Category: Training

Show Me Hope Offerings – Info for schools, new grief opportunities and Psychological First Aid Training

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There are several great opportunities coming up sponsored by DMH Disaster Services and/or the Show Me Hope Crisis Counseling Program. Please feel free to share all of these broadly.

  1. Show Me Hope is partnering to spread awareness with Missouri Department of Elementary and Secondary Education & Alive and Well Communities. Helping Schools Heal During COVID-19 is a Facebook Live event on Monday, 12/21 from 6-7:30PM featuring our very own Rachel Jones! https://www.facebook.com/events/678898359472752/
  2. As part of the Show Me Hope Crisis Counseling Program, ReDiscover will be starting a statewide, virtual group around Grief.  This Grief group will be open to anyone who has experienced grief and loss due to COVID. This will be a 6-week group that runs on Tuesday’s from 4:30 to 5:30 PM (starting in January). The registration and additional information can be found in the offerings flyer.
  3. A virtual Psychological First Aid Training will be held in February. Trainers: Beckie Gierer and Eric Evans. Registration information attached.

Federal Pharmacy Partnership for Long-Term Care Program – IMPORTANT INFORMATION FROM CVS AND WALGREENS

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For those communities that chose CVS or Walgreens for the Federal Pharmacy Partnership for COVID-19 Vaccine Program, CVS and Walgreens have started communicating with communities about the program. The information from both pharmacies can be found below. It is imperative that you follow the guidance and direction from CVS or Walgreens when your community receives this information. This will be key to your vaccination clinics running smoothly.

CVS

Walgreens COVID19 Vaccine – What To Expect Guide
Walgreens Facility Tip Sheet
Walgreens LTCF Welcome Email Body

If you have not been contacted, communication will likely continue over the next week. If your facility DID indicate CVS or Walgreens but have not heard from them yet, they you should go to the CVS or Walgreens website and fill out the contact information for your facility. CVS and Walgreens are still working through contacting all the communities assigned to them.

Please make sure the point of contact listed when you registered for the vaccine program is aware the call and/or email from the pharmacies will be coming.  Also, please continue to check your junk or spam folders if you have not been contacted by a pharmacy.

Information regarding this program is developing rapidly.  Please watch for further messages as information is available.

Infection Control Assessment and Response Project

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INFECTION CONTROL ASSESSMENT AND RESPONSE PROJECT: A COLLABORATION BETWEEN THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES AND THE QUALITY IMPROVEMENT PROGRAM FOR MISSOURI NURSING HOMES

The Quality Improvement Program for Missouri’s Nursing Homes (QIPMO) is partnering with the Missouri Department of Health and Senior Services (DHSS) in response to the novel Coronavirus known as COVID-19. In doing so, QIPMO has formed a new Infection Control Assessment and Response (ICAR) team with a primary goal of assisting Missouri Long-Term Care Facilities to navigate the challenges of the COVID-19 pandemic and other infectious diseases.

See the New Release for more information.

NIOSH’s Second EHMR Federal Register Notice Webinar

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Wednesday, November 18, 2020 1:00 PM EDT – 2:00 PM EDT
NIOSH’s Second Elastomeric Half-Mask Respirator (EHMR) Federal Register Notice Webinar

Elastomeric half mask respirators (EHMRs) are reusable respirators that may be worn in a healthcare setting and supplement the supply of disposable respirators available to healthcare workers. The National Institute for Occupational Safety and Health (NIOSH)-in coordination with the Strategic National Stockpile-posted a Federal Register Notice (FRN) titled “A National Elastomeric Half Mask Respirator (EHMR) Strategy for Use in Healthcare Settings During an Infectious Disease Outbreak/Pandemic”.

Through this FRN, NIOSH is seeking input regarding the national distribution plan of purchased EHMRs, as well as identifying potential organizations interested in receiving a portion of these EHMRs with the commitment to provide a report of user acceptability and feasibility of implementation.

NIOSH is seeking organizations including, but not limited to:

  • Hospital systems, individual hospitals, and/or specific hospital units (i.e., emergency department, intensive care units)
  • Outpatient care settings (i.e., offices, clinics, home care, urgent care, rehab centers)
  • Long term care facilities
  • Dental practices
  • First responder organizations (i.e., police, fire, EMS)

To learn more about how your organization can participate in this effort, please join us for a webinar on November 18 from 1:00-2:00pm (ET). NIOSH will provide an overview of EHMRs, a summary of the FRN, expectations of potential participants, next steps, and answer any questions you may have. Registration for the webinar is here.

The Nursing Home COVID-19 Action Network ECHO

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The Nursing Home COVID-19 Action Network ECHO is kicking off the week of November 9, 2020 and you are invited to participate!

