Long-Term Care has been among the most litigated field in the USA. This series, delivered by expert attorneys, will share experiences and best practices to incorporate into your community. The entire series or individual sessions can be purchased.
October 11, 2023: Survey Process
October 12, 2023: Staffing Agency Potholes/Temporary Staffing
November 15, 2023: Hot Survey Issues (More information soon)
November 28, 2023: Best Practices for Policies (More information soon)
October 17, 2023: A Deep Dive into Security Compliance
With continuing changes in technology innovations and the increasing number of attacks, both foreign and domestic, on information systems, it is important for senior living communities to ensure that your business partners prioritize IT security and compliance with HIPAA privacy and security requirements. Learn what your organization and your partners should be doing to protect your data, provide staff training and establish a plan for ongoing protection.
October 18, 2023: Are SNF’s a Financial Sinkhole or Golden Goose?
A high level discussion about the financial challenges of operating skilled nursing facilities and the strategies utilized to mitigate.
Learning Objectives
Tools of Choice is an evidence-based program focused on the implementation of universal positive practices. This two-hour introductory training is open to community members, parents, and professionals. It covers key concepts of the Tools of Choice curriculum, including: What is behavior, building positive relationships, and how to increase desirable behavior. Join the Positive Support Consultants in learning strategies to make positive change by implementing universal positive practices.
October 18, 2023 1:00 – 3:00 – Registration
October 23, 2023 10:00 – 12:00 – Registration
Presenters:
Target Audience:
Registration is also available on the Upcoming Webinar Webpage.
November 14, 2023: PDPM for Leaders
The Patient Driven Payment Model is the payment methodology used for traditional Medicare Part A residents, some managed care companies, and for some state Medicaid systems. This session will highlight what SNF leaders need to know and monitor for financial integrity and documentation compliance. We will discuss effective oversight of the MDS process and what data/reports exist that can be used for monitoring.
Please log into TMU and check your CNA status on the registry to ensure you are not inactive or expired.
In January 2023, the registry had 74,443 CNAs active. September 2023, the registry is showing 48,732 CNAs currently active. This shows approximately 25,000 CNA’s did not renew their certification.
Information on how to log into the registry, what documents are required to be uploaded and instructions on how to renew your CNA certification are provided in the links below.
Link to TMU: MO TMU (tmutest.com)
MO Renewal Guide – Instructions
CNA Renewal Documentation
You may call the Health Education Unit at 573-526-5686 or email us at CNARegistry@health.mo.gov for any questions.
October 10, 2023: What a Living Resident can Teach Long-Term Care Staff
Presenter: Leslie Pedtke, MHA, LNHA
In this virtual event we will be discussing ‘Through the Looking Glass’: a program developed at Aviston Countryside Manor to teach empathy to our caregivers. Staff members moved into the nursing home, lived the role of a real diagnosis, and accepted daily ‘challenges’ our residents experience every day.
From learning the importance of communication to creating meaningful engagement, the resulting insights of these caregivers sensitized other staff members – new and veteran – to practical and effective ways that they were able to immediately improve daily care for residents.
Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The new portal can be accessed here and should be used in place of nhsn@cdc.gov, nhsntrain@cdc.gov, and nhsndua@cdc.gov. ServiceNow will help the NHSN team respond to your questions faster. Users will be authenticated using CDC’s Secure Access Management Services (SAMS), the same way you access NHSN. If you do not have a SAMS login, or are unable to access ServiceNow, you can still email the NHSN Help Desk at nhsn@cdc.gov.
Why should you use ServiceNow?
You can easily track the progress of your question and response using the ServiceNow Customer Service Portal.
**Please note:
More information on the new NHSN-ServiceNow platform can be found here. A direct link to NHSN-ServiceNow within the NHSN application will be available in October 2023.
Message from the Department of Health and Senior Services Strike Team Project
The Department of Health and Senior Services (DHSS) through the use of the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project funds is embarking upon a multiphase project to assist in COVID prevention and response. All Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities will be a part of this project.
Following models from other states, Phase I of this project will be the delivery of an Infection Prevention Toolkit to all of the above mentioned facilities. This Infection Prevention Toolkit will be delivered at no cost to all of the facilities. Later this fall the Healthcare Associated Infections/Anti-microbial Resistance Program will also be sending out two infection control reference books from the Association for Professional Infection Control and Epidemiology to assist the facilities in infection prevention.
Additional information will be coming in early October on the delivery of the Infection Prevention Toolkits as well as outlining the contents of the Infection Prevention Toolkit and expected date of shipping. Again, this Infection Prevention Toolkit will be delivered to your facility at NO Cost.
The next Phase of this project will be working with the facilities in hopes of acquiring needed communication equipment to assist in outbreak control, training and real-time communication with healthcare providers and the Strike Team. Lastly, we hope to offer the facilities the opportunity to order needed infection and prevention supplies.
Thank you all for your continued efforts to care and protect the citizens of our State.
