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

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

MLN Fall Workshops

MLN Fall Workshops

Cape Girardeau

September 27, 2017: Addressing Psychiatric Crises



October 26, 2017: Addressing Psychiatric Crises



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



November 8, 2017: Addressing Psychiatric Crises


Poplar Bluff

October 5, 2017: A Fresh and Nutritious Perspective



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

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

TMF QIN Clinical Pharmacist-led Calls: Medication Safety and Adverse Drug Event Reduction

TMF QIN Clinical Pharmacist-led Calls: Medication Safety and Adverse Drug Event Reduction

October 18, 2017: 3:30 – 4:30 p.m. CT
Register for this Event


November 15, 2017: 3:30 – 4:30 p.m. CT
Register for this Event


December 20, 2017: 3:30 – 4:30 p.m. CT
Register for this Event


January 17, 2018: 3:30 – 4:30 p.m. CT
Register for this Event


You will receive a confirmation email with meeting information, URL, phone number, password and registration ID to use on the day of the event. Please save this email.


Providers in Arkansas, Missouri, Oklahoma, Puerto Rico and Texas are invited to participate in this clinical pharmacy sharing series to improve care for Medicare patients by learning about the following:

  • Improving medication reconciliation among providers
  • Reducing adverse drug events and polypharmacy
  • Reducing unnecessary hospital admissions and readmissions
  • Improving medication adherence
  • Best practices, lessons learned and evidence-based guidelines from other providers in the region


About the Presenter:  Niki Carver, PharmD, CPPS, and Pharmacy Consultant

Dr. Carver is currently the pharmacy director at Arkansas Continued Care Hospital (ARCCH) of Jonesboro, a 44-bed long-term acute care hospital. In addition to her role with ARCCH, she serves as pharmacy consultant for the TMF Quality Improvement Network. In this role, she is a valuable resource for medication safety initiatives and care transitions.

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.


Please plan now to join us for one of the 2017 Annual Long Term Care Provider Meetings.  
Location Flyer 2017 Provider Meeting Locations Flyer

Region 1 – September 27, 2017 
Region 1 Agenda

Region 2 – October 24, 2017
Region 2 Agenda

Region 3 – October 11, 2017
Region 3 Agenda

Region 4 – October 12, 2017
Region 4 Agenda

Region 5 – October 5, 2017
Region 5 Agenda

Region 6 – October 16, 2017
Region 6 Agenda

Region 7 – October 25, 2017
Region 7 Agenda


The Provider Meetings will continue to be held in two sessions, the first session will be for Residential Care Facilities/Assisted Living Facilities, and the second session will be for Skilled Nursing Facilities/Intermediate Care Facilities. This year in order to avoid repetition in the program we will conduct a combined session for all provider types to cover topics of interest relevant to all levels of care. The combined session will run from 10:15 until noon. Registration is not required. CEU’s will be available for Nursing Home Administrators.


Presentation handouts As in previous years, handouts will not be provided at each meeting.  It is your responsibility to print them and bring them to the meeting if you desire.

Most Frequently Cited Deficiencies

Safe and Effective Medication System

Inspecting the Kitchen

Fire Watch

Survey Process/ CMS Updates  UPDATED 10/5/17

Complaints by the Numbers

Emergency Preparedness  UPDATED 10/5/17

EMS – Region 1-Springfield

EMS – Region 2-Cape Girardeau

EMS – Region 3-Independence

EMS – Region 4-St. Joseph

EMS – Region 5-Macon

EMS – Region 6-Jefferson City

EMS – Region 7-Bridgeton

VOYCE Changing Landscape of the Long Term Care Conference

VOYCE Changing Landscape of the Long Term Care Conference

June 8-9, 2017: 2017 Changing the Landscape of Long Term Care Conference
Location:  Renaissance St. Louis Airport Hotel on June 8 and Friendship Village Sunset Hills on June 9

Hear national and local experts discuss dynamic strategies, innovative tools and available long-term care options. The format has been set with two educational tracks throughout the conference on June 8; one for professionals working in long-term care and one for the general public who are looking for answers to the complexity of long-term care. June 9 consists of an all-day Post-Conference Intensive on “Doing Better Together: A Nursing Home Leader’s Guide to High Performance.” This event sold out this year!  See the registration packet for the full description of the topics and the national and local expert speakers.


Throughout the day there are multiple opportunities to interact with exhibitors who showcase long-term care services across Greater St. Louis. In addition to hearing thought-provoking speakers, facility administrators and social workers 13.75 CEUs over the two days! Registration for all includes breakfast and lunch.


Register online to join over 400 expected attendees

Sign Up as a Sponsor to reach the long-term care community including families needing your services


Please see the VOYCE event page for more information.

HealthCare-Associated Infections Summer Workshops

HealthCare-Associated Infections Summer Workshops

June 6-7, 2017:  Central District HAI, Primaris, Columbia
June 20-21, 2017:  Southeastern District HAI, Saint Francis Medical Center, Cape Girardeau
June 27-28, 2017:  Eastern District HAI, Forest Park Drury Inn, St. Louis
July 20-21, 2017:  Northwestern District HAI, St. Joseph Medical Center, Kansas City
July 25-26, 20107:  Southwestern District HAI, Cox North Hospital, Springfield


Healthcare-Associated Infections (HAIs) cut across all care settings – acute, ambulatory and long-term. All settings are currently (or soon will be) required to have an infection control and prevention program including an antimicrobial stewardship plan. These workshops will provide the latest evidence regarding the prevention of HAIs across settings with a strong focus on incorporating this evidence in clinical practice. Regulatory considerations and specific strategies to bridge the gap in coordinating care when patients transition from one setting to another will be included.


Please see more information including the brochure and registration on the MU Sinclair School of Nursing’s page.

TMF QIN Spotlight On…

Reducing Inappropriate Use of Antipsychotic Medications – Alternatives

There are multiple ideas and suggestions for reducing antipsychotic medication use through alternative strategies. It is suggested that use of alternatives be carefully monitored with frequent reassessment. Click on the following links to learn more.


Checklist: Activities that may help improve nighttime sleep for residents with dementia (PDF)

Antipsychotic Alternatives (PDF)

Non-Pharmacological Approaches to Address Behaviors