Category: Training

National Partnership/QAPI Medicare Learning Network Call

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March 12, 2019: National Partnership/QAPI Medicare Learning Network Call
Speakers: Adrienne Mihelic, National Nursing Home Quality Improvement Campaign; David Reynolds, National Nursing Home Quality Improvement Campaign; Jay Weinstein, CMS; Debra Lyons, CMS; and Michele Laughman, CMS

During this call, gain insight on the Dementia Care & Psychotropic Medication Tracking Tool, a free, publicly available electronic tool that facilitates a structured approach to tracking preference-based care and psychotropic medication use among residents living with dementia. Also, learn about a recently released Nursing Home Staff Competency Assessment toolkit. Additionally, CMS provides updates on the Phase 3 Requirements for Participation from the Reform of Requirements for Long-Term Care Facilities final rule and the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

Pioneer Network’s Hot Topics: Culture Change in Action

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January 23, 2019: Trauma-Informed Care: Resilience and Vulnerability
Guide: Dr. Susan Wehry, a geriatric psychiatrist, Chief of Geriatrics at the University of New England College of Osteopathic Medicine (UNE COM)

Adverse life events–including adverse childhood events (ACEs)–can affect us throughout our lifespan.  As the number of these events increases, so does the risk for negative health and diminished well-being. This is true for both caregivers and residents of long-term care. However, even in the face of trauma, people still possess an ability to return to being healthier and more hopeful, with less caregiver burnout.

At the end of this presentation, participants will be able to:

  1. Discuss the relationship between person-centered and trauma-informed care
  2. Define trauma, trauma-informed care, resilience and vulnerability
  3. Nurture resilience
  4. List resources for providing a trauma-informed approach to care

PDPM Workshop: Strategies for Balancing Current Operations While Preparing for Future Shift

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March 12, 2019: Chamberlain University College of Nursing, St. Louis
March 13, 2019: Stoney Creek Inn, Columbia
March 14, 2019: Truman Medical Center Lakewood, Kansas City

The upcoming CMS’ Patient-Driven Payment Model (PDPM) represents the largest change to skilled nursing facility reimbursement in 20 years. That’s why it’s critical for leaders to develop a plan to smooth the transition and promote financial health. Join us for a one-day workshop designed to help you implement PDPM, featuring deep-dive sessions specific to executives, clinicians and revenue cycle professionals.

This workshop is co-sponsored by BKD CPAs & Advisors, LeadingAge Missouri and the Missouri League for Nursing.

Patient Driven Payment Model (PDPM ) – Prepare for Success

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April 29, 2019: Holiday Inn SW Route 66, St. Louis
April 30, 2019: Comfort Inn, Macon
May 1, 2019: Stoney Creek Hotel & Conference Center, Independence
May 2, 2019: Oasis Hotel & Convention Center, Springfield
June 20, 2019: Hawthorn Bank, Jefferson City

The Patient Driven Payment Model (PDPM) will overhaul SNF Medicare reimbursement starting October 1, 2019 and represents the largest change to Medicare reimbursement in 20 years. PDPM will replace the current Resource Utilization Groups (RUGs)-based system. This transition will impact each employee at your organization, so it is critical that SNFs develop a PDPM preparation plan to ease the transition burden and facilitate future financial health.

This spring seminar is sponsored by the Missouri Association for Nursing Home Administrators and the Missouri Health Care Association. More information including registration can be found in the online brochure.

MC5 Restorative Sleep Vitality Program (RSVP)

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January 9, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: Holiday Inn St. Louis-Route 66, St. Louis

January 10, 2019: Making a Night and Day Difference: Creating a Culture of Restorative Sleep
Location: White Oak Living Center, Independence

Part 3 – Making a Night and Day Difference: Creating a Culture of Restorative Sleep

Empira, a consortium of Aging Service providers in Minnesota, will share the findings from their Restorative Sleep program that has made a night and day difference for the residents they serve. This program was developed after identifying sleep fragmentation as a primary contributor to falls, behavioral expression, pain, incontinence, skin breakdown, unnecessary use of anti-psychotics, and decline in function.

Empira will share successful strategies for creating a culture of sleep with consideration of all 24 hours in a day. This is Part 3 of a three part series. Join the presentation even if you missed Parts 1 and/or 2.

Conversations with Carmen

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January 18, 2019: Weaving the Eden Alternative Domains of Well-BeingSM into LIFE
Guest: Schlegel Villages of Canada Team

Schlegel Villages takes their culture change journey, initiated in 2010, very seriously. With three years of transformation work behind them, they began incorporating Eden Alternative’s seven “Domains of Well-Being” into their organization in 2014. In this show, the Schlegel Villages team will share-

  • How they introduced the domains to the larger team
  • How they use the domains
  • Their ME form, and
  • How they use the Wellbeing tool developed by Dr. Al Power, Eden Educator and Board Member.

What this team has learned is worth sharing! And… did you know the seven Domains of Well-Being made it into the new CMS regulations? Don’t miss this show! Join us to learn more.

Conversations with Carmen

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February 15, 2019: Fake Life and Real Life – Let’s Talk!
Guest: Sonya Barsness, Gerontologist

How much of what is offered to people living in long term care communities is fake?