Medicare and/or Medicaid certified nursing homes that actively participate in the Network can receive up to $6,000 in compensation, along with free CME/CNE/LNHA credits for participating staff.

The Nursing Home COVID-19 Action Network ECHO will address the following goals:

  • Keep the virus from entering nursing homes where it has not entered
  • Identify residents and staff who have been infected with the virus early
  • Prevent the spread of the virus between staff, residents and visitors
  • Provide safe and appropriate care to residents with mild and asymptomatic cases
  • Ensure staff have the knowledge, skills and confidence to implement best-practice safety measures to protect residents and themselves
  • Reduce social isolation for residents, families, and staff during these difficult times

The Missouri Telehealth Network (MTN) at the University of Missouri is collaborating with the Agency for Healthcare Research and Quality (AHRQ), Project ECHO and the Institute for Healthcare Improvement (IHI) to advance improvements in COVID-19 preparedness, safety and infection control in nursing homes.

Our goal is to recruit up to 105 nursing homes to participate in this virtual community of practice, where nursing home staff can engage with experts and their peers and share cases for real-time discussion and advice.

MTN will be holding several informational webinars next week to explain the project in further detail, and to answer any questions the organizations may have. Below are links register for each of the webinars. After registering, you will receive a confirmation email containing information about joining the meeting.

 

 

If you are interested in learning more about this project, and are unable to attend any of the above, please contact Lindsey Beckmann at beckmannli@health.missouri.edu.

QIPMO – A New CAT in Town

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*We’re hoping to gather some more information from this side of LTC, so if you could please fill out our survey so we can learn how to further help you, we’d appreciate it greatly – www.surveymonkey.com/r/CATCOVID.*

COVID-19 has changed our lives in so many ways. Life in long-term care will never be the same. QIPMO has been working with nursing homes in MO for over 20 years. During that time, it has grown from nurses helping guide MDS coordinators and DONs through the ever-changing landscape of long-term care. QIPMO now includes an administrator extension helping the facility’s NHA to navigate the administrative issues. The year 2020 will go down in history as one of the hardest years of our experience. We will come out on the other side stronger, but I am sure we will have horror stories to share as well as celebrations and accomplishments.

But there are other types of facilities that take care of the aging population. We’re talking Residential Care Facilities, Assisted Living Communities, and Independent Living Facilities. Who is there to help them? Never fear! QIPMO has now added yet another expansion service to help these communities – the CAT Team (COVID Accountability Team). For those who have been around the industry, the names will likely sound familiar: Sharon Thomas (retired QIPMO nurse) is covering survey regions 3, 4, and 5; Carol Siem (semi-retired QIPMO nurse) is covering regions 6 and 7; and the new kid on the block is Rob Siem (yep… Carol’s husband who is also a nurse – they’ve been together for 44 years and he understands long-term care) who will be covering regions 1 and 2. Please see this document for further details.

We are to help this group of facilities in navigating the reopening in these rough waters. Our contact information is:
Sharon Thomas – thomassg@missouri.edu
Carol Siem – siemc@missouri.edu
Rob Siem – rws266@missouri.edu

Just like QIPMO, we’re a free, non-regulatory, service to help answer questions!

New Resource – Dementia Care

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The California Partnership to Improve Dementia Care has created six resource videos on the topic of COVID-19 and residents living with dementia.

  • Activities for Patients with Dementia: Creative Ideas During COVID-19
  • Coping and Stress Management During a Pandemic
  • COVID-19: Tips for Reducing Emotional Distress in Patients with Dementia
  • How to Reduce Wandering in Patients with Dementia
  • Optimizing Dementia Care in the Era of COVID-19
  • Optimizing Person Centered and Family Dementia Care in the Era of COVID-19

The videos are housed on the link below:
https://www.leadingageca.org/Members/Partners.

MDS Changes for 10-1-20

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Missouri opted to collect PDPM HIPPS codes on OBRA assessments with an ARD of 10/1/20 or later. This means that SNFs and NFs in Missouri need to complete additional items on OBRA assessments not combined with a Medicare assessment. Additional items include:

  • GG0130 Self-Care items;
  • GG0170 Mobility items;
  • I0020 and I0020B Primary Medical Condition items;
  • J2100 Recent Surgery item. If J2100 is checked yes, J2300-J5000 are to be completed.

Training: QIPMO provided a webinar on 9/21/20 where Stacey Bryan, Missouri’s State RAI Coordinator, went over MDS changes for 10-1-20. To view a recording of this webinar please go to https://nursinghomehelp.org/event/september-monthly-webinar/. Please note, the RAI Manual pages to review for examples of diagnoses in each medical condition category for item I0020 is I-2 and I-3, not I-12 which is referenced in the webinar.

