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Medications and Discharge

The Section for Long-Term Care Regulation (SLCR) has recently received questions related to the procedure for releasing medications upon a resident’s discharge from a Medicare/Medicaid certified facility.  Please find the article addressing this issue here:  Medications and Discharge

MDS System Requirements

Please note effective October 1, 2014 (FY 2015), CMS will no longer support Windows XP or Internet Explorer v8.0.  This means after October 1, 2014, you will not be able to transmit MDS and/or retrieve CASPER reports until you upgrade your internal system.  The recommended operating system is Windows 7 and the recommended browser is Internet Explorer v9.0.  Visit the QIES Technical Support Office at https://www.qtso.com/ to view Minimum System Requirements for Home Health Agencies, Hospice Providers, Long Term Care Facilities, Inpatient Rehabilitation Facilities and Long Term Care Hospitals.  NEW: FY2014 System Requirements [PDF 22KB].

This information is also available on the CMS MDS 3.0 System Welcome Page.

If you have any questions, please contact Joan Brundick, State RAI Coordinator at 573-751-6308 or joan.brundick@health.mo.gov, or contact Danette Beeson, State Automation Coordinator at 573-522-8421 or danette.beeson@health.mo.gov.

Navigating the 2014 Advancing Excellence Website – Free Webinar

July 9, 2014:  Advancing Excellence has a new website.  While the new site contains all the information from the old site, things have moved.  Join the webinar for a cruise around the website, including:

  • Logging in
  • Downloading the data collection tools
  • Looking at the resources
  • Uploading aggregate data to the AE website
  • Viewing your progress
  • Signing up for the newsletter, viewing the calendars, etc.

Plenty of time will be available for questions and answers.  To learn more, please visit www.nhqualitycampaign.org.

Assessing the Affordability of the Household Model – An Action Pact Workshop

July 10, 2014:  Is the Household Model affordable? – An Action Pact Workshop           

Location: Embassy Suites, Kansas City Int’l Airport, 7640 NW Tiffany Springs Pkwy., Kansas City, Mo.

Please visit http://actionpact.com/calendar/event_details/assessing_the_affordability_of_the_household_model.

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.