CMS posted a Q&A document from the July 31/August 1, 2018 SNF QRP Provider Training which is available at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/July_August_2018_SNF_QRP_Provider_Training_Q_and_A-1.pdf.
October 12, 2018: Know Better, Do Better, Part 3
Guest: Sarah Brown, E.D. Empira
The status quo had to change. Consider these facts:
Empira recognized the challenge and is now making a “night and day” difference for the residents they serve through a culture of restorative sleep. For this, the 3rd show in our series, Sarah Brown will share what Empira has learned, how they transformed their culture and the impact of this on residents
October 2, 2018: Region 2 Agenda
Location: Drury Plaza Hotel Cape Girardeau Conference Center, Cape Girardeau
October 3, 2018: Region 7 Agenda
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
October 10, 2018: Region 5 Agenda
Location: Quality Inn & Suites, Hannibal
October 11, 2018: Region 6 Agenda
Location: Capitol Plaza Hotel & Convention Center, Jefferson City
October 23, 2018: Region 1 Agenda
Location: Oasis Hotel and Convention Center, Springfield
October 24, 2018: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs
October 25, 2018: Region 4 Agenda
Location: Red Lion Hotel, St. Joseph
Please see the updated information regarding our 2018 Annual Provider Meetings below.
**Earn up to 5.25 CEUs (depending on the session(s) attended).
***Advanced registration is not necessary. There is no cost to attend any of these meetings.
2018 Annual Provider Meetings Flyer
Handouts – These handouts attached will not be provided at the meeting so please print them and bring them with you.
Resident Funds
Protective Oversight-What Does That Really Mean
Opioid Crisis, “Talk About It”
Ombudsman (The things we do)
Complaint by the Numbers 2.0-A look at FY18 Complaints
Home Health and Hospice/Discharge Updated 10/10/18
Meet the Engineers
LTC Survey Process (One Year Later)
Life Safety Code Updates
October 15-18, 2018: Dementia Care Mapping for Realizing Person Centered Care
Location: The Neighborhoods by Tiger Place, Columbia
Dementia Care Mapping (DCM) is a method to evaluate the delivery of person centered care and, in general, to improve the quality of care delivered to persons with dementia in formal care settings. DCM goes to the real heart of caring by striving to assess care from the viewpoint of the person with dementia. It involves making and recording detailed observations. DCM provides valuable, clear and reliable information for those concerned with quality care for people with dementia. After the data is analyzed, immediate feedback can be given to care partners so that existing practices can be analyzed and improved.
Please see the flyer for more details including registration.
The updated Hand in Hand: A Training Series for Nursing Homes is now available on the Centers for Medicare & Medicaid Services’ (CMS’s) Integrated Surveyor Training Website (ISTW). Hand in Hand is available as a self-paced training as well as an instructor-led course and may be accessed using the links below. The self-paced training may take approximately 24 hours to complete.
Self-Paced Online Training – Hand in Hand: A Training Series for Nursing Homes Online
Downloadable Materials for Instructor-Led Training – Hand in Hand: A Training Series for Nursing Homes Download
This training focuses on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matter experts, created this training to address the need for nurse aides’ in-service training on these important topics.
The Hand in Hand: A Training Series for Nursing Homes was previously developed as an instructor-led training conducted by nursing home staff for nurse aides. The Hand in Hand training will now be available as a self-paced, online training and available to download for use as an instructor-led course.
Federal law requires that nurse aides complete in-service training on dementia management and resident abuse prevention. Additionally, facilities must provide dementia management and resident abuse prevention training to all facility staff, (direct and indirect care and auxiliary functions) contractors, and volunteers.
For help with registration and all other technical issues, please contact the ISTW Helpdesk at cmstraininghelp@hendall.com.
Quality measures (QM) review and proper documentation for flu and pneumonia vaccinations can assist in improving quality of care for your residents. Click on the following links to learn more about these QMs and coding.
QM: Percent of Residents Accessed and Appropriately Given the Pneumococcal Vaccine (video)
QM Tip Sheet: Pneumonia Vaccine – Long Stay (PDF)
QM: Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine (video)
QM Tip Sheet: Influenza Vaccine – Long Stay (PDF)
The Enhanced Leadership Development Academy (ELDA) is now on-line and FREE to Missouri NHAs and RNs working in Skilled Nursing Facilities. This professional development course offers an engaging on-line learning environment with an emphasis on practical application that will help you successfully lead your organization. 50 CEUs are available and an official certificate from MU is issued to those who complete the course. Complete the course at your pace with no travel required while staying connected in on-line conversations and discussions with others taking the course. Some of the topics include: Conflict Management; Leading and Sustaining Change; A Team Approach to QI with Guidance on PIPs; Financial Considerations for LTC Leaders; Creating & Leading PCC and much more. The on-line course starts in November but enrollment is ongoing so you may start any time after November.
Please see the flyer for more details. If you have any questions please contact Alexis Roam at roama@missouri.edu or 573-512-0816.