November 28-30, 2023: ALF Resident Assessment Training
Location: Courtyard by Marriott, Columbia
As required by 198.005 RSMo and 19 CSR 30-86.047, residents of Assisted Living Facilities are required to undergo a community based assessment performed by an appropriately trained and qualified individual. This individual must complete a DHSS approved 24- hour training program prior to performing resident assessments. The MALA ALF Assessment Training satisfies this regulatory requirement.
The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data through the NHSN Vaccination Modules.
Key Points:
Webinar Dates and Registration:
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ
The Missouri Department of Health and Senior Services is looking to simplify your online experience. To help us evolve that experience, we need your help. We’d like to invite you to take a short survey to share your thoughts, feedback and reactions about the experiences you have had with the DHSS website.
This survey should take 10 minutes to complete and will be open through October 2, 2023.
Upon completion of this survey, you will be entered into a drawing for one of three $100 gift cards. Click here to start the survey.
We appreciate your continued partnership with DHSS and look forward to hearing from you.
Beginning September 2023, the Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) will host six (6) one-hour monthly cohort sessions. These sessions are FREE to attend! Join us for the opportunity to learn industry best practices from other nursing facilities and behavioral health subject matter experts. With the support of COE-NF behavioral health specialists, you will be able to implement the learnings in your facility.
October 19, 2023: Mental Health Basics
November 16, 2023: Screening for Mental Health & Substance Use in the Skilled Setting
December 14, 2023: Engaging with Residents: Effective Communication Skills
January 18, 2024: Incorporating BH & SUD into Individualized Assessment & Person-Centered Care
February 15, 2024: De-escalating Behavior
Please see the flyer and register here.
Following approval from the Food and Drug Administration (FDA) and a meeting among the Advisory Committee on Immunization Practices, the Centers for Disease Control and Prevention (CDC) has recommended everyone 6 months and older get an updated COVID-19 vaccine to protect against the potentially serious outcomes of COVID-19 illness this fall and winter. Updated COVID-19 vaccines from Pfizer-BioNTech and Moderna will be available in locations throughout Missouri this week.
Those who have not received a COVID-19 vaccine in the past two months can get an updated vaccine for protection this fall and winter.
“Just as in the previous years, the State of Missouri will not require anyone to be vaccinated against COVID-19; that’s not our role,” said Paula F. Nickelson, director of the Missouri Department of Health and Senior Services. “We work to ensure Missourians have access to factual information about the vaccines and access to vaccines themselves if they choose. We encourage each individual to discuss vaccination with their medical provider.”
Vaccination remains the best protection against COVID-19-related hospitalization and death, especially for individuals over age 65 or with weakened immune systems. Vaccination also reduces your chance of suffering the effects of Long COVID, which can develop during or following acute infection and last for an extended duration.
Most Missourians can still receive a COVID-19 vaccine at no cost. Most health insurance plans will cover COVID-19 vaccine at no cost to the recipient. Individuals who do not have health insurance or with health plans that do not cover the cost can get a free vaccine from local public health agencies, select Federally Qualified Health Centers and pharmacies (including Walgreens and CVS) participating in the CDC’s Bridge Access Program. Children eligible for the Vaccines for Children program also may receive the vaccine from a provider enrolled in that program.
This year marks the first fall and winter virus season where vaccines are available for the three viruses responsible for most hospitalizations – COVID-19, RSV and flu. In addition, DHSS encourages individuals to minimize virus spread by staying home when sick, practicing good handwashing and seeking testing when ill to identify the infection for better protection of one’s family, coworkers and community.
To learn more or to locate a vaccine provider, visit MOStopsCovid.com.
The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data and RIFC Pathway data through the NHSN Vaccination and COVID-19 Modules.
Key Points:
Webinar Dates and Registration:
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Initial)
When: September 18, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_YxYp42hwT5KncquBBpLttg
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 22, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_7bPDRWYETNSf6mnIo6qQvw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw
Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ
Registration Information for Upcoming Training Webinars
Please register in advance and plan to attend the initial session and/or the replay to learn more about the new updates. After registering, you will receive a confirmation email containing information about joining the webinar. The initial webinar and the webinar replays will cover the same information; therefore, you may only need to attend once but may attend more than one.
The Registration information seen above is also available on LTCF | Weekly HCP & Resident COVID-19 Vaccination |NHSN | CDC
For any questions, please send an e-mail to the NHSN Helpdesk at NHSN@cdc.gov with “COVID-19 Vaccination” in the subject line of the e-mail, along with your facility type.
As COVID case numbers are creeping up, the ICAR and QIPMO teams wanted to provide a refresher on some basic principles. Please take a moment to review our recording and slides. Feel free to reach out to either the ICAR or QIPMO team members with any questions.
Find the recording and the handouts HERE
October 10-12, 2023: Oktoberfest Long-Term Care Conference
Location: Harrah’s Casino, North Kansas City
The purpose of this intimate conference is to enable long-term care professionals to increase their knowledge and skills to better care for senior residents. Expert speakers will get you recharged while providing the latest information on hot topics in long-term care.
Please see the Oktoberfest Brochure for session details.
