The Green House Team FREE Fall Webinars

September 27, 2022: Person-Directed Leadership: Creating a Coaching Culture
October 4, 2022: Invest in Your Workforce for 2023
October 11, 2022: Communicating for Policy Success

Join Amanda Loomis of SWBR for a dynamic exploration of the ways that design can promote vitality and wellbeing for elders – and how small touches can go a long way toward revitalizing a nursing home, assisted living community, or other eldercare setting.

2022 MOADD Summit

November 9, 2022: Missouri Alliance for the Dually Diagnosed (MOADD) Summit
Location: Holiday Inn Executive Center, Columbia

MOADD (Missouri Alliance for Dual Diagnosis) established in 2018, is a collaborative effort between Department of Mental Health (DMH) staff and DMH providers with interest in developing expertise in supporting individuals with dual intellectual/developmental disabilities (I/DD) and behavioral health diagnosis.

MOADD provides resources to assist providers to:

  • Be current in best practices
  • Develop an integrated system to make agencies more aware of resources for behavioral health and DD available through Regional Professional Learning Communities.
  • Provider better outcomes for individuals

MALA’s 2022 ALF Community Based Assessment Training

November 29-December 1, 2022: 2022 ALF Community Based Assessment Training

As required by 198.005 RSMo and 19 CSR 30‐86.047, residents of Assisted Living Facilities are required to undergo a community-based assessment performed by an appropriately trained and qualified individual. This individual must complete a DHSS approved 24‐ hour training program prior to performing resident assessments. The MALA ALF Assessment Training satisfies this regulatory requirement.

Nursing Home Staffing Study Blog and Stakeholder Listening Session

CMS published a blog describing the multi-faceted approach the agency is taking to determine a minimum staffing level for nursing homes in order to ensure safe and quality care.

Also included in the blog is a registration link for an upcoming Stakeholder Listening Session that CMS is conducting for the public, scheduled for Monday, August 29, at 12:00-1:30 pm (central).

Online Course for CNA Instructor Required 4-Hour Update

MANHA and MHCA provided in-seat update training in 6 locations earlier this year. We are now offering the update training online. To access you can go to www.staffdevelopmentsolutions.com click on Course Groups. You will find the “CNA Instructor 4 Hour required update” under Train the Trainer course group. Once you complete you will NOT need to do anything else if course is 100% complete. August 30th we will report all RNs who have completed the training to DHSS, Health Education Unit and you will be updated on the registry.

The objectives of this course will meet the elements of the required training to include:

  1. Instruction on how to complete form DHSS-DRL-111 (08-20), Classroom and On-the-Job Training Record;
  2. Instruction on the fundamentals of adult learning;
  3. Instruction in at least one (1) area regarding standards of practice in long term care such as pressure ulcer prevention, dining practices, or resident rights issues;
  4. Instruction on providing care for cognitively impaired residents;
  5. Review of the Nursing Assistant Training Program regulations contained in 19 CSR 30-84.010; and
  6. Review of the administration and resident care requirements contained in 19 CSR 30-85.042.

Any instructor who has not completed the required four (4) hour update training by August 30, 2022, and every five (5) years thereafter shall be removed from the department-approved list of instructors. If removed from the department’s list, the instructor shall attend and successfully complete the Nursing Assistant Instructor Workshop in order to be reinstated to act as an instructor.

CNA Instructor 4-Hour Update Training Requirement – Due 8/31/22

As of 12/30/21, the new CNA regulations require the CNA instructor to take a four-hour update training every five years. Please see below the regulatory language:

19CSR-84.010 (15)(C)

Any instructor who has not completed the required four (4) hour update training by August 31, 2022, and every five (5) years thereafter shall be removed from the department-approved list of instructors. If removed from the department’s list, the instructor shall attend and successfully complete the Nursing Assistant Instructor Workshop in order to be reinstated to act as an instructor

All current instructors who have not taken the instructor 4 hour update training by August 31, 2022, will be removed as a CNA Instructor from the registry.

