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.

Important Notice – Family Care Safety Registry Worker Registration Fee Increase

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.

MC5 Regional Meetings – July 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!

Missouri Nursing Home Employees Happy with Their Jobs, MU Researchers Find

University of Missouri – News Bureau
April 8th, 2013
COLUMBIA, Mo. –Missouri nursing home employees are satisfied with their jobs, results from a new statewide survey suggest.  Researchers at the University of Missouri Sinclair School of Nursing (MU SSON) conducted the survey and say the findings will help nursing home administrators assess their employees’ job satisfaction. 
The Missouri Department of Health and Senior Services funded the survey developed by MyInnerView. 

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.

Facilitative Leadership –A webinar series

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/.

Level I Medication Aide Training Program Regulation Update

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: 

  • The Level I Medication Aide (LIMA) course shall include a minimum of sixteen (16) hours of integrated formal instruction and practice sessions directly supervised by an approved LIMA Instructor. 
  • LIMAs shall participate in a minimum of four (4) hours of medication administration training every two (2) years in order to remain active and administer medications in a Residential Care Facility (RCF) or in an Assisted Living Facility (ALF).  LIMAs certified on or before September 30, 2012 shall have until September 30, 2014 to comply with the biennial training requirements, or their name will be removed from the registry and they will be required to take the full 16-hour course.  Forms are located on our website at the address below. 
  • Medication Aides (MAs) certified through the Department of Mental Health will be able to apply for DHSS certification through a Certifying Agency.  MAs will be required to provide certification documentation proof and pay the certification fee.  The Certifying Agency will submit the names to DHSS to be added to the registry. 
  • To be a LIMA course instructor, the individual must currently be an approved LIMA Instructor (verification is available online).  Instructors must be a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) licensed to practice in Missouri, not subject to any disciplinary action, and shall have one (1) year experience working as a nurse and shall attend and successfully complete a “Train the Trainer” workshop through a Certifying Agency.

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.

Using INTERACT II to Reduce Hospital Transfers Webinar

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:

  • Introduce the purpose of INTERACT II and why it matters to you.
  • Outline the steps to help you get started tracking hospital transfers.
  • Review tools you can use from the INTERACT II program.

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 Changes of Administrator or Director of Nursing

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.

Nursing Home Leadership Assistance

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

  •  Nursing Home Survey Manual:  Resource Available!

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.

Better People for a Better Home: Staff Retention Webinar Series Archive

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.

Primaris Retention Tip of the Month: Grow Your People, Grow Your Home

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

Employee Satisfaction Survey Initiative Offered To Skilled Nursing Facilities

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

Nursing Home Staff Retention Webinar Series

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

MDS Information – When and how to establish the Assessment Reference Date (ARD)

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.