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

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

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.

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

Life Safety Code Reminder: The 2012 NFPA annual door inspections need to be completed by July 5, 2017


NFPA 80, 2010 edition:


3.3.95 Qualified Person. A person who, by possession of a recognized degree, certificate, professional standing, or skill, and who, by knowledge, training, and experience, has demonstrated the ability to deal with the subject matter, the work, or the project. Functional testing of fire door and window assemblies shall be performed by individuals with knowledge and understanding of the operating components of the type of door being subject to testing. Before testing, a visual inspection shall be performed to identify any damaged or missing parts that can create a hazard during testing or affect operation or resetting.


5.2.4 Swinging Doors with Builders Hardware or Fire Door Hardware. Fire door assemblies shall be visually inspected from both sides to assess the overall condition of door assembly. As a minimum, the following items shall be verified:

(1) No open holes or breaks exist in surfaces of either the door or frame.

(2) Glazing, vision light frames, and glazing beads are intact and securely fastened in place, if so equipped.

(3) The door, frame, hinges, hardware, and noncombustible threshold are secured, aligned, and in working order with no visible signs of damage.

(4) No parts are missing or broken.

(5) Door clearances do not exceed clearances listed in 4.8.4 and

(6) The self-closing device is operational; that is, the active door completely closes when operated from the full open position.

(7) If a coordinator is installed, the inactive leaf closes before the active leaf.

(8) Latching hardware operates and secures the door when it is in the closed position.

(9) Auxiliary hardware items that interfere or prohibit operation are not installed on the door or frame.

(10) No field modifications to the door assembly have been performed that void the label.

(11) Gasketing and edge seals, where required, are inspected to verify their presence and integrity.

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

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.

MANHA Annual Convention

June 4-7, 2017: Taking Charge In A Whole New World
Location:  Camden on the Lake, Lake Ozarks

Please see the brochure on the MANHA event page.

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

Pioneer Network Hot Topics Webinar Series

June 15, 2017: The Care Plan Meeting in a Resident-Directed World(Part II)
July 20, 2017: Before and After the Care Plan Meeting
August 17, 2017: A Process for Care Planning for Resident Choice

Beginning in May, join us for the At the Table Webinar series where expert guides will explore with you Person-Centered Care Planning. Over the course of this four webinar series, you will gain an understanding of the new CMS conditions of participation, define processes and best practices, explore options for making the most of the meeting, and learn how to bring the care plan to life and balance risk for residents and your community. You can purchase the webinars individually for $59, or contact Pioneer Network Director of Education, Joan Devine to purchase the 4 Webinar Bundle at a discounted rate of $200.

2017 Pioneer Network Annual Conference

July 30-August 2, 2017:  Person-Directed Care is Happening – Be a Part of It: Be the Future!
Location:  Rosemont, IL

Pioneer Network hosts an annual conference to showcase innovative thought and best practices in the long-term care culture change movement – as well as providing an opportunity for people interested in many aspects of culture change to network and inspire each other. Past conferences have been attended by more than a thousand people from across the United States and other nations who care deeply about changing the culture of aging. As always, we strive to make this event meaningful for people who are just starting on the culture change journey to build a sense of home and community for our Elders -as well as those who have been actively engaged in this mission for some time. Register Today

The State RAI Coordinator is coming to a QIPMO MDS Support Group Meeting Near You!

Stacey Bryan, the State RAI Coordinator will be presenting at Support Group Meetings across the state to discuss MDS Coding, new MDS items to be implemented 10/1/17, Phase 1 (implemented 11/28/16) and Phase 2 (to be implemented on 10/28/17) regulation updates/changes and much more. You don’t have to be an MDS Coordinator to attend, other staff that may find the information helpful include Social Services staff, ADONS, DONS and the Administrator. Don’t be blind-sided by the recent and upcoming changes, be in the know now! Visit the Nursing Home Help website at to see the specific location of where Stacey Bryan will be at the following meetings:

  • June 7th, 2017 from 1:00 P.M. to 3:00 P.M. in Willow Springs
  • June 8th 2017 from 11:00 A.M. to 12:30 PM. in Poplar Bluff
  • June 9th, 2017 from 9:30 A.M. to 11:30 AM. in Cape Girardeau
  • June 14th, 2017 from 1:00 P.M. to 3:00 PM. in Jefferson City
  • June 16th, 2017 from 9:00 A.M. to 11:00 A.M. in Kansas City
  • June 22nd, 2017 from 9:00 A.M. to 11:00 A.M. in St. Peters
  • June 23rd, 2017 from 9:00 A.M. to 11:00 A.M. in St. Louis
  • July 11th, 2017 from 9:00 A.M. to 11:00 A.M. in St. Joseph
  • July 17th, 2017 from 9:00 A.M. to 11:00 A.M. in Ozark
  • August 15th, 2017 from 9:00 A.M. to 11:00 A.M. in Springfield