[LTC Information Update] LTC Information Update: August 3, 2012
ltcr_information_update at lphamo.org
ltcr_information_update at lphamo.org
Fri Aug 3 13:02:05 CDT 2012
LTC Information Update: August 3, 2012
TO ADVANCE TO A SECTION CLICK ON THE SUBJECT TITLE BELOW:
ANNOUNCEMENTS
CMS/MDS
CULTURE CHANGE/FUTURE TRENDS
DEMENTIA/ALZHEIMER’S
EVENTS/TRAINING CALENDAR
SAFETY/RECALLS
ANNOUNCEMENTS
· LTC Bulletin: 10th Anniversary Issue
The Summer 2012 issue of the LTC Bulletin has been published by the Section for Long-Term Care Regulation and will be distributed to all licensed nursing homes in Missouri. This issue is also available on our website: http://health.mo.gov/seniors/nursinghomes/providerinfo.php.
· DA-124 Assessment Form Reminders
DA-124 forms are required for Medicaid vendor reimbursement. The Central Office Medical Review Unit (COMRU) would like to remind nursing facilities and hospitals to review the DA-124 forms for errors before submitting for processing. To avoid the return of your DA-124 forms and cause a delay in your Medicaid reimbursement processing, review the following key areas:
v Utilize the most current version of these forms: DA-124A/B form # MO 580-2460 (9-07) and DA-124C form # MO 580-2462 (9-07), available on the website at: http://health.mo.gov/seniors/nursinghomes/pasrr.php.
§ Submit the DA-124A/B and the DA-124C forms together for processing.
§ Include the client’s education level and prior occupation.
§ If the client is disabled, include the date and diagnosis.
§ Review the instructions on the back of the DA-124C form regarding MR related conditions.
§ Include the dosage and frequency of all medications – you may attach a legible copy of the Medication Administration Record.
§ If using a continuance sheet, use a full sheet of paper and include the client’s name.
§ Assessed needs – be specific when describing the client’s requirements and include the amount of staff assistance.
§ Sign and date both DA-124 forms, and include your telephone number, fax number and e-mail address
§ Review and follow the instructions on the DA-124C form, Section B: Screening Criteria for Mental Illness. If the client has, or had a Mental Illness diagnosis, it must appear on Section B, #2. Review the instructions for Question #3.
§ Include the physician’s license and discipline number. (If not available: print the physician’s name below the signature line).
If you have any questions, please contact the Section for Long-Term Care Regulation, COMRU at 573-526-8609 or E-Mail: COMRU at health.mo.gov<mailto:COMRU at health.mo.gov>.
· Usage of Correct CNA Appendix A-B Form
The Certified Nurse Assistant (CNA) Competency Score Sheet form # MO 580-2473 (12-07) (also known as Appendix A-B) is the form that should be utilized for all CNA students, whether it is a full course or a challenge examination.
We realize that some manuals may contain the old version of the form # MO 580-2473 (10-01). We apologize for any inconvenience this may cause. The correct version is also attached. If you have any questions, please contact the Section for Long-Term Care Regulation, Health Education Unit, at 573-526-5686.
CMS/MDS Return to top of page
· MDS and Flu Season
As CMS posts the Quality Measures on the Nursing Home Compare website, consumers will be able to view the percentage data that your nursing home offered and administered the flu vaccine during the current or most recent influenza season. The 3.0 Resident Assessment Instrument (RAI) manual does not provide specific dates for influenza season. This has prompted Missouri facilities to ask what dates are considered the influenza season in Missouri, in order to correctly code the MDS, which will be reflected in their Quality Measures. Seasonal fu monitoring and reporting to the CDC in Missouri begins in early October and extends well in to the month of May.
For MDS coding purposes, if the resident is not in the facility between October 1 and May 31, you should code in Section Q: “Resident not in facility during this year’s flu season”. For residents who are in the facility from October 1 through the last week of May, the facility is required to offer the flu vaccine as long as it is “reasonably available”. “Reasonably available” means that it is still available to be ordered from your local pharmacy or supplier. If you have any questions, you may contact Joan Brundick, State RAI Coordinator, Telephone 573-751-6308 or E-Mail joan.brundick at health.mo.gov<mailto:joan.brundick at health.mo.gov>.
