Category: Training

Reminder: Approved Continuing Education Distance Learning Courses for Administrators

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Missouri licensed administrators may earn a maximum of 20 clock hours of distance learning (includes online, self-study or webinars) during a two-year licensure period. Distance learning programs must be offered by a Missouri board-approved training agency.  Missouri board-approved training agencies and continuing education programs are posted on our website at:  http://www.health.mo.gov/information/boards/bnha/providers.php. 

Distance learning programs approved by NAB/NCERS or other state licensing boards are not approved as continuing education programs in Missouri. 

If you have any questions or comments, please contact the Missouri Board of Nursing Home Administrators at 573-751-3511, visit our website at http://www.health.mo.gov/information/boards/bnha/ or send an email to bnha@health.mo.gov.

Level I Medication Aide Training Program Regulation Update

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The revisions to regulation 19 CSR 30-84.030 Level I Medication Aide Training Program, were published in the Code of State Regulations on October 31, 2012.  The official new rules may be found on the Missouri Secretary of State’s website at http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp.  The rules are located under Division 30, Chapter 84.  The effective date for the new rules will be November 30, 2012.  The following information outlines some of the requirement changes: 

  • The Level I Medication Aide (LIMA) course shall include a minimum of sixteen (16) hours of integrated formal instruction and practice sessions directly supervised by an approved LIMA Instructor. 
  • LIMAs shall participate in a minimum of four (4) hours of medication administration training every two (2) years in order to remain active and administer medications in a Residential Care Facility (RCF) or in an Assisted Living Facility (ALF).  LIMAs certified on or before September 30, 2012 shall have until September 30, 2014 to comply with the biennial training requirements, or their name will be removed from the registry and they will be required to take the full 16-hour course.  Forms are located on our website at the address below. 
  • Medication Aides (MAs) certified through the Department of Mental Health will be able to apply for DHSS certification through a Certifying Agency.  MAs will be required to provide certification documentation proof and pay the certification fee.  The Certifying Agency will submit the names to DHSS to be added to the registry. 
  • To be a LIMA course instructor, the individual must currently be an approved LIMA Instructor (verification is available online).  Instructors must be a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) licensed to practice in Missouri, not subject to any disciplinary action, and shall have one (1) year experience working as a nurse and shall attend and successfully complete a “Train the Trainer” workshop through a Certifying Agency.

As individuals complete their biennial updates or are newly certified, their certification information will be available on the online registry at the website address below. 

Links to the regulations, approved training manuals, forms, certifying agency information and more is available online at:   http://health.mo.gov/safety/cnaregistry/lima.php.  If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit, at 573-526-5686.

Using INTERACT II to Reduce Hospital Transfers Webinar

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Join Primaris for Hot Topics –  Health Care Webinar Series for Long-Term Care

October 24, 2012:  1 – 2 p.m.  “Using INTERACT II to Reduce Hospital Transfers”

Speaker Jennifer Hodge, RN, MSBA, Interact II Instructor will:

  • Introduce the purpose of INTERACT II and why it matters to you.
  • Outline the steps to help you get started tracking hospital transfers.
  • Review tools you can use from the INTERACT II program.

Early identification and communication of residents’ changes in status are essential to avoiding hospital transfers.  Reducing avoidable rehospitalizations are of growing interest to hospitals and may become criteria for future referrals.  INTERACT II focuses on the management of acute change in resident condition.  It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities.

Don’t miss this free interactive webinar on INTERACT II.  Missouri skilled nursing homes including administrators, directors of nursing, charge nurses and social workers are invited to attend.  Stay tuned for future Hot Topics including reducing antipsychotic medications and QAPI.  Registration is available online: https://www3.gotomeeting.com/register/825755518.  Please view the flyer here:  Hot Topics Webinar Series

Visit the website for more information:  www.primaris.org/lan/nursing-home/sign-up

Hand in Hand: A Training Series for Nursing Homes

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(Person-Centered Care of Persons with Dementia and Prevention of Abuse)

S&C: 12-44-NH  09.14.12

CMS Memorandum Summary

The Affordable Care Act:  Section 6121 requires the Centers for Medicare & Medicaid Services (CMS) to ensure that nurse aides receive regular training on how to care for residents with dementia and on preventing abuse.  CMS created this training program to address the requirement for annual nurse aide training on these important topics.