*The four hour update training is still required to be completed by August 31, 2022 even if you have recently taken the Train the Trainer course (unless the four hour update training was included) to become a CNA instructor.

If you have any questions, please contact the Health Education Unit at CNARegistry@health.mo.gov or call us at 573-526-5686.

2022 Missouri Tiered Supports Summit

July 16, 2022 & July 27-28, 2022: Nurturing Healthy Communities

Includes presentations from change agents and behavior analysts from across the country.

Family Sessions

Saturday, July 16, 2022: 10:30 – 2:00

Family Sessions are an ideal opportunity for parents, grandparents, caregivers, and the behavioral health professionals who support them to learn more about positive practices and at home implementation of Tiered Supports.

Professional Sessions

July 27-28, 2022: 9:30-12:30

Professional Sessions provide an opportunity for agency administrators, supervisors, agency team members, coaches, DMH team members, family caregivers, and other behavioral health professionals to learn more about positive practices and implementation of Tiered Supports.

FREE CEUs available for RBTs, BCaBAs, and BCBAs – Click to Register

MO Tiered Supports is a state multi-tiered positive behavior support consultation service system. The MMTSS team focuses on teaching and coaching agency teams so they can better serve the individuals in their care. You can click on these underlined links to direct you to more information on Tiered supports: Multi-Tiered Systems of Support and Understanding Missouri Multi-Tiered Supports Webinar

For information on this summit, please visit https://dmh.mo.gov/dev-disabilities/tiered-support-summit/2022.

RAI Process from Start to Finish

August 2-4, 2022: RAI Process from Start to Finish
December 6-8, 2022: RAI Process from Start to Finish

This virtual workshop will look at the RAI process from beginning to end and at each item of the MDS. The MDS is used for both a clinical and a financial assessment and will discuss the rules on scheduling these assessments and meeting the clinical & financial requirements. This includes a basic understanding of PDPM and how it correlates within the RAI process. This virtual workshop reviews how to gain access to and read the MDS reports from CASPER to self-audit your RAI process and look at your QMs. This workshop is designed for the MDS Coordinator and Care Plan Coordinator, or for the DON or ADM who needs a better understanding of the complexity of the RAI Process.

Medicare from Start to Finish

September 13-14, 2022: Medicare from Start to Finish
November 8-9, 2022: Medicare from Start to Finish

This virtual workshop will review the SNF QRP reports from CASPER that provides information about the Medicare Part A stays in your SNF. It will also explore factors impacting SNF PPS assessment schedule, PDPM basics, and consolidating billing that can impact the financial facet of the facility. It also explains Medicare eligibility, coverage, and skilling criteria. The completion of the MDS is becoming more difficult and confusing; this workshop will help clear up the confusion surrounding this process. This workshop is geared towards those individuals working in long‐term care who have a leadership role such as ADM, DON, ADON, or MDS Coordinator.

LeadingAge Missouri Annual Meeting & EXPO

September 26-28, 2022: MOMENTUM
Location: The Chase Park Plaza Royal Sonesta, St. Louis

It’s time to reconnect at LeadingAge Missouri Annual Meeting & EXPO at the beautiful Chase Park Plaza Hotel in Saint Louis.

LeadingAge Missouri’s members are eager to connect with you at our Annual Conference & EXPO! This year’s events will offer a wider variety of marketing opportunities sure to suit your goals and budget. The 2022 conference will provide you with a dynamic opportunity to put your life-changing products and services in front of aging services leaders from across Missouri. We are dedicated to helping you to stand out from your competition.

Free Dementia Training – Changing Talk: Online Training (CHATO) to Reduce Behavioral Symptoms in Dementia

CHAT educates staff about reducing elderspeak (infantilizing communication) and results in reduced behavioral symptoms and need for psychotropic medication for residents with dementia. The new online version (Changing Talk: Online Training (CHATO)) consists of 3; one-hour interactive online modules that provide flexible and accessible access for staff.

