[mapa] FW: [LTC Information Update] LTC Information Update: October 22, 2021

From: "Danielle Boggs" <dboggs@xxxxxxxxxxxxxxxxxxx>
To: mapa@xxxxxxxxxxxxx
Date: Tue, 26 Oct 2021 23:11:44 -0500 (CDT)

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From:
sphegley@xxxxxxxxxxxxxxxxxxxxxx [mailto:sphegley@xxxxxxxxxxxxxxxxxxxxxx] ; Sent: Monday, October 25, 2021 10:41 AM To: Charli Ackerman <charliackerman@xxxxxxxxxxxxxx> Subject: FW: [LTC Information Update] LTC Information
Update: October 22, 2021 Importance: High
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Please scroll down and read the information
on the LOC transformation!!! Do not want anyone to be blindsided with the
changes coming SOON !!
 
<div>
Samantha
Phegley
PASRR / HWC
Consultant
Health Systems,
Inc.
Po Box 1710
3750 Osage Beach
Pkwy
Osage Beach, Mo
 65065
c.
660.833.5841
o.
573.746.7100
f.
573.746.7110
 
 
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src="cid:image001.jpg@01D7C98C.D8405C60" alt="HSI_Logo_1
(150x134)">
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From:
LTCR_information_update <<a
href="mailto:ltcr_information_update-bounces@xxxxxxxxxxxxxxxxxxx";>ltcr_information_update-bounces@xxxxxxxxxxxxxxxxxxx</a>>
On Behalf Of <a
href="mailto:ltcr_information_update@xxxxxxxxxxxxxxxxxxx";>ltcr_information_update@xxxxxxxxxxxxxxxxxxx</a> Sent: Friday, October 22, 2021 2:50 PM To: 'ltcr_information_update@xxxxxxxxxx' <<a
href="mailto:ltcr_information_update@xxxxxxxxxx";>ltcr_information_update@xxxxxxxxxx</a>> Subject: [LTC Information Update] LTC Information Update:
October 22, 2021
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<h1 style="margin: 0in; margin-bottom: .0001pt; text-align: center;"
align="center"><a name="OLE_LINK2"></a><a name="OLE_LINK1"></a>LTC Information
Update: October 22, 2021</h1>
 
 
<h1 style="margin: 0in; margin-bottom: .0001pt;"><a
name="_ANNOUNCEMENTS"></a><a name="_ANNOUNCEMENTS_1"></a>ANNOUNCEMENTS</h1>
 
v
Evaluation
and Assessment Measures for Title XIX Recipients and Applicants - REGULATION
UPDATE NOTICE
The Department of
Health and Senior Services, Section for Long-Term Care Regulation has drafted emergency and proposed amendments
 regarding adding the level-of-care evaluation and assessment
requirements back that were effective prior to October 31, 2021, in order for
those individuals who would have qualified for Title XIX funded services prior
to October 31, 2021, to be eligible to receive services funded through the
American Rescue Plan Act (temporary enhanced federal medical assistance
percentage). Therefore, a second level-of-care determination will be utilized
from October 29, 2021, until the funding from the American Rescue Plan Act has
been expended.
 
The emergency amendment for 19 CSR
30-81.030 was filed on October 15, 2021, with an effective date of October 29,
2021, and expiration of April 26, 2022. The emergency amendment can currently be viewed at: <a
href="https://www.sos.mo.gov/adrules/EmergenciesforInternet/emergency";>https://www.sos.mo.gov/adrules/EmergenciesforInternet/emergency</a>. The proposed amendment covering this same material
will also be published in the same issue of the Missouri Register. The Register
publication date is November 15, 2021 for the emergency and proposed amendments
and can be found at: <a
href="http://www.sos.mo.gov/adrules/moreg/moreg.asp";>http://www.sos.mo.gov/adrules/moreg/moreg.asp</a>.
 
NOTE: The
public comment period for the proposed amendment will be from November 15, 2021
- December 15, 2021. The Department
will be accepting comments during the
comment period by mailing the comments to: Carmen Grover-Slattery,
Regulation Unit Manager, Section for Long-Term Care Regulation, Division of
Regulation and Licensure, PO Box 570,
Jefferson City, MO 65102-0570 or by emailing to: <a
href="file://SDHLFILP4087/KnpShared/Planning%20and%20Development/Culture%20Change/Weekly%20Update/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/OEPHDTOY/RegulationUnit@xxxxxxxxxxxxx">
RegulationUnit@xxxxxxxxxxxxx</a>.
 
