Long-term care facilities (LTCFs), including nursing homes, skilled nursing facilities, and assisted living facilities, take care of some of the most vulnerable populations, including elderly people and those with chronic medical conditions. This, coupled with the proximity in which the residents live, staffing shortages, and often poor infection control...

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CMS says the move will enable beneficiaries to get telehealth services in physician’s offices, hospitals, nursing homes, rural health clinics – and their homes. Click HERE for the full article. Click HERE for the Medicare Telemedicine Health Care Provider Fact Sheet.

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Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs....

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Childcare Needs Form – Critical Public Health or Public Safety Staff Childcare Needs Form If you are an employee whose job duties are critical to protecting public health and/or public safety and are in need of childcare in order to work due to school closures please fill out the...

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Assistant Secretary for Preparedness and Response (ASPR); Department of Health and Human Services (DHHS): COVID-19 Healthcare Planning Checklist Centers for Disease Control (CDC): CDC Resources for Healthcare Facilities COVID-19 Resource Page Evaluating and Reporting Persons Under Investigation (PUI) Information for Healthcare Professionals Sequence for Putting on/Safe Removal of Personal...

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Suspension of Survey Activities Memo #: QSO-20-12-All Posting Date: 2020-03-04 Fiscal Year: 2020 CMS is committed to taking critical steps to ensure America’s health care facilities and clinical laboratories are prepared to respond to the threat of the COVID-19 and other respiratory illness. Specifically, CMS is suspending non-emergency inspections...

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Revisions were made on March 7, 2020, to reflect the following: Characteristics of patients with confirmed COVID-19 based on recent epidemiologic data from China, including characteristics of patients with COVID-19 admitted to the intensive care unit and data on pediatric cases Data regarding SARS-CoV-2 viral shedding among asymptomatic persons,...

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News reports today indicate that there have been several employees and staff with symptoms of COVID-19 identified in a skilled nursing facility in Washington state.This update #2 outlines some additional steps you should be taking since update #1 sent on Friday, February 28, 2020 to protect your residents, their...

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Traumatic experiences are linked to behavioral and chronic physical health conditions. They impact not just your clients, patients, or residents’ health and well-being but staff, and family members as well. Trauma-informed care is an evidence-based approach to delivering health care that recognizes the long-term health effects of trauma. It...

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NEW Help Desk Email Address Beginning 2/10/2020 Feb 05, 2020 This message is to inform you that we are updating our system to provide you with an improved user experience. As part of these changes, after February 10, 2020, we will no longer manage emails sent to help@qtso.com. Beginning...

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On Jan. 17, the Missouri Department of Health and Senior Services (DHSS) distributed a health update to health care providers and partners regarding an outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. Currently, there are no confirmed cases of...

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Electrical Receptacle Testing In Long-Term Care Facilities The outlet testing can be completed by facility staff as long as they have the knowledge and equipment to perform the tests. NFPA 99; 2012 edition: What tests are required? 6.3.3.2 Receptacle Testing in Patient Care Rooms 6.3.3.2.1 The physical integrity of...

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Swingtech is the new company sending out informational messages to SNFs that were not meeting the SNF QRP APU threshold on a quarterly basis ahead of each submission deadline. Swingtech has stated that anybody who is already signed up with CORMAC does not have to sign up again with...

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“Trump Administration Empowers Nursing Home Patients, Residents, Families, and Caregivers by Enhancing Transparency about Abuse and Neglect – Administration delivers on ‘Transparency’ pillar of a five-part approach to ensuring nursing home safety and quality, giving patients unprecedented information about nursing home quality”. CMS is adding a ‘consumer alert” to...

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Patient-Driven Payment Model begins 10/1/19. A few frequently asked questions and clarifications. How do I mark A0300a “Optional State assessment” for setting up my transitional IPA assessment? A0300a would be NO- the assessments in this item are for optional assessments that may be required by case-mix states or for...

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In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. This site includes a...

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About the Civil Money Penalty Reinvestment Program (CMPRP) Overview As part of its continued commitment to the nation’s most vulnerable populations, the Centers for Medicare & Medicaid Services (CMS) has launched the Civil Money Penalty Reinvestment Program (CMPRP), a three-year effort to reduce adverse events, improve staffing quality and...

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The enhanced Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) review and correct reports are now available, on demand in the Certification and Survey Provider Enhanced Reporting (CASPER) application. In addition to enhanced sorting functionality, this report now includes patient-level data and automated CSV file creation functionality that contains...

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Memorandum Summary April 2019 Improvements to Nursing Home Compare include: Ending the Freeze on Health Inspection Star Ratings – In April 2019, the Centers for Medicare & Medicaid Services (CMS) will end the freeze on the health inspection domain of the Five Star Quality Rating System. We will resume...

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Memorandum Summary Core Appendix Q and Subparts -Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite...

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March 5, 2019: Ref: QSO-19-08-NHThis memo provides information about the end of the Freeze of the Health Inspection Star Rating, Quality Measure Domain Improvements and Staffing Domain Improvements to occur in April 2019. Find the document HERE.

