WELCOME!
Massachusetts Statewide Initiative to
Safely Reduce the Off-Label Use of
Antipsychotics 2014
April Coaching and Collaborating Webinar
Introductions
Introductions
2
Introductions
Monday 11am group
Annemark Nursing & Rehabilitation Center
Bear Hill Rehabilitation and Nursing Center
Belmont Manor Nursing Center
Berkshire Rehabilitation & Skilled Care Center
Bostonian Nursing Care and Rehabilitation Center
Campion Health Center, Inc.
Cape Regency Rehabilitation & Health Care Center
Cardigan Nursing & Rehabilitation Center
Chelsea Soldiers Home (Quigley Memorial Hospital)
Devereux House Skilled Nursing & Rehab
EPOCH Senior Healthcare of Norton
Grosvenor Park
Marian Manor
Marina Bay Skilled Nursing & Rehabilitation Center
Meadow Green Nursing and Rehabilitation Center
Northwood Rehabilitation & HealthCare Center
Plymouth Rehabilitation & Health Care Center
South Shore Rehabilitation and Skilled Care Center
Southbridge Rehabilitation & Health Care Center
Southeast Rehabilitation and Skilled Care Center
The Ellis Nursing & Rehab Center
The Stone Institute
Nancy Serozynsky
Nicole Shaw
Beth Cevetello
Carla Hultine
Christopher Casasnovas
Virginie Iturralde
Denise Boarman
Caren Mcweeny
Helen French
Caryn Melanson
Joan Woods
Tammy Starion
Kathy Wilson
Carolyn O'Toole
Bency Punnose
Maria Melo
Janet Catton
Lauren Patenaude
Sara Chauvin
Lois Avila
Laura Banion
Terri Killeen
Jean McAvoy
Marie Sherman
Rebecca Cobb
Gen West
Rosalba DiMonda
Meghan Talmo Farrell
Terry Russo
Julie Francoeur
John Griffin
Debbie Tibbets
Amy Crowley
Sharon Doucette
Heidi Valentine
Eileen McCarthy
Guerlie Jean-Louis
Karen Callery
Rachelle Ibbitson
Robert Grady
Meegan Bullock
Andrew Kamau
Paula McAleer
Debbie Martell
3
Introductions
Monday 12pm group
Alden Court Nursing Care and Rehabilitation Center
Brandon Woods of New Bedford
Brentwood Rehabilitation & Healthcare Center
Brookhaven Nursing Center
Charlene Manor Extended Care Facility
Commons Residence at Orchard Cove
Country Center for Health & Rehab (previously Kindred TC-Newburyport)
Countryside Health Care of Milford
Fairview Commons Nursing & Rehabilitation Center
Hathorne Hill Rehabilitation and Care Center
Hillcrest Commons Nursing & Rehabilitation Center
Holy Trinity Nursing & Rehabilitation Center
Jewish Healthcare Center, Inc.
Madonna Manor
Marian Manor of Taunton
Mashpee Center
Mayflower Place Nursing & Rehab Center
Nemasket Healthcare
North Adams Commons Nursing & Rehabilitation Center
Oak Knoll Healthcare Center
Our Lady's Haven of Fairhaven
Sarah S. Brayton Nursing Care Center
Seashore Point
The Nevins Nursing and Rehab Centre
Westford House
Marilyn Jacob
Cynthia Gardner
Maribeth Cote
Julie Hieshetter
Cece Devine
Nita Aines
Kathleen Silva
Sharon Carr
Julie Frost
Mandy Ayotte
Tanya Edwards
Pauline Fleury
Brenda Woodside
Melandie Karol
Allen Roberts
Fran Carpenter
Dawne Bobal
Carol Sologaistoa
Debbie Estes
Deb Farraher
Lynda Laverdure
Nicole Raposa
Vanessa Veit
Linda Maihos
Margaret Fernandes
Cheryl Thompson
Kathleen Perry
Michelle Varone
Nancy Ward
Sarah Meeker
Yveda Jean Baptiste
Susan Littlefield
Paige DeNegris
Johnathan Weinstein
Chad Hynes
Amber Bryant
Susan Benoit
Judith Quinn
Joyce Robin
Sugar Morini
Karyn Bradford
Roberta Jordan
Donna Andrews
Maureen Goodreau
Rozann Freidlin
Maria Catanho
Lisa Brogan-Estrela
Patrick Manning
Leslie Cafiero
Deb Pichel
4
Introductions
Thursday 12pm Group
Calvin Coolidge Nursing and Rehabilitation Center for Northampton
Cambridge Rehabilitation & Nursing Center
Concord Health Care Center
Eastpointe Rehab & Skilled Care Center
Glen Ridge Nursing Care Center
Golden LivingCenter - Lexington
Golden LivingCenter - Wedgemere
Golden LivingCenter-Chetwynde
Kindred Nursing and Rehabilitation - Brigham
Kindred Transitional Care and Rehabilitation - Avery