Course Content:  The Hand in Hand training materials consist of an orientation guide and six one-hour video-based modules, each of which has a DVD and an accompanying instructor guide.  Though Hand in Hand is targeted to nurse aides, it may be valuable to all nursing home caregivers, administrative staff and surveyors.

Please review the CMS Memo here:  CMS MEMO SC12-44 Hand in Hand-A Training Series for Nursing Homes 09-14-12

Request to Convey Information: Partnership to Improve Dementia Care in Nursing Homes

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S&C: 12-42-NH:  Revised 08.31.12

Memorandum Summary

  • Partnership to Improve Dementia Care in Nursing Homes – In 2012, Centers for Medicare & Medicaid Services (CMS) launched the Partnership to Improve Dementia Care in Nursing Homes to promote comprehensive dementia care and therapeutic interventions for nursing home residents with dementia-related behaviors.
  • Stakeholder Letters – Stakeholders are sending letters to support the Partnership to Improve Dementia Care in Nursing Homes.
  • Please Share – Please share information about these documents as you communicate with facilities in your State and in other appropriate communication media (such as State website).

Download the CMS memo here:  http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-12-42.html

Approved Diet Manuals

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The 2012 Long Term Care Diet Manual published by Health Technologies, Inc. has been approved for use in long-term care facilities in Missouri.  You may visit the Health Technologies Inc. website at:  http://www.ht-ss.com/.  A list of approved diet manuals is available on the Department of Health and Senior Services website at:  http://health.mo.gov/seniors/nursinghomes/providerinfo.php/.

Pressure Ulcer Prevention: PUP tips return!

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PUP Tip #1  Assessing pressure-ulcer risk

Pressure ulcers hurt everyone.  More than one in twenty Missouri nursing homes residents develop pressure ulcers which cause pain and suffering.  For nursing homes, the extra staff hours and medical supplies come at a time when money could be spent in other areas.  View Tip #1 here: PUP Tip 1 

PUP Tip #2  Skin Monitoring

Catching the early signs of a pressure ulcer can help you prevent them from forming.  Training all your staff to watch for these signs and report them quickly is critical. View Tip #2 here:  PUP Tip 2

All tips are also available on line: http://www.primaris.org/pup_tips.

The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

Usage of Correct CNA Appendix A-B Form

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The Certified Nurse Assistant (CNA) Competency Score Sheet form # MO 580-2473 (12-07) (also known as Appendix A-B) is the form that should be utilized for all CNA students, whether it is a full course or a challenge examination. 

We realize that some manuals may contain the old version of the form # MO 580-2473 (10-01).  We apologize for any inconvenience this may cause.  The correct version may be accessed here:  MO 580-2473 (12-07) Appendix A-B.  If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit, at 573-526-5686.

Nursing Home Leadership Assistance

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In cooperation with the Missouri Department of Health and Senior Services, the MU Sinclair School of Nursing at the University of Missouri offers a Nursing Home Leadership Coaching Service to assist nursing home administrators and key operational leaders to meet the leadership challenges of the long-term care industry.  The services offered focus on helping nursing home administrators deal effectively with the complex management issues they face each day in their business and personnel operations.  The coaching is tailored to meet individual administrator needs within the context of each person’s unique operational situations, as well as within the variety of corporate and business models in Missouri.  Designed as a voluntary service, the Nursing Home Leadership Coach assists with such issues as Operational Improvement, Corporate Compliance, Budget Analysis, Regulations, Process Improvement Leadership Skills, Staff Retention, Contract Review, Survey Readiness, Staff Training, Quality of Life, and Culture Change.  The Coaching Service works collaboratively with our existing QIPMO program.  Dave Walker, LNHA, functions as the NHA Coach.  Nursing home administrators interested in consulting with Mr. Walker should contact Jessica Mueller, Project Coordinator at the MU Sinclair School of Nursing at (573) 882-0241 or by e-mail at muellerjes@missouri.edu.  Please visit: http://nursinghomehelp.org/coaching.html

  •  Nursing Home Survey Manual:  Resource Available!