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CMS released an Errata document related to the following items in Section J. J0200: Should Pain Assessment Interview Be Conducted? J2000: Prior Surgery Link for the updated MDS 3.0 RAI Manual Errata document: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/MDS-30-RAI-Manual-v1-16-R-Errata-v1-1-February-13-2019.pdf

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Newly Released CMS Quality Reporting Manual Earlier this month, CMS released a NEW version of the MDS 3.0 QM User’s Manual V12.0 on their page: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html Two files related to the MDS 3.0 QM User’s Manual have been posted: MDS 3.0 QM User’s Manual V12.0 contains detailed specification for...

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Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) MLN Matters Number: MM10567 Revised   |  Related Change Request (CR) Number: 10567 Related CR Release Date: January 11, 2019   |    Effective Date: April 30, 2018 Related CR Transmittal Number: R4198CP   |   Implementation Date: April 30, 2018 We revised...

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Carol Siem, MSN, RN, BC, GNP, RAC-CT QIPMO Team Leader, Clinical Educator/Consultant There has been a growing discussion between MDS coordinators, administrators, DONs, and wound care companies about the coding of the MDS. Let’s talk about the issues that are a source of many of the problems. “Nurses cannot...

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Training and Consumer Education Materials (Consumer Voice) Transfer and Discharge – These materials can be used for training and consumer education for Ombudsman program representatives, members of resident and family councils, and community education. Prezi – video, with voiceover Prezi – clickable, without voiceover Prezi script PowerPoint Fact Sheet:...

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ShowMeVax – https://health.mo.gov/living/wellness/immunizations/showmevax/ Missouri’s immunization registry, ShowMeVax, offers healthcare professionals, schools, and child care organizations a one-stop shop for tracking an individual’s immunization history and status and allows providers to monitor vaccine inventory.

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IN THIS ISSUE Wanted: RN Coverage The Revolving Door of MO Nursing Home Administrators CPR – Let’s Do It or NOT Alzheimer’s and Dementia Resources for Infection Control Caring for a Resident with a Pacemaker Committees? Tasks? Click HERE for the newsletter! August 2018

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Resident Survival Low After Cardiac Arrest in Nursing Homes – Caring for the Ages By Brian Ellis | June 1, 2018 At 30 days, survival after out-of-hospital cardiac arrest (OHCA) was 1.7% among nursing home residents, although those who received resuscitation efforts had an increased likelihood of survival, according...

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The most common condition physician and practitioners encounter in potentially avoidable hospitalizations in the nursing facility is infection. Pneumonia, UTIs, and cellulitis are often treated safely and effectively in the nursing facility, which provides for a better patient experience, decreased risk of hospital iatrogenic complications, and lower costs. by...

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Transition to Payroll-Based Journal (PBJ) Staffing Measures on the Nursing Home Compare tool on Medicare.gov and the Five Star Quality Rating System Memo # 18-17-NH Posting Date 2018-04-06 Fiscal Year 2018 Summary Transition to Payroll-Based Journal (PBJ) Data – Starting in April, 2018, CMS will use PBJ data to...

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Center for Medicare Advocacy With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement Standard.” The Fact Sheet emphasizes language from the...

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Quality Improvement Team Development is one part of the Performance Management Series. The work of a QI project is accomplished by a team of individuals, which is known as a QI Team. The purpose of the team is to design, manage, and monitor performance improvement activities to achieve the...

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CDC Report on Antibiotic Resistance CDC’s most recent Vital Signs report highlights the importance of rapid identification of new or rare resistance. This is the critical first step in CDC’s Containment Strategy to stop the spread of antibiotic resistance (AR). Once AR spreads, it is harder to control. Finding...

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Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) This article informs you about Change Request (CR) 10567, which advises you that the Centers for Medicare & Medicaid Services (CMS) has revised the Skilled Nursing Facility Notice of Non-coverage (SNF ABN), Form CMS-10055. With this revision, CMS is...

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Yesterday (2/28/18), the Centers for Medicare & Medicaid Services (CMS) changed the survey domain methodology of the Five-Star rating system. In the previous methodology, CMS used a center’s most recent three survey cycles in calculating the survey rating. In the updated methodology, CMS will use the most recent two...

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CMS has posted an updated Q and A regarding the new survey process. The wording in the red font is new. You can find it here! Updated 2/6/18

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CMS has extended the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) deadlines for the calendar year (CY) 2017. Minimum Data Set (MDS) assessment data for January-December (Q1-Q4) of CY 2017 are due May 15, 2018. However, providers are encouraged to verify their MDS submissions on at least a...

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A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports (NQF #0678, NQF #0674, and NQF #2631). Duplicate stays and invalid admission dates can appear on these reports. View...

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CMS’s Targeted Probe and Educate (TPE) program is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help. The goal: to help you quickly improve. Medicare Administrative Contractors (MACs) work with you, in person, to identify errors and help you correct them. Many common errors...

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Here you will find an updated scope and severity grid. Updated 1/18/18.

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