Parkinson Disease Educational Programs

February 2, 2014:  Deep Brain Stimulation

This program sponsored by the American Parkinson Disease Association – Greater St. Louis Chapter is free of charge to anyone who would like to attend. Visit http://stlapda.org/calendar/ to view all upcoming events. For more information contact Michelle Brooks at 314-362-3299 or email brooksmi@neuro.wustl.edu.

Dementia: Early Detection and Intervention

Dementia:  Early Detection and Intervention – Registration Now Open

March 22, 2014:  The Division of Geriatric Medicine at Saint Louis University’s School of Medicine, in partnership with the Department of Neurology and Psychiatry, Division of Geriatric Psychiatry, and the Alzheimer’s Association St. Louis Chapter, are proud to present Dementia:  Early Detection and Intervention.

This activity is funded by a grant from HRSA and is open to all attendees at no charge.  The grant also covers the CME fees for physicians, psychologists, nurses, social workers, nursing home administrators, and PT/OT.  Location:  Margaret McCormick Doisy Learning Resources Center, 3545 Vista Ave., St. Louis, Mo.  Visit aging.slu.edu or click on the links below:

View Conference Details

View Agenda

Register for Event

Long-Term Care Survey on Patient Safety

The Center for Patient Safety is offering a web-based version of the Agency for Healthcare Research and Quality (AHRQ) Survey of Resident Safety Culture.  This survey is designed to identify strengths and challenges of the safety culture in nursing homes through input from staff, but could also apply in other long-term care environments.  This survey process is normally a fee-based service, but is temporarily available at no charge to Missouri-licensed long-term care communities.  For more information, please visit www.centerforpatientsafety.org/culturesurvey today!

MDS and Flu Season

CMS posts the public Quality Measures on Nursing Home Compare, and consumers are able to view the percentage data that your nursing home offered and administered the flu vaccine during the current or most recent influenza season.

The 3.0 Resident Assessment Instrument (RAI) manual does not provide specific dates for influenza season.  This has prompted Missouri facilities to ask what dates are considered the influenza season in Missouri, in order to correctly code the MDS, which will be reflected in their Quality Measures.  Seasonal flu monitoring and reporting to the CDC in Missouri begins in early October and extends well in to the month of May.

For MDS coding purposes, if the resident is not in the facility between October 1 and May 31, you should code in Section O:  “Resident not in facility during this year’s flu season.”  For residents who are in the facility from October 1 through the last week of May, the facility is required to offer the flu vaccine as long as it is “reasonably available,” which means that it is still available to be ordered from your local pharmacy or supplier.

If you have any questions, you may contact Joan Brundick, State RAI Coordinator, at 573-751-6308 or email joan.brundick@health.mo.gov.

Flu Season is Here

Homes are required to offer the flu vaccine to all of their residents.  Vaccination of your healthcare workers, although not mandated, is also important in preventing the spread of flu in your home.  Encouraging your staff to receive the vaccination can also help reduce absenteeism due to illness and reduce the costs of care associated with ill residents. 

Flu season information is available on the CDC website at www.cdc.gov/flu/index.htm.

MC5 Regional Meetings – January 2014

Visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com.

Person-Centered Care in Behavioral Health

Interventions to keep people in the home, and when it is time to intervene with inpatient care
Location:  East Hills Library, 502 North Woodbine Rd., St. Joseph.  RSVP to Karen Fletchall at karen.fletchall@yahoo.com or 660-564-3304; or Freda Miller at fmiller@nwmoaaa.org or 660-822-6209.

Webinar #1: The Big Picture

MC5 and Primaris Learning Collaborative

Please view the flyer here:  January 8, 2014 Southwest MC5 and Primaris

Creating Well-Being for Those Who Live with Dementia:  Alternatives to Medication Use

Would you like to provide your staff with high quality training from world-renowned experts, but just can’t afford it?  Now you can!  MC5 and Primaris have teamed up to bring you the six part webinar series developed by Dr. Al Power and The Eden Alternative.  Each meeting will include one of the hour-long webinars, followed by a learning session led by Primaris Program Manager Judy Halley, RN-BC, LNHA.  Location:  Council of Churches, 627 N.  Glenstone, Springfield.  RSVP to cindybutler@mchsi.com.

  • January 10, 2014:  East

All Aboard!

Caregiver Empowerment in Culture Change:  Mentoring, Assigning, and Engaging for a Better Life
Successfully delivering person-centered care greatly depends on caregiver commitment to the Culture Change effort.  This presentation will include the community-wide mentoring program at Parc Provence, the use of consistent assignment at West County Care Center; and caregiver huddles, memory care training, and QAPI responsibilities at Bethesda Dilworth.  Location:  Brentwood Community Center, Rm. 104, 2502 S. Brentwood Blvd., Brentwood.  RSVP to Ruthie at rrochman@alz.org or 314-801-0446.

Caring for Individuals with Alzheimer’s Disease in a Culture Change World

Location:   Community Center, 200 North Ash, Nevada.  RSVP to sghouser@medicalodges.com.

