Monoclonal Antibody Infusion Medication Information

There has been a significant change in the ordering process for monoclonal antibody infusion medications. If you are currently utilizing these medications, please review the attached notice and plan on attending the webinar tomorrow. Also attached is information on reporting usage through the Teletracking system. Reporting through this system is highly encouraged as the usage reported will determine future amounts allocated to the state.

 Status Update re: Monoclonal Antibody (mAb) Infusion Medication Ordering:

Missouri Department of Health and Senior Services (DHSS) was notified by U. S. Department of Health and Human Services (HHS) yesterday, September 14, 2021, that effective immediately the states are responsible to review and approve all monoclonal antibody medication orders. This includes orders for REGEN-COV (casirivimab and imdevimab) and the Eli Lilly cocktail of bamlanivimab/etesevimab through AmeriSource Bergen. This was DHSS’ first notification of this change. We had no prior information to allow for planning, development of platforms for ordering/approvals or procedures, or messaging. Thus, all of this is occurring currently and as quickly as possible. Information on this change is still forthcoming from HHS, thus we may have process implementation delays at the state level as a result.

mAb Request Process Implementation and Timeline:

DHSS will host a webinar to introduce the state’s new mAb request process, details are below:

Friday, September 17, 2021

10:30-11:30 a.m.

Join from the meeting link

https://stateofmo.webex.com/stateofmo/j.php?MTID=mcb62b527fff05778bd574584e06c8b6d

 

Join by meeting number

Meeting number (access code): 2462 582 1044

Meeting password: pcGjudFE679

 

Tap to join from a mobile device (attendees only)
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Action Pact’s Conversations with Carmen

September 17, 2021: Living Life Outside of Groups – Dispelling the Pressure to Hold Them

Most residents end up spending most time in their room, with or without a pandemic. We have needed to hone helping people live life outside of groups all along. Groups can never be 24/7 or meet everyone’s needs anyway. Gift residents with lots of ideas of things to do beyond the norm and beyond television. Encourage people with time on their hands to try something new, do things they have not done in a while, refocus their capabilities, live out passions in adaptive ways and not lose their taste for life no matter their abilities. Work with people to tell their life story, share wisdom, leave a legacy, develop the invention, book or song in their heart, armchair travel, plan, sing, study, sort photos, serve others, and more. What a great moment in time to get creative and go deeper with people. Learn how to have every team member honor and validate every individual’s’ life role/contribution to your community.

MHCA’s Annual Convention

August 22-25, 2021: MHCA 73rd Annual Convention & Trade Show
Location: Branson Convention Center, Branson

The long-term care industry faced enormous challenges in 2020 due to the COVID-19 pandemic. Thanks to your hard work and perseverance, along with widespread access to vaccines, we feel comfortable about gathering in person in Branson.

Click HERE to view a message from MHCA Executive Director, Nikki Strong, regarding an update to safety protocols and masking requirements for the MHCA 73rd Annual Convention & Trade Show.

Empowering Elder Well-Being with Supportive Technology

August 26, 2021: Empowering Elder Well-Being with Supportive Technology

Today’s elders have more ways than ever to stay connected with their loved ones, but tech support at Life Plan Communities and other senior living campuses isn’t always geared toward them – and common resources online may not include solutions unique to their needs.

Even though the strict lockdowns at nursing homes and other communal settings have eased considerably, the pandemic revealed the very real need for elders to master technology in order to combat loneliness, provide entertainment, and even stay on top of their health through apps and wearables.

On August 26 at 3 p.m. ET, Join GroovyTek, The Green House Project, and the Pioneer Network for a can’t-miss discussion on empowering elders with technology.

Using the International Council on Active Aging’s Seven Dimensions of Wellness as a guide, we’ll:

  • Explore the current state of older adults’ relationship with technology,
  • Discuss strategies to overcome barriers to adopting common tech tools,
  • Discover how tech can promote elders’ independence, wellbeing, and health,
  • Hear directly from an elder about her personal experience with tech,
  • And much more.

