Skip to content


Changing Antipsychotic Thinking (CAT) Tip #7

Cat Without a Tail

Do you see a TIGER in your percentages when you expect a KITTEN?  Are unexpected names on your Quality Measure (QM) Report for antipsychotic drug usage? Even the “appropriate” diagnosis of Schizophrenia will trigger the measure if not correctly reported. Schizophrenia, Tourette’s, and Huntington’s are the three accepted diagnoses for the use of an antipsychotic. Report these on the pre-printed section of the Minimum Data Set (MDS) Resident Assessment by checking I6000 for Schizophrenia, I5350 for Tourette’s Syndrome, and/or I5250 for Huntington’s Disease. In I8000 Additional active diagnoses, you may manually input “Schizophrenia with a tail.” One example is “Schizophrenia with Psychosis.” Please view CAT Tip #7 here: CAT_Tip_7.  View more tips at  The Missouri Local Area Network for Excellence (MOLANE) is the state coalition for Advancing Excellence.

Primaris to Host American Society of Quality Training in June

Primaris will host The American Society of Quality (ASQ) and offer a customized quality improvement training, specific to long-term care, at the Primaris office in Columbia, Mo.  Primaris is committed to planting the seeds of true quality improvement and investing in Missouri’s long-term care professionals.  To be considered for this training, your home must submit a scholarship application by May 5, 2014. Space is limited to 34 homes.  A scholarship requirement is that each home sends two people.  After applications are submitted, and requested dates are selected, the Primaris team will assign scholarship recipients with a training date.  To learn more, please visit

MDS 3.0 Provider Updates – Training Videos

New Minimum Data Set (MDS) Sections I, G, M, and O provider training videos have been uploaded to YouTube.  To learn more and access these videos, please visit the Centers for Medicare and Medicaid Services at

Nursing Home Quality Initiatives – Questions and Answers

The Centers for Medicare & Medicaid Services (CMS) and Advancing Excellence in America’s Nursing Homes national campaign coordination group developed a set of common questions and answers for nursing homes, in order to clarify how some of the many initiatives relate to and are aligned with each other.  The purpose is to help nursing homes better understand how to participate in and benefit from various initiatives.

  • Quality Assurance and Performance Improvement (QAPI)
  • National Nursing Home Quality Care Collaborative (NNHQCC)
  • National Partnership to Improve Dementia Care in Nursing Homes
  • Advancing Excellence in America’s Nursing Home’s Campaign
  • Alignment of Quality Initiatives

Questions include:

  • Must nursing homes use CMS QAPI tools and resources to be considered in compliance with the QAPI regulation?
  • What is the National Nursing Home Quality Care Collaborative (NNHQCC)?
  • What is a LAN?
  • How does the mission of the National Partnership to Improve Dementia Care in Nursing Homes align with non-pharmacological, person-centered care approaches?
  • What does a nursing home have to do to become part of Advancing Excellence?
  • How does QAPI overlap or align with topic specific initiatives such the NNHQCC, the National Partnership to Improve Dementia Care in Nursing Homes, and Advancing Excellence in America’s Nursing Homes?
  • If we participate in the NNHQCC or Advancing Excellence or the National Partnership to Improve Dementia Care in Nursing Homes, are we implementing QAPI?

Find the answers to these questions and more – click on the link below


This document is also available for download by visiting

Show-Me Quality – QAPI in Action

Stay up-to-date on the latest collaborative Quality Assurance and Performance Improvement (QAPI) news and events.  Visit Primaris at

Stop Elder Abuse 

To report suspected abuse, neglect, or financial exploitation of an elderly person or an adult with a disability call the toll-free Elder Abuse and Neglect Hotline at 1-800-392-0210.   Please click on the links below for more information:

Stop Elder Abuse

Abuse, Neglect, and Exploitation of the Elderly and Disabled

Legal Assistance for Missouri’s Seniors 

The Missouri Seniors’ Legal Helpline provides a website with information on benefits, consumer issues, employment, tax assistance and more.  You may also call 800-235-5503 to speak with a representative from your local Area Agency on Aging.  For more information, please visit the Missouri Seniors’ Legal Helpline website at

Mouth Care Without a Battle©

Mouth Care Without a Battle© is an evidence-based approach to person-centered daily mouth care for persons with cognitive and physical impairment.  Research has linked poor oral hygiene to bad outcomes such as pneumonia, chronic pain, poor oral intake and reduced quality of life.  Mouth Care Without a Battle© combines best practices in oral hygiene with proven techniques to overcome resistance to care among persons with dementia and other related conditions.  To learn more, please visit

Nursing Home Leadership Assistance

In cooperation with the Missouri Department of Health and Senior Services, the MU Sinclair School of Nursing at the University of Missouri offers a Nursing Home Leadership Coaching Service to assist nursing home administrators and key operational leaders to meet the leadership challenges of the long-term care industry.  The services offered focus on helping nursing home administrators deal effectively with the complex management issues they face each day in their business and personnel operations.  The coaching is tailored to meet individual administrator needs within the context of each person’s unique operational situations, as well as within the variety of corporate and business models in Missouri.  Designed as a voluntary service, the Nursing Home Leadership Coach assists with such issues as Operational Improvement, Corporate Compliance, Budget Analysis, Regulations, Process Improvement Leadership Skills, Staff Retention, Contract Review, Survey Readiness, Staff Training, Quality of Life, and Culture Change.  The Coaching Service works collaboratively with our existing QIPMO program.  Dave Walker, LNHA, functions as the NHA Coach.  Nursing home administrators interested in consulting with Mr. Walker should contact Jessica Mueller, Project Coordinator at the MU Sinclair School of Nursing at (573) 882-0241 or by e-mail at  Please visit

New Generations – Quarterly Newsletter

The Section for Long-Term Care Regulation’s quarterly newsletter, formerly known as the LTC Bulletin, now has a new title:  New Generations.

This title reflects a new era in long-term care, an increased focus on culture change initiatives and our commitment to be responsive to the demands that a new generation of residents, their families and the public are making on nursing homes and regulatory agencies.  Person-centered care and the creation of true “home” environments are fast becoming the expectation rather than the exception and the Section must continue to provide relevant regulatory guidance applicable to every type of person who resides in Missouri’s Skilled Nursing, Intermediate Care, Assisted Living and Residential Care homes – and to the people who work in them, too.

Like the homes we strive to serve, our newsletter continues to evolve and improve based on feedback from readers and our own efforts toward quality assurance.  New Generations is available on our website, along with an archive of previous newsletters.  A free, professional color copy will be mailed to each licensed entity.  If it’s useful, we hope you will share it with others; if you think there are ways it could become more useful, we hope you will share those ideas with us.  Please visit