MLN Annual LTC Convention

April 6-8, 2022: 68th Annual Long-Term Care Convention
Location: Margaritaville, Osage Beach

MLN’s primary goal during the Annual Long-Term Care Convention is to provide educational and networking opportunities that help our valued members, long-term care administrators and professionals, health care providers and guests. This program has been approved for 18.5 licensed administrator continuing education hours (8.5 A and 10 PC) by the Missouri Board of Nursing Home Administrators.

MANHA Dementia Programing Seminar

April 7, 2022: Independence
April 27, 2022: Lake Ozark
April 28, 2022: St. Louis

Dementia Programming: A Hands-on Approach

Understanding and managing dementia is difficult, even on the good days. This seminar will focus on a presentation of practical knowledge for the care of individuals with dementia in long-term care, including a brief overview of dementia as an illness including the various types and symptoms and the stages of the illness. By identifying the progression of the disease, you can tailor the care and communication to fit the needs of the resident in a compassionate and person-directed way. You will also learn the practical steps of running an effective dementia unit in a long-term care facility, including the regulations that apply specifically to this type of care. This hands-on workshop will give you real-time practice and knowledge for not only interpreting the difference between actions and “behaviors”, but it will expand your understanding of clinical symptoms versus human reactions and building that knowledge into a safe, compassionate, living environment that is supportive to your residents and your staff.

COMRU Upcoming Q & A Sessions

Please join COMRU (Central Office Medical Review unit) for a Q & A session via WebEx.

February 18, 2022
Time: 10:00 a.m.

Meeting number (access code): 2460 218 4769
Meeting password: MfVVW7asP23

Join from the meeting link: https://stateofmo.webex.com/stateofmo/j.php?MTID=m39c2a820985815deeedb03d8a797224d

Join from a video system or application: Dial 24602184769@stateofmo.webex.com

You can also dial 173.243.2.68 and enter your meeting number.

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Join by phone
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CNA Testing Events

Needing to schedule a CNA test? The following are dates and locations are already set. Please call Headmaster to register.

February 12, 2022: Cape Girardeau
February 14, 2022: Farmington (opens to public 48 hours prior)
February 17, 2022: Macon
February 19, 2022: St. Charles Community College (opens to public 48 hours prior)
February 22, 2022: Friendship Village, St. Louis
March 7, 2022: Nichols Career Center, Jefferson City
March 9, 2022: North Central College, Trenton
April 4, 2022: Nichols Career Center, Jefferson City
May 9, 2022: Nichols Career Center, Jefferson City

Other dates and locations may be available. Please call Headmaster at 1-800-393-8664 and ask for the Missouri Team.

VOYCE Community Education Series

February 8, 2022: What You Need to Know About Leaving a Nursing Home BEFORE You Move In
Presenter: Chien Hung, Program Director, VOYCE

What is a legitimate and legal nursing home discharge? How does a long-term care community avoid an unfortunate discharge scenario, or how do we get it done the right way? What are the resident’s rights? What are the important questions to ask and proper answers to anticipate? Where to find helpful information and resources? What can be done to contest or appeal a discharge?

March 8, 2022: The Role of a Care Manager
Presenter: Kristy Bull, BSBA, CMC, Care Choice Management

Navigating the systems of care can feel like a complex and confusing experience. With so many choices and options to consider a personal care manager can help residents and their families make effective decisions on care choices and finding the right services.

April 12, 2022: End of Life Care With Death Doulas
Presenter: Dr. Maurya Cockrell

Dying is a process we will all face at some point in our life’s journey. End-of-life doulas are non-medical professionals who can help the dying make peace with the dying process. End-of-life doulas, also known as Elder Doulas, can serve the elderly for years before their expected time of death and can provide holistic physical, emotional, and spiritual care for the elderly.

Missouri Required 4-Hour Update for CNA Instructors

April 5, 2022: Jefferson City, MO
April 6, 2022: Springfield, MO
April 7, 2022: Independence, MO
April 19, 2022: Cape Girardeau, MO
April 20, 2022: Maryland Heights, MO
April 21, 2022: Chillicothe, MO

MANHA and MHCA are proud to provide the required four-hour update training for Missouri CNA Instructors. This requirement is contained in the new CNA rules for the state. The training must be offered by a certified training agency to be accepted by the state.

Dementia Hacks 2.0

April 8, 2022: Dementia Hacks: Solutions for Every Stage

This all-day virtual education event will guide learners to develop refined observational and analytical skills to recognize hallmarks of early, moderate, and late-stage dementia. Learners will gain skills in matching their own care approaches to the person with dementia’s and care partner’s needs at each stage according to their abilities and strengths.

Certified Nurse Aide Regulation Update

The proposed amendments affecting the nursing assistant training program referenced in regulation sets 19 CSR 30-84.010 Nursing Assistant Training Program and 19 CSR 30-85.042 Administration and Resident Care Requirements for New and Existing Intermediate Care and Skilled Nursing Facilities, were published in the Code of State Regulations on November 30, 2021 and are effective December 30, 2021. This replaces the emergency amendment that was previously in effect.

The new regulations can be found on the Secretary of State’s website at: https://www.sos.mo.gov/cmsimages/adrules/csr/current/19csr/19c30-84.pdf.

 

What does this mean?

Reciprocity: Certified Nurse Aides who are certified and active in another state, may submit a request to be added to the Missouri registry. Note: A temporary CNA status is not recognized in Missouri. To learn more about reciprocity and the process to submit a request for reciprocity, use the following link: https://health.mo.gov/safety/cnaregistry/pdf/cna-reciprocity.pdf.

 

CNA Renewals/Work Updates: When a CNA passes the final examination, the individual’s name is placed on the CNA active registry. For nurse aide certification to remain active, CNAs are required to submit documentation (e.g., pay stubs, W-2, letter from employer, etc.) of their work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month time-period. Documentation shall be submitted to the department approved third party test administrator and a fee will be assessed for each renewal.

  • If you are a CNA needing to renew your certification and work in a facility: Log into your profile in TMU and enter your employment under the employment tab, the software will then ask for payment. After the payment is processed, the software will send an email to your employer with a link to confirm your work in the last 24 months. After the employer clicks the link in the email to confirm employment your certification will be show active on the registry.
  • If you are a CNA needing to renew your certification with out of state employment: Log into your profile and select “out of state employment” and send an email from your employer with name, date of birth, employment dates and hours worked to missouri@hdmaster.com.
  • If you are CNA working private duty: Log into your profile in TMU and select private duty from a drop down menu. You will need to process the payment then email the proof of work documents to missouri@hdmaster.com. After work is confirmed, your certification will show active on the registry.
  • If you are a facility wanting to pay for multiple CNA’s renewal: Headmaster is working on a process but until it is available you may email them at missouri@hdmaster.com or call at 800-393-8664 and ask for the Missouri team.

How CNAs Renew on TMU in MO

How to Renew Your CNAs via TMU

 

Inactive Status-CNA Challenge

A CNA who has been inactive on the registry for less than five (5) years and cannot provide documentation (e.g., pay stubs, W-2, letter from employer, etc.) of work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month period- shall challenge the final examination in accordance with section (8) of this rule before the CNA is reinstated to the active registry.

A CNA who has been inactive on the registry for more than five (5) years and cannot provide documentation (e.g., pay stubs, W-2, letter from employer, etc.) of work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month period is not eligible to challenge the final examination and shall successfully complete the entire basic course before the CNA is reinstated to the active registry.

 

Challenge Exams: As of December 30, 2021, all Challenge exams will be administered through Headmaster. Request for approval to challenge the exam should be sent to the Health Education Unit at CNARegistry@health.mo.gov.

 

Instructor 4-Hour Update every 5 years:

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

Conversations of Culture Change with Carmen

This year Carmen Bowman will be hosting and presenting the Proactive Practices to Prevent Falls series.

Action Pact has exhausted the same old list of “interventions.” Replace old, institutional “interventions” with individualized approaches and proactive practices. Learn how to create a proactive fall reduction culture by all. Teach everyone they have the SUPERPOWER to help prevent falls.

January 28, 2022: Moving from the same old “interventions” to Proactive Practices to Prevent Falls
February 18, 2022: Proactive Practice to Prevent Falls: Anticipating Needs, particularly bathroom needs, by all
March 18, 2022: Proactive Practice to Prevent Falls: Proactively checking in with residents by all

MALA’s 2022 Train the Trainer

January 12, 2022: Train the Trainer
March 2, 2022: Train the Trainer
May 4, 2022: Train the Trainer
July 6, 2022: Train the Trainer
September 7, 2022: Train the Trainer
November 2, 2022: Train the Trainer

Participants must receive approval in order to attend this workshop. Those wishing to attend must submit the application and all other necessary paperwork to MALA at least two weeks prior to the workshop date.

2022 MANHA Winterfest

February 2-4, 2022: Reeling in Change – Get Hooked with MANHA
Location: Oasis Hotel and Convention Center, Springfield

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our Winterfest Convention and Trade Show. The goal of this conference is to provide long-term care administrators and their staff practical and inspirational education hours along with the opportunity to network and socialize with colleagues. It is also the only MANHA sponsored conference that provides you a chance to view the latest technology, products, and services offered by suppliers.

MLN Nursing Home Administrator Conference

March 2-4, 2022: 31st Annual Nursing Home Administrator Conference
Location: Virtual

The 31st Annual Nursing Home Administrators Conference will be held virtually. During these challenging times when person to person interaction is limited, the goal is to not only provide education but to also maintain connections and facilitate the networking that is part of a live event.

After registration, attendees will be sent a personal link and details regarding how to access and participate through the online event.

MALA’s 2022 ALF Assessment Training

March 14-16, 2022: ALF 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.

2021 Annual SLCR Provider Meeting

The 2021 Annual Section for Long-Term Care Regulation Provider Meeting was held virtually on November 10, 2021.

The recorded videos are available at https://missouri.qualtrics.com/jfe/form/SV_ehWffJkM2r7WSHk.

 

Many questions asked during presentation were asked and have been compiled into a document with answers in the attached Provider Meeting Q&A.

In response to some specific questions, please see this medical marijuana presentation that was given by SLCR.

 

Please see the agenda here.

PowerPoint Handouts
1. Welcome & Section Updates
2. Division Introductions
3. Nursing Home Discharges
4. The New CNA Testing Process
5. Immediate Jeopardy and Past Noncompliance
6. Psychosocial Impact
7. Oral Health
8. ICAR Project
9. Life Safety Code Presentation

 

Level of Care Transformation (webinar posted)

Exciting transformation is coming for the Level of Care (LOC) process effective 10/31/2021! Our current LOC Process (many of us have referred to as the DA124 A/B forms) is undergoing major changes!

Here are some of the highlights:

The application process will all be ELECTRONIC. You will fill out and submit forms online on the COMRU website at https://health.mo.gov/seniors/nursinghomes/pasrr.php. For example, the forms will be able to be sent from the hospital to the nursing home to COMRU, all in one system. This electronic link will be available starting October 29, 2021. COMRU will not process these application until November 1, 2021.

The process of evaluating Level of Care will also change. New areas will be evaluated and previous areas will be changed in order to provide the best assessment for determining Level of Care. You can read about the new process in the proposed Regulation at 19 CSR 30-81.030, https://health.mo.gov/about/proposedrules/, which will go into effect on 10/31/2021.

To help facilities prepare for these changes, COMRU hosted a webinar on 10/28/2021. The recorded version of the New LOC Webex Training may be found on the COMRU webpage. A Q & A document from this webinar is also available.

Additionally, COMRU will be hosting a follow-up Webex training for the LOC Transformation. Details below:

November 19, 2021 at 10:00 a.m.

When it’s time, join your Webex meeting here – Join meeting

Join from the meeting link
https://stateofmo.webex.com/stateofmo/j.php?MTID=m0f8dc5933c03862f60654e49cfb9a1dd

Join by meeting number
Meeting number (access code): 2466 296 8040
Meeting password: A2CaeX3FZP9

Join by phone
1-650-479-3207 Call-in toll number (US/Canada)
+1-312-535-8110 United States Toll (Chicago)

Level of Care Transformation

Exciting transformation is coming for the Level of Care (LOC) process effective 10/31/2021! Our current LOC Process (many of us have referred to as the DA124 A/B forms) is undergoing major changes!

Here are some of the highlights:

The application process will all be ELECTRONIC. You will fill out and submit forms online on the COMRU website at https://health.mo.gov/seniors/nursinghomes/pasrr.php. For example, the forms will be able to be sent from the hospital to the nursing home to COMRU, all in one system. This electronic link will be available starting October 29, 2021. COMRU will not process these application until November 1, 2021.

The process of evaluating Level of Care will also change. New areas will be evaluated and previous areas will be changed in order to provide the best assessment for determining Level of Care. You can read about the new process in the proposed Regulation at 19 CSR 30-81.030, https://health.mo.gov/about/proposedrules/, which will go into effect on 10/31/2021.

To help facilities prepare for these changes, COMRU will be hosting a webinar. Additional trainings to follow.

Thursday, October 28, 2021 at 10:00 a.m.

Join from the meeting link
https://stateofmo.webex.com/stateofmo/j.php?MTID=m37d648b96f1c1d7176099f11c07b6185

Join by meeting number
Meeting number (access code): 2451 311 8637
Meeting password: 3YXgTsdkc37

Tap to join from a mobile device (attendees only)
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Join by phone
1-650-479-3207 Call-in toll number (US/Canada)
+1-312-535-8110 United States Toll (Chicago)

Pioneer Network Hot Topics – Culture Change in Action

November 16, 2021: Recharge with a Nature Fix
Speaker: Tammy Marshall, Biophiliac & Longevity Expert and Founder & CEO of Biophilia Pharma

Join Pioneer Network for the last of the 2021 Share the Vision webinars, where speaker, Tammy Marshall, Biophiliac & Longevity Expert and Founder & CEO of Biophilia Pharma, will share with attendees the power of nature in supporting health and well-being – not only the residents you support, but for you!

Tammy will explain the value of nature as a health equity and the science behind nature immersion (Yes, spending all those hours outdoors engaging with nature has value beyond just the fact that you like it and it is fun!) She will share tips on how you can find yourself a nature fix, how it is all about knowing thyself.

In Tammy’s work, she has seen how supporting residents so that they can enjoy the outdoors is often very challenging for care communities, and as we approach the winter months, that challenge can become greater, and so Tammy will also be sharing ways to bring the outdoors in.

Action Pact’s Conversations with Carmen

November 19, 2021: Creating Connectedness
Presenter and Host: Carmen Bowman

LTC communities face daunting challenges when it comes to the difficulties of staffing right now. Employees have increased expectations of their leaders and managers than in the past. For organizations to thrive during rapid change, they need a mindset shift from traditional problem solving to an increased emphasis on the needs of the employee and the vital roles they hold. Learn to identify the top reasons why employees leave, and ideas for a culture that honors and includes employees like never before.