FAQ Document: Below is a FAQ document concerning the MDS changes for Missouri this October. This document will be updated as needed. The date a question and answer is added to the document will be beneath each answer.

MDS FAQ Document for MO 10-16-20 version

If you have any questions about this information please contact Missouri’s State RAI Coordinator, Stacey Bryan, at Stacey.Bryan@health.mo.gov or 573-751-6308.

CMS Memo: QSO-21-02-NH

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Compliance with Residents’ Rights Requirement related to Nursing Home Residents’ Right to Vote

Memorandum Summary

  • The Centers for Medicare & Medicaid Services (CMS) is affirming the continued right of nursing home residents to exercise their right to vote.
  • While the COVID-19 Public Health Emergency has resulted in limitations for visitors to enter the facility to assist residents, nursing homes must still ensure residents are able to exercise their Constitutional right to vote.
  • States, localities, and nursing home owners and administrators are encouraged to collaborate to ensure a resident’s right to vote is not impeded.

Please see the full details in the memo.

MHCA Annual Convention

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The Missouri Health Care Association’s 72nd Annual Convention has been extended through October 31, 2020. Please join us at our Virtual Conference from the comfort and safety of your home, facility or office. There is education for all Departments such as Nursing, Leadership, CNAs, Dietary, Maintenance and more! You can join in chat sessions with colleagues and friends as well as participate in our virtual exhibits.

N95 Info

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Fit Under Fire: Situational Strategies to Achieve the Best Respirator Fit During Crisis

To aid healthcare facilities experiencing shortages of N95 respirators due to high demand across the nation, CDC developed the Strategies for Optimizing the Supply of N95 Respirators in Healthcare Settings which provides options on how to optimize supplies of disposable N95 filtering facepiece respirators (commonly called “N95 respirators”) in healthcare settings when there is limited supply. Proper fit of N95s is critical to your infection control/respiratory protection program.

For more information, please visit https://blogs.cdc.gov/niosh-science-blog/2020/03/16/n95-preparedness/.

Community Testing Opportunities

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The next round of community testing events will take place in the following counties. Additional events are expected to be scheduled throughout the coming weeks. Missourians can register now for these events at health.mo.gov/communitytest and also continue to check back for future opportunities to be tested at an event nearby.

 

County Location City Dates Times

Boone

The Crossing Church

Columbia

September 14-15

Sept. 14
12PM – 7PM

 

Sept. 15
7AM – 12PM

Nodaway

Maryville Community Center

Maryville

September 14

10AM – 7PM

Ralls

Arch Methodist Church

Hannibal

September 16

10AM – 7PM

St. Charles

The Family Arena

St. Charles

September 17-19

Sept. 17
7AM – 5PM

 

Sept. 18
10AM – 7PM

 

Sept. 19
7AM – 5PM

Madison

Cherokee Pass

Fredericktown

September 18

7AM – 12PM

Perry

Perryville City Park

Perryville

September 19

7AM – 3PM

St. Francois

Farmington Firehouse

Farmington

September 21

7AM – 3PM

Jefferson

Faith Community Church

House Springs

September 22-23

Sept. 22  10AM – 7PM

 

Sept. 23  7AM – 5PM

Cape Girardeau

Arena Park

Cape Girardeau

September 25

7AM – 5PM

Register for testing at:
www.health.mo.gov/communitytest
or call (877) 435-8411

 

Understanding Trauma and Ensuring Person-Centered Care During the COVID-19 Pandemic Training Series

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During the month of September, the National Long-Term Care Ombudsman Resource Center will be releasing four training topics for three audiences. The topics are person-centered care; trauma-informed care; compassion fatigue; and anxiety and grief in a time of COVID-19. Each topic will include one webinar recording for facility administrators, direct care staff, and family members of individuals living in long-term care facilities. The first training released is on person-centered care.

View the training webinars, PowerPoint slides, and on-demand training course with quiz question and answers.

National Training Program to Strengthen Nursing Home Infection Control Practices Launched

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QSEP has two new courses available for Long-Term Care staff about COVID-19!

One course is geared towards front-line staff, and the other is geared towards management. The courses are:

  • Targeted COVID-19 Training for Frontline Nursing Home Staff
  • Targeted COVID-19 Training for Nursing Home Management

Please see more information about how the courses may be accessed at the following link: https://qsep.cms.gov/ProvidersAndOthers/COVID-Training-Instructions.aspx.