The proposed
amendment can be reviewed on our website at: <a
href="https://health.mo.gov/about/proposedrules/";>https://health.mo.gov/about/proposedrules/</a>.
 
v
Level of Care
Transformation
Exciting transformation is coming for the
Level of Care (LOC) process effective 10/31/2021! Our current LOC Process (many
of us have referred to as the DA124 A/B forms) is undergoing major changes!
 
Here are some of the highlights:
The application process will all be
ELECTRONIC. You will fill out and submit forms online on the COMRU website at
<a
href="https://health.mo.gov/seniors/nursinghomes/pasrr.php";>https://health.mo.gov/seniors/nursinghomes/pasrr.php</a>.
For example, the forms will be able to be sent from the hospital to the
nursing home to COMRU, all in one system. This electronic link will be
available starting October 29, 2021. COMRU will not process these application
until November 1, 2021.
 
The process of evaluating Level of Care will
also change. New areas will be evaluated and previous areas will be changed in
order to provide the best assessment for determining Level of Care. You can
read about the new process in the proposed Regulation at 19 CSR 30-81.030, <a
href="https://health.mo.gov/about/proposedrules/";>
https://health.mo.gov/about/proposedrules/</a>, which will go into effect on
10/31/2021.
 
To help facilities prepare for these
changes, COMRU will be hosting a webinar. Additional trainings to
follow.
 
Thursday, October 28,
2021 at 10:00 a.m.
 
Join from the meeting link <a
href="https://stateofmo.webex.com/stateofmo/j.php?MTID=m37d648b96f1c1d7176099f11c07b6185";>https://stateofmo.webex.com/stateofmo/j.php?MTID=m37d648b96f1c1d7176099f11c07b6185</a>
Join by meeting number Meeting number (access code): 2451 311 8637 Meeting
password: 3YXgTsdkc37
Tap to join from a mobile device (attendees only) <a
href="tel:%2B1-650-479-3207,,*01*24513118637%23%23*01*">+1-650-479-3207,,24513118637##</a>
Call-in toll number (US/Canada) <a
href="tel:%2B1-312-535-8110,,*01*24513118637%23%23*01*">+1-312-535-8110,,24513118637##</a>
United States Toll (Chicago)
Join by phone 1-650-479-3207 Call-in toll
number (US/Canada) +1-312-535-8110 United States Toll (Chicago)
 
v
Resident Council Survey
for LTC Ombudsman
The Long-Term Care Ombudsman Program would
like to know if you are interested in recognizing your facilities Resident
Council President by posting a sign outside of their room identifying them and
their role.
 
Some of the benefits are:
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l3 level1 lfo2;">Increasing the
Presidents confidence in their role, boosting overall morale</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo2;">Other residents can
easily identify who their President is and know where to go if they need to
talk</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo2;">Promotes awareness to
new residents and families that a Resident Council exists and provides a point
of contact</li>
</ul>
 
State Office would be in charge of designing
and purchasing the signs. But before we do, we want to know if this is
something to pursue based off your feedback.
 
Please provide your feedback by completing
this brief, two question Survey Monkey. All submissions are anonymous.

 
You can find the survey here <a
href="https://urldefense.com/v3/__https:/www.surveymonkey.com/r/DMSNHTH__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneMRxlY5B%24";>
https://www.surveymonkey.com/r/DMSNHTH</a>. The survey will close
Tuesday, November 9, 2021.
 
v
QIPMO PPE
Protocol
The NEW! who/where/what of wearing PPE in your
facility.
 
<p style="margin:0;padding:0;margin: 0in; margin-bottom: .0001pt; background:
white; box-sizing: border-box; font-variant-ligatures: normal;
font-variant-caps: normal; orphans: 2; text-align: start; widows: 2;
-webkit-text-stroke-width: 0px; text-decoration-thickness: initial;
text-decoration-style: initial; text-decoration-color: initial; word-spacing:
0px;">Click <a
href="https://urldefense.com/v3/__https:/nursinghomehelp.org/wp-content/uploads/2021/10/NEW-PPE-Protocol-QIPMO-1021.pdf__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneJbp--8r%24";
target="_blank">HERE</a> for the most updated document
from QIPMO.
 
v
The Resident Advocate
Newsletter - October 2021
The <a
href="https://urldefense.com/v3/__https:/theconsumervoice.org/uploads/files/long-term-care-recipient/resident-newsletter-october-2021.pdf__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneAHkX8rr%24";>October
2021</a> Resident Advocate is now
available.
 
