COVID 19 vaccine hesitancy STAFF Version_12_9_20_no video

Revised COVID 19 vaccine hesitancy Med Dir Version_12_8_20_FINAL

Letter from CMD to residents and famlies_12_7_20

Strategies for improving staff resident confidence in COVID-19 Vaccine_12_4_20

QA about the COVID-19 Vaccine for PALTC Patients Family Member and Staff _ 12_1_20 FINAL

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:

• HomeHealthQualityQuestions@cms.hhs.gov
• IRF.Questions@cms.hhs.gov
• LTCHQualityQuestions@cms.hhs.gov
• SNFQualityQuestions@cms.hhs.gov

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

Download comprehensive list to keep handy

Substance Use Disorder Care Plan

Overview: Questionnaire for patients listing thier preferences, goas and supports they require.

Consultant Pharmacist Support

Overview: Assistance consultant pharmacist can provide during routine monthly visits.

Behavioral and Emotional Status Critical Element Pathway

Overview: Use this pathway to determine if the facility is providing necessary behavioral, mental, and /or emotional health care and services to each resident.

Behavioral Health Services Guide

Overview: 2022 Guidance for Behavioral Heath Services, Food and Nutrition for F-740, F-741, and F-594 and updates to Appendix PP

Behavioral Health Training

Overview: Behavioral Health Training specific to F-949

Psychosocial Outcome Severity Guide

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.

Behavioral Contracts Policy

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.

Behavioral Health Services Policy

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.

Methadone for Medication-Assisted Treatment Policy & Procedures

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.

Opioid Overdose Management Policy

Policy: It is the policy of this facility to recognize and treat opioid overdose per current standards of practice.

Resident Possession and Use of Illegal Substances Policy

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.

Safety for Residents with Substance Use Disorder Policy

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.

Naloxone Training

Overview: What is Naloxone? How does it work? How is it administered? Who needs it? What are the possible side effects?

Naloxone Quiz

Overview: Naloxone training competency quiz and answer key

COPD Assessment Toolkit

Delegation Toolkit ©

Which Comes First the Dementia or the Neuropsychiatric Symptoms

Assessment and Interview Tools

Behavior Assessment IDT Tools

Behavior Interventions

Care Giver Fact Sheet

Documentation of Neuropsychiatric Symptoms Related to Dementia

Evaluation of Behaviors

Seizure Disorder Resource Guide

Epilepsy Allies Demo Video

Epilepsy Allies Overview Leave-Behind Brochure

Epilepsy Allies Refresher LTC

Epilepsy Allies Refresher IDD

Epilepsy-Management-Assessment

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FDA Press Release Final 233PM (4)

POLARIS Cumulative Grief Resource Guide

POLARIS Four Things Resource Guide

POLARIS Processing Grief Resource Guide

POLARIS Support Grief Resource GuidePOLARIS Team Grief Resource Guide

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ICD 10 Resources

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

http://digimags.vendomegrp.com/long-term-living

F441 Infection Control Toolkit ©

Do You See What I See?

Behavior Interventions

Behavior Tracking Form (Handout)

Diseases and Behaviors (Handout)

PDP Care Plan

Implementing Change in Long-Term Care Toolkit

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QAPI Tool Kit

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QIS Toolkit