2020 MHCA Annual Convention & Trade Show – A Virtual Experience

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September 1-30, 2020: MHCA 72nd Annual Convention & Trade Show
Location: VIRTUAL

Each year we look forward to seeing you at the MHCA Annual Convention & Trade Show. This year, the COVID-19 pandemic has presented our profession with so many extraordinary challenges and has changed the way we must gather together. Now more than ever it is so important that we share our collective experiences and knowledge with one another and MHCA is dedicated to providing a platform to accomplish this. Please make plans to join this Virtual Conference from the comfort and safety of your home, facility or office.

2020 Pioneer Network Virtual Gathering – Envisioning the Future

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September 1-3, 2020: Envisioning the Future

Join Pioneer Network for three days of networking, education, and discussion with some fun as we Envision the Future of senior living and the world of aging services.

Envisioning the Future: 2020 and Beyond won’t be your typical, sit in front of the computer and watch a screen type of event. Instead, you’ll be part of the action. Each day will start with an opportunity for attendees to gather together to kick off the day. Mid-day, we will again come together for the daily keynote session. In between, there will be concurrent sessions addressing the hottest topics of the day, And at the end of each day, there will be an opportunity to gather around virtual tables with fellow pioneers, sharing information and envisioning the future together.

Action Pact’s Culture Change Now – Conversations with Carmen

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August 21, 2020: Meaningfully Engage Individuals – In their Rooms – Especially Those Living with Dementia
Presenters: Carmen Bowman, with Guest Host Megan Hannan

Join us for oodles of ideas to meaningfully engage individuals with their surroundings, especially those living with dementia. Perhaps we are in our biggest challenge ever, to provide meaningful engagement to persons alone in their rooms. What a great opportunity to be creative! Institutionalized, isolated people need the gift of our intentionality to be able to engage naturally with their surroundings, even when there is not a pandemic. We can help to overcome boredom. Get a long list of ideas, contribute to it, and allow it to inform your work into the future.

Leadership and Laughter: The Courage to be Fearless in the Workplace

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August 27, 2020: Leadership and Laughter: The Courage to be Fearless in the Workplace
Presenter: Diana Jordan, Professional speaker / author, entrepreneur, CEO, advocate for women’s health and Internationally Certified Laughter Therapist

A dynamic Virtual Presentation delivered with wisdom & a twist of humor!

Purpose:  Learn how courageous leaders can use humor to cope with today’s demands, bolster their effectiveness, build relationships and teamwork. and improve organizational outcomes.

Target audience:  Leaders and aspiring leaders in any health care setting.  If you want to learn how to see the positive in all kinds of changes and use your common sense of humor to deal with challenging situations in the workplace, this webinar is for you!

More Information: https://extension2.missouri.edu/leadership-and-laughter-the-courage-to-be-fearless-in-the-workplace.

Immunization Webinar Series – FREE!

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Starting August 20, 2020: Immunization Webinar Series

The purpose of this series of 5 webinars is to update the knowledge base regarding immunization practices and vaccine recommendations based on national guidelines and the latest evidence to guide practice.

Topics:

  • VFC 411 Immunization Scheduling
  • VFC 411 The Basics
  • Influenza Vaccination
  • COVID-19 Vaccine
  • Vaccine Hesitancy

More Information: https://extension2.missouri.edu/immunization-webinar-series-2-fy21.

HAI-Infection Prevention on the Frontlines: Back to the Basics – in the Midst of a Global Pandemic

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July 27 – September 6, 2020: ON DEMAND

Frontline nurses care for patients of all ages, across multiple care settings, with myriad health issues – not just those with infectious disease processes. It is a challenge to stay current with the latest evidence-based knowledge regarding infection prevention and COVID-19 has made this even more demanding. And depending on the practice setting, frontline nurses may have vastly different levels of institutional support and available resources to meet this demand.

The purpose of this conference is to enhance the capacity of frontline nurses to provide exemplary care to individuals with infectious diseases by focusing on the basics – which are applicable to all patients and always changing – and to demonstrate the profound impact an individual caregiver who practices from a proven base of evidence can have on patient outcomes. Linkages to COVID-19 are integrated throughout.

More Information including registration can be found at https://extension2.missouri.edu/hai-infection-prevention-on-the-frontlines-back-to-the-basics-in-the-midst-of-a-global-pandemic.

Missouri Guidance on Reopening of Long-Term Care Facilities

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The guidance on reopening of long-term care facilities has been finalized. The guidance will be posted to the DHSS website at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php under Long-Term Care Facilities.

The department has contracted with the University of Missouri-Sinclair School of Nursing QIPMO team to assist homes through the reopening process. DHSS requests that homes contact the QIPMO team as they begin the reopening process.

The “usual” QIPMO team of nurses and leadership coaches will be available for assistance, and a couple of new team members have been added to the new CAT group – the COVID Accountability Team. Please, please feel free to directly contact your “representative”.

Below is the contact information for SNFs and ICFs (you can reach out to your regional QIPMO nurse or leadership coach):

Below you’ll find the contact information for ALFs and RCFs:

 

Please join the QIPMO-Webinar for COVID Updates in Long-Term Care, including a review of the Reopening Guidance

 

A reminder that all staff and resident positive cases should be reported to DHSS through the Congregate Facility Reporting portal: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/.

VOYCE – Changing Landscape of Long-Term Care Conference

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If you are working in long-term care and want to explore trends and developments in our field and shares best practices as well as innovative solutions to issues related to long-term care, while earning CEUs, this conference is for you!

Due to the threat that the COVID-19 pandemic poses to older populations, especially those in community living environments, VOYCE will host its 9th Annual Changing Landscape of Long Term Care Conference in a VIRTUAL format this year! We are excited to bring you a series of webinars discussing lessons learned, best practices, policies, next steps for long-term care, and MORE from local experts.

More information on speakers and schedules will become available as soon as possible. Thank you for your flexibility!

July 10, 2020 (11:30 am): Resident Rights and the Ombudsman Program
July 21, 2020 (12:00 pm): Reflections on Changes to Long-Term Care Due to COVID-19
July 21, 2020 (1:30 pm): “Tele” Me About It: Tele- and Virtual-Health Innovations in Long-Term Care
July 21, 2020 (3:00 pm): Mental Health Needs of Staff and Residents in Crisis

Additional Sessions
August 4, 2020 (12:00 pm): Racial Disparities in COVID-19: Morbidity and Mortality
August 18, 2020 (12:00 pm): Authorized Electronic Monitoring in LTC Facilities
September 1, 2020 (12:00 pm): End of Life Choices and Ethics during a Crisis
September 15, 2020 (12:00 pm): Legal Rights for Residents in End of Life Planning
September 29, 2020 (12:00 pm): Disaster Preparedness for Long-Term Care Organizations
October 13, 2020 (12:00 pm): Reflections on Changes to LTC Pt. 2: Money Follows the Person, Assisted Living, and Residential Care
October 27, 2020 (12:00 pm): Opioid Epidemic in Long-Term Care: Challenges and Solutions for Care Providers

Where: ONLINE!

Please visit the VOYCE Long-Term Care Conference page for more information and to register.

Be Infection Control Survey Ready: Join the Health Quality Innovation Network’s Office Hours Series

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The Health Quality Innovation Network (HQIN), the Quality Improvement Organization (QIO) for Missouri, is hosting an office hours series to support survey readiness and help nursing homes be responsive to identified opportunities, survey deficiencies and CMS enhanced enforcement actions. Each 30-minute session will demonstrate how to apply quality improvement principles to your infection control and prevention program and provide turnkey resources and tools to address gaps and drive improvement in your facility. A panel of nurses, infection preventionists and quality improvement professionals also will be available to answer questions.

The series begins July 14, 2020 and will cover the following topics:

July 14, 2020: Root Cause Analysis (RCA)
Facilities have worked hard to assess their infection control programs. But do you know the reason for the gaps or breakdowns in your program? We will share the HQIN QAPI RCA resource, which compliments the CMS QAPI RCA Guide.

July 28, 2020: Infection Prevention Action Plans
Once you complete the RCA process, then you must develop a plan of action. We will share the HQIN Infection Prevention Action Plan Templates. These templates compliment the CDC Infection Control Assessment tool. We will provide you with a template for key categories of improvement, i.e., hand hygiene, surveillance, environmental hygiene, etc.

August 11, 2020: Data Collection and Analysis
Once your plan is implemented, how do you know if it’s working? HQIN will share data collection tools to help you track and trend your improvement related to hand hygiene, terminal cleaning and PPE.

August 25, 2020: QAPI: Everyone Has a Role and a Responsibility
It takes a team to ensure improvement is made and sustained. HQIN will discuss how to engage your team in the quality improvement process in order to hardwire systems, change behavior, reduce gaps and to improve care and compliance.

Click here to register for one or all of these sessions. To learn more about HQIN, visit www.hqin.org.

COVID-19 Prevention Training

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CDC has launched a Long-Term Care Frontline Staff Training Webinar Series for staff who care for vulnerable residents of nursing homes and assisted living facilities. A flyer for these trainings is also attached.  These five short webinars review basic infection prevention steps essential for preventing the spread of COVID-19: