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National Learning Collaborative Webinar Series on Using the MDS 3.0 as an Engine for High Quality Individualized Care

Second Three-Part Webinar Series: Clinical Applications An Interdisciplinary Team Approach to Health Promotion

It's Not Too Late!
The original three-part webinar series is a good foundation for this new series – and all three parts are available on a DVD set. Presenters describe how they use key organizational practices – consistent assignment, CNA participation in care planning, daily huddles, and "ground-up quality improvement" – to know their residents, communicate with each other, and problem-solve to catch problems early, maximize opportunities, and perform at their best. These organizational practices are the foundation for high performance. Click here to learn more about the sessions.
Pioneer Network recently hosted a groundbreaking three-part webinar series to introduce why and how to put in place the organizational culture changes necessary to integrate MDS 3.0 so that it contributes to strong organizational performance. Hundreds of participants from around the nation heard up-to-date information from the CMS MDS team and concrete strategies presented by practitioners who have integrated culture change and the MDS to improve resident, staff and organizational outcomes.

Pioneer Network is now offering a second set of MDS 3.0 webinars as a continuation of the effort to help more homes use MDS 3.0 to its fullest potential.

In this series, participants will hear from practitioners about how to use an interdisciplinary approach to assessment and care planning for individualizing care and achieving better outcomes. Interdisciplinary teams from nursing homes will describe how they have improved care outcomes for their residents by using key elements of MDS and Quality Indicator Survey (QIS) resident interview questions to assess residents' needs, determine their preferences, and plan their care. They explain how residents respond better when care is organized in a way that honors their customary routines. They prevent declines by promoting well-being. The shift from "risk prevention" institutionally-driven practices to "health promotion" individualized practices yields better results for residents, staff, and their organizations.


Promoting Mobility and Reducing Falls by Individualizing Care and Eliminating Alarms

Lead Presenter: Joanne Rader, RN, MN, PMHNP, Pioneer Network co-founder, who led restraint elimination efforts, is an expert in understanding behavior as communication, the importance of proper mobility and seating devices, and is the author of Bathing Without a Battle.

Do you have so many bed and chair alarms going off that they cause alarm fatigue and agitation among residents, families and staff? Alarms provide a false sense of security and actually contribute to"iatrogenic" decline of residents because they limit mobility, adversely affect body systems, and isolate residents from social engagement. The best fall prevention strategies rely on knowing residents so you can anticipate their needs, and exercise activity that improves core strength, balance, and gait. Residents are more vulnerable to falls with injury when alarms discourage residents' movement and lead staff to tune out the volume of noise. Hear from one home's interdisciplinary team about how they transformed their nursing home from being a Special Focus Facility because of too many resident falls and their excessive use of alarms to a virtually alarm free facility. How did they do it?They used an individualized approach, with consistent care teams who know each resident and anticipate their needs and routines. Working with their occupational therapist, they used assistive devices with residents to aid mobility. In daily huddles they used Interact's Stop and Watch to identify and address residents' risk for falls and opportunities to prevent falls. Now their nurses have more time for care and leadership because they are not spending time conducting fall investigations. CNAs have fewer call bells to answer because they know what residents need before they even have to ask. Learn how to promote mobility, reduce falls, and eliminate alarms, using a team approach to assessment and care planning to individualize care.


Individualizing Dining: New Practice Standards
Featuring: Carmen Bowman, MHS, who facilitated the CMS and Pioneer Network's Creating Home in the Nursing Home II: A National Symposium on Culture Change and the Food and Dining Requirements and the subsequent Pioneer Network Food and Dining Clinical Standards Task Force.

Now that you've asked residents what they'd like to eat and when, as part of the MDS Customary Routines, how do you honor their choices, especially when there may be medical risks to consider? Hear interdisciplinary nursing home teams -physicians, nurses, dietitians, speech therapists, and CNAs – describe how they work with medical issues like swallowing and diabetes to liberalize diets in accordance with residents' life-long routines and preferences, while mitigating risks such as weight loss and choking.Learn about new standards of practice for dining that emphasize "Real Food First" by honoring residents' life-long food and dining preferences through interdisciplinary assessment and care planning. These new Dining Practice Standards, agreed to by twelve national clinical standard-setting associations, support individualized care and self-directed living versus traditional diagnosis-focused treatment for people living in nursing home. The New Dining Practice Standards reflect evidence-based research available to-date as well as current thinking,and recognize that individualizing dining avoids the medical risks for residents related to loss of appetite that occur when preferences are not honored. The presenters will describe how the new dining standards relate to the MDS sections on customary routines, nutrition, and therapy, and how they work together in relation to the QIS resident interviews and critical elements, and the surveyor guidelines on choice in eating at F Tags 242 and 325.


Smooth Transitions in Care: Getting New Residents Off to a Good Start from Day One

You only have one chance to make a good first impression for new residents and their family. How you prepare and welcome them can make all the difference in the quality of their stay. Smooth transitions from the hospital can prevent re-hospitalization, and promote the return to home for short-stay residents. An effective hand-off process between the hospital and nursing home staff helps residents maintain their highest practicable well-being. This webinar features three nursing homes, one primarily serving people with advanced dementia, another primarily serving people with short-term rehabilitation needs, and a third with a mix of residents. For each home, knowing residents' personal routines and history is key to ensuring that they get off to a good start to their stay. Internal coordination among CNAs, nurses, admissions staff, dining, rehab staff, and others in your nursing home is crucial to making sure a new resident's transition to the nursing home is comfortable and seamless. Hear from nursing home staff how their care teams support residents and families through a smooth transition and a good welcome.