Pioneer Network’s Virtual Symposium

September 22, 2021: Envisioning the Future: Finding Meaning & Purpose

Pioneer Network is proud to present the third in its series of four Symposia for 2021, each based on the theme, Envisioning the Future. In this symposium, the focus is on Finding Meaning & Purpose. Speakers include residents and innovators in the field who will draw on their experiences, including the collective experiences encountered as we all lived through the pandemic. They will explore how to find meaning and purpose for those who live and work in senior living communities as well as how we can move forward in a way that assures that isolation becomes a thing of the past, acknowledging that wherever we may reside, life is lived best in community.

MC5 – Special Virtual Meeting

September 22, 2021: Finding and Keeping Great Co-Workers
Presenter: Clint Maun, CSP

Healthcare Providers have taken the needed action to fight a global pandemic and have established the required systems to contain and prevent the spread of the Corona Virus. The never-before-seen challenges we have experienced in 2020 has made it more vital than effort to have superior staff in all roles in 2021. We know healthcare professionals and staff can work together to achieve amazing success at workforce stabilization which will also benefit our customers. Join Clint Maun for an overview of proven teaming strategies during this time of opportunity, including processes to build workforce resilience and reduce burnout.

Join us for this important Virtual meeting.

Conversations with Carmen

August 20, 2021: A Beautiful Day in the Neighborhood
Guest: LaVrene Norton, Action Pact Founder & Executive Leader and Megan Hannan, Action Pact Consultant; with Host Carmen Bowman

Need help getting everyone out of the doldrums of COVID? Let free the spirit of joy and love – work together to bring back the simple pleasures of home. Create team on the fly. Let music and laughter rock the halls. Wave!

Think Neighborhood. Have a block party.

We begin again with a short presentation on the Artifacts of Culture Change as they can offer us a measurable road map. We will then head down the path to Neighborhood where culture change begins. Where good neighbors work together to enjoy and share the simple pleasures of daily life.

CNA Update Training – Staffing Series 2: Take off on the Journey to Improve Staffing

September 14, 2021: Staffing
Location: Ameristar Hotel, St. Charles

September 15, 2021: Staffing
Location: Oasis Hotel, Springfield

September 28, 2021: Staffing
Location: Stoney Creek Hotel & Conference Center, Independence

September 29, 2021: Staffing
Location: Comfort Inn, Macon

CNA Training Update in Missouri

We have been waiting a long time and finally we see the results coming at us from our efforts to update and improve the training of Missouri CNA’s. The process has changed significantly effective August 31, 2021 “technically”. Administrators, DON’s, RN Instructors, HR Staff and CNA Training Organizations will want to understand how these changes affect them and their programs. The CNA Registry process for verification of employment in the last 24 months has also changed and will be handled through a third party site. You should already be registered as an employer and your CNA’s in the new system. This session will review all the new regulations, the new forms and the new testing/registry process through TMU Headmaster.

Staffing Series 2: Take off on the Journey to Improved Staffing

In Series 1, we explored Staffing Turnover and Retention and formulated a Roadmap to take us on a journey to improve staffing, increasing stability and quality of care, life and service for our residents. In this series we will take off on the journey and concentrate on the areas that Series 1 attendants identified as needing the most work; Recruitment and On-Boarding/Training. We will rethink where we are spending recruiting dollars, share ideas for improving landing quality applications and then build on reducing turnover and improving retention with improved and best practice ideas for Staff on-boarding/Orientation and training. Administrators and HR Staff will benefit from this interactive session. If you missed the first session, you can view it on-line on SDS Training site through MANHA.

Trauma-Informed Care: Nursing Home Responsibilities & Plan of Action

October 5, 2021: Trauma Informed Care
Location: Oasis Hotel, Springfield

October 6, 2021: Trauma Informed Care
Location: Comfort Inn, Macon

October 7, 2021: Trauma Informed Care
Location: Ameristar Hotel, St. Charles

October 12, 2021: Trauma Informed Care
Location: Stoney Creek Hotel & Conference Center, Independence

Sponsored by Missouri Health Care Association & Missouri Association of Nursing Home Administrators

We will review the regulatory requirements, available resources and necessary policy and procedure changes to keep your facility on the right side of Trauma Informed Care Compliance.

