TMF QIN Nursing Home Quality Improvement Spotlight on….

International Infection Prevention Week: Oct. 15-21

During International Infection Prevention Week – help break the chain of infection by educating health care professionals, administrators, legislators and consumers about the importance of preventing infections and improving outcomes. Click on the following links for more information and resources about promoting infection prevention in long-term care.

Infection Prevention and You in Long-Term Care
APIC: Infection Prevention in Long-Term Care Fact Sheet (PDF)
CDC: Hand Hygiene in Health Care Settings
CDC: Infection Prevention Tools for Long-Term Care

TMF QIN Nursing Home Quality Improvement Spotlight on….

Reducing Antipsychotic Medication Use 

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Reducing Antipsychotic Drug Use in Long-Term Care Settings (Video)
Create Connect: Creative Activity Workbook
QAPI: Mood/Behavior Symptom Log (Microsoft Word)

Conversations with Carmen

Conversations with Carmen

October 20, 2017:  Improving the Dining Experience for Residents – Honoring Choice, Exceeding Regulations
Guest Presenter:  Suzanne Quiring, RD, CDM, SuzyQ Menu Concepts

Want to provide a great dining experience, preferences and choice – and be in compliance with new CMS requirements? Learn how to work within budget & time restrictions, tackle cold food, high food waste, endless food preference lists issues and how to move away from tray and pre-plate service to self-determined meal delivery that honors resident choice while saving money. Photos, real examples and many ideas will be shared to help communities implement practical culture change ideas with the confidence of the literature, best practices and federal requirements to back them up.

For more details, including times and full registration, please visit events.r20.constantcontact.com/register/eventReg?llr=aievf5bab&oeidk=a07eenu4xaq26132c77.

CMS PowerPoint Presentation: 2017 RAI User’s Manual Provider Updates

CMS PowerPoint Presentation: 2017 RAI User’s Manual Provider Updates

A PowerPoint presentation that highlights the major changes to the October 1, 2017 version of the RAI Manual has been posted to the CMS MDS webpage at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html. The presentation can be found as #6 in the Related Links section at the bottom of this webpage. Please note that the presentation provides an overview of the major changes but not all of the changes to the manual. Providers should also review the RAI Manual Change Tables and the manual itself to understand all of the changes.

MU Enhances Leadership Development Academy (ELDA)

MU Enhances Leadership Development Academy (ELDA)

November 2017-May 2018

A professional development certificate program for RNs, NHAs and Social Workers using a proven curriculum to improve leadership behaviors with a combination of face-to-face meetings and two webinars. Offered over 7 months, it features an innovative and evidence-based curriculum with a strong focus on application to practice and peer consultation.

This will be the last time the ELDA will be taught in a face-to-face format. If you prefer to learn in a live classroom, be sure to enroll now. Beginning in Spring/Summer 2018, we are pleased and excited to offer the ELDA in a mostly online format. You will receive a separate mailing on this option.

For more information, include brochure and registration, please visit nursingoutreach.missouri.edu/lda.aspx.

Influenza Vaccination Requirements

Influenza Vaccination Requirements

There has been legislation passed in the last couple years regarding influenza vaccination requirements.  Homes should be implementing these requirements as applicable.

198.053.  Assisted living facilities, notification of posting of latest Vaccine Informational Sheet. — No later than October first of each year, in accordance with the latest recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, each assisted living facility, as such term is defined in section 198.006, shall notify residents and staff where in the facility that the latest edition of the Vaccine Informational Sheet published by the Centers for Disease Control and Prevention has been posted. Nothing in this section shall be construed to require any assisted living facility to provide or pay for any vaccination against influenza, allow the department of health to promulgate any rules to implement this section, or cite any facility for acting in good faith to post the Vaccine Informational Sheet.

198.054.  Influenza vaccination for employees, facilities to assist in obtaining. — Each year between October first and March first, all long-term care facilities licensed under this chapter shall assist their health care workers, volunteers, and other employees who have direct contact with residents in obtaining the vaccination for the influenza virus by either offering the vaccination in the facility or providing information as to how they may independently obtain the vaccination, unless contraindicated, in accordance with the latest recommendations of the Centers for Disease Control and Prevention and subject to availability of the vaccine. Facilities are encouraged to document that each health care worker, volunteer, and employee has been offered assistance in receiving a vaccination against the influenza virus and has either accepted or declined.

S&C Memo: 17-43-ALL: Quality and Certification Oversight Reports (QCOR) Website Launch

S&C Memo: 17-43-ALL: Quality and Certification Oversight Reports (QCOR) Website Launch

New Website Platform and Data System: The Centers for Medicare & Medicaid Services (CMS) is releasing information related to the new QCOR website in an overarching initiative for increased transparency.

Please see the full memo at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-43.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending.

New MDS 3.0 RAI Manual Posted

New MDS 3.0 RAI Manual Posted

CMS posted the MDS 3.0 RAI Manual v1.15 on their website on 8/31/17, which will be effective October 1, 2017. The new Manual can be found in the Related Links Section at the bottom of the following CMS website www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-instruments/NursingHomeQualityInits/MDS30RAIManual.html

The Related Links section at the bottom of this page contains:

  1. MDS 3.0 RAI Manual v1.15 October 1, 2017
  • A Single PDF file of the entire RAI manual for use as an electronic version with bookmarks that you can click on to take you to each section of the manual.
  1. MDS 3.0 RAI Manual v1.15 and Change Tables October 1, 2017
  • Traditional zip files of the RAI manual and the change tables that crosswalk the changes made to this year’s manual. Note: This is the same material as the first item above, except there are separate files for each chapter or subchapter.
  1. MDS 3.0 RAI Manual v1.15 Replacement Manual Pages and Change Tables October 1, 2017
  • Replacement pages for this year’s manual changes for those that want to just update their existing paper based manual with the pages that have changed. It also includes the change tables that crosswalk the changes made to this year’s manual.
  1. MDS Forms (Item Sets) v1.15.1 October 1, 2017
  • Two folders separate the v1.15.1 MDS forms (MDS item sets) into those used in long term care facilities (SNFs and NFs) and those used in swing bed facilities.

MDS 3.0 Section M in Advances in Skin & Wound Care

MDS 3.0 Section M in Advances in Skin & Wound Care

Elizabeth Ayello has published an article on the MDS 3.0 Section M in Advances in Skin & Wound Care, September 2017 – Volume 30 – Issue 9. This is a free access article, which means anyone can read the article free of charge. There is also an option for CEUs. Elizabeth’s article is available on the Advances in Skin & Wound Care website at journals.lww.com/aswcjournal/Pages/currenttoc.aspx, in the Clinical Management Section, and is titled: CMS MDS 3.0 Section M Skin Conditions in Long-term Care: Pressure Ulcers, Skin Tears, and Moisture-Associated Skin Damage Data Update.

SNF QRP Review and Correct Reports & Confidential Feedback Reports

SNF QRP Review and Correct Reports & Confidential Feedback Reports

SNF providers were recently notified of two issues affecting the SNF QRP Review and Correct Reports & Confidential Feedback Reports.

An issue was identified within the SNF Review and Correct Report, if one or more modification records are submitted for a patient stay, the most recent submitted assessment, which was accepted by the ASAP system on or prior to the submission deadline for Q1 and Q2 of CY2017, was not being used in the measure calculation.

All quality measure data has been recalculated and is now available in the SNF Quality Reporting Program report category in the CASPER Reporting application. Providers are encouraged to request the report to view updated measure results. The updated report should replace versions of the report requested prior to the issue notification.

The second issue that was identified in the technical coding, which affected our calculation of one measure contained in the SNF Review and Correct Report related to the measure Application of Percent of LTCH Patients with Admission and Discharge Functional Assessment and a Care Plan that Addresses Function, also affected the SNF QRP Confidential Feedback Report (SNF Quality Reporting Program (QRP) Quality Measure Report) is still being resolved and further guidance is forthcoming.

As a reminder, all data for assessment-based measures required in the SNF QRP in CY2017 will remain open to modifications until May 15, 2018. We anticipate that the data currently “frozen” as of August 15, 2017 to be subject to updates as of mid-September. Another notice will be issued once the Review and Correct Report Q1 2017 SNF QRP data is open again.

Further guidance and timelines has been posted to the SNF Quality Reporting Program Data Submission Deadlines webpage.

All facilities will receive an email blast notifying them of the above. We will continue to send follow-up announcements as further guidance can be given.

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

Have you been to a QIPMO MDS Support Group Meeting lately???

You don’t have to be an MDS Coordinator to attend

Often, the topics discussed are beneficial not only for MDS Coordinators but also for floor nurses, Social Services staff, DONs, ADONS and Administrators. You can find a schedule of meetings and topics by going to the Nursing Home Help website found at www.nursinghomehelp.org/supgr.html. Some past topics have included Quality Measures, QRP requirements, Phase 1 and 2 Regulation Implementation, discussions with the State RAI Coordinator and State Surveyors, PPS Scheduling, CAA documentation, Care Plans, MDS Review for Social Workers, Wounds, Section GG Coding, Behavior Documentation and ICD-10 Coding. You are welcome to attend any meeting anywhere in the state, no RSVP needed.

MLN Fall Workshops

MLN Fall Workshops

Cape Girardeau

September 27, 2017: Addressing Psychiatric Crises

 

Chillicothe

October 26, 2017: Addressing Psychiatric Crises

 

Columbia

November 17, 2017: Staff Empowerment and Making a Home

 

Kansas City

September 27, 2017: Staff Empowerment and Making a Home

October 5, 2017: Improv for Caregivers

October 25, 2017: Addressing Psychiatric Crises

November 9, 2017: A Fresh and Nutritious Perspective

 

Kirksville

November 8, 2017: Addressing Psychiatric Crises

 

Poplar Bluff

October 5, 2017: A Fresh and Nutritious Perspective

 

Springfield

October 4, 2017: Staff Empowerment and Making a Home

 

St. Louis

September 28, 2017: Addressing Psychiatric Crises

October 26, 2017: Improv for Caregivers

November 2, 2017: A Fresh and Nutritious Perspective

November 16, 2017: Staff Empowerment and Making a Home

Building An Effective QAPI Plan to Meet Regulatory Requirements

Building An Effective QAPI Plan to Meet Regulatory Requirements

October 12, 2017: Ramada Oasis Hotel, Springfield

October 17, 2017: Stoney Creek Hotel & Conference Center, Independence

October 18, 2017: Comfort Inn, Macon

October 19, 2017: Courtyard by Marriott, St. Peters

Please see the full brochure and registration information at www.mlnha.org/educational-offeringsconventions/.

MLN Oktoberfest

MLN Oktoberfest

October 18-20, 2017:  Oktoberfest Long-Term Care Conference
Location:  Hilton Convention Center, Branson

The purpose of this conference is to enable long-term care professionals to increase their knowledge and skills to better care for the elderly. Expert speakers will get you recharged while providing the latest information on hot topics in long-term care.

 

Please see the full details and brochure at www.mlnmonursing.org/events/nursing-home-administrator-oktoberfest-2/.

Pioneer Network’s Hot Topic: Culture Change in Action

Webinar Series:  Sharing Power – Creating Choice

Pioneer Network stands ready to help! In our final webinar series of 2017, join expert guides as they share with you tips, techniques, tools and a dose of inspiration, to help you grow leaders in your organization.

See the dates and topics below.  OR Click here to learn more about the Sharing Power – Creating Choice Series

 

October 19, 2017: Stuck in the Middle – Creating a Supervisor Training Experience for Mid-Level Staff
Guides: Elizabeth Schave-Bemis, VP Marketing, Promotions & Assisted Living Operations, United Methodist Home and Faith Wajdowicz, VP of Clinical Services, United Methodist Home

  • Define what is meant by a relationship-centered mission.
  • Discuss the challenges faced by mid-level staff.
  • Learn how to create a training module to support the educational needs of mid-level staff.

 

November 16, 2017: Effective Nurse Leadership: Leading Change with Enthusiasm
Guide: Kelly Papa, MSN, RN, Corporate Director of Learning Masonicare University

  • Discuss the skills needed to lead transformation when bringing culture change to your organization. 
  • List the steps required to facilitate change.
  • List methods used when creating a culture which is adaptable to change.

 

December 14, 2017: Leaders Can Influence Care: Successful Pain Management for Elders Living with Dementia
Guide: Jeannine Forrest, PhD

  • Discuss how the way you lead can influence clinical outcomes for residents.
  • Define the impact of poorly controlled pain on individual residents and organizational outcomes.
  • List ways that leaders can support better outcomes.