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Category Archives: Long Term Care Blog

New MDS 3.0 Quality Measure User’s Manual Available

The MDS 3.0 QM User’s Manual Version 10 was posted April 28, 2016 which includes new Quality Measures.  The MDS 3.0 QM User’s Manual v10.0 contains detailed specifications for the MDS 3.0 quality measures.  The new manual can be found in the Download section at the bottom of the page at

If you have any questions, please contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail

Pioneer Network Welcomes New Director of Education

Pioneer Network is pleased to welcome Joan Devine next week as our new Director of Education.  No stranger to us, Joan has long been a member of the Pioneer Network extended family!  She currently serves as Board President of MC5 (Missouri Coalition Celebrating Care Continuum Change), the state’s culture change coalition.  She has also been a frequent speaker at our conferences, in addition to the fearless leader of our group of dedicated onsite volunteers.

Joan has over 20 years of experience in leadership positions in senior services, supporting the clinical departments of Skilled Nursing and Assisted Living communities in Missouri and Illinois.  Her work has been devoted to preparing and equipping administrators and other care leaders to transform their homes and embrace resident directed care.

Joan holds a B.A. in Music Education/Music Therapy, a B.S. in Nursing and a Masters in Management.  She is also author of the book “Word of the Week:  Creating a Culture Change Dictionary” and is a certified Eden Educator and Mentor.

Conversations with Carmen

May 20, 2016:  Improving Mobility the “Advancing Excellence” Way
Guest:  Carol Benner, Advancing Excellence Campaign

For years we have talked about preventing and reducing falls, searching for the right solution.  We even tied people to their chairs to keep them from falling, not yet realizing that the key to preventing falls is to improve mobility.  Then we “alarmed” them, which only resulted in increased immobility.  Mobility is the key to maintaining both physical health and quality of life.  The Advancing Excellence Campaign has selected Mobility as one of its nine goals.  With an expert panel, it has prepared a full set of quality improvement tools to help assess, measure and improve mobility for nursing home residents.  This conversation will focus on:

  • What mobility is
  • Why maintaining/improving mobility is important
  • How to measure mobility using an evidence-based tool
  • How to incorporate mobility in your QAPI efforts
  • How to use a root cause analysis to help you identify areas for improvement

Please visit the event page here for more information including registration.

Most Frequently Cited Deficiencies Report – 1st Quarter 2016

Please view the quarterly report from the Section for Long-Term Care Regulation attached.

Nursing Home Quality Improvement Spotlight On…

Reducing the Inappropriate Use of Antipsychotic Medications

Inappropriate use of antipsychotic medications in long-term care is a significant issue affecting the safety of residents. Click on the following links to learn more.

TMF Recorded Event: Reducing the Inappropriate Use of Antipsychotic Medications (video)
Get the Facts About Antipsychotic Drugs and Dementia Care (PDF)
Nursing Home 411: Antipsychotic Drugs and Dementia Care

Coordination of Care

May 25, 2016:  Capitol Plaza Hotel, Jefferson City, MO

Join us for this session that will cover the beginning-to-end journey between Hospice and Nursing Facilities.  Learn how to know when it’s time for hospice, how hospice can benefit the facility, the resident, and the family. There will be panel discussion on Care Planning and End of Life Decisions, as well as providing grief counseling for family and facility employees.

Please see the brochure attached or visit MHCA’s event page here for more information.

Administrator Licenses Expire June 30, 2016

Administrator licenses expiring June 30, 2016 are up for license renewal.  Renewal reminder postcards were mailed early April.  Please visit the Missouri Board of Nursing Home Administrator’s web page for the renewal instructions and renewal application at