Caring for the Older Adult Across the Continuum Conference

August 20-21, 2021: CARING for the OLDER ADULT Across the Continuum (Caring for the Frail Elderly) & 17th Annual Health Ethics Conference
Location: Holiday Inn Executive Center, Columbia, MO – (This is a Hybrid event, attend in-person or virtual)

The conference will provide a forum for updating interdisciplinary health professionals caring for older adults in the community, regardless of living situation, in the ethical care and treatment of older adults including, medical management, interdisciplinary care, research, and system change.

MHCA Webinars

Cultivating LTC Leaders Webinar Series

This 12-month webinar series addresses hot topics in nursing home operations to develop skills in managing current clinical-regulatory, legal and compliance risks. A team of expert presenters offers insight on systems and strategies to advance preparedness for the varied challenges facing LTC leaders, with practical solutions, templates, tools and resources. Recordings of live sessions are included with the webinar purchase.

 

Standards of Care Webinar Series

This 12-month webinar series focuses on nursing facility systems of care and managing common conditions treated in the LTC setting. Each session addresses standards of care, staff training/competency focus areas, critical nursing assessment/documentation principles, care planning guidance, recommended QA activities, and practical daily operations guidance with extensive use of case examples. Recordings of live sessions are included with the series purchase.

Missouri Nursing Home Advisory Council – Infection Preventionist Roadmap Series

The Missouri Nursing Home Advisory Council is pleased to provide the third iteration of the “IP Tip Sheets” intended to assist and support the Infection Preventionist (IP) in the long-term care setting. In the first installment of the “IP Tip Sheets” series, the antibiotic stewardship aspects of the Infection Prevention & Control Program (IPCP), with the Infection Preventionist leading the team in a successful IPCP was explored. In the second installment, the focused was on the system of prevention, identification, reporting, investigating, and controlling infections. For this edition, the annual activities and reviews performed by the IP will be highlighted. Please see the MO Nursing Home Advisory Council IP Tip Sheet.

Conversations with Carmen

July 16, 2021: Lots of Ideas for Getting Outdoors – An Artifact of Culture Change
Guest: Maggie Calkins, PhD, EDAC, Ideas Institute

Join us to grow your list of possibilities for getting people outdoors. We all know it is important but consider during this conversation taking a step into making it a priority for your culture. Getting outside benefits all of us. Do you ensure getting outdoors is on each person’s care plan?

This is a new Artifact of Culture Change along with the already existing artifacts of raised gardens and a walking/wheeling path. Don’t let your expensive courtyards or your vast grass lawns become wasted space. We’ve also learned we are all at lower risk of infection when spending time outdoors. Dine outside and hold meetings and other events in the great outdoors. Hear some of the insights from Dr. Calkins’ new white paper “Designing Gardens to Attract Activity: A primer for elder care communities.”

Pioneer Network’s Hot Topics Webinar

July 15, 2021: Giving and Receiving: Creating a Culture of Relationship with Persons Living with Dementia
Speakers: Anna Ortigara, RN, MS and Chris Mulrooney, MPS, PhD

Direct care workers face many challenges every day. Leaders also face many challenges if we are to be in right relationship with direct care workers. Do we understand, and are we sensitive to the needs of the direct care workforce? Do we provide education and support to help staff to be their best selves? Do care staff believe in us?

Anna and Chris will begin this webinar by discussing these and similar questions to assess where we are from an “organizational relationship” perspective post-pandemic. They will then explore the components of outstanding person-directed and relationship-based care, as well as identify what is different or added to these components for those who work with individuals living with dementia.

Attendees will gain an understanding of theories and applications they can draw on. These will include the work of Tom Kitwood, as well as Chris’ own research on the characteristics that distinguish outstanding caregivers, such as service orientation and empathy.

If you are looking for practical tools to help you create a culture of relationship, you won’t be disappointed.

