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.
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.
Please find the quarterly report here: Most Frequently Cited Deficiencies – Third Quarter 2013 from the Section for Long-Term Care Regulation.
Effective November 1, 2013, the Family Care Safety Registry (FCSR) Worker Registration fee will increase to $11.00. The fee increase results from a change in state law and is required by the Missouri State Highway Patrol. The FCSR online registration system will be updated effective November 1, 2013 to charge the new fee. Worker registration forms mailed with the incorrect fee postmarked on or after November 1, 2013, will be returned. Updated worker registration forms will be available for download no later than October 31, 2013 online at http://health.mo.gov/safety/fcsr/forms.php. You may also contact the FCSR toll free at 866-422-6872.
View the quarterly report from the Section for Long-Term Care here: Most Frequently Cited Deficiencies April 1 – June 30, 2013
East – July 12, 2013: Is our Iceberg Melting too? An Expedition Toward Consistent Assignment
Brentwood Community Center, Room 104, 2505 S. Brentwood Blvd., Brentwood. RSVP to Ruthie, rrochman@alz.org or 314-801-0446.
Southwest – July 16, 2013: Food and Dining – Dining with Friends
Council of Churches, 627 N. Glenstone, Springfield. RSVP to cindybutler@mchsi.com.
Northwest – July 17, 2013: Life Safety Code and Culture Change
East Hills Library, 502 N. Woodbine Rd., St. Joseph. RSVP to Karen Fletchall, wccc.karen@yahoo.com, 660-564-3304, or Freda Miller, fmiller@nwmoaaa.org, 660-822-6209.
Route 71 – July 19, 2013: Interact III
Community Center, 200 N. Ash, Nevada. RSVP to sghouser@medicalodges.com.
West – July 24, 2013: Staff Turnover and Open Forum with DHSS
St. Mary’s Manor, 111 Mock Ave., Blue Springs. RSVP to Kathy Vogt or Leslie Carter at 816-228-5655.
Please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website for details!
June 13, 2013: Consistent assignment improves employee retention, satisfaction, the overall quality of care and the possibilities of pushing organizational transformation deeper. To learn more about this webinar and to register, please click here: Eden Alternative Neighborhood Guide Webinar.
You may read this article online at https://nbsubscribe.missouri.edu/expert-comment/2013/0408-expert-available-missouri-nursing-home-employees-happy-with-their-jobs-mu-researchers-find/.
To access the executive summary of the report, visit the QIPMO website at http://nursinghomehelp.org.
Click on the links below to view archived webinars from the National Long-Term Care Ombudsman Resource Center (NORC).
Modernizing Your Program to Attract and Retain Today’s Volunteer
Working with Families: Tips for Effective Communication and Strategies for Challenging Situations
Developed by The Eden Alternative®, presented in association with Pioneer Network
February 19, 2013: Facilitating Effective Communication & Conflict Resolution
March 19, 2013: Facilitating Empowerment
April 10, 2013: Facilitating an Appreciation of Diversity
May 14, 2013: Facilitating Life Passions
CLICK HERE for more information, or visit Pioneer Network at www.pioneernetwork.net/.
The revisions to regulation 19 CSR 30-84.030 Level I Medication Aide Training Program, were published in the Code of State Regulations on October 31, 2012. The official new rules may be found on the Missouri Secretary of State’s website at http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp. The rules are located under Division 30, Chapter 84. The effective date for the new rules will be November 30, 2012. The following information outlines some of the requirement changes:
As individuals complete their biennial updates or are newly certified, their certification information will be available on the online registry at the website address below.
Links to the regulations, approved training manuals, forms, certifying agency information and more is available online at: http://health.mo.gov/safety/cnaregistry/lima.php. If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit, at 573-526-5686.
Join Primaris for Hot Topics – Health Care Webinar Series for Long-Term Care
October 24, 2012: 1 – 2 p.m. “Using INTERACT II to Reduce Hospital Transfers”
Speaker Jennifer Hodge, RN, MSBA, Interact II Instructor will:
Early identification and communication of residents’ changes in status are essential to avoiding hospital transfers. Reducing avoidable rehospitalizations are of growing interest to hospitals and may become criteria for future referrals. INTERACT II focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities.
Don’t miss this free interactive webinar on INTERACT II. Missouri skilled nursing homes including administrators, directors of nursing, charge nurses and social workers are invited to attend. Stay tuned for future Hot Topics including reducing antipsychotic medications and QAPI. Registration is available online: https://www3.gotomeeting.com/register/825755518. Please view the flyer here: Hot Topics Webinar Series
Visit the website for more information: www.primaris.org/lan/nursing-home/sign-up
Reporting a change of Administrator or a change of Director of Nursing in your home is required per the Code of State Regulations, 19 CSR 30-81.010, and 19 CSR 30-82.010. New forms for reporting these changes are now available on our website. Change of Administrator/Manager in a Long-Term Care Facility and Change of Director of Nursing in a Long-Term Care Facility forms may be found at: http://health.mo.gov/seniors/nursinghomes/appsforms.php.
Reporting personnel changes is mandatory; however use of these specific forms is not. These forms are provided as an option for your convenience and to improve communications. If you have questions concerning these regulations or notification procedures, please contact the Section for Long-Term Care Regulation, Licensure and Certification Unit at 573-526-8508, or send an E-Mail to: LTCApplication@health.mo.gov.