<p style="margin:0;padding:0;margin: 0in; margin-bottom: .0001pt; background:
white; box-sizing: border-box; font-variant-ligatures: normal;
font-variant-caps: normal; orphans: 2; text-align: start; widows: 2;
-webkit-text-stroke-width: 0px; text-decoration-thickness: initial;
text-decoration-style: initial; text-decoration-color: initial; word-spacing:
0px;">This issue includes:
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="color: black; mso-list: l1 level1 lfo3;
background: white;">Residents Across the Country Share Their Experiences Living
in a Nursing Home</li>
<li class="MsoNormal" style="color: black; mso-list: l1 level1 lfo3;
background: white;">Compassionate Care Visits - Must Be Individualized and
Person-Centered</li>
<li class="MsoNormal" style="color: black; mso-list: l1 level1 lfo3;
background: white;">The Fight Against Chemical Restraints</li>
</ul>
 
<p style="margin:0;padding:0;margin: 0in; margin-bottom: .0001pt; background:
white; box-sizing: border-box; font-variant-ligatures: normal;
font-variant-caps: normal; orphans: 2; text-align: start; widows: 2;
-webkit-text-stroke-width: 0px; text-decoration-thickness: initial;
text-decoration-style: initial; text-decoration-color: initial; word-spacing:
0px;">This newsletter is a great resource to share with long-term care
residents. Nursing home staff, long-term care Ombudsman programs, family
members, and other advocates are encouraged to forward this newsletter to
residents or print and share copies with residents. Download this issue or past
issues from this <a
href="https://urldefense.com/v3/__https:/theconsumervoice.org/issues/recipients/nursing-home-residents/resident-advocate__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneGBjAY_F%24";>webpage</a>.
 
v
2021 Annual SLCR
Provider Meeting - SAVE the DATE
Sponsored by the Missouri Department of
Health and Senior Services, Section for Long-Term Care Regulation in
partnership with MU Sinclair School of Nursing, this year’s SLCR Provider
Meeting will be held virtually.
 
Wednesday, November 10, 2021
 
With the meeting being conducted virtually
this year, registration will be
required. The link to register along with session information will be
coming soon. Please stay tuned to the LTC Information Update for more
details.
 
v
CNA Testing
Update
Beginning
09/01/2021 all full CNA tests are done through Headmaster D & S. Please see
the information on <a
href="https://urldefense.com/v3/__https:/hdmaster.com/testing/cnatesting/missouri/forms/Testing*20Updates*20in*20Missouri.pdf__;JSUl!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneJpWVHPP%24";
target="_new">Testing Updates In Missouri</a> for
clarification on how to proceed with setting up the final examination for
students.
 
For up to date information or any questions,
feel free to visit the <a href="mailto:Health%20Education%20Unit";>Health
Education Unit</a> webpage or you may call 573-526-5686 or email at <a
href="mailto:cnaregistry@xxxxxxxxxxxxx";>cnaregistry@xxxxxxxxxxxxx</a>.
 
v
October - Residents'
Rights Month
Residents’ Rights
Month is an annual event designated by the Consumer Voice and is celebrated in
October to honor residents living in all long-term care facilities and
consumers receiving services in their home or community. It is a time for
celebration and recognition offering an opportunity for every facility to focus
on and celebrate awareness of dignity, respect and the value of each individual
resident.
 
The 2021
Residents’ Rights Month theme, “Reclaiming My Rights, My Home, My Life,”
acknowledges the impact of this past year on residents and highlights the need
for residents’ rights to be recognized, recovered, and reasserted. It
emphasizes the recognition of the long-term care facility as the residents’
home, and the importance of residents reclaiming their own lives. The theme
focuses on raising awareness of federally mandated residents’ rights while also
underscoring the need for dignity and self-determination of all
residents.
 
v
10-Digit Mandatory
Dialing Changes
10-Digit Mandatory Dialing Changes Will
Impact Fire Alarm Panel Automatic Dialing
 
The Federal Communications Commission (FCC)
has adopted an order approving the designation of “988” as the 3-digit
abbreviated dialing code for the National Suicide Prevention Lifeline. As a
result of this designation, beginning October 24, 2021, a 10-digit telephone number (area code +
phone number) will be required to complete all local calls from area codes
314, 417, 660, and 816. All licensed long-term care facilities
in Missouri are required to have a fire alarm panel that dials a monitoring
company during a trouble call or fire signal. It is imperative that facility
staff verify or reprogram the fire alarm panel to ensure it will dial out with
the area code. This will need to be confirmed with the fire alarm and/or
monitoring company. For additional information regarding 10-digit mandatory
dialing changes, please refer to the <a
href="https://urldefense.com/v3/__https:/lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTA5MDIuNDU0MTYyNzEiLCJ1cmwiOiJodHRwczovL3BzYy5tby5nb3YvQ01TSW50ZXJuZXREYXRhL0NvbnN1bWVySW5mb3JtYXRpb24vOTg4JTIwMTAlMjBEaWdpdCUyMERpYWxpbmclMjBGQVEucGRmIn0.WUK7vGXT1MAI-qrgDhjurDnj68zf65yLtlKxjoNBIrk/s/906694010/br/111818323928-l__;!!EErPFA7f--AJOw!XIyxy2vDsyX8BMrktfaUNf7E8RHJa0AP2aJYw-J3gL_aP7mUi80rHAwqAYosVulCjnahzBg%24";>
FAQs About 10-Digit Dialing</a> document developed by the Missouri Public
Service Commission.
 