 

August 12, 2021: Innovative Intergenerational Arts Programming in Response to the Pandemic: Five Programs in Three Countries
Speakers: Elizabeth “Like” Lokon, MGS, PhD, Founder/Director of Opening Minds through Art (OMA), Scripps Gerontology Center; Cindy Paulin, Executive Director for Art for the Journey (AFJ); Amy Skeels, third-year medical student at Marian University College of Osteopathic Medicine (MUCOM); Kathryn Bender, Recreationist, Trinity Village Care Centre in Kitchener, Ontario, Canada; Chloé Bradwell, Drama Practitioner, PhD Candidate at the University of Exeter in the United Kingdom; and Meghan Young, MGS, Associate Director of Opening Minds through Art (OMA), Scripps Gerontology Center

Five organizations responded to the challenge created by the pandemic: How to maintain intergenerational connections around the arts when in-person visits are not possible? Three programs went virtual and two programs did not. All five programs are rooted in person-centered philosophy, yet distinct from one another. They address the older adults’ needs for social and creative engagement while providing students with opportunities to develop communication skills and to build relationships with older adults, with and without dementia, outside their own families.

Presenters include faculty members, a recreationist, a visual artist, and students, representing universities, a non-profit arts organization, and retirement communities in three countries, the USA, Canada, and the UK.

The goal of this workshop is to inspire attendees to think outside the box and consider limitations imposed by the pandemic as opportunities to diversify offerings. Videos, example artistic creations, research findings, and tools for replication will be shared.

VOYCE Upcoming Professional Education

Professional Education Series 2021

June 29, 2021: Abuse in the Workplace: Identifying and Rectifying Abuse Towards Residents
Speaker: Robin Pendleton, Senior Staff Development Training Specialist for Adult Protective Services

Abuse and neglect in long-term care settings is an ongoing topic of concern amongst LTC professionals and advocates. Those on the front lines of care are, arguably, the best people to fight elder abuse and neglect in their communities. Learn how to identify abuse and neglect at the hands of family or caregivers. Further, learn what steps to take to protect residents – and yourself- when a coworker is a perpetrator.

July 27, 2021: How to Invest Strategically in Technology for your Long-Term Care Organization
Speaker: Amber Bardon, CEO, Parasol Alliance

Now more than ever before having a comprehensive technology strategy in place is essential for long-term care providers to succeed. In this session, learn how to build a customized technology plan for your community. Walk through how to create an actionable technology roadmap designed to meet their community’s unique business objectives and review the must-have components for any effective technology plan related to resident care, workforce collaboration, and security.

August 24, 2021: Working with Challenging Residents
Speaker: Chien Y. Hung, MSW, MA-G, RYT, Program Director of the Long Term Care Ombudsman Program

Long-term care professionals will encounter individuals with a wide assortment of cultural beliefs and perceptions. Too many times, this creates situations that are deeply offensive to the caregiver. In a work setting, how can LTC professionals navigate “isms” (racism, sexism, etc.) directed at them by residents? How can you mitigate workplace toxicity and protect yourself against residents with this mindset?

Proposed Changes to the CNA Rules

The Health Education Unit is excited to announce our new changes to the CNA Rules – COMING SOON!

Along with the new implementation of the new CNA testing process, our rules are being updated and include proposed changes to the curriculum, reciprocity for out of state CNA’s coming to work in Missouri, and the requirement for our instructors to attend a four-hour update training every five years, as well as several others.

We invite you to attend one of our Q and A sessions to learn more about these changes. Our third party test administrator, Headmaster, will also join and be available to answer questions. Please access our website at https://health.mo.gov/safety/cnaregistry/ for log in information.