There is no cost, direct-care staff can earn 3 contact hours, and all staff get a Certificate of Completion for their file.

Benefits to you, your staff, and your residents include:

  • A person-centered approach.
  • Education about elderspeak and better communication strategies.
  • Reduction in resistiveness to care and other behavioral symptoms in residents with dementia.
  • Reduction in the need for psychotropic medication.
  • Convenient, online educational format for busy nursing homes.
  • Qualifies for CMS dementia care training hours requirements.
  • A free, nonpharmacological, evidence-based intervention is an excellent addition to a Quality Improvement Plan.

Here is also a one-page summary of the study.

Please see the website to learn more about CHATO and view our training resources or

Access the Google drive to download the NEW pilot research and CHATO National Trial information.

Interested parties can email Carissa Coleman (below) or complete the interest form on the website.

Carissa K. Coleman, PhD, MA
Research Assistant Professor
University of Kansas School of Nursing
t: 970-270-6839 | ccoleman3@kumc.edu

Webinar Registration & Recap: Up to Date Vaccination Status: Surveillance Definition Change for COVID-19 Vaccination Modules

Information for NHSN users

The NHSN Vaccination Team hosted a webinar on Thursday, June 23rd to review changes to the definition for individuals considered Up to Date with COVID-19 vaccines for data reporting through the NHSN COVID-19 Vaccination Modules. We learned that some users were unable to join the webinar due to the number of participants exceeding capacity. We apologize for this inconvenience. To address this, NHSN is hosting a second webinar on the same topic (Up to Data Vaccination Status Surveillance Definition Change) on Tuesday June 28th from 12:00-1:00 PM Eastern Time.

Please click the link below to register for the webinar on Tuesday June 28th from 12:00-1:00 PM Eastern:

https://cdc.zoomgov.com/j/1619745620?pwd=ODE3QTNGb1FzNlRvMFB1bHQvd3NGUT09

After registering, you will receive a confirmation e-mail containing information about joining the webinar.

We also wanted to provide answers to a few frequently asked questions that came up during the webinar:

  • The guidance we provided on how to report Up to Date COVID-19 vaccination applies to all facilities that report vaccination data through the NHSN COVID-19 Vaccination Modules including long-term care facilities (LTCF), dialysis facilities, acute care hospitals, inpatient psychiatric facilities, inpatient rehabilitation facilities, long-term acute care hospitals, and ambulatory surgery centers. The information provided regarding case reporting through the Resident Impact and Facility Capacity (RIFC) Pathways applies only to LTCFs.
  • NHSN’s surveillance definition of Up to Date with COVID-19 vaccines is based on CDC’s clinical considerations and Up to Date definition for the first day of the reporting quarter. CDC recently updated the definition of Up to Date vaccination, so the NHSN surveillance definition will change for Quarter 3, 2022, which begins during the reporting week of June 27, 2022 – July 3, 2022.
  • For LTCFs, the NHSN event-level (person-level) vaccination form will classify individuals as up to date and will apply this new definition beginning 6/27. In order for this to happen, you will need to enter date of birth beginning 6/27 for all individuals in the facility since age is now taken into consideration for determining up to date vaccination status. The Excel Data Tracking Worksheets have been discontinued for LTCFs and removed from the NHSN website since the event-level (person-level) vaccination tool is now available for LTCFs.
  • For all other non-LTC facility types (e.g., dialysis, acute care, ambulatory surgery, etc.), the Excel Data Tracking Worksheet is being updated to incorporate the new definition of up to date vaccination. It should be available in the coming weeks. This Excel tool will be maintained until the NHSN event-level vaccination forms are available for non-LTC facilities.

Community Education from VOYCE

July 12, 2022: A focus on Aging Ahead and St. Louis Area Agency on Aging
Presenters: Jan Keith, Director of Community Engagement, Aging Ahead and Jamie Saunders, Information & Assistance Coordinator, St. Louis Area Agency on Aging

Join VOYCE for this Community Education webinar presentation to learn about the valuable services for seniors offered by Aging Ahead and St. Louis Area Agency on Aging. We’ll learn about important services offered throughout the Greater St. Louis region including Senior Housing, Legal Services, Meals on Wheels, Health Insurance Marketplace, Long-Term Care assistance, and Medicare and Medicaid support.

2022 Enhanced Leadership Development Academy for LTC Leaders

Do you…..

❍ need a leadership course that addresses the unique challenges SNF leaders face?
❍ want to feel inspired and passionate about leading your SNF?
❍ want to connect with other SNF leaders and have access to free professional development, tools, and resources?
❍ want free CE credit without sacrificing quality and practical application?
❍ want to have the flexibility to learn at the pace and place the works best for you?

If you answer YES to any of these questions, this course may be for YOU!

For more information visit our web site, download the postcard or contact Todd Winterbower at winterbowert@missouri.edu.

Take the survey now to see if you qualify for FREE registration.

MHCA Webinar – Developing New Leaders in Your Facility

Full series recordings are available through September 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MU Care of the Older Adult

August 19-20, 2022: Care of the Older Adult
Location: Holiday Inn Executive Center, Columbia & Virtual

This conference will provide health professionals the opportunity to gain knowledge in interdisciplinary approaches to clinical management and ethical treatment of older adults, a forum to discuss complex care issues common to all who care for the older adult and an awareness of innovative models of geriatric care delivery. The focus is on promoting excellence in gerontology health care by keeping abreast of the latest evidence-based practice.

This conference will be a hybrid event, you may attend in-person or online/virtual. If you choose to attend virtually, information will be emailed to you prior to the conference, using the email address you provide during registration.

MHCA Annual Convention

August 28-31, 2022: MHCA 74th Annual Convention & Trade Show
Location: Branson Convention Center, Branson

The Missouri Health Care Association invites you to join us at the 74th Annual Convention & Trade Show! MHCA is excited to bring you another year of the most requested and up-to-date education sessions available. Each day is scheduled to offer a wide range of education to meet the needs of the entire staff. Convention will be held again this year at the Branson Convention Center, conveniently located adjacent to the Branson Landing which is enjoyed by many. Don’t miss the opportunity to tour the Trade Show, widely regarded as the leading long term care trade show in Missouri with over 150 booths.

Missouri launches dashboard displaying opioid overdose related data

Record high number of fatal overdoses recorded, according to most recent data available

With 1,878 deaths, 2020 had the highest number of fatal drug overdoses to date in the state of Missouri – a 19% increase from 2019. 1,375 of these deaths involved opioids. Today, the Missouri Department of Health and Senior Services (DHSS) launched a new, interactive dashboard showing data regarding both fatal and nonfatal overdoses, where they occurred in the state and the demographic makeup of those who overdosed.

Following national trends, drug overdoses have become an epidemic in Missouri over the past decade. Missouri ranked 32nd in the nation for drug overdose death rates in 2020.

Among adults aged 18-44 in Missouri, drug overdose is the leading cause of death, and more than 70% of all drug overdose deaths in the state involve opioids. The opioid class of drugs includes heroin, fentanyl, methadone, morphine, oxycodone and many other prescription and non-prescription pain relievers.

“The opioid crisis is an issue only made worse by the COVID-19 pandemic,” said Paula Nickelson, DHSS Acting Director. “This is a health crisis that knows no bounds–it affects all genders, races and ages in both rural and urban communities. Our efforts at the state level to combat opioid misuse and overdose include monitoring and prevention strategies designed to improve data quality, inform decision making and implement targeted interventions.”

