Category: Training

Missouri launches dashboard displaying opioid overdose related data

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Record high number of fatal overdoses recorded, according to most recent data available

With 1,878 deaths, 2020 had the highest number of fatal drug overdoses to date in the state of Missouri – a 19% increase from 2019. 1,375 of these deaths involved opioids. Today, the Missouri Department of Health and Senior Services (DHSS) launched a new, interactive dashboard showing data regarding both fatal and nonfatal overdoses, where they occurred in the state and the demographic makeup of those who overdosed.

Following national trends, drug overdoses have become an epidemic in Missouri over the past decade. Missouri ranked 32nd in the nation for drug overdose death rates in 2020.

Among adults aged 18-44 in Missouri, drug overdose is the leading cause of death, and more than 70% of all drug overdose deaths in the state involve opioids. The opioid class of drugs includes heroin, fentanyl, methadone, morphine, oxycodone and many other prescription and non-prescription pain relievers.

“The opioid crisis is an issue only made worse by the COVID-19 pandemic,” said Paula Nickelson, DHSS Acting Director. “This is a health crisis that knows no bounds–it affects all genders, races and ages in both rural and urban communities. Our efforts at the state level to combat opioid misuse and overdose include monitoring and prevention strategies designed to improve data quality, inform decision making and implement targeted interventions.”

The new dashboard shows a sharp increase in recent years of deaths, from those involving heroin (with no synthetic opioids present) to deaths involving synthetic opioids. Synthetic opioids, including fentanyl and its analogs, were involved in 1,204 drug overdose deaths in 2020 in Missouri. The 2020 figure is nearly seven times higher than the 2015 count of 179 synthetic opioid-involved deaths.

In an effort to alter this trajectory, DHSS has several strategies and activities currently underway or in development. These efforts are supported through the Overdose Data to Action (OD2A) cooperative agreement with the Centers for Disease Control and Prevention (CDC) which began in 2019.

Data Monitoring

  • Collect and disseminate timely Emergency Department data on all suspected drug, opioid, heroin and stimulant overdoses: Perform monitoring in Missouri’s Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) using case definitions for all drugs, opioids, heroin and stimulant overdoses.
  • Collect and disseminate descriptions of drug overdose death circumstances using death certificates and medical examiner/coroner data: Collect data from death certificates and medical examiner/coroner reports and enter data into the State Unintentional Drug Overdose Reporting System (SUDORS).
  • Implement Innovative Surveillance: Link records between two nonfatal data sources, ESSENCE and Patient Abstract System, on various overdose types to evaluate the relationship between overdoses reported with more real time data versus more comprehensive but lagged data.

Prevention Methods

  • Prescription Monitoring Compliance: Conduct regulatory inspections on high-risk prescribers and outliers; seek regulatory actions and remedies; provide information and education to prescribers about CDC prescribing guidelines.
  • State/local Integration Efforts: DHSS has established 16 current contracts with select local public health agencies to focus on opioid and illicit drug use prevention and response efforts.
    • DHSS collaborated with the Missouri Department of Mental Health and provided funding to three local prevention centers to combat opioid misuse and overdose.
    • The DHSS Office of Minority Health responds to overdoses in the St. Louis area and provides resources to overdose patients regarding treatment services.
    • DHSS held its inaugural Harm Reduction Conference in June of 2021 and is in the planning stages for the 2022 conference.
    • DHSS is developing a second Missouri vulnerability assessment focusing on dual issues of opioid misuse and blood-borne infection.
    • The DHSS Bureau of HIV, STD and Hepatitis provides Harm Reduction 101 training and technical assistance to local public health agencies and community-based organizations.
  • Linkages to Care: DHSS has supported contracted HIV Peer Navigators and other designated staff to attend the Missouri Credentialing Board Medication Assisted Recovery training, integrated the HIV Reduction 101 training into the HIV/Hepatitis C training and continues to look for professional certification opportunities to build system staff capacity.
  • Public Safety Partnerships: The DHSS Bureau of Healthcare Analysis and Data Dissemination has established a linkage of opioid overdose mortality data with offenders released from the Missouri Department of Corrections. DHSS has a linkage with the Midwest High Intensity Drug Trafficking Area to review drug seizure data and compare with opioid overdose mortality data.
  • Public Awareness: DHSS will launch a new media campaign based on most recent data to raise awareness of opioid misuse and overdose. DHSS has previously implemented three separate campaigns to focus on opioid awareness, harm reduction strategies and CDC Rx Awareness facets. The campaign targeted zip codes with the highest opioid mortality rates; these campaigns have been marketed on radio, billboards, at gas stations, across social media platforms and through other venues and platforms.

View the drug overdose dashboard at health.mo.gov/data/opioids, or visit Time2ActMissouri.com for more information or resources.

Update for COVID-19 Module Surveillance Pathways and Weekly HCP and Resident COVID-19 Vaccination Module Training dates

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The NHSN Vaccination team will host 2 training sessions in preparation for the upcoming NHSN release on May 30th. These sessions were previously scheduled to incorporate the LTC COVID-19 Module Surveillance Pathways, however the training has been scaled down to solely focus on the COVID-19 Vaccination Module.

Please register to attend one or more sessions to learn how reporting forms will change and how to report data accurately. After registering, you will receive a confirmation email containing information about joining the webinar. Please note these training sessions are repeated and you may not find it necessary to register more than once. After each training session, you will be allowed to ask questions as it pertains to the webinar.

Thanks for your participation!
The NHSN LTCF Team

**COVID-19 Vaccination Modules Webinar**

When: Tuesday, May 17, 2022, 1:00 – 2:00 PM Eastern Time (US and Canada)
Topic: Updates to the COVID-19 Vaccination Modules for Residents and Healthcare Personnel
Register in advance for this webinar:
https://cdc.zoomgov.com/webinar/register/WN_2vwCHWGkQj63Nvka5h5GUA

When: Thursday, May 19, 2022, 1:00 – 2:00 PM Eastern Time (US and Canada)
Topic: Updates to the COVID-19 Vaccination Modules for Residents and Healthcare Personnel
Register in advance for this webinar:
https://cdc.zoomgov.com/webinar/register/WN_dG7knYLOQJu9lwT__8cV2Q

2022 SLCR Annual Provider Meetings

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We are currently in the planning phase to host in-person provider meetings in all regions this year and are considering the best topics to provide the most beneficial information. We would like to hear from you about what LTC related topics and info you believe would be helpful and educational!

Please take a moment to answer complete a short questionnaire by May 31, 2022 at https://www.surveymonkey.com/r/9287QZQ.

Office Hours and Frequently Asked Questions Webinar for the Optional Event-Level

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The NHSN Vaccination Team is providing two webinars on Tuesday, April 12th and Tuesday, April 19th at 2:00 PM Eastern Time to provide additional training on the Event-Level COVID-19 Vaccination Forms in the COVID-19 Vaccination Modules and to answer frequently asked questions. These worksheets are available in the NHSN application for long-term care facilities (other modules coming soon!) to manage person-level vaccination data and simplify data for weekly COVID-19 Vaccination Modules.

During this session, the team will review key points about the forms and provide answers to frequently asked questions raised during the training webinars held in March 2022. Users attending the training can also ask questions in in the Q&A box.

Registration information for both webinars is listed below. The content for both webinars will be the same, but individuals are welcome to register for and join both for additional reinforcement if they choose.

When: Tuesday, April 12, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_CQN5faRJTRictvPA512RmA
After registering, you will receive a confirmation email containing information about joining the webinar.

When: Tuesday, April 19, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_asYca_YuTj2gzJbMiFM7ow
After registering, you will receive a confirmation email containing information about joining the webinar.

For specific questions about registration for this webinar, please e-mail NHSN@cdc.gov and place in the subject line: Event-Level COVID-19 Vaccination Form Office Hours.

CNA Upcoming Testing

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Headmaster D & S: 1-800-393-8664 – Please ask for the Missouri Team!

  • April 9, 2022 – St. John
  • April 12, 2022 – St. Louis(Knowledge) & Jefferson City
  • April 13, 2022 – Trenton & Kansas City
  • April 14, 2022 – Gladstone & St. John
  • April 15, 2022 – Kansas City
  • April 21, 2022 – Gladstone, Kansas City & St. John
  • April 23, 2022 – St. Louis
  • April 24, 2022 – Kansas City
  • April 25, 2022 – Kansas City
  • April 28, 2022 – Gladstone, Kansas City, Jefferson City, St. John & Hillsboro
  • April 29, 2022 – Kansas City
  • April 30, 2022 – Kansas City

All Regional dates are viewable on the online calendar at https://mo.tmutest.com/calendar.

To help with scheduling your testing event, contact Headmaster a few days after the CNA course starts.