 
<h1 style="margin: 0in; margin-bottom: .0001pt;">EVENTS</h1>
 
v
COVID-19
FREE Community Testing
Testing
remains a very important tool in fighting the COVID-19 pandemic.
The Missouri Department of Health
and Senior Services is now offering two options for FREE COVID-19
testing.
 
First, there are
in-person testing events hosted around the state. Individuals are not required
to pre-register or have an appointment, simply show up to one of the events to
receive the test. A government issued ID is not a requirement for this testing, but having one
available onsite speeds up the registration process. Additional testing sites
(with regular or one-time opportunities) may be added as indicators suggest the
need for additional testing. The latest information, including testing events
and locations can always be found at <a
href="http://www.health.mo.gov/communitytest";>www.health.mo.gov/communitytest</a>.
 
Second, Missouri
residents may order a free test to be mailed to their Missouri address. These
are PCR kits that are designed for self-collection with a return FedEx shipping
container. Once received back by the laboratory, the result is returned to the
person tested (via email provided) within 48 hours. More information about the
at home self-collection kits and a link to order are also found at <a
href="http://www.health.mo.gov/communitytest";>www.health.mo.gov/communitytest</a>.
 
v
MALA Train
the Trainer
November 3, 2021: <a
href="https://urldefense.com/v3/__https:/malarcf.org/2020/2021-train-the-trainer-2-3-2/__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneG4VnAQi%24";>2021
Train the Trainer</a>
Participants must receive approval in order to attend this workshop.
Those wishing to attend must submit the application and necessary paperwork to
MALA at least five days prior to the workshop date.
 
Upon
MALA’s review of your application, you will receive an approval/confirmation or
denial letter via email.
 
v
Pioneer
Network Hot Topics - Culture Change in Action
November 16, 2021:
<a
href="https://urldefense.com/v3/__https:/www.pioneernetwork.net/events/recharge-with-a-nature-fix/__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneEVAVjZ_%24";>Recharge
with a Nature Fix</a>
Speaker: Tammy Marshall, Biophiliac & Longevity Expert and
Founder & CEO of Biophilia Pharma
Join
Pioneer Network for the last of the 2021 Share the Vision webinars, where
speaker, Tammy Marshall, Biophiliac & Longevity Expert and Founder &
CEO of Biophilia Pharma, will share with attendees the power of nature in
supporting health and well-being - not only the residents you support, but for
you!
 
Tammy
will explain the value of nature as a health equity and the science behind
nature immersion (Yes, spending all those hours outdoors engaging with nature
has value beyond just the fact that you like it and it is fun!) She will share
tips on how you can find yourself a nature fix, how it is all about knowing
thyself.
 
In
Tammy’s work, she has seen how supporting residents so that they can enjoy the
outdoors is often very challenging for care communities, and as we approach the
winter months, that challenge can become greater, and so Tammy will also be
sharing ways to bring the outdoors in.
 
v
Action
Pact’s Conversations with Carmen
November 19, 2021:
<a
href="https://urldefense.com/v3/__https:/www.actionpact.com/events/event-two-gkws8-ecakp-bfxb6-s7ycp-w3l59-h4h68-7dbkt-nhlzk-ym9xy-ct6j4__;!!EErPFA7f--AJOw!Up0rxbDnCojm1hjlazNEAcRND30ERIZj6bBR_cel-CC7uUpMfVOSbx7xF-uRdjxR08qneNz0EVFK%24";>Creating
Connectedness</a>
Presenter and Host:
Carmen Bowman
LTC
communities face daunting challenges when it comes to the difficulties of
staffing right now. Employees have increased expectations of their leaders and
managers than in the past. For organizations to thrive during rapid change,
they need a mindset shift from traditional problem solving to an increased
emphasis on the needs of the employee and the vital roles they hold. Learn to
identify the top reasons why employees leave, and ideas for a culture that
honors and includes employees like never before.
 
 
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[mapa] FW: [LTC Information Update] LTC Information Update: October 22, 2021

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