In cooperation with the Missouri Department of Health and Senior Services, the MU Sinclair School of Nursing at the University of Missouri offers a Nursing Home Leadership Coaching Service to assist nursing home administrators and key operational leaders to meet the leadership challenges of the long-term care industry. The services offered focus on helping nursing home administrators deal effectively with the complex management issues they face each day in their business and personnel operations. The coaching is tailored to meet individual administrator needs within the context of each person’s unique operational situations, as well as within the variety of corporate and business models in Missouri. Designed as a voluntary service, the Nursing Home Leadership Coach assists with such issues as Operational Improvement, Corporate Compliance, Budget Analysis, Regulations, Process Improvement Leadership Skills, Staff Retention, Contract Review, Survey Readiness, Staff Training, Quality of Life, and Culture Change. The Coaching Service works collaboratively with our existing QIPMO program. Dave Walker, LNHA, functions as the NHA Coach. Nursing home administrators interested in consulting with Mr. Walker should contact Jessica Mueller, Project Coordinator at the MU Sinclair School of Nursing at (573) 882-0241 or by e-mail at muellerjes@missouri.edu. Please visit: http://nursinghomehelp.org/coaching.html
Dave Walker, MU NHA Coach, has created a Long-Term Care Survey Manual for use by nursing home staff. The purpose of the manual is to provide guidance on how to comply with State and Federal regulations. The manual offers numerous forms and policies for nursing homes to consider using in order to prepare for their annual survey visit. The manual is available at http://nursinghomehelp.org/, and may be downloaded by section or in its entirety.
The Missouri Local Area Network for Excellence (MOLANE) sponsored a series of staff retention seminars in January – April of this year to help you acquire and retain staff. This series is archived and available for viewing anytime on the Primaris website at: www.primaris.org/node/1566. MOLANE is the state coalition for Advancing Excellence.
MOLANE, a consortium of long-term-care partners, is sponsoring a series of six; one-hour seminars that can help you acquire and retain staff. Coming up next: #6 in the series: April 24, 2012 – Training
To access the Staff Retention Series Webinar Archive and Registration links, visit: http://www.primaris.org/retention/webinars
Effective, stable homes actively develop every employee. For line managers and supervisors, this means developing leadership skills. Managers who spend time growing supervisors empower those supervisors to lead well. No one-size-fits-all approach can help your supervisors improve their decision-making skills. Each person needs to be assessed individually to determine what they need to improve and fulfill their potential. Every day presents you with learning experiences for your supervisors. Teachable moments can arise at unexpected times: They may come in the form of questions posed by your new manager, comments made by their teams, or in other situations. View the March RTOP Tip here: http://www.primaris.org/rtop/tips
The statewide collaborative effort between the University of Missouri – Sinclair School of Nursing, and the Missouri Department of Health & Senior Services, is to bring an evidence-based approach to continuous quality improvement in Missouri’s nursing homes. In 2011, Missouri nursing homes had the opportunity to participate in a statewide resident and family satisfaction survey process.
Now the focus continues on nursing home quality improvement with a 2012 initiative to conduct Missouri’s first statewide baseline survey of employee satisfaction. The employee satisfaction survey initiative is being offered to all skilled nursing facilities in Missouri at no cost to the organization. This is an opportunity for facilities to understand the perspectives and opinions of their employees and to be able to take action on those items that matter most.
State facilities wishing to participate must register no later than March 30, 2012. Nursing home administrators interested in participating in the survey can contact MyInnerview at 800-601-3884 to enroll in the project. Please find the complete announcement here: Employee Satisfaction Survey Initiative 03-16-2012
MOLANE, a consortium of long-term-care partners, is sponsoring a series of six, one-hour seminars that can help you acquire and retain staff.
January 5, 2012 – Staff Retention Resources and Tools This webinar has been archived and available for viewing at: https://www3.gotomeeting.com/register/187308414 or click on the presentation below:
01-05-12 Staff Retention 1 Webinar Alexis Roam
01-05-12 Staff Retention 1 Webinar Carol Benner
01-05-12 Staff Retention 1 Webinar Matt Younger
01-05-12 Staff Retention 1 Webinar Tammy Rolf
January 31, 2012 – Exploring Causes and Setting Goals
February 21, 2012 – Recruiting, Hiring, Welcoming New Staff
March 13, 2012 – Attendance, Scheduling, Assignments
April 3, 2012 – Creating a Positive Chain of Leadership
April 24, 2012 – Training
You may also visit: http://www.primaris.org/node/1566
The ARD is defined as the specific end point of look-back periods in the MDS assessment process. It allows for those who complete the MDS to refer to the same period of time when reporting the condition of the resident. For SNF PPS assessments, this date also determines payment. Chapter 6, Section 6.8, of the RAI manual speaks specifically to early, late, and missed assessments. It states that the ARD must be “established” or “set” within well-defined windows of time. Backdating the ARD because you forgot to set it in the defined window is not allowed. In order to prove that you are not backdating assessments, CMS has commented that the MDS is the only acceptable documentation form for establishing or setting the ARD. Please read the Establishment of ARD from the Federal Register. This means that your facility needs to set the ARD by opening the assessment in the computer and entering the ARD date in A2300 during the defined window of time. The facility still has 14 days from the ARD to then complete the assessment and have all signatures in place. If you have any questions, please contact Joan Brundick, State RAI Coordinator, at joan.brundick@health.mo.gov.