Please view the flyer here: New Medicare and RAI Manual Updates Webinar. To register, please contact Patricia Kincade (QIPMO) at 573-380-5473 or send an email to email@example.com.
(Person-Centered Care of Persons with Dementia and Prevention of Abuse)
Section 6121 of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS created Hand in Hand training in order to address the annual requirement for nurse aide training. While homes are not required to use Hand in Hand for their dementia and abuse training, it is a wonderful, free resource that CMS has provided to every nursing home in the nation. CMS sent the packet containing videos and training techniques to all homes in December of 2012.
The Section for Long-Term Care Regulation realizes that the information appears voluminous, but encourages homes to take a closer look and try to implement at least some of the videos for your direct care staff. The videos show staff how to relate to residents with dementia and how to appropriately respond to behaviors. The training is also timely with the CMS initiative to reduce the use of antipsychotics in nursing homes. The videos show staff how to get to know the person and understand why they are behaving a certain way, so that they can use alternative methods, rather than asking for an antipsychotic medication. Everyone’s time is valuable; however, there is no sense in reinventing the wheel when CMS has done it for you. We encourage you to take a look at the Hand in Hand information and try to implement some of the videos in your required training on dementia and abuse prevention. To inquire about replacement copies of the Hand in Hand toolkit, please visit www.cms-handinhandtoolkit.info/Index.aspx.
CMS Memo S&C: 13-13-NH
The Centers for Medicare and Medicaid Services (CMS) has issued a survey and certification memo announcing the New Dining Practice Standards. An accompanying training video is available for surveyors and the public. The New Dining Practice Standards document is available for download by visiting Pioneer Network at www.pioneernetwork.net/Providers/DiningPracticeStandards/.
Please view the Dining Standards Open Letter 03-15-2013 to our readers.
Section 6102(c) of the Affordable Care Act requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs. These are different from Q.A. programs.
QAPI emphasizes prevention of adverse events rather than reaction to adverse events. It emphasizes promotion of safety and quality throughout the entire organization (not just nursing) and focuses on reducing risks to residents and caregivers both.
Please visit the Centers for Medicare & Medicaid Services (CMS) website for more information at cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/QAPI.html.
Primaris is Missouri’s federally designated Quality Improvement Organization (QIO). QAPI information is available online at www.primaris.org/qapi.
More updates regarding QAPI will be announced over the next several months.
The Centers for Disease Control (CDC) has been working to promote safe use of insulin pens, in light of growing awareness of the risk of reuse. Insulin pens are meant for one patient only, but there have been recent occurrences of insulin pens being used for more than one patient. The CDC’s injection safety campaign recently introduced a brochure and poster for clinicians and patients about the safe use of insulin pens. The brochure and poster as well as other resources can be found on the Insulin Pen Safety web page.