September 25, 2018: St. Louis – Positive Approach ® to Brain Change and St. Louis – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
September 26, 2018: Columbia – Positive Approach ® to Brain Change and Columbia – Positive Approach ® to Brain Change Bringing it to Life for the Leadership Team
October 4, 2018: Springfield – State Survey Process: Surprise State is Here!
October 11, 2018: Poplar Bluff – State Survey Process: Surprise State is Here!
October 12, 2018: St. Louis – State Survey Process: Surprise State is Here!
October 24, 2018: Kansas City – State Survey Process: Surprise State is Here!
October 24, 2018: St. Louis – Intimacy, Sexuality, and Dementia
October 25, 2018: Cape Girardeau – Intimacy, Sexuality, and Dementia
October 26, 2018: Columbia – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 6, 2018: Chillicothe – Intimacy, Sexuality, and Dementia
November 7, 2018: Kirksville – Intimacy, Sexuality, and Dementia
November 7, 2018: Cape Girardeau – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
November 8, 2018: St. Louis – Diabetes Self-Management Education Community Based DSME Complementing other DSMES
September 21, 2018: Know Better, Do Better: Part Two
Guest: Sarah Brown, Executive Director, Empira
Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on
Hear about their approach to quality improvement that focuses on human needs and behavior.
*The second show in the series will share Empira’s findings regarding what really causes falls, i.e. noise — and meaningful ways to reduce falls other than alarms.
December 13, 2018: The Process Behind the Passion: How Your Care Community Can Support Person-Directed Care
Guides: Lisa Rill, PhD, Claude Pepper Center at Florida State University and Lori Gonzalez, PhD, Claude Pepper Center at Florida State University
Person-directed care is an essential goal for long-term care change agents. Decades of reform have led to some changes. However, there is still work to be done. This session presents the findings of a comparison of environment and practices between a traditional nursing home to a Green House home. The findings elucidate the importance of creating environments, practices and policies, and staffing that are intentionally designed for elders and their care partners. We will conclude by offering best practices that can be applied to any care setting and assist with starting a plan for change with the participants of the session.
October 18, 2018: Dining Practices: Balancing Food Choice and Food Safety
Guide: Diane Hall, RD, President & CEO, Balanced Senior Nutrition
Learn how to integrate the new food safety requirements with person-centered dining. As we provide more variety of foods and more choices of when and where food is served, challenges for proper food handling and sanitation seem to begin to multiply. Balancing resident’s rights, infection control and food safety requirements can be tricky business.
November 15, 2018: Building on the Successes of Phase 2 and Your Facility Assessment
Guides: Vickie Burlew, Health Care Consultant and Educator, Linchpin Quality Solutions, LLC and Joan Devine, Director of Education, Pioneer Network
As we approach the one-year mark of the implementation of phase 2 of the CMS Revised Rules of Participation, the principles of QAPI would tell us that is time step back and evaluate where we are. Are communities successfully implementing the new requirements? Has the Facility Assessment been completed and has it been used to support daily operations and successful survey outcomes? Are you prepared to meet the new Infection Prevention standards? What has been the impact of the new requirements related to Person-Centered Care and Quality of Life?
October 9, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: Integrity Home Care, Springfield
October 10, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: St. Joseph Medical Center, Kansas City
October 11, 2018: Living On Purpose: Building Community through Meaningful Engagement
Location: St. Charles Community College, Cottleville
Tired of calling Bingo? Are you hitting copy and paste on your programs month after month? Think there must be more out there? Join us as we discuss innovative concepts that will transform your community into a vibrant place for people to live and work. Through intentional programming methods, you can build a culture that promotes life and facilitates purpose daily.
September 18, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Drury Plaza Hotel & Conference Center, Cape Girardeau
September 20, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
September 25, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Oasis Hotel & Conference Center, Springfield
September 26, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Stoney Creek Hotel & Conference Center, Independence
September 27, 2018: Social Service Update on Regulatory Requirements of the Mega Rule
Location: Courtyard by Marriott, Columbia
The Mega Rule Hit Social Services full force. Social Services will experience much focus during upcoming surveys. Administrators, social service, and nursing personnel will not want to miss this one, where discussion will include new requirements for the admission/discharge process, grievance procedures, abuse and neglect reporting, social services role in the management of psychotic agents, and the coming addition of Trauma Informed Care in Phase III.
August 10, 2018: Know Better, Do Better, Part 1
Guest: Sarah Brown, Executive Director, Empira
Empira is a consortium of Aging Service providers who are committed to improving the aging experience by knowing and doing better. Collectively, the organizations that make up Empira challenge the status quo by understanding the root cause of problems and outcomes. By understanding the root cause, they are able to create meaningful and sustainable culture change. They have created a signature series on
Hear about their approach to quality improvement that focuses on human needs and behavior during this webinar.
September 18, 2018: Dementia Care: Opioid Use & Impact for Persons Living with Dementia Call
Speakers: Dr. Karl Steinberg, Mariner Health Care; Dr. Abraham Brody, Hartford Institute for Geriatric Nursing; and Michele Laughman, CMS
National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement (QAPI)
During this call, gain insight on opioid use in the post-acute and long-term care setting. Also, learn about the impact of opioid use on persons living with dementia. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.