The scheduled dates and times are listed below:

June 16, 2021: DHSS/D & SDT Headmaster Q & A Webex Meeting
Time: 12:00 p.m.
Meeting number (access code): 177 675 4909 Meeting password: urUBZCPC265

Join from a video system or application
Dial 1776754909@stateofmo.webex.com
You can also dial 173.243.2.68 and enter your meeting number. Tap to join from a mobile device (attendees only)
+1-650-479-3207, 1776754909## Call-in toll number (US/Canada)
+1-312-535-8110, 1776754909## United States Toll (Chicago)

Join by phone
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+1-312-535-8110 United States Toll (Chicago)
Global call-in numbers

June 22, 2021: DHSS/D & SDT Headmaster Q & A Webex Meeting
Time: 3:30 p.m.
Meeting number (access code): 177 961 7383 Meeting password: VHvmrBY3Z83

Join from a video system or application
Dial 1779617383@stateofmo.webex.com
You can also dial 173.243.2.68 and enter your meeting number. Tap to join from a mobile device (attendees only)
+1-650-479-3207, 1779617383## Call-in toll number (US/Canada)
+1-312-535-8110, 1779617383## United States Toll (Chicago)

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

June 30, 2021: DHSS/D & SDT Headmaster Q & A Webex Meeting
Time: 10:00 a.m.
Meeting number (access code): 177 278 8445 Meeting password: 3fdQsTPs8X2

Join from a video system or application
Dial 1772788445@stateofmo.webex.com
You can also dial 173.243.2.68 and enter your meeting number. Tap to join from a mobile device (attendees only)
+1-650-479-3207, 1772788445## Call-in toll number (US/Canada)
+1-312-535-8110, 1772788445## United States Toll (Chicago)

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

Conversations with Carmen

June 18, 2021: A Beautiful Day in the Neighborhood
Guest: LaVrene Norton, Action Pact Founder, Executive Leader/CEO

Need help getting everyone out of the doldrums of COVID? Let free the spirit of joy and love – work together to bring back the simple pleasures of home. Create team on the fly. Let music and laughter rock the halls. Wave!

Think Neighborhood. Have a block party.

We begin again with a short presentation on the Artifacts of Culture Change as they can offer us a measurable road map. We will then head down the path to Neighborhood where culture change begins. Where good neighbors work together to enjoy and share the simple pleasures of daily life.

MALA Train the Trainer

July 7, 2021: 2021 Train the Trainer
September 8, 2021: 2021 Train the Trainer
November 3, 2021: 2021 Train the Trainer

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

Upon MALA’s review of your application, you will receive an approval/confirmation or denial letter via email.

MALA ALF Assessment Training

July 26-28, 2021: 2021 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.

SLCR Life Safety Code Information Series

The Section for Long-Term Care Regulation will be releasing a series of Life Safety Code Information. You may also view the entire Life Safety Code document for reference.

Today’s subject is:

Can residents have a microwave in their room?

K324 – Cooking is not allowed in resident rooms. NFPA 19.3.2.5.3 and 19.3.2.5.4
K925 – Cooking appliances cannot be within 15 feet of an area of administration in a resident room.

NFPA 101, 2012 edition:
18/19.3.2.5.2* Where residential cooking equipment is used for food warming or limited cooking, the equipment shall not be required to be protected in accordance with 9.2.3, and the presence of the equipment shall not require the area to be protected as a hazardous area.
18/19.3.2.5.4* Within a smoke compartment, residential or commercial cooking equipment that is used to prepare meals for 30 or fewer persons shall be permitted, provided that the cooking facility complies with all of the following conditions:

(1) The space containing the cooking equipment is not a sleeping room.
(2) The space containing the cooking equipment shall be separated from the corridor by partitions complying with 19.3.6.2 through 19.3.6.5.
(3) The requirements of 19.3.2.5.3(1) through (10) and (13) are met.

Monthly Infection Control and Prevention Webinar Series: What you need to know to keep you, your patients and community safe.

June 2021 -December 2022 – 2nd Tuesday of each month from 12-1 p.m.: ICP Monthly Webinar Series

June 10 – Inaugural Webinar: Vaccines are Safe – How we know!
Lynelle Phillips, MPH, RN, Assistant Teaching Professor, Department of Public Health, School of Health Professions, Extension Service Nurse Specialist, University of Missouri, Columbia

  • General rules of vaccines
  • FDA approval process and Emergency Use Authorization Use (EUA) process
  • How were we able to get a vaccine to market in such a short time and still cut no corners?
  • Compare the different vaccines – safety and efficacy
  • Is the lesser protection by J&J significant enough to be important? J&J Case Study.

 

July 8 – How do COVID vaccines affect immunity to COVID?
Taylor Nelson, DO, Infectious Disease, Internal Medicine, University of Missouri Health Care, Columbia. Board Certified by the American Board of Internal Medicine/Infectious Disease

  • Natural immunity vs vaccine-induced immunity – which is best?
  • How long does the vaccine protect me?
  • What is Herd immunity and is it reasonable to expect we will ever achieve it?
  • If I’ve had COVID, why get vaccinated?
  • To boost or not to boost?
  • I’m young, isn’t it less risky to take chance with COVID than the vaccine?

 

August 10 – Environmental Health: Air Purification and Quality
Loie Couch, RN, BS, CIC, FAPIC, Infection Prevention Specialist, Barnes Jewish Christian (BJC) Hospital, St. Louis

  • Functions of a ventilation system
  • Benefits and limitations of bi-polar ionization
  • Minimum filtration requirements
  • Apply filtration flexibility on a space-by-space approach
  • Appropriate use of UV light disinfection and accompanying hazards
  • Visible light disinfection and its appropriate use and considerations

2021 Missouri Suicide Prevention Conference

July 28, 2021: Missouri Suicide Prevention Conference

The Missouri Suicide Prevention Network invites you to join us for our annual conference!

This year’s conference is brought to you by the Missouri Department of Mental Health, Missouri Behavioral Health Council and Community Counseling Center.

Visit us online at www.mospn.org/conference.

The virtual conference will be free of charge, unless you are needing continuing education. Continuing Education (CE) will be $10 per person.

The Missouri Behavioral Health Council has approved this program for up to 6.3 behavioral health continuing education contact hours. MBHC will be responsible for this program and maintain a record of your continuing education hours earned. See agenda for session breakdown.

Continuing Medical Education (CME) is currently pending approval for select sessions. See agenda for those eligible sessions.

Cream of the Crop Webinars

CE Available for Nurses, Social Workers, Nursing Home Administrators, and pharmacotherapeutics (RX)
We hand selected 12 of our most popular webinars from 2020.
https://web.cvent.com/event/dcf77498-045c-48e7-aa2a-d17a5cd8aa09/summary

Sessions for NHA CE:

Age Friendly Health Systems
John Morley, MD, Professor Geriatrics, St. Louis University Medical School
This session will address recognizing and managing geriatric syndromes. The 4M framework will be included to ascertain specific health outcome goals and care preferences.

Preserving Integrity in Turbulent Times
Cynda Ruston, PhD, RN, FAAN, Anne & George L. Bunting Professor of Clinical Ethics, German Institute of Bioethics/School of Nursing, Professor of Nursing & Pediatrics, John Hopkins University
Listen to a recognized and international leader in nursing ethics, from John Hopkins University. This session will focus on selected sources of moral suffering, consequences of moral suffering, and offers a pathway of moral resilience by restoring integrity.

Medication Considerations in the Elderly During the COVID-Pandemic
Curt Wood, R.PD., BCGP, FASP, Elder Care Pharmacy Consultant, LLC
Medication usage is even more critical in a pandemic as many long-term care communities are experiencing outbreaks of the virus. Ideas on gradual dose reduction and managing chronic diseases will be discussed.

Resiliency: Using Gratitude to Thrive Through Adversity
T.J. Sweet, MHA, Practice Manager, Ellis Administration, University of Missouri Hospital, Columbia
Learn how to use strategies to validate feelings and practical ways to support colleagues when exposed to high stress levels in uncertain times. Learn to thrive despite adversity and maintain a resilient mindset using gratitude.

Reducing Meds – The When, What and How to Minimize Adverse Outcomes
Craig Sever, BS, R.Ph., Clinical Coordinator Eversprings Pharmacy, St. Louis, Missouri
The speaker will provide insight on how to pharmacologically assess the most reducible meds and develop an appropriate reduction strategy for older adults.