Kindred Transitional Care and Rehabilitation - Highlander
Lakeview House Skilled Nursing & Residential Care Facility
Loomis Lakeside at Reeds Landing
Medway Country Manor Skilled Nursing & Rehabilitation
Notre Dame Long Term Care Center
Oakdale Rehab & Skilled Nursing Center
Parkwell Nursing and Rehab Center
Seacoast Nursing & Rehabilitation Center
Shrewsbury Nursing & Rehabilitation Center
Skilled Nursing Facility at North Hill
St. Camillus Health Center
Wilmington Health Care Center
Winchester Rehabilitation and Nursing Center
Woburn Rehabilitation & Nursing Center
Holly Fulmore
Nicole Sinopoli
Lynette Veo
Elizabeth Bohan
Anne Engelhard
Carol Kapolka
Susan Marotte
Lucky Ikwudirim
Barbara Tomolonius
Suzanne Faria
Lorna Greenwell
Kathleen Dusombre
Nancy Godbout
Sue Dyer
Michelle Kephart
Kevin Birtwell
Shaun Walsh
Mary Spinola
Jean Morin
Alex Davis
Julie Creighton
Pauline Sullivan
Suzanne Gillis
Leslie King
Deb Dawson
Kathleen MacDowell
Valerie Jackson
Barbara Galajda
Yves Milard-Seide
Marie Charles Jean Philippe
Kerrie Hamblett
Holly Dawes
Marailey Poindujour
Kevin Robinson
Kathryn Pouria
Mary Meffen
Colleen Cove
Diane Caron-Stadig
Sandra Kasaras
Ruysdeal Polycarpe
Tina Heckman
Lyn Vincent
Carol Remy
Kathy Beaudry
Ashley Sawchuck
Jeanne Gigli
Pam Gelardi
5
Introductions
Friday 12pm Group
Autumn Village Skilled Nursing & Rehabilitation Center
Colony Center for Health & Rehabilitation
Eliot Center for Health & Rehabilitation
John Scott House Rehab & Nursing Center
Life Care Center of Acton
Life Care Center of Plymouth
Life Care Center of West Bridgewater
Life Care Center of Wilbraham
Neville Center at Fresh Pond for Nursing & Rehab.
Newton Wellesley Center for Alzheimer's Care
Gail Steinecke
Kathy Crouch
Cynthia Farley
Susan Masciulli
Bob Montgomery
Kristen Corte-Real
Rose Holbrook
Jill Howe
Sabine Charles
Melissa Lee Sorli
Leeann Remillard
Lori Lee Alexandrian
Karen Fleming
Kim Coneeny
Catherine Dawson
David Carboneau
Susan Shields
Laura Mawaka
Sherley Boisvert
Marianne Clark
Sachem Center for Health & Rehabilitation
Saint Francis Rehabilitation and Nursing Center
St. Joseph Rehabilitation & Nursing Care Center
Sterling Village
The Pavilion Rehabilitation & Nursing Center
The Reservoir Center for Health & Rehabilitation
Windemere Nursing & Rehabilitation Center
Wingate at Andover
Wingate at Brighton
Wingate at East Longmeadow
Wingate at Hampden
Wingate at Haverhill
Wingate at Reading
Wingate at South Hadley
Wingate at Springfield
Wingate at Wilbraham
Ron Burns
Barbara Southall
Marie Marc
Linette Warren
Steven Colarusso
Linda Hogan
Marie Zadeh
Elizabeth Ard
Norma Abdullah
Sue Demers
Kevin LeClaire
Sandy Forisso
Peter Holt
Dottie Hastings
Rene Rossini-Koch
Allison MacKenzie
Kimberly Botelho-Ferris
Kristin Gorgone
Viviano Pady
Evelyn Murphy
Alison Stockman
Maryanne Blackburn
Anna Truckey
Matthew Smith
Marly Merlain
Kim Preuit
Diane Savage
Debbie Morrissey
Carol Serfes
Karen Krause
Patricia Gentry
Jennifer Defilippo
6
GoToWebinar
Quick Tips
To view a button’s
function, hover your
mouse/cursor over it
Hide/Unhide
Control Panel
Mute/Unmute
Full Screen Mode
Raise Your Hand
Your control panel
may automatically
hide, click on “View”
then “Unhide” to
keep it from
minimizing
Use the “Raise My
Hand” button in
your control panel
to participate in poll
questions or request
to speak
Audience questions
will be reviewed by
staff, only responded
questions will
appear in your
Questions/Chat box
Ask QUESTIONS
Technical Support
Call 1-800-263-6317
Press “2” for GoToWebinar
Warm Up: Poll Question
The most recent data from NH Compare
shows that Massachusetts has had
1. 15.1% decrease
2. 17.4% decrease
3. 20.6% decrease
in antipsychotic use for LS residents since
2011 Q2
8
9
Poll Question
Do you know what your most recent
antipsychotic rate is on Nursing Home
Compare?
1. Yes
2. No
10
Can You Share
• Your
improvements
• Successful
strategies
• Unsung heroes
• “Pearls of
Wisdom”
11
Training Update
• Module I: Changing
Face of Long Term Care:
Who’s Who and What’s
What
• Module II: Mental
Health, Recovery and
Person-Centered,
Strength Based Care
12
Training Update
 What components of Module II have
you used?
 What are you most proud of to date?
 What has been the biggest challenge
to date?
 Brainstorm on maximizing success
and overcoming challenges
13
DSCU Regulations Update
Four Areas:
• Training – Special Care
Units/Traditional Nursing Home Units
• Activities
• Disclosure
• Physical Environment
14
Training – Dementia Special Care Units
Training in dementia for direct care
workers and activities staff in Special
Care Units
• Prior to being released from orientation
process – 8 hours of initial training
• Relevant staff providing care prior to
2/28/2014 trained by 5/29/2014.
15
Training – Traditional Units
Training for direct care workers in
traditional nursing home units
• Prior to being released from orientation
process – 8 hours of initial training
• Relevant staff providing care prior to
2/28/2014 trained by 8/27/2014.
16
Training
• Portable from facility to facility with
documentation of training in previous 24
months with no lapse in employment.
• Completed in addition to other training
requirements in regulations.
• Minimum of 4 hours annual in-service
training for all relevant staff (not in same
calendar year as initial)
17
Training
• Train volunteers for tasks that they will
perform
• Maintain documentation of staff training
• New staff with previous training in last 24
months – obtain documentation from
previous employer; OR train employee
18
Definition of Direct Care Worker
• Staff member whose work involves extensive patient contact or
administrative decisions regarding care.
• “Direct care worker” not limited to those workers employed by
the nursing home
• Includes contracted workers who provide direct care to
residents.
• Includes but not limited to: the medical director, RN, LPN, NPs,
PAs, CNAs, activities personnel, feeding assistants, social
workers, dietary aides, OT, PT, ST staff.
• Office-based practitioners whose primary practice site is not in
the long-term care facility are exempt. Definition of examples of
exempt practitioners include but are not limited to: podiatrists,
dentists or primary care providers that are part of on-call medical
coverage arrangements.
19
Definition of Relevant Staff/Direct Care
Relevant Staff Members – direct care
workers, therapeutic activity directors and
supervisors of direct care staff.
Direct Care – any service, whether clinical
or not, that is provided directly to the
resident.
20
Clarifications Requested
• Existing employees of DSCU who have had
8 or more hours of training required to be retrained?
• Existing employees of traditional unit who
have had 8 or more hours of training required
to be re-trained?
• What is the time frame for new hires after
2/28/2014?
• What is the time frame for the “orientation
process”?
21
Content of Training
• Training in compliance with Department
guidelines.
• Must include a basic intro to the
foundations of dementia and dementia
care as well as other topics listed in
Department guidelines.
• Must be at least partially interactive, as
defined in guidelines of the Department.
• Must include an evaluation
22
Content of Training
• Training not complete until evaluation
complete and passed.
• Written documentation that relevant staff
has passed the evaluation.
• Training appropriate to the population
served, and must include cultural
competency.
• Must reflect current standards and best
practices in the treatment of dementia.
23
Definition of Evaluation
• Evaluation – a determination by the facility
that the individual is competent to provide
direct care to residents based on the
individual’s demonstration of competency
in the applicable skills and techniques.
24
Clarifications Requested
• What are the Department guidelines for
training?
• What are the Department guidelines for
the training content?
• What are the Department guidelines for
“partially interactive”?
• When will the Department guidelines be
available to facilities?
25
Clarifications Requested
• Will the following training programs meet
the guidelines?
-OASIS
-Hand-in-Hand
-Programs developed by facilities
26
Poll Question
• Have you been told to stop OASIS training
and start another training program as a
result of these regulations?
• 1. Yes
• 2. No
27
Your Questions/Comments Please
28
Preparing for Module 3
 Reflect on your training plan:
Does it include the right number of
staff/units?
Do you need to modify up or down?
Do you need additional support/trainers?
 Plan to have Modules I and II
completed by May training session on
Module III
 Ask for help/recommendations if you
need them!
2
Mark Your Calenders
Half Day Learning Session Module 3:
May 14 Marlboro
May 22 Randolph
Next Webinars:
Group 1: Monday June 16th 11am
Group 2: Monday June 16th 12pm
Group 3: Thursday June 19th 12pm
Group 4: Friday June 20th 12pm
2
Please email me with any comments or questions:
laurieherndon@yahoo.com
2