The national shortage of TUBERSOL® used in the administration of PPD tuberculin skin tests appears to be resolved and is now widely available. Providers should administer PPD tuberculin skin tests that were deferred due to the shortage. Please make every effort to complete all deferred testing within the next 30 days. If you are unable to meet this timeframe, please work with your Regional Office to establish an acceptable timeframe to complete your deferred testing. If you have any questions, you may also contact Joan Brundick at 573-751-6308 or send an email to email@example.com.
February 19 – 20, July 8 – 9, October 7 – 8, 2014: RAI Process from Start to Finish
April 25, August 12, November 12, 2014: Medicare from Start to Finish
Location: Courtyard by Marriott in Columbia, Missouri. View the brochure here: MDS RAI 2014 or visit www.mlnmonursing.org/MDS.
The Missouri Coalition Celebrating Care Continuum Change (MC5)
by Sam Plaster, State Culture Change Coordinator
The Patient Protection and Affordable Care Act passed by Congress in 2010 requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs, ensuring that homes continuously identify and correct quality deficiencies as well as sustain performance improvement. While the Center for Medicare & Medicaid Services (CMS) has yet to promulgate the specific regulatory requirements, many homes are already initiating or improving their QAPI processes… to read more and view photos click here: MC5
CMS Memo S&C: 14-01-NH
The Section for Long-Term Care Regulation wants to make certified providers aware that this Memo requires “certification” of some nursing home staff as part of the nursing home’s compliance with regard to CPR. CMS’ guidance had previously been that an on-duty staff member be able to perform CPR appropriately at all times. If a question arose during a federal process regarding whether someone could perform CPR properly, a surveyor may have needed to ask for an explanation of appropriate technique from some available staff member to verify compliance with that requirement, but verifying the certification of a particular staff member typically wasn’t necessary.
One point that remains unaddressed in this new S&C Memo is that many different CPR training agencies offer “certification” of their own, and this Memo doesn’t specify which agency’s certifications are acceptable to CMS and which are not. SLCR has requested a clarification of this point from the CMS Central Office, and so has the Kansas City Regional CMS office. Neither of our offices have received a response. When we receive further guidance, we will provide it to you via this Listserv. Until then, we will not be altering our current survey practices, but we want to make providers aware that this new S&C Memo has been issued by CMS, and that depending on their answer to our questions, it’s likely that some of your staff may need to obtain CPR certification with very short notice.
Because this memo references the American Heart Association as a standard-setting organization with regard to CPR, it is our belief that provider certification through the AHA will almost certainly be deemed acceptable by CMS. Whether other certifications will suffice is less clear at this time. As soon as we have some clarification on this point, we will share it with you. We apologize that we can’t offer more specific guidance at this time, and appreciate your patience.
View the CMS Memo S&C: 14-01-NH here: Survey-and-Cert-Letter-14-01 or click here.
The Section for Long-Term Care has published New Generations – Volume 11, Issue 4, Autumn 2013. This issue is now available on our website, along with an archive of previous newsletters. Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.
Please find the quarterly report here: Most Frequently Cited Deficiencies – Third Quarter 2013 from the Section for Long-Term Care Regulation.
The revision to regulation 19 CSR 30-82.070 Alzheimer’s Demonstration Projects (Rescinded September 30, 2013) has been published in the Code of State Regulations. The official new rule can be found on the Missouri Secretary of State’s website at: http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp. The rule is located under Division 30 in Chapter 82. The effective date for the new rule is September 30, 2013. If you have any questions regarding implementation of the rules, please contact the Section for Long-Term Care Regulation, Policy Unit Manager Carmen Grover-Slattery, at 573-526-8570.
October 8 – 9, 2013: RAI Process from Start to Finish
This workshop is for individuals in long-term care who coordinate and/or code the MDS and need a better understanding of the complexity of the RAI process. New MDS Coordinators and those who need a refresher are strongly encouraged to attend.
NEW – November 12, 2013: Medicare from Start to Finish
This workshop will help the MDS coordinator and other members of the interdisciplinary team to understand the admitting criteria and the ongoing documentation needs of the Medicare resident.
Please view the informative brochure here: RAI and Medicare from Start to Finish Workshops, or visit www.mlnmonursing.org/MDS.