Dave Walker, MU NHA Coach, has created a Long-Term Care Survey Manual for use by nursing home staff.  The purpose of the manual is to provide guidance on how to comply with State and Federal regulations.  The manual offers numerous forms and policies for nursing homes to consider using in order to prepare for their annual survey visit.  The manual is available at http://nursinghomehelp.org/, and may be downloaded by section or in its entirety.

2012 Annual Long-Term Care Provider Meetings

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Sponsored by the Missouri Department of Health & Senior Services, Section for Long-Term Care Regulation (SLCR).

Topics Include:

    SLCR Updates / Rule Changes  Regulatory Update Provider Meetings 2012

    CPR and Elopement Issues  CPR and Elopement Provider Meetings 2012

    2012 Life Safety Code  Life Safety Code Update Provider Meetings 2012

    New Dining Practice Standards New Dining Practice Standards Provider Meetings 2012

    Update from the Missouri Coalition Celebrating Care Continuum Change (MC5)

Please view the flyer and agenda here:   2012 ANNUAL PROVIDER MEETINGS

MC5 Hosts: National Learning Collaborative Webinar Series on Using the MDS 3.0 as an Engine for High Quality Individualized Care – Series Two

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MC5 Hosts:  National Learning Collaborative Webinar Series on Using the MDS 3.0 as an Engine for High Quality Individualized Care – Series Two

You are invited to join Missouri Coalition Celebrating Care Continuum Change (MC5) for a free group viewing of the Pioneer Network’s webinar and facilitated discussion:  Series Two: Clinical Applications, Part Four and Five
The following topics will be presented through group webinar and facilitated discussion:

Part Four:  Promoting Mobility, Reducing Falls, and Eliminating Alarms Through Individualized Care

Lead Presenter: Joanne Rader, RN, MN, PMHNP, Pioneer Network co-founder, who led restraint elimination efforts, is an expert in understanding behavior as communication, the importance of proper mobility and seating devices, and is the author of Bathing Without a Battle.

Part Five:  Individualized Dining: New Practice Standards

Featuring: Carmen Bowman, MHS, who facilitated the CMS and Pioneer Network’s Creating Home in the Nursing Home II:  A National Symposium on Culture Change and the Food and Dining Requirements and the subsequent Pioneer Network Food and Dining Clinical Standards Task Force.

July 16, 2012, Monday, 9:00am – 1:30pm

Media Room, Breeze Park, 600 Breeze Park Dr., St. Charles

Please visit the MC5 website:  www.momc5.com.

Know the 10 Signs: Early Detection Matters

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Learn the difference between age-related memory loss and Alzheimer’s disease, Gain an understanding of the 10 Warning Signs of Alzheimer’s disease and learn about causes and risk factors, Gain a better understanding of the benefits of healthy aging
June 18, 2012 (1:30 – 4:00 pm)  Schepper’s Distributing, the Clydesdale Room,  Jefferson City, Missouri
June 27, 2012 (1:30 – 4:00 pm)  Alzheimer’s Disease Education Center,  Columbia, Missouri
Please visit:  http://www.alz.org/mid-missouri/ for more information.

