Term Care Facilities.”  The current manual is available at http://health.mo.gov/seniors/nursinghomes/lawsregs.php.

The committee values your input!  Would you help to improve this manual by taking a minute to complete a short online questionnaire?  Please visit www.surveymonkey.com/s/MOEOLC.

If you have any questions, please contact Rita Summers, Missouri Long-Term Care Ombudsman Program, at rita.summers@health.mo.gov or 573-751-6335.

MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in Long Term Care – April 2014

A Certificate Program offered by the University of Missouri to strengthen the RN-NHA Leadership Connection for Better Outcomes in Long-Term Care

April 2014 – October 2014:  Kansas City and Springfield

The next MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in Long Term Care starts in April.  Long-term care can be challenging, but the Academy will help you better manage daily crises and get the most out of your employees, all while earning over 40 hours of CE credit.  The Academy has been proven to increase leadership skills and improve confidence, which will help to create a working environment that encourages teamwork and quality improvement.  Registration is open – please visit http://nursingoutreach.missouri.edu.

MU Infection Control Train-the-Trainer Workshop for RNs in Long-Term Care

MU Infection Control Train-the-Trainer Workshop for RNs in Long-Term Care

Provided by the University of Missouri in cooperation with DHSS

March 4, 2014:  You are invited to send a RN to a complimentary train-the-trainer workshop!  Please view the flyer here: MU Infection Control Complimentary Train the Trainer Workshop March 4, 2014, or visit http://nursingoutreach.missouri.edu/infectioncontoltraining.aspx.

New Generations Quarterly Newsletter – Winter 2014

The Section for Long-Term Care has published New Generations – Volume 12, Issue 1, Winter 2014.  This issue is now available on our website, along with an archive of previous newsletters.  Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.

8th Annual Patient Safety Conference

March 21, 2014:  Safe Care: Our Focus 24/7/365 

Announcement from the Center for Patient Safety

Join healthcare providers from a variety of settings and disciplines as nationally renowned speakers describe how to develop and deepen safety culture at the 2014 Annual Patient Safety Conference in St. Louis. 

Highlights include keynote addresses by Stephen G. Post, PhD, who will discuss “Doing Good and Feeling Better: A Deeper Look at Professionalism in Health Care,” and Michael Leonard, MD, who will address “Embedding Safety and Reliability as Organizational Values to Create Sustainable Safety Excellence.”  Both can nourish efforts to develop a successful culture that will support QAPI initiatives and organizational improvement. 

Individuals from licensed Missouri long-term care providers can attend at no charge, as part of the Center for Patent Safety grant from the Missouri Foundation for Health.  For more information, please visit www.centerforpatientsafety.org/2014conference.

Patient Safety Awareness Week

March 2 – 8, 2014:  The Center for Patient Safety is raising awareness by providing tools and resources for healthcare providers and consumers for Patient Safety Awareness Week.

8th Annual Patient Safety Conference – Call for Posters

The Center for Patient Safety invites you to submit a poster display of your great success in safe practices.

The deadline to submit posters has been extended to February 28.   

The 2014 Patient Safety Conference will be held on Friday, March 21, 2014 in St. Louis, Mo. All areas of healthcare are encouraged to share.  Please visit http://www.centerforpatientsafety.org/2014/02/10/call-for-poster-presentations-at-8th-annual-conference/.

Good Care Should be a Given!

January 17, 2014:  Conversations with Carmen

Guest: Maricel Glova, RN, Action Pact Consultant and experienced DON.

Quality of life includes quality of care. In your community, do residents get to the bathroom when they need to? Better yet, are residents’ bathroom needs anticipated?  In addition to the obvious benefits, this also leads to preventing falls. Is mouth care happening regularly every day? Are medications administered according to residents’ schedules? And is sleep honored according to the person’s circadian rhythm?

Hear strategies for the varying stages of culture – from traditional to households – for ensuring that good care is a given. Only then can a resident achieve highest practicable well-being. This is not only a great idea but also a federal requirement.

To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.

To learn more about Action Pact, click on the links below:




Long-Term Care Survey on Patient Safety

The Center for Patient Safety is offering a web-based version of the Agency for Healthcare Research and Quality (AHRQ) Survey of Resident Safety Culture.  This survey is designed to identify strengths and challenges of the safety culture in nursing homes through input from staff, but could also apply in other long-term care environments.  This survey process is normally a fee-based service, but is temporarily available at no charge to Missouri-licensed long-term care communities.  For more information, please visit www.centerforpatientsafety.org/culturesurvey today!

MDS and Flu Season

CMS posts the public Quality Measures on Nursing Home Compare, and consumers are able to view the percentage data that your nursing home offered and administered the flu vaccine during the current or most recent influenza season.

The 3.0 Resident Assessment Instrument (RAI) manual does not provide specific dates for influenza season.  This has prompted Missouri facilities to ask what dates are considered the influenza season in Missouri, in order to correctly code the MDS, which will be reflected in their Quality Measures.  Seasonal flu monitoring and reporting to the CDC in Missouri begins in early October and extends well in to the month of May.

For MDS coding purposes, if the resident is not in the facility between October 1 and May 31, you should code in Section O:  “Resident not in facility during this year’s flu season.”  For residents who are in the facility from October 1 through the last week of May, the facility is required to offer the flu vaccine as long as it is “reasonably available,” which means that it is still available to be ordered from your local pharmacy or supplier.

If you have any questions, you may contact Joan Brundick, State RAI Coordinator, at 573-751-6308 or email joan.brundick@health.mo.gov.

Health Advisory: pH1N1 Influenza

Health Advisory:  Pandemic pH1N1 Virus-Associated Illnesses and the Influenza Season in Missouri (12.26.13)

CDC Health Advisory:  Notice to Clinicians: Early Reports of pH1N1-Associated Illnesses for the 2013-14 Influenza Season (12.24.13)

Health Alerts, Advisories, and Updates are available on the Department of Health and Senior Services website.  For the most current information, please visit: http://health.mo.gov/emergencies/ert/alertsadvisories/index.php.

Flu Season is Here

Homes are required to offer the flu vaccine to all of their residents.  Vaccination of your healthcare workers, although not mandated, is also important in preventing the spread of flu in your home.  Encouraging your staff to receive the vaccination can also help reduce absenteeism due to illness and reduce the costs of care associated with ill residents. 

Flu season information is available on the CDC website at www.cdc.gov/flu/index.htm.