MHCA Developing New Leaders in Your Facility-The Skills That Make All the Difference

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May 17-June 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This webinar series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MHCA’s Federal Review Course for NHA’s

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June 27-28, 2022: Federal Review Course for Nursing Home Administrators Examinees

The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. The instructor will review sample test questions from the study workbook, which is provided free to all attendees. Study tips will be suggested throughout the workshop, therefore, it is recommended that attendees allow sufficient time to study on their own after attending the review course and before sitting for the exam. Review course materials have been revised and updated to reflect the structure of the current examination. This workshop is being offered both in-seat and virtually.

MHCA Developing New Leaders in Your Facility-The Skills That Make All the Difference

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May 17-June 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This webinar series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MHCA LTC Administrator Training

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May 25, 2022: Long-Term Care Administrator 101

If you are like most administrators, your endless daily to-do’s get longer and longer. This course is a new administrator’s one-stop-shop! It is also a great review for an experienced administrator. This course will review operational and administrative topics such as requirements of participation (ROPs), the survey process, CASPER reports (including how to access them), Five-Star Quality Rating System (all three domains!), Care Compare, QAPI and SO MUCH MORE! You will also be guided through all the resources available at your fingertips. Join us for this full day of education that will promote your administrator knowledge to the next level. This workshop is being offered both in-seat and virtually.

 

MHCA’s Federal Review Course for NHA’s

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June 27-28, 2022: Federal Review Course for Nursing Home Administrators Examinees

The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. The instructor will review sample test questions from the study workbook, which is provided free to all attendees. Study tips will be suggested throughout the workshop, therefore, it is recommended that attendees allow sufficient time to study on their own after attending the review course and before sitting for the exam. Review course materials have been revised and updated to reflect the structure of the current examination. This workshop is being offered both in-seat and virtually.

CNA Upcoming Testing

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The following are updated CNA Testing sites.

Note: These are not the only test sites available. Please contact Headmaster D&S if you are need a different testing location.

Headmaster D & S: 1-800-393-8664 – Please ask for the Missouri Team!

All Regional dates are viewable on the online calendar at https://mo.tmutest.com/calendar.

To help with scheduling your testing event, contact Headmaster a few days after the CNA course starts.

Gladstone

      • March 24
      • April 7
      • April 17
      • April 21
      • April 28

St John/ St. Louis Area

      • April 9
      • April 12
      • April 23

Bolivar

      • March 23

Kirkwood

      • March 24

Kansas City

      • March 21
      • March 24
      • March 25
      • March 29
      • March 31
      • April 1

Trenton

      • April 13
      • May 14

MANHA’s 2022 Annual Convention

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June 5-8, 2022: Mandatory PPE – People Pride Endurance
Location: Camden on the Lake, Lake Ozark

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our 2022 Annual Convention. This conference is a focus on the Administrators and staff after an unprecedented 2 years. The goal of this conference is to provide meaningful, forward thinking, and real-time education to pave the path forward while acknowledging the past and working through hard topics, together.

VOYCE 2022 Long-Term Care Conference

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June 15, 2022: Care – Who We Are. What We Do. Where We Go From Here.
Location: Maryland Heights Community Center, St. Louis

The program will explore and highlight insights and learned experiences from internationally renowned geriatricians, educators, and leaders in the long-term care community. Join us as we reflect on the journey we have made together as a community and gain inspiration for the steps that we are yet to take.

Other presentation topics include residents’ rights, addressing loneliness and isolation for long-term care residents, and the interplay between ageism as a social determinant of health and end-of-life care.

Pioneer Network ‘s Annual Conference – Save the Date

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July 24-27, 2022: Pioneering a New Culture of Aging: Honoring the Past, Treasuring the Present, Shaping the Future
Location: Sheraton Downtown Denver in Denver, Colorado

Pioneer Network’s goal is to bring together individuals from across the United States and other countries who care deeply about changing the culture of aging and to make this event meaningful to people who support culture change in all settings within the elder care continuum.

New Updates to the Headmaster Student Handbook and Mock Skills for CNA Testing

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Please see the updated Headmaster Student Handbook and Mock Skills including key step changes for those students testing March 15, 2022 and after.

Please visit Headmaster’s website for those changes at https://hdmaster.com/testing/cnatesting/missouri/MO_CNA_Home.htm.

For questions regarding the changes, please call the Health Education Unit at 573-526-5686 or email us at CNARegistry@health.mo.gov. You may also call Headmaster and ask for the Missouri Team at 1-800-201-0462.