KNOW THE 10 SIGNS:  http://www.alz.org/alzheimers_disease_know_the_10_signs.asp

Interventions to Reduce Acute Care Transfers – Free Webinar

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June 14, 2012:  Missouri skilled nursing facilities and other partnering health care providers are invited to explore how communities can better support patients in their care transitions and reduce avoidable hospital readmissions.  Learn how INTERACT II can improve the early identification, assessment, documentation and communication about changes in the status of residents in skilled nursing facilities.  Lutheran Senior Services will address their findings of implementing INTERACT II in their facilities, and SSM Health Care St. Louis will discuss the partnership opportunities that have arisen from Lutheran Senior Services implementing INTERACT II.  Please view the flyer here: June Interventions to Reduce Acute Care Trx.   Join Primaris for a free webinar at:  https://www3.gotomeeting.com/register/847521118

Pioneer Network’s National Learning Collaborative Webinar Series THREE on Using the MDS 3.0 as an Engine for High Quality Individualized Care

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Pioneer Network’s National Learning Collaborative Webinar Series Three:  Operationalizing OBRA: A Performance Improvement Approach to Individualizing Care:

  • June 19, 2012: Part Seven MDS and Quality of Life: Operationalizing Customary Routines
  • July 19, 2012: Part Eight MDS and QAPI: How to Improve Outcomes through Just-in-Time Assessment, Care Planning and Quality Improvement by Staff Closest to the Residents

Pioneer Network continues its groundbreaking webinar series to introduce why and how to put in place the organizational culture changes necessary to integrate MDS 3.0 so that it contributes to strong organizational performance.  Hundreds of participants from around the nation heard up-to-date information from the CMS MDS team and concrete strategies presented by practitioners who have integrated culture change and the MDS to improve resident, staff and organizational outcomes.  Please visit: http://www.pioneernetwork.net/Events/MDS30_789/

 

MDS Section Q

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Please note that effective May 1, 2012 all MDS Section Q referrals will be made via the following web link:  https://dssapp3.dss.mo.gov/mfpnursinghome/Login.aspx

Recently, Missouri’s Money Follows the Person program staff presented a webinar to help educate nursing facility staff on use of a new Section Q web referral system and information on changes to MDS Section Q effective 4/1/2012.  MFP also provided a brief overview of the MFP program.  If you were unable to participate in the live webinar, you can access the recorded webinar here: http://stateofmo.adobeconnect.com/p4t0nnwz5ny/

If you have any questions, please contact Program Assistant Anna Duncan at anna.duncan@dss.mo.gov or at 573-522-1591.

National Scald Prevention Campaign

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The Missouri Division of Fire Safety in conjunction with the National Scald Prevention Steering Committee

The Division of Fire Safety has made the Scald Prevention Brochure available for distribution.  Fire Safety Inspectors will also distribute the brochure when they conduct facility inspections.  The brochure is printed in both English and in Spanish.  Please visit the website for more information:  http://www.dfs.dps.mo.gov/

Restraints, Enablers and Safety Considerations

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Planning Individualized Care and Addressing Risks – Words matter, MDS coding matters, planned clinical care matters, but what really matters is the health and safety of our residents.  We have a long history of using restraints for the “safety” of residents to prevent falls and referring to all devices as restraints, but our knowledge has evolved to understand that restraints have potential to cause harm.  The Centers for Medicare & Medicaid Services (CMS) has recognized the danger restraints pose to residents and has initiated national efforts to reduce the use of restraints.  This tool will help you plan individualized care and address risks associated with restraints, please view here:  http://www.primaris.org/node/1598.  The device decision guide template is available at:  http://www.primaris.org/node/1338.

Culture Change Learning Collaborative

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Don’t miss this EXCITING OPPORTUNITY.  The Missouri Coalition Celebrating Care Continuum Change (MC5) and the Pioneer Network are offering skilled nursing homes in Missouri a chance to apply to be a part of a FREE Culture Change Learning Collaborative over the next 16 months.  This includes Culture Change training, support, and networking opportunities as well as help on your Culture Change Journey.  The deadline for submitting the application is Friday, March 16, 2012.  For more details and application information visit: http://www.momc5.com/  DON’T DELAY….APPLY TODAY!