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When the Tail Wags the Dog

ChangingAging brings you this inspiring article about a 76-year-old woman who was rejected when she applied to adopt a second “senior” dog to keep her aging pet company.  She was denied sight unseen, just based on her age alone.  Read the article, When the Tail Wags the Dog, to see the true struggle this woman had endured.

You may also visit ChangingAging’s website here for this publication and other recent articles.

ICD-10 Resources

CMS has released a ICD-10 Resources Guide.  The guide concentrates on quick references and key steps to take to get ready for the October 1 transition.  Some of the resources include the Quick Start Guide, Infographics, Videos, and more ways to stay up to date on other information regarding ICD-10.

Please see the ICD-10 Resources Flyer for more information located here.  You may also visit the CMS ICD web page here and the Road to 10 webpage here for the latest news and resources to help prepare.

Invasive Ventilator Program

This is a re-issue of the Invasive Ventilator Program bulletin that was originally published March 13, 2014.

The MO HealthNet Division (MHD), in collaboration with the Department of Health and Senior Services (DHSS), has implemented the Invasive Ventilator Program.  This program provides additional reimbursement to nursing facilities in the State of Missouri for care of ventilator dependent participants.

Please see the bulletin here or visit the MO HealthNet Division Provider Bulletin’s web page here.

Nursing Home Quality Improvement Webinar

September 3, 2015:  Reducing the Inappropriate Use of Antipsychotic Medications (12:00 Noon-1:00 p.m. CT)

Join this webinar to learn more about key interventions, strategies and the importance of reducing antipsychotic medications.

For more information, please visit the TMF website here and sign in.  You may also register on the event page here.

The Other Talk

September 22, 2015:  Tim Prosch presents “The Other Talk”
Location:  The Bridge at Florissant, Florissant, MO

Tim Prosch, author of the book “The Other Talk” will give a presentation about decision-making advice designed to help older adults and their kids develop a plan to finance the future.  He will discuss legal documents, living wills, living arrangements, and medical expenses.

Please see the brochure and registration details here and on the MC5 website here.

Person-Directed Webinar Series

September 21, 2015:  Opening Our Eyes to a Person-Directed Culture
October 1, 2015:  Communicating in a Person-Directed Culture
October 27, 2015:  Rolling Out the Person-Centered Care Tool with Advancing Excellence
November 5, 2015:  Learning from the Experts: Using Data to Improve Care with Abramson Center
November 19, 2015:  Engaging Lives – It’s So Much More than Bingo!

MOLANE (Missouri Local Area Network for Excellence) is part of the Advancing Excellence in America’s Nursing Home Campaign.  MOLANE and MC5 are sponsoring this five part webinar series on the topic of person-directed culture.  And it’s FREE!

Please see the brochure here or visit the MC5 website here for details including registration and speaker information.

CMS Open Door Forum

Electronic submission of staffing data for long-term care facilities – Payroll Based Journal (PBJ).

Registration is OPEN and ALL Long-term Care facilities are encouraged to register for the voluntary data submission period.  Please use the resources listed below to register:

Registration Training:


  • Obtain a CMSNet User ID for PBJ Individual, Corporate and Third Party users, if you don’t already have one for other QIES applications (
  • Obtain a PBJ QIES Provider ID for CASPER Reporting and PBJ system access (
  • PBJ Corporate and Third-Parties must use the current form based process to register for a QIES ID.  Registration forms are available under the Access Request Information / Forms section on the right side of the page (

For technical questions on how to register, please email

Additionally, CMS has posted an updated PBJ Policy Manual Draft and a list of frequently asked questions (FAQ) and answers about PBJ instructions and policies.  Please visit for more information.  For policy related questions, please email