Born Naked: Rethinking Behavior Management in Long-Term Care
October 3, 2023: Oasis Hotel, Springfield
October 11, 2023: Macon Comfort Inn, Macon
October 26, 2023: Ameristar Casino, St. Charles
Presenters: Wendy Boren, RN, BSN, QIPMO and Crystal Plank, RN, BSN, RAC-CTA, QIPMO
It’s time to bring behavior management into the future. As the population demographics of our residents shifts and our need to meet census increases, it’s time to look beyond the traditional roles of managing behaviors in our homes. This workshop will focus on getting to the root of behaviors based on where they started; how to manage those behaviors in a diagnosis-driven focused treatment regimen; and performing an assessment of your facility and services in order to appropriately meet behavioral health needs.
November 3-4, 2023: 2023 Care of the Older Adult
In-Person Location: MU School of Medicine, Columbia
Live Virtual: EventsAir
Health care providers need the opportunity to gain knowledge in interdisciplinary approaches to clinical management and ethical treatment of older adults. This conference provides a forum to discuss complex care issues common to all who care for the older adult, and an awareness of innovative models of geriatric care delivery. The focus is on promoting excellence in gerontology health care by keeping abreast of the latest evidence-based practice.
COVID infections are on the rise in Missouri’s long-term care facilities. A few things to remember…
Follow CDC Guidance:
Skilled Nursing Facilities: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Flong-term-care.html
Residential Care and Assisted Living may follow community guidance – https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html?CDC_AA_refVal=h
Report Positive Cases
Facilities performing their own COVID-19 testing (antigen testing) must report positive results through one of the following portals:
Facilities using an external laboratory (PCR testing) must enter positive case information into MODROP.
The Missouri Disease Reporting Online Portal (MODROP). MODROP can be accessed directly from https://modrop.health.mo.gov/ or by using the existing ECD-1 link at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/case-reporting.php and selecting the MODROP button.
NOTE: The recommended browser for use of MODROP is Google Chrome. Other browsers may cause issues with MODROP.
Facilities will need to register for a MODROP account the first time they use the new portal. MODROP allows reporting of only COVID-19 cases. Reports of other reportable conditions may be faxed to 573-751-6417.
If you have any questions or encounter any issues utilizing MODROP or for questions about HL7 or CSV reporting, please reach out to the EpiTrax Help Desk via e-mail at epitrax@health.mo.gov.
Please see the FAQ and thank you for your efforts to provide complete and accurate COVID-19 data to public health.
The ICAR Team Can Help!
QIPMO has formed an Infection Control and Assessment and Response (ICAR) team with a primary goal to assist Missouri Long-Term Care Facilities navigate the challenges of the COVID-19 pandemic and other infectious diseases.
Members of the ICAR Team are available for voluntary, no cost visits (virtual and/or in-person) to any residential care, assisted living, and skilled nursing facility in Missouri. These visits are intended to consultative and collaborative in nature with a non-regulatory focus to evaluate inflection control practices. Visits will consist of:
See flyer for full details.
October 5, 2023: MU Ethics of Equity and Inclusivity in Healthcare
In-person: Stoney Creek Hotel, Columbia, MO
Live Virtual: EventsAir virtual conference platform
Health inequities lead to poorer health outcomes among people of color, low-income families, non-cisgender, and families living in rural communities. This year’s conference will focus on navigating ethical questions surrounding a move towards creating more inclusive healthcare environments and closing equity gaps that unduly impede access to quality care. Participants will explore how to optimize ethical response at the bedside as well as cultivate educational experiences that prepare future clinicians to care for diverse patient populations in real-world settings.
The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) was established in September 2022 by the Substance Abuse and Mental Health Services Administration (SAMHSA) in collaboration with the Centers for Medicare and Medicaid Services (CMS). It provides mental health and substance use training, customized technical assistance and resources to certified Medicare and Medicaid nursing facility staff who care for residents with a variety of behavioral health conditions at absolutely no cost to certified nursing facilities. They help nursing facilities to improve the quality of life and care provided for residents who are experiencing a variety of behavioral health disorders, with a focus on Serious Mental Illness (SMI), Substance Use Disorder (SUD), Co-Occurring Disorders (COD) and Serious Emotional Disturbance (SED).
Online resources are also available free for other providers too! Find out more: Home – COE-NF (nursinghomebehavioralhealth.org)
The IRRL is an evidence-based intervention to prevent resident-to-resident aggression (RRA). The program educates staff on recognizing and managing behaviors. It empowers staff to help prevent RRA to create a safer community for residents and reduce staff stress.
Join to learn the tools needed to support staff to recognize, manage, and reduce negative resident interactions.
September 27, 2023: https://bit.ly/IRRLsep27session
September 28, 2023: https://bit.ly/IRRLsep28session
Please see the flyer for more details.
Post-event materials are now available for the SNF MDS 3.0 RAI v1.18.11 Guidance Training Program.
Available Resources:
If you have questions about accessing resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.
Do you share MC5’s vision of supporting a continuum of adult care in Missouri that is satisfying, individually meaningful, and person centered, striving toward person directed?
Would you like to be a part of the team working to make this vision a reality for providers and advocates of aging services in Missouri?
Consider joining the board of MC5. Nominations for board positions are open through September 1, 2023.
To submit your name for consideration, send your resume along with responses to the following questions to MissouriMC5@gmail.com.