Please see the memo for more details.
Spotlight on…
Quality measure review and proper documentation for loss of bowel and bladder control assists in improving the quality of care for your residents. Click on the following links to learn more about this quality measure and coding.
Quality Measure Specifications for MDS 3.0 Measure: Percent of Low Risk Residents Who Lose Control of Their Bowel or Bladder (Long Stay) (PDF, page D.14)
Quality Measure: Percent of Low-Risk Residents Who Lose Control of Bowel or Bladder (Long Stay) (Video)
August 17-18, 2018: 28th Annual Conference Caring for the Frail Elderly
Location: Holliday Inn Executive Center, Columbia
The Caring for the Frail Elderly Conference is the premiere Midwest conference dedicated to improving care for the frail elderly. This inter-professional meeting advances care for older patients in clinical, hospital, nursing home, and end-of-life settings. Since 1991, this annual event has provided state-of-the-art information on medical management, interdisciplinary care, and system change for physicians, nurses, social workers, state surveyors, nursing home administrators, attorneys, pharmacists, and other professionals.
September 20, 2018: Change: Managing It to Drive Success
Guides: Margie McLaughlin, MA and David Farrell, Vice-President of Sub-Acute Operations, Telecare
“Change will not come if we wait for some other person, or if we wait for some other time. We are the ones we’ve been waiting for. We are the change that we seek.” This statement delivered by President Obama describes perfectly the work of the Pioneer Network. For the past twenty years, WE are the ones creating the change we seek. In settings all across the country, committed staff have discovered ways to move from institutional care to individualized care. WE have reinvented systems to support the independent lifestyles and choices of residents. In the midst of it all WE have recognized the fine balance involved in leading and managing change- sometimes pulling in the reigns while other times letting out the clutch! During this session, you will discover foundational building blocks that support successful change and an array of examples and ideas describing ways that leaders have encouraged, managed and driven change to provide better lives for residents and staff alike.
July 10, 2018: The Communities of Wildwood Ranch, Joplin
July 19, 2018: St. Charles City-County Library, Spencer Road Branch, St Peters
July 20, 2018: Bethesda Dilworth, St. Louis
July 24, 2018: Plattsburg
July 27, 2018: Independence
October 10, 2018: Salem
October 11, 2018: Poplar Bluff
October 12, 2018: Cape Girardeau
October 15, 2018: Springfield
October 25, 2018: Festus
October 25, 2018: Willow Springs
October 26, 2018: New Madrid or Hayti
November 20, 2018: Ozark
Stacey Bryan, the State RAI Coordinator will be presenting at MDS Support Group Meetings across the state to discuss CASPER Reports. You do not have to be an MDS Coordinator to attend; other staff that may find the information helpful include ADONS, DONS, Corporate Nurses and Administrators. Please visit the QIPMO Nursing Home Help website for more details.
June 8, 2018: The Value of Hosting a Kids Day Camp
Guest: Beth Irtz, Administrator Shalom Park
Learn how a day camp can easily be made part of life in your community, from lessons learned in three-day camps during the summer of 2017. Outcomes for both youth and residents were so powerful that you may wonder why every nursing home doesn’t host a summer day camp!
Guest Beth Irtz and Hostess Carmen Bowman received a CO CMP grant to offer the camps. Together they will share how you can make such a meaningful week happen in your community.
July 10, 2018: Facility Assessment – Food and Nutrition Services
Presenter: Nichole Burnett, MS, RDN, LD with Graves Menu Maker Foods
This session will focus on the food and nutrition services portion of the facility assessment requirement. A review of areas to address during the assessment will be covered. Specific examples will be provided to illustrate why they are a concern and how they integrate into core competency training needs for the facility.
July 19, 2018: Story Sharing: Connecting with Residents and their Families – Toward Person-Centered Meaningful Care
Guide: Diane Heliker, RN, PhD
The focus of this presentation is to illustrate how story, the narrative of one’s lived experiences, reveals what is most meaningful to each unique resident in long-term care communities. A sampling of research findings addressing story is offered along with the relationship-based caring practice of Story Sharing. To assist all staff and caregivers, strategies that ensure the successful gathering of stories are introduced followed by exercises demonstrating the interpretation of stories and the discovery of what is most meaningful to a resident. Once these meanings are revealed, they are incorporated into each resident’s care/life plan. Examples are offered throughout.
August 23, 2018: Addressing the Staffing Crisis
Guide: Denise Boudreau-Scott, President DRIVE
Solving the complex staffing problem requires the involvement of stakeholders and providers like you! Leaders, including direct supervisors, have a significant impact on retention and recruitment of the best talent. Providers can no longer afford to think of an engaged workforce as an appealing goal, but essential for improving the resident experience, customer service, quality, and financial outcomes. Attracting the right people, keeping them, and inspiring them to perform at their highest level is not only a nicety in today’s world, it’s a necessity!