The new dashboard shows a sharp increase in recent years of deaths, from those involving heroin (with no synthetic opioids present) to deaths involving synthetic opioids. Synthetic opioids, including fentanyl and its analogs, were involved in 1,204 drug overdose deaths in 2020 in Missouri. The 2020 figure is nearly seven times higher than the 2015 count of 179 synthetic opioid-involved deaths.

In an effort to alter this trajectory, DHSS has several strategies and activities currently underway or in development. These efforts are supported through the Overdose Data to Action (OD2A) cooperative agreement with the Centers for Disease Control and Prevention (CDC) which began in 2019.

Data Monitoring

  • Collect and disseminate timely Emergency Department data on all suspected drug, opioid, heroin and stimulant overdoses: Perform monitoring in Missouri’s Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) using case definitions for all drugs, opioids, heroin and stimulant overdoses.
  • Collect and disseminate descriptions of drug overdose death circumstances using death certificates and medical examiner/coroner data: Collect data from death certificates and medical examiner/coroner reports and enter data into the State Unintentional Drug Overdose Reporting System (SUDORS).
  • Implement Innovative Surveillance: Link records between two nonfatal data sources, ESSENCE and Patient Abstract System, on various overdose types to evaluate the relationship between overdoses reported with more real time data versus more comprehensive but lagged data.

Prevention Methods

  • Prescription Monitoring Compliance: Conduct regulatory inspections on high-risk prescribers and outliers; seek regulatory actions and remedies; provide information and education to prescribers about CDC prescribing guidelines.
  • State/local Integration Efforts: DHSS has established 16 current contracts with select local public health agencies to focus on opioid and illicit drug use prevention and response efforts.
    • DHSS collaborated with the Missouri Department of Mental Health and provided funding to three local prevention centers to combat opioid misuse and overdose.
    • The DHSS Office of Minority Health responds to overdoses in the St. Louis area and provides resources to overdose patients regarding treatment services.
    • DHSS held its inaugural Harm Reduction Conference in June of 2021 and is in the planning stages for the 2022 conference.
    • DHSS is developing a second Missouri vulnerability assessment focusing on dual issues of opioid misuse and blood-borne infection.
    • The DHSS Bureau of HIV, STD and Hepatitis provides Harm Reduction 101 training and technical assistance to local public health agencies and community-based organizations.
  • Linkages to Care: DHSS has supported contracted HIV Peer Navigators and other designated staff to attend the Missouri Credentialing Board Medication Assisted Recovery training, integrated the HIV Reduction 101 training into the HIV/Hepatitis C training and continues to look for professional certification opportunities to build system staff capacity.
  • Public Safety Partnerships: The DHSS Bureau of Healthcare Analysis and Data Dissemination has established a linkage of opioid overdose mortality data with offenders released from the Missouri Department of Corrections. DHSS has a linkage with the Midwest High Intensity Drug Trafficking Area to review drug seizure data and compare with opioid overdose mortality data.
  • Public Awareness: DHSS will launch a new media campaign based on most recent data to raise awareness of opioid misuse and overdose. DHSS has previously implemented three separate campaigns to focus on opioid awareness, harm reduction strategies and CDC Rx Awareness facets. The campaign targeted zip codes with the highest opioid mortality rates; these campaigns have been marketed on radio, billboards, at gas stations, across social media platforms and through other venues and platforms.

View the drug overdose dashboard at health.mo.gov/data/opioids, or visit Time2ActMissouri.com for more information or resources.

Update for COVID-19 Module Surveillance Pathways and Weekly HCP and Resident COVID-19 Vaccination Module Training dates

The NHSN Vaccination team will host 2 training sessions in preparation for the upcoming NHSN release on May 30th. These sessions were previously scheduled to incorporate the LTC COVID-19 Module Surveillance Pathways, however the training has been scaled down to solely focus on the COVID-19 Vaccination Module.

Please register to attend one or more sessions to learn how reporting forms will change and how to report data accurately. After registering, you will receive a confirmation email containing information about joining the webinar. Please note these training sessions are repeated and you may not find it necessary to register more than once. After each training session, you will be allowed to ask questions as it pertains to the webinar.

Thanks for your participation!
The NHSN LTCF Team

**COVID-19 Vaccination Modules Webinar**

When: Tuesday, May 17, 2022, 1:00 – 2:00 PM Eastern Time (US and Canada)
Topic: Updates to the COVID-19 Vaccination Modules for Residents and Healthcare Personnel
Register in advance for this webinar:
https://cdc.zoomgov.com/webinar/register/WN_2vwCHWGkQj63Nvka5h5GUA

When: Thursday, May 19, 2022, 1:00 – 2:00 PM Eastern Time (US and Canada)
Topic: Updates to the COVID-19 Vaccination Modules for Residents and Healthcare Personnel
Register in advance for this webinar:
https://cdc.zoomgov.com/webinar/register/WN_dG7knYLOQJu9lwT__8cV2Q

2022 SLCR Annual Provider Meetings

We are currently in the planning phase to host in-person provider meetings in all regions 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 May 31, 2022 at https://www.surveymonkey.com/r/9287QZQ.

Office Hours and Frequently Asked Questions Webinar for the Optional Event-Level

The NHSN Vaccination Team is providing two webinars on Tuesday, April 12th and Tuesday, April 19th at 2:00 PM Eastern Time to provide additional training on the Event-Level COVID-19 Vaccination Forms in the COVID-19 Vaccination Modules and to answer frequently asked questions. These worksheets are available in the NHSN application for long-term care facilities (other modules coming soon!) to manage person-level vaccination data and simplify data for weekly COVID-19 Vaccination Modules.

During this session, the team will review key points about the forms and provide answers to frequently asked questions raised during the training webinars held in March 2022. Users attending the training can also ask questions in in the Q&A box.

Registration information for both webinars is listed below. The content for both webinars will be the same, but individuals are welcome to register for and join both for additional reinforcement if they choose.

When: Tuesday, April 12, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_CQN5faRJTRictvPA512RmA
After registering, you will receive a confirmation email containing information about joining the webinar.

When: Tuesday, April 19, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_asYca_YuTj2gzJbMiFM7ow
After registering, you will receive a confirmation email containing information about joining the webinar.

For specific questions about registration for this webinar, please e-mail NHSN@cdc.gov and place in the subject line: Event-Level COVID-19 Vaccination Form Office Hours.

CNA Upcoming Testing

Headmaster D & S: 1-800-393-8664 – Please ask for the Missouri Team!

  • April 9, 2022 – St. John
  • April 12, 2022 – St. Louis(Knowledge) & Jefferson City
  • April 13, 2022 – Trenton & Kansas City
  • April 14, 2022 – Gladstone & St. John
  • April 15, 2022 – Kansas City
  • April 21, 2022 – Gladstone, Kansas City & St. John
  • April 23, 2022 – St. Louis
  • April 24, 2022 – Kansas City
  • April 25, 2022 – Kansas City
  • April 28, 2022 – Gladstone, Kansas City, Jefferson City, St. John & Hillsboro
  • April 29, 2022 – Kansas City
  • April 30, 2022 – Kansas City

All Regional dates are viewable on the online calendar at https://mo.tmutest.com/calendar.

To help with scheduling your testing event, contact Headmaster a few days after the CNA course starts.

MHCA Developing New Leaders in Your Facility-The Skills That Make All the Difference

May 17-June 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This webinar series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MHCA’s Federal Review Course for NHA’s

June 27-28, 2022: Federal Review Course for Nursing Home Administrators Examinees

The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. The instructor will review sample test questions from the study workbook, which is provided free to all attendees. Study tips will be suggested throughout the workshop, therefore, it is recommended that attendees allow sufficient time to study on their own after attending the review course and before sitting for the exam. Review course materials have been revised and updated to reflect the structure of the current examination. This workshop is being offered both in-seat and virtually.