Much is at stake with fake. Let’s call it out and consider why we think it’s okay. We’ll talk about examples, like using fake pets and babies, mock tails and near beer, the folding of fake towels and whether we are asking the right questions in thinking about if and when to use them. Let’s compare it to real and what each says about how we care for and treat older adults. We’ll be honest, our bias is to encourage all to move more in the direction of real life rather than fake. Let’s compare what our goals are when we are fake and contrast it with what we want for people – real living.

2019 MALA ALF Assessment Training

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March 18-20, 2019: ALF Assessment Training
July 8-10, 2019: ALF Assessment Training
November 18-20, 2019: 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.

2019 MALA Train the Trainer

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January 23, 2019: Train the Trainer
March 6, 2019: Train the Trainer
May 1, 2019: Train the Trainer
July 10, 2019: Train the Trainer
September 11, 2019: Train the Trainer
November 6, 2019: 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.

RAI Process from Start to Finish

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January 22-23, 2019: Columbia
April 17-18, 2019: Kansas City
June 18-19, 2019: Chesterfield
August 6-7, 2019: Columbia
October 15-16, 2019: Springfield

This workshop will look at the RAI process from the beginning to the end. The MDS is used for both a clinical assessment and a financial assessment and this workshop will discuss the rules on scheduling these assessments and meeting the requirements individually and combined. From coding the MDS, we will then look at the CAA to care plan process.

This workshop is for individuals in long-term care who coordinate and/or code the MDS. Typically, this is an RN or LPN with the title of MDS Coordinator or Care Plan Coordinator. This is also for the DON or ADM who needs a better understanding of the complexity of the RAI process.

 

Medicare from Start to Finish

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March 19, 2019: Columbia
May 21, 2019: Springfield
July 16, 2019: Kansas City
September 17, 2019: Chesterfield
November 13, 2019: Columbia

This one-day workshop will begin with how to gain access to and read the MDS reports from CASPER in order to self-audit your RAI process. The completion of the MDS is becoming more and more difficult and confusing. This workshop will help the MDS Coordinator and other members of the interdisciplinary team to understand the admitting criteria and the ongoing documentation needs of the Medicare resident. The RAI process in relationship to Medicare is also confusing and errors can be a financial nightmare for facilities. This workshop will help clear up the confusion surrounding the process.

This workshop is geared towards those individuals working in long-term care who have a leadership role such as the ADM, DON, ADON, or MDS Coordinator.

TMF Nursing Home Quality Improvement

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December 2-8, 2018: National Influenza Vaccination Week

The Centers for Disease Control and Prevention reports that the number of flu vaccinations decreases significantly after November, even though flu season can last as late as May. During National Influenza Week, help raise awareness of the importance of continuing flu vaccinations during and after the holiday season.

Click on the following resources for more information:
National Influenza Vaccination Week Resources and Tools
Who Is at High Risk for the Flu: People 65 and Older
Seasonal Influenza Vaccination Resources for Health Professionals

2019 MANHA Winterfest

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February 6-8, 2019: Becoming Agents of Change
Location: Ameristar Hotel and Spa, St. Charles

Missouri Association of Nursing Home Administrators is pleased to invite you to attend the February Conference & Trade Show, Winterfest. 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.

29th Annual Gerontology Nursing Conference

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Gerontology Nursing Conference

December 6-7, 2018: Gerontology Nursing Conference
Location: Peachtree Banquet Center, Columbia

The purpose of the 29th Annual Gerontology Nursing Conference is to provide a forum for gerontology health care providers, administrators, educators, regulatory personnel and others interested, to discuss complex care issues common to all who care for the elderly, regardless of setting. The focus is on promoting excellence in gerontology health care by keeping abreast of the latest evidence regarding strategies that result in improved clinical outcomes.

Conversations with Carmen

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Conversations with Carmen

November 9, 2018: Know Better, Do Better – Part 4
Guest: Sarah Brown, Executive Director, Empira

Empira has been working to better understand the wants and needs of older adults, given the following truths:

  1. The primary reason for many behavioral expressions centers around the lack of support for “work of aging.”
  2. The ultimate success of inevitable aging is the ability to maintain integrity with a sense of closure and completeness and accept death without fear.

Based on these understandings, an approach called ResoLute (Resident Empowered Solutions on Living until the End) is currently in development to support conversations about life and mortality – to identify and uphold what matters most.

SNF QRP Compliance

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SNF QRP Compliance

CORMAC sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

Conversations with Carmen

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Conversations with Carmen

October 12, 2018: Know Better, Do Better, Part 3
Guest: Sarah Brown, E.D. Empira

The status quo had to change. Consider these facts:

  • Restorative sleep is vital to the overall well being of humans
  • Sleep fragmentation is a primary contributor to some of the most challenging issues facing long term care(e.g. falls, behavioral expression, pain, incontinence, skin breakdown, unnecessary use of anti-psychotics, function decline and the list goes on)

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

2018 Annual Provider Meetings – Updated

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2018 SLCR Annual Provider Meetings

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

Dementia Care Mapping

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Dementia Care Mapping

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.

Updated Hand in Hand Training

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Updated Hand in Hand Training

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.

TMF QIN Spotlight

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Quality Measures and Coding: Flu and Pneumonia Vaccinations

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)

MU Enhanced Leadership Development Academy (ELDA)

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MU Enhanced Leadership Development Academy (ELDA)

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.

MLN Fall Workshops

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MLN Fall Workshops

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