· Section Q: Error in Technical Specs
MDS 3.0 Data Submission Specifications Errata Version 1.11.0
Click on download here: MDS 3.0 Submission Specs Errata V1.11.0 for the October 1, 2012 Release [ZIP, 9KB] <https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/MDS30SubmissionSpecsErrataV1-11-0-fortheOctober1-2012Release.zip>
Technical information related to the MDS 3.0 is also available under the Downloads section of this page: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html
CMS has identified an error in their technical specifications that needs to be corrected immediately. The software is leading assessors to ask the resident about community discharge when there is already an active discharge plan in place. This is the opposite of how the process should work. The intent of Section Q is to ask those residents who do not have an active discharge plan in place if they would like to talk to someone about returning to the community. Please check with your software vendor, as it is imperative that they are notified in order to correct your software and you are able to correctly complete Section Q.
v Nursing Home Compare: http://www.medicare.gov/NursingHomeCompare/
CULTURE CHANGE/FUTURE TRENDS Return to top of page
Ø MC5 Regional Meetings
Missouri Coalition Celebrating Care Continuum Change (MC5) Upcoming Regional Meetings:
To RSVP and access the most current information for all regions in Missouri, please visit: http://www.momc5.com/id2.html
Central Area Group
August 7, 2012: Coffee and Networking at 9:45am, Program 10:00am – Noon
Location: N.H. Scheppers Distributing Co., Clydesdale Room, 2300 St. Mary's Blvd., Jefferson City
Burn Out; Who's Problem Is It Anyway? Can Staff Burn Out Be Avoided? Treated?
Presented by Lisa Dulany, Social Worker, Gibbs Manor. There is no charge to attend but registration in advance is appreciated. RSVP to Beth telephone 573-443-5823 or e-mail: bbusseau at cmaaa.net<mailto:bbusseau at cmaaa.net>.
Rolla Area Group
September 18, 2012: Coffee and Networking at 9:45am, Program 10:00am - Noon
Location: Holloway House, 1008 Holloway Street, Rolla
State Culture Change Coordinator, Sam Plaster will introduce the video - Age to Age Learning: Magical Medicine in Long-Term Care. University of Missouri Nursing Home Leadership Coach, Dave Walker will share his experience with intergenerational programs at Jackson Manor. There will be a brief training session on learning circles to follow along with a discussion concerning the presentation topic. There is no charge to attend but registration in advance is appreciated. RSVP to Patty King, LPN telephone 573-437-4101 ext. 316 or e-mail: pjkinglpn at hotmail.com<mailto:pjkinglpn at hotmail.com>.
· Paradigm Busters Webinar Series
The Eden Alternative® and Pioneer Network co-host a webinar series designed to explore the power of boldly busting our paradigms in the quest for meaningful change. Person-directed care challenges teams to push further, think out of the box, and re-create themselves. Upcoming dates:
§ September 18, 2012: Redefining "Activities" Culture and the Role of the Activity Professional
§ October 23, 2012: Well-Being Strategies: Reframing Policies and Procedures for Person-Directed Care
§ November 28, 2012: Recreating the Role of the Therapy Professional in Person-Directed Care
For details, please visit: http://archive.constantcontact.com/fs022/1101511475155/archive/1110045476347.html
DEMENTIA/ALZHEIMER’S Return to top of page
· Walk to End Alzheimer’s
To learn more about this national event, please visit the website at: http://www.alz.org/walk
EVENTS/TRAINING CALENDAR Return to top of page
· 9th Annual Show Me Summit on Aging and Health
August 22-24, 2012: Location: Capitol Plaza Hotel, Jefferson City, Missouri
“Aging, Awareness and Advocacy ‐ Let’s Stand Together” The Summit will feature training tracks relating to advocacy, senior center management, chronic disease management, exercise, falls prevention, stroke rehabilitation, resource development, and care transition topics. The event will kick off with a keynote address from Martha Roherty, Executive Director of the National Association of States United for Aging and Disabilities. Margaret Donnelly, Director of the Missouri Department of Health & Senior Services, will provide the state perspective on aging, advocacy, and awareness. A complete program and list of events, as well as general information about the entire conference including exhibit and sponsorship information is available on the website at: http://www.ma4web.org/ (click on the SUMMIT tab) or contact: Catherine Edwards, Executive Director, MA4 at: cedwards at MA4web.org<mailto:cedwards at ma4web.org>.
· MHCA Annual Convention
The Missouri Health Care Association (MHCA) would like to invite you to attend the 64th Annual Convention "Your Passport to World Class Care" August 26-29, 2012, at the St. Charles Convention Center in St. Charles, Missouri. Please join us on this 4-day journey of great education sessions, networking time and the largest MHCA tradeshow to date. For more information please visit: http://www.mohealthcare.com/convention, or contact Michelle Walters at michellew at mohealthcare.com<mailto:michellew at mohealthcare.com>.
· Level 1 Medication Aide/Insulin Administration Train-the-Trainer Workshop
September 5, 2012: Jefferson City. To register and view more information, please visit the Missouri Assisted Living Association (MALA) website at: http://www.malarcf.org/schedule.html. Continuing education courses are offered by MALA, an approved Training Agency for the Missouri Board of Examiners of Nursing Home Administrators, please visit: http://www.aquiretraining.com/mala/.
· One-Day Workshops – Fall 2012
Missouri League for Nursing (MLN) Fall Workshops begin in September and provide 5 contact/clock hours unless otherwise indicated.
§ Assessment of Behavior in the Person With Dementia: Resetting Our Brains
§ Compliance Matters: Hot Topics in Compliance and Risk Management
§ Elder Abuse: The Silent Epidemic
§ Legal Issues for Health Care Professionals: HIPAA and Missouri Laws
§ Professionalism
§ Transitional Care for Persons With Dementia
Please download the brochures by visiting: http://www.mlnmonursing.org/One-Day%20Workshops
· The DON Institute: Essential Tools for the Director of Nursing in Long Term Care
September 11-12, 2012: Hilton Frontenac, St. Louis
Do you need to be recharged? This institute will give both new and seasoned DONs the confidence, knowledge, direction, and motivation needed to help better perform in their role. Topics include leadership, MDS, documentation, and much more! Please visit: http://www.mlnmonursing.org/DON%20Conference.
· 43rd Annual LeadingAge Missouri Annual Conference & Exposition
September 26 - 28, 2012: Lodge of Four Seasons, Lake Ozark, Missouri. This year’s conference theme is “Inspire…Serve…Advocate”. The theme is a shared promise from LeadingAge, our national partner, from LeadingAge Missouri and from our members to…Inspire by continuing to expand the possibilities…Serve seniors, staff, our organizations and the broader community with a strong commitment to quality in all we do…Advocate on critical issues by building relationships with local, state and federal officials to work towards the right policies that make this state and country a better place to grow old. It reflects our commitment to better ideas and models for improving the lives of the older adults we serve, the staff with whom we work and the community we are all a part of. Please visit: http://72.52.200.68/43rd-annual-leadingage-missouri-annual-conference-exposition/
· Residents’ Rights Month – October 2012
Residents' Rights Month is designated by the National Consumer Voice for Quality Long-Term Care and is celebrated in October each year to honor residents living in all long-term care facilities, including nursing homes, sub-acute units, assisted living, board and care and retirement communities. This year’s theme “My Voice, My Vote, My Right” is designed to call attention to residents’ rights to vote and participate in the political process. The Resident’s Voice is an opportunity for residents from facilities across the country to share their ideas about this year’s Residents’ Rights Month theme with other residents, ombudsmen, families, community members and nursing home staff. For more information, please visit: http://www.theconsumervoice.org/resident/nursinghome/residents-rights#Residents-Rights-Month
· Missouri League for Nursing Event – October 2012
October 3 – 5, 2012: “Nursing Home Administrator Oktoberfest”
Topics include: Yoga and Stress Management - MDS 3.0 What Administrators Need to Know - Pressure Ulcers F314, MDS 3.0 M Section - Diabetes in the Older Adult - Let’s Talk About Rights of Residents - Managing Change in the Workplace - Putting the HA-HA in Happiness at the Workplace - Working Across Generations. Please visit: http://www.mlnmonursing.org/Oktoberfest
· Missouri Assisted Living Association 2012 Fall Conference, Lake Ozark
October 14 – 16, 2012: To register and view more information, please visit: http://www.malarcf.org/
SAFETY/RECALLS Return to top of page
· Safety and Consumer Product Recall Resources
US Consumer Product Safety Commission (CPSC): http://www.cpsc.gov/cpscpub/prerel/prerel.html
US Department of Agriculture (USDA) Food Safety & Inspection Service: http://www.fsis.usda.gov/Fsis_Recalls/index.asp
US Food and Drug Administration (FDA): http://www.fda.gov/Safety/Recalls/default.htm
· U.S. Consumer Product Safety Commission Announcements
v Stage and Riser Caddies Recalled by Midwest Folding Products Due to Risk of Injury or Death
To see this recall on CPSC's web site, including pictures of the recalled product, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12239.html
v Sears Recalls Kenmore Dehumidifiers Due to Fire and Burn Hazards
To see this recall on CPSC's web site, including pictures of the recalled products, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12240.html
v Patio Bistro Sets Sold at Lowe's Stores Recalled Due to Fall Hazard; Made by Midas Lin Co.
To see this recall on CPSC's web site, including a picture of the recalled product, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12241.html
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