PLEASE NOTE – MEETING LOCATION CHANGE

Please view the flyer here:  January 21, 2014 new location East Central MC5 and Primaris Collaborative

Operationalizing Person-Centered Care and Building Capacity for QAPI – Part I: Aligning Daily Documentation and Communication

MC5 and Primaris Learning Collaborative

Pioneer Network Webinar Series on Using MDS 3.0 as an Engine for High Quality Individualized Care.  Monthly meetings will be facilitated by Primaris Program Manager Nursing Home Services, Alexis Roam, MSN, RN. 

Monthly meetings will include:

     Toolkit

     Webinars

     Facilitation with Alexis Roam

     Sharing with all group members

Please note location change:  Comfort Inn and Suites, 1650 Old Wire Outer Road, Rolla.
Registration in advance is appreciated – please RSVP to mary.ehrenreich@alz.org or 314-801-0462; or to tracy.rosenow@mvc.dps.mo.gov or 573-265-3271.

Exercise Makes a Difference: Why and How to Incorporate Daily Exercise in Person-Centered Care

Location:  Loch Haven Senior Living Community Apartments, New Activity Rm., 701 Sunset Hills Dr., Macon.

RSVP to Wendy or Katie at 660-385-3113.

  • January 22, 2014:  West

Culture Change 101

Presented by Missouri Department of Health and Senior Services State Culture Change Coordinator Sam Plaster.
Location:  Centerpoint Medical Center, East Auditorium, 19600 East 39th St., Independence.  RSVP to Kathy Vogt or Leslie Carter at 816-228-5655. 

For more information about these regional meetings, including available CEUs, please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html.

QAPI Six-Part Webinar Series

Building the Capacity for Quality Assurance and Performance Improvement (QAPI) Plans

View all events on Primaris’ website at http://primaris.org/calendar/categories/show-mequality.

QAPI Super Users Groups

Discussion groups for nursing home professionals interested in Quality Assurance and Performance Improvement (QAPI).

Visit http://primaris.org/news-events.

Primaris Announcement: Show-Me Quality Games

Show-Me Quality – QAPI in Action

There are currently 481 homes at the Copper level, and we challenge you to achieve the Bronze level in just two easy steps!  Send your team photo to tfisher@primaris.org, and attend two Show-Me Quality educational offerings.  To learn more, please visit http://primaris.org/services/quality-improvement-organization/show-me-quality-qapi-in-action and download the Show-Me Quality Games Program Guide.

The Missouri Coalition Celebrating Care Continuum Change

The Missouri Coalition Celebrating Care Continuum Change (MC5)

by Sam Plaster, State Culture Change Coordinator 

The Patient Protection and Affordable Care Act passed by Congress in 2010 requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs, ensuring that homes continuously identify and correct quality deficiencies as well as sustain performance improvement.  While the Center for Medicare & Medicaid Services (CMS) has yet to promulgate the specific regulatory requirements, many homes are already initiating or improving their QAPI processes… to read more and view photos click here: MC5

Changing Antipsychotic Thinking (CAT) Tip #4

Changing Antipsychotic Thinking (CAT) Tip #4

CAT Bath

To reduce resident and care partner distress, take the time to examine and modify the bathing routine to best accommodate the wishes of each person.  Learn how to effectively communicate, build a relationship, and meet the needs of persons with dementia during the bathing process.  Visit http://primaris.org/tool/cat-bath.  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

Nursing Home Quality Initiatives – Questions and Answers

The Centers for Medicare & Medicaid Services (CMS) and Advancing Excellence in America’s Nursing Homes national campaign coordination group developed a set of common questions and answers for nursing homes, in order to clarify how some of the many initiatives relate to and are aligned with each other.  The purpose is to help nursing homes better understand how to participate in and benefit from various initiatives.

  • Quality Assurance and Performance Improvement (QAPI)
  • National Nursing Home Quality Care Collaborative (NNHQCC)
  • National Partnership to Improve Dementia Care in Nursing Homes
  • Advancing Excellence in America’s Nursing Home’s Campaign
  • Alignment of Quality Initiatives

Questions include:

  • Must nursing homes use CMS QAPI tools and resources to be considered in compliance with the QAPI regulation?
  • What is the National Nursing Home Quality Care Collaborative (NNHQCC)?
  • What is a LAN?
  • How does the mission of the National Partnership to Improve Dementia Care in Nursing Homes align with non-pharmacological, person-centered care approaches?
  • What does a nursing home have to do to become part of Advancing Excellence?
  • How does QAPI overlap or align with topic specific initiatives such the NNHQCC, the National Partnership to Improve Dementia Care in Nursing Homes, and Advancing Excellence in America’s Nursing Homes?
  • If we participate in the NNHQCC or Advancing Excellence or the National Partnership to Improve Dementia Care in Nursing Homes, are we implementing QAPI?

Find the answers to these questions and more – click on the link below

CMSFAQsNHQualityInitiatives

This document is also available for download by visiting http://www.nhqualitycampaign.org/.

