Medicaid UM Portal Transportation Reimbursement

Nursing Home Resources

Other Tools & Resources

Audit Tools
Hand Hