- CDC in corroboration with NADONA and AMDA COVID-19 Tool Kit
- CMS Pocket Guides Tool KIt
- CMS Resources and Updates
- COPD Assessment Tool Kit
- Delegation Tool Kit
- Dementia Tool Kit
- Diabetic Tool Kit
- Epilepsy Allies Tool Kit
- FDA Press Release Final
- Free McKnights Subscription
- Grief Resources Tool Kit
- Hepatic Encephalopathy (HE) In-Service Tool Kit
- Long Term Care Infection Prevention CDC
- Long-Term Living Magazine
- Mastering F441 - Infection Control
- Neuro Psychiatric Symptoms
- NOBC Nurse On Board Coalition
- Over Active Bladder (OAB)
- Parkinson's Tool Kit
- Post-Acute and Long-Term Care Took Kit
- Sunovion Health Insights
NEW RESOURCES AVAILABLE: Quick Assessment Reference Pocket Guides/Badge Buddies for Coding
The Centers for Medicare & Medicaid Services (CMS) is offering Pocket Guides to assist providers in assessing and coding self-care and mobility, falls, and pressure ulcers/injuries. The pocket guides provide a quick reference for important terms and definitions that promote coding accuracy. These training assets are intended for providers in Home Health Agencies (HHAs), Inpatient Rehabilitation Facilities (IRFs), Long-Term Care Hospitals (LTCHs), and Skilled Nursing Facilities (SNFs). The pocket guides are approximately 2 x 3.5 inches in size and are designed to be worn behind a provider identification badge. The pocket guides cover the following topics:
- Pocket Guide #1: Coding for Self-Care and Mobility Items.
- Pocket Guide #2: Definitions for Coding Section J Fall Items.
- Pocket Guide #3: Pressure Ulcers/Injuries Stages and Definitions. The pocket guides are available under the Downloads section of the Quality Reporting Program (QRP) Training page for each setting:
- Home Health QRP Training
- Inpatient Rehabilitation Facility QRP Training
- Long-Term Care Hospital QRP Training
- Skilled Nursing Facility QRP Training
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox (PACTraining@EconometricaInc.com). Content-related questions should be submitted to the setting specific help desk:
PharMerica CMS 5 Part Series
The following resources are intended to serve as a starting point for facilities who are looking for assistance with the CMS’ Phase 3 guidance on behavioral health. It is also a good idea to use the Critical Element Pathway 20067, included, to understand what the surveyors will be looking for. Behavioral health does beyond these particular F-Tags, and is mentioned 168 times in the SOM, including in the area of abuse, discharge and transfer, and accidents, among others.
A special thanks to Linda Savage at Maven HC for sharing her tools for this guide.
Get complete Toolkit Here at PharMerica
Overview: Questionnaire for patients listing thier preferences, goas and supports they require.
Overview: Assistance consultant pharmacist can provide during routine monthly visits.
Overview: Use this pathway to determine if the facility is providing necessary behavioral, mental, and /or emotional health care and services to each resident.
Phase 3 Guides
Overview: 2022 Guidance for Behavioral Heath Services, Food and Nutrition for F-740, F-741, and F-594 and updates to Appendix PP
Overview: Behavioral Health Training specific to F-949
Overview: The Psychosocial Outcome Severity Guide is to help surveyors determine the severity of psychosocial outcomes resulting from identified noncompliance at a specific F-Tag, including how to determine the severity of the outcome when the impact on the resident may not be apparent or documented.
Policy: Residents who exhibit behaviors which could endanger themselves, other residents, or staff may benefit from a behavioral contract to ensure they re receiving appropriate services and interventions to meet their needs.
Policy: It is the policy of this facility to ensure all residents receive necessary behavioral health services to assist them in reaching and maintaining their highest level of mental and psychosocial functioning.
Policy: The policy and procedures within this document help create a uniform process for pharmacy personnel and facility employees to follow regarding ordering and dispensing of methadone.
Policy: It is the policy of this facility to recognize and treat opioid overdose per current standards of practice.
Policy: It is the policy of this facility to uphold the resident’s right to retain and use personal possessions, unless to do so would infringe upon the rights or health and safety of other residents.
Policy: It is the policy of this facility to create an environment as free of accident hazards as possible for residents with a history of substance use disorder.
Overview: What is Naloxone? How does it work? How is it administered? Who needs it? What are the possible side effects?
Overview: Naloxone training competency quiz and answer key
Thank you for your interest in the Hepatic Encephalopathy (HE) In-service Toolkit. The materials in the kit are for your utilization in your facilities or other LTC treatment settings that you work to provide education to your staff on (HE).
The kit includes two (HE) in-service decks; Part 1: Change in Mental Status Hepatic Encephalopathy (HE) Management Overview and Part 2: Change in Mental Status Hepatic Encephalopathy (HE) Treatment & IDT Process that you can use to deliver two separate in-service presentations approximately 15-20 minutes In length. There is also a version of each in-service presentation with facilitator notes to help you prepare for your in-service presentations.
We have also included two links to recorded versions of each in-service presentation for easy on-demand utilization or for you to send out to your staff as you see fit to support their education and development.
We hope you find these materials helpful and we thank you for the support you provide to your staff and the care you provide to you residents.
In-service Decks (For live presentation)
In-service recordings (Same as the decks but video with voice-over for plug and play or digital dissemination)
In-service Material – Additional Supportive
Long-term care infection prevention
If you or a loved one is staying in a long-term care facility, there are some important things you need to know to prevent infections.
Why is infection prevention important for long-term care residents?
When people are living closely together, they are more likely to become sick with infections that are transmitted from person to person.
Because residents in long-term facilities may have open wounds, devices such as urinary catheters or intravenous catheters, or be incontinent of urine or stool, it is especially important for the staff, visitors, and other patients to practice good infection prevention and control techniques.
Good infection prevention and control techniques include cleaning hands before and after touching another resident, cleaning and disinfecting environmental surfaces, removing soiled items (like used tissues or adult diapers from the environment), or wearing personal protective equipment (such as gloves, a gown, or a mask).
Bacteria and viruses that can be transmitted to others in long-term care facilities include methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C. diff), norovirus, and other bacteria, fungi, or viruses.
Infections, like influenza or the common cold, can spread when the sick person talks, coughs, or sneezes and releases droplets of saliva and mucus. These droplets can travel through the air and can be inhaled through the nose and mouth of another person or contaminate their hands.
What residents can do:
Wash your hands before you eat and after using the bathroom. It should take at least 20 seconds to thoroughly wash your hands. Using an alcohol-based hand sanitizer is a good option if your hands are not visibly dirty.
If you have open sores, cover them with a bandage. Do not pick at your sores or remove your bandage.
Cover your mouth with the inside of your elbow when you cough or sneeze. Throw away any used tissues and wash your hands afterwards.
Don’t share your personal items with other residents.
Remind your care providers to wash their hands frequently. It’s OK to ask if a care provider has cleaned their hands before caring for you.
If your doctor prescribes an antibiotic for an infection, take the medication exactly how it is prescribed.
Follow directions if you are asked to stay in your room.
Don’t touch any food that will be eaten by someone else.
What residents can observe/ask:
If your healthcare provider has prescribed you antibiotics, be sure to ask the following questions:
“Do I really need an antibiotic?”
“Can I get better without this antibiotic?”
“What side effects or drug interactions can I expect?”
“What side effects should I report to you?”
“How do you know what kind of infection I have? I understand that antibiotics won’t work for viral infections.”
If you have an infection, your caregivers may be wearing protective equipment, like gowns, gloves or face mask. Make sure they take them off before they leave the room.
Make sure that everyone (residents, care providers, and visitors) wash their hands when they enter the room and when they leave the room.
Make sure your care provider is wearing gloves if they are removing a dressing. A gown might be necessary if the wound is large.
Ask staff how they are cleaning items used by many residents (e.g., recreational therapy objects).
What family members or other visitors can do:
Wash hands before and after each visit.
Wear a surgical mask if visiting someone that has an infection with germs that can be spread to others through the air (for example, the flu).
Wear a gown and gloves if visiting someone who has a virus or type of bacteria that can be transmitted through direct contact.
Learn more and share:
How to be a good visitor at a nursing home—APIC consumer alert
Ask questions about your medications—Infection Prevention and You
Nursing Homes and Assisted Living (Long-term Care Facilities)—The Centers for Disease Control and Prevention
FAQ: Standard Precautions, FAQ: Droplet Precautions, and FAQ: Contact Precautions—Virginia Department of Health
Seniors at risk for the flu—Flu.gov