Cardiopulmonary Resuscitation (CPR) in Nursing Homes

CMS Memo S&C: 14-01-NH

The Section for Long-Term Care Regulation wants to make certified providers aware that this Memo requires “certification” of some nursing home staff as part of the nursing home’s compliance with regard to CPR.  CMS’ guidance had previously been that an on-duty staff member be able to perform CPR appropriately at all times.  If a question arose during a federal process regarding whether someone could perform CPR properly, a surveyor may have needed to ask for an explanation of appropriate technique from some available staff member to verify compliance with that requirement, but verifying the certification of a particular staff member typically wasn’t necessary.

One point that remains unaddressed in this new S&C Memo is that many different CPR training agencies offer “certification” of their own, and this Memo doesn’t specify which agency’s certifications are acceptable to CMS and which are not.  SLCR has requested a clarification of this point from the CMS Central Office, and so has the Kansas City Regional CMS office.  Neither of our offices have received a response.  When we receive further guidance, we will provide it to you via this Listserv.  Until then, we will not be altering our current survey practices, but we want to make providers aware that this new S&C Memo has been issued by CMS, and that depending on their answer to our questions, it’s likely that some of your staff may need to obtain CPR certification with very short notice.

Because this memo references the American Heart Association as a standard-setting organization with regard to CPR, it is our belief that provider certification through the AHA will almost certainly be deemed acceptable by CMS.  Whether other certifications will suffice is less clear at this time.  As soon as we have some clarification on this point, we will share it with you.  We apologize that we can’t offer more specific guidance at this time, and appreciate your patience.

View the CMS Memo S&C: 14-01-NH here:  Survey-and-Cert-Letter-14-01 or click here. 

UPDATED GUIDANCE HAS BEEN POSTED – PLEASE REFER TO:

https://wp2.mo.gov/health-ltc/2014/02/24/cardiopulmonary-resuscitation-cpr-in-nursing-homes-guidance-clarification-update/

 

MC5 Regional Meetings – December, 2013

Visit the NEW Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/.

The Parkinson Journey:  From Diagnosis to Treatment to Cure

Free CEUs for nursing home administrators and social workers.

Location:  N.H. Scheppers Distributing Co., The Clydesdale Rm., 1306 Hathman Pl., Columbia.  RSVP to Beth at 573-443-5823 or bbusseau@cmaaa.net.

What I’m Really Trying to Say Is…

Strategies for Reducing Antipsychotics for the Dementia Resident, presented by Chateau Girardeau Staff Educator/MDS Coordinator Wendy Boren, RN.

Location:  Cape Girardeau Public Library, 711 N. Clark St., Cape Girardeau.

No Fear: How to Have a Body Alarm Free Home

Presented by Jaque Bershauer, LPN, and Regina Owens, RN, Missouri Veterans Home, Warrensburg.  Free CEUs – pending approval.

Location:   Methodist Church, The Celebration Center, 1701 W.  32nd, Sedalia.  RSVP to Kathy Ray-Smith at kraysmith@goaging.org or call 1-800-748-7826, or 660-747-3107.

The Path to Culture Change

Presented by Dave Walker, LTC Leadership Coach, Sinclair School of Nursing, University of Missouri.  Mr. Walker will present the five key domains from the Artifacts of Culture Change.  This tool can be used to create a benchmark for person-centered care in your home and can help “jump start” your journey.  A film clip from “If I had a Million” will be shown with discussion to follow.  Free CEUs for nursing home administrators and social workers – pending approval.

Location:  Livingston County Public Library, 450 Locust St., Chillicothe.  RSVP to Judy Bagley at jbagley@grm.net, or 660-748-4407.

 

Pioneer Network’s 2014 National Conference- Request for Proposals

August 4 – 7, 2014:  Journey to the Heartland

Pioneer Network’s 14th Annual Culture Change Conference, “Journey to the Heartland,” will be held Aug. 4 to 7, 2014, at the Sheraton Kansas City-Crown Center in Kansas City, Mo. Visit www.pioneernetwork.net to learn more.

From your own journey experience, develop a proposal to be one of 85 education sessions – the proposal submission deadline has been extended to January 24.  Visit www.pioneernetwork.net/Events/2014Conference/RFP.

New Generations – Autumn 2013 Quarterly Newsletter

The Section for Long-Term Care has published New Generations – Volume 11, Issue 4, Autumn 2013.  This issue is now available on our website, along with an archive of previous newsletters.  Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.

Care Plans: What Do We Need To Know? – Free Webinar

Free QIPMO Webinar with several dates to choose from!

  • October 29, 2013
  • October 30, 2013
  • November 4, 2013
  • November 5, 2013
  • November 6, 2013

View the flyer here:  Care Plans QIPMO Webinar 2013 or visit QIPMO’s MDS webpage at http://nursinghomehelp.org/supgr.html.

To register, visit https://attendee.gotowebinar.com/rt/3389283429345947393.  Upon registration, participants will receive a confirmation email containing additional webinar information.  Handouts will be available prior to the webinar.

Personalized Med Pass

November 15, 2013:  Conversations with Carmen

Guest: Marilyn Oelfke, RN, Action Pact Consultant, retired administrator Perham Living.  To learn more about this web-based talk show, please visit http://www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar.

To learn more about Action Pact, click on the links below:

http://actionpact.com/

http://blog.actionpact.com/

https://www.facebook.com/ActionPact