WHITE PAPER: Antipsychotic Use in the Long-Term Care Setting

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The Missouri Nursing Home Advisory Council and the Health Quality Innovation Network (HQIN) are pleased to share this white paper, which provides background on the use of antipsychotics in long-term care and recent trends in antipsychotic use.

Download this white paper for strategies and valuable resources to improve dementia care for your residents and reduce the use of antipsychotics.

Please contact HQI if you have questions

MLN Annual LTC Convention

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April 6-8, 2022: 68th Annual Long-Term Care Convention
Location: Margaritaville, Osage Beach

MLN’s primary goal during the Annual Long-Term Care Convention is to provide educational and networking opportunities that help our valued members, long-term care administrators and professionals, health care providers and guests. This program has been approved for 18.5 licensed administrator continuing education hours (8.5 A and 10 PC) by the Missouri Board of Nursing Home Administrators.

MANHA Dementia Programing Seminar

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April 7, 2022: Independence
April 27, 2022: Lake Ozark
April 28, 2022: St. Louis

Dementia Programming: A Hands-on Approach

Understanding and managing dementia is difficult, even on the good days. This seminar will focus on a presentation of practical knowledge for the care of individuals with dementia in long-term care, including a brief overview of dementia as an illness including the various types and symptoms and the stages of the illness. By identifying the progression of the disease, you can tailor the care and communication to fit the needs of the resident in a compassionate and person-directed way. You will also learn the practical steps of running an effective dementia unit in a long-term care facility, including the regulations that apply specifically to this type of care. This hands-on workshop will give you real-time practice and knowledge for not only interpreting the difference between actions and “behaviors”, but it will expand your understanding of clinical symptoms versus human reactions and building that knowledge into a safe, compassionate, living environment that is supportive to your residents and your staff.

COMRU Upcoming Q & A Sessions

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Please join COMRU (Central Office Medical Review unit) for a Q & A session via WebEx.

February 18, 2022
Time: 10:00 a.m.

Meeting number (access code): 2460 218 4769
Meeting password: MfVVW7asP23

Join from the meeting link: https://stateofmo.webex.com/stateofmo/j.php?MTID=m39c2a820985815deeedb03d8a797224d

Join from a video system or application: Dial 24602184769@stateofmo.webex.com

You can also dial 173.243.2.68 and enter your meeting number.

Tap to join from a mobile device (attendees only)
+1-650-479-3207,,24602184769## Call-in toll number (US/Canada)
+1-312-535-8110,,24602184769## United States Toll (Chicago)

Join by phone
1-650-479-3207 Call-in toll number (US/Canada)
+1-312-535-8110 United States Toll (Chicago)
Global call-in numbers

CNA Testing Events

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Needing to schedule a CNA test? The following are dates and locations are already set. Please call Headmaster to register.

February 12, 2022: Cape Girardeau
February 14, 2022: Farmington (opens to public 48 hours prior)
February 17, 2022: Macon
February 19, 2022: St. Charles Community College (opens to public 48 hours prior)
February 22, 2022: Friendship Village, St. Louis
March 7, 2022: Nichols Career Center, Jefferson City
March 9, 2022: North Central College, Trenton
April 4, 2022: Nichols Career Center, Jefferson City
May 9, 2022: Nichols Career Center, Jefferson City

Other dates and locations may be available. Please call Headmaster at 1-800-393-8664 and ask for the Missouri Team.

VOYCE Community Education Series

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February 8, 2022: What You Need to Know About Leaving a Nursing Home BEFORE You Move In
Presenter: Chien Hung, Program Director, VOYCE

What is a legitimate and legal nursing home discharge? How does a long-term care community avoid an unfortunate discharge scenario, or how do we get it done the right way? What are the resident’s rights? What are the important questions to ask and proper answers to anticipate? Where to find helpful information and resources? What can be done to contest or appeal a discharge?

March 8, 2022: The Role of a Care Manager
Presenter: Kristy Bull, BSBA, CMC, Care Choice Management

Navigating the systems of care can feel like a complex and confusing experience. With so many choices and options to consider a personal care manager can help residents and their families make effective decisions on care choices and finding the right services.

April 12, 2022: End of Life Care With Death Doulas
Presenter: Dr. Maurya Cockrell

Dying is a process we will all face at some point in our life’s journey. End-of-life doulas are non-medical professionals who can help the dying make peace with the dying process. End-of-life doulas, also known as Elder Doulas, can serve the elderly for years before their expected time of death and can provide holistic physical, emotional, and spiritual care for the elderly.