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Category Archives: CMS Memo

CMS Memorandum S&C 14-42-NH: Release of Learning Tool on Building Respect for Lesbian, Gay, Bisexual, Transgender (LGBT) Older Adults

CMS Memorandum S&C 14-42-NH: Release of Learning Tool on Building Respect for Lesbian, Gay, Bisexual, Transgender (LGBT) Older Adults

Summary:

  • Release of Training Materials: The Centers for Medicare & Medicaid Services (CMS) announce the release of a free learning tool on Building Respect for LGBT Older Adults.
  • Program Content and Design: The learning tool addresses the needs and rights of older LGBT adults in long-term care (LTC) and is presented in six online training modules.
  • Target Audience: The learning tool is intended for LTC providers.

View the memo S&C 14-42-NH  or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-42.html.

RAI Process & Medicare from Start to Finish Workshops

October 7 – 8, 2014:  RAI Process from Start to Finish
November 12, 2014:  Medicare from Start to Finish
Please visit the Missouri League for Nursing at www.mlnmonursing.org/MDS.

Updated RAI Manual

CMS has posted the updated version (v.1.12.0) of the Resident Assessment Instrument (RAI) User’s Manual, which goes into effect on October 1, 2014.

Go to https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html, and then look under Downloads where you can view/print the entire manual or only the replacement pages.  Change tables are also available which summarize the deleted and added wording.

You may also sign up for any of the following FREE webinars done by Carol Siem, MSN, RN, BC, GNP, Clinical Educator, QIPMO.
Monday, September 22, 2014: 2:00 p.m. – 4:00 p.m.
Tuesday, September 23, 2014: 10:00 a.m. – 12:00 noon
Tuesday, September 23, 2014: 1:00 p.m. – 3:00 p.m.
Thursday, September 25, 2014: 10:00 a.m. – 12:00 noon
Friday, September 26, 2014: 9:00 a.m. – 11:00 a.m.
Friday, September 26, 2014: 2:00 p.m. – 4:00 p.m.
To sign up go to: https://attendee.gotowebinar.com/rt/8072217808620282113.  After registering, you will receive a confirmation email containing information about joining the webinar.

Along with the updated manual is a new version of the Minimum Data Set (MDS) Item Set (v.1.12.0).  Software vendors should be making contact with providers to update/patch the MDS software.  In order to successfully transmit the MDS on and after October 1, 2014, providers will need to use the new version Item Set with Assessment Reference Dates (ARDs) of October 1, 2014 and later.

Questions may be directed to the MDS unit at 573-751-6308 or 573-522-8421.

Top 5 Life Safety Code (LSC) Deficiencies cited by CMS during LSC Comparative surveys in FY’14

As part of CMS’s annual evaluation of the State Agency’s compliance with specific responsibilities, CMS conducts a LSC “comparative” survey in a number of facilities after SLCR completes the annual LSC survey in these facilities.  The results of these comparative surveys are shared with SLCR.  Here is a list containing the top five deficiencies CMS identified during completion of the past year’s LSC comparative surveys, including a brief summary of the most commonly identified issues found for each of these deficiencies.

CMS Memorandum S&C 14-43-NH: Completion of Minimum Data Set(MDS) 3.0 Discharge Assessments for Transfer from Medicare- and/or Medicaid-Certified Beds to Non-Certified Beds

CMS reinforces the need to do MDS discharge assessments in the attached Survey & Certification memo 14-43-NH dated August 25, 2014.  Specifically, if a resident is moving from a certified bed to a non-certified bed in the same facility, then a discharge assessment is completed and transmitted.  The reverse then would apply:  If the resident moves from a non-certified bed to a certified bed, the OBRA MDS process begins.  The MDS is required to be completed and transmitted only for certified beds.  Furthermore, if a facility chooses to do the MDS for a non-certified bed, then they must not transmit that MDS.

View the memo here:  S&C 14-43-NH or visit http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-43.html

Announcement from CMS – National Provider Call: QIO Program Transition

You are invited to join the Centers for Medicare and Medicaid Services (CMS) – Center for Clinical Standards and Quality, for a discussion on the restructuring of Quality Improvement (QIO) Program effective August 1, 2014.  We recognize the unique impact of the changes on the provider community as it relates to areas such as provider’s procedures for notifying beneficiaries regarding rights to appeals of discharge determinations, addressing quality of care concerns, provision of medical records, working on quality improvement initiatives and receiving technical assistance on value and incentive programs.  The purpose of this meeting is to share an overview of the QIO Program changes, provide an update on the transition process, discuss its impact on the provider community, share critical resources, and to answer any questions.

We have scheduled the National Provider Call for Wednesday, July 23, 2014 from 11:00 am – 12:00 pm EDT (10:00 am – 11:00 am CDT) via webinar.

Here is how you can join:

Audio:  Telephone Number: 1-877-267-1577

MeetingPlace ID: 993 182 797 (This meeting does not require a password.)

Webinar:  https://webinar.cms.hhs.gov/qio-provider-call/

Users without an Adobe Connect login may sign-in as a guest.  Pre-registration is not required.  This session will be recorded.  Thank you for your participation in this call to advance health care quality for Medicare beneficiaries.  We look forward to hearing from you.

CMS Memorandum S&C 14-34-NH: Advance Copy of Revised F371; Preparation of Eggs in Nursing Homes

CMS Memorandum S&C 14-34-NH:  Advance Copy of Revised F371; Interpretive guidance and Procedures for Sanitary Conditions, Preparation of Eggs in Nursing Homes

Summary:

  • Guidance for Nursing Homes: Skilled nursing and nursing facilities should use pasteurized shell eggs or liquid pasteurized eggs to eliminate the risk of residents contracting Salmonella Enteritidis (SE).  The use of pasteurized eggs allows for resident preference for soft-cooked, undercooked or sunny-side up eggs while maintaining food safety.  In accordance with the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) standards, skilled nursing and nursing facilities should not prepare nor serve soft-cooked, undercooked or sunny-side up eggs from unpasteurized eggs.
  • Guidance for Surveyors: Signed health release agreements between the resident (or the resident’s representative) and the facility that acknowledges the resident’s acceptance of the risk of eating undercooked unpasteurized eggs are not permitted.  Pasteurized eggs are commercially available and allow the safe consumption of eggs.  If the facility prepares or serves unpasteurized or undercooked eggs which are not cooked until both the yolk and white are completely firm, surveyors should consider citing deficiencies at F371.  Determination of the appropriate scope and severity shall be based upon the actual or potential negative resident outcomes in accordance with guidance given at F371.  We are revising F371 to clarify this section; a revised F371 is attached.

View the memo here:  S&C 14-34-NH or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-34-.html?DLPage=1&DLSort=2&DLSortDir=descending.