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Category Archives: Nursing Home Administrators

Making a Difference: Best Practices in Dementia Care

July 31, 2015:  Teepa Snow
Location:  Holiday Inn Executive Center, Columbia, MO

After watching her role-play and hands on training, you will leave with techniques and an understanding of your dementia residents that you did not have before.  Return to your community with a new outlook and with resources that you can implement immediately to see results.  This seminar is hosted by Martin Bros Distributing Company, Inc. and the Missouri Health Care Association and has been approved for six (6) Patient Care hours.

Please see the brochure along with discount information on the MC5 website here or you Teepa Snow’s event page for the Columbia seminar located here.

CMS Updated Medical Coverage Requirements

The Centers for Disease Control and Prevention (CDC) has issued new recommendations for the pneumococcal vaccine in adults over the age of 65.  The CDC recommends that providers now use two pneumococcal vaccines for adults aged ≥65.  These vaccinations are 13-Valent Pneumococcal Conjugate Vaccine (PCV13) and 23-Valent Pneumococcal Polysaccharide Vaccine (PPSV23).  The CDC recommendations are located at www.cdc.gov/vaccines/vpd-vac/pneumo/default.htm.

CMS has updated the Medicare coverage requirements to align with this recommendation.  These Medicare coverage requirements were implemented on February 2, 2015 as posted in the MLN Matters document: MM9051.

Please visit www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9051.pdf to see that specific MLN Matters document.

CMS has instructed providers to continue to code item O0300 as instructed in the current RAI User’s Manual.

CMS Memo S&C 15-40-NH: Information Only – Review and Status of Nursing Home Survey: Summary of Traditional and Quality Indicator Survey (QIS) Findings and Issues

For the past 10 years, the Centers for Medicare & Medicaid Services (CMS) and the States have used two standard survey processes that assess the quality of care and quality of life for nursing home residents.  The memo has a review of both the traditional survey and QIS processes.  CMS is continuing to make improvements to QIS to address the challenges, concerns and feedback we have received to optimize the effectiveness and efficiency of survey process.

The memo and attachment are both attached or you may visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-15-40.html?DLPage=4&DLEntries=10&DLSort=3&DLSortDir=descending.

New Generations Newsletter – Spring 2015

The Section for Long-Term Care Regulation has published New Generations – Volume 13, Issue 1, Spring 2015.  A complimentary color copy will be circulated via regular mail to each licensed home in Missouri.  This issue is now accessible on our website.  Please visit health.mo.gov/seniors/nursinghomes/providerinfo.php  to view this publication along with a collection of previous newsletters.

Selfie Tip #7:  “Don’t Call Me Honey!”

Have you listened to yourself and the words you use?  Not only the words, but also the way you say them may be condescending to people.  Using person-centered language is one of the essentials in changing our culture.

Please see the flyer here for more information.

CMS Memo S&C 15-36-ALL: New Instructions for Providers Filing an Appeal with the Departmental Appeals Board (DAB)

Effective October 1, 2014, providers that disagree with actions imposed on their facility must file a hearing request electronically using the DAB’s E-Filing System (DAB E-File).  For assistance in submitting a request through the DAB E-File System, filers may call the Civil Remedies Division main telephone line at 202-565-9462.  For technical issues regarding the DAB E-File System, filers may contact E-File System Support at OSDABImmediateOffice@hhs.gov.

The memo and two attachments are attached (Memo, DAB e-file instructions, and Appeal Rights) or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-15-36.html?DLPage=4&DLEntries=10&DLSort=3&DLSortDir=descending.

CMS Memo S&C 15-37-NH: Proposed Rule: SNF Medicare FY 2016 Payments, Quality Reporting, Value-Based Purchasing and Staffing Requirements – Informational Only

CMS has issued a new S&C memo regarding their new proposed rule to implement requirements regarding the submission of staffing data based on payroll and other verifiable and auditable data.  Specifically, long-term care facilities would be required to submit to CMS direct care staffing information including: the category of work for each individual that performs direct care (including, but not limited to, whether the individual is a registered nurse, licensed practical nurse, licensed vocational nurse, certified nursing assistant, therapist, or other type of medical personnel specified by CMS); resident and census data; and information on staff turnover and tenure.  Long-term care facilities would also be required to specify whether the individual is an employee of the facility, or engaged by the facility under contract or through an agency.  Staffing data would be submitted to CMS no less frequently than quarterly.

The proposed rule “FY 2016 SNF PPS for Staffing Data Collection in Long-Term Care Facilities” was published on April 20, 2015.  The document can be found at www.gpo.gov/fdsys/pkg/FR-2015-04-20/pdf/2015-08944.pdf.

The public has until 5 p.m. on June 19, 2015 to comment on the proposed regulatory document.

Contact:  Questions regarding this memorandum should be addressed to NHStaffing@cms.hhs.gov.

Please see the complete memo attached or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-15-37.html?DLPage=4&DLEntries=10&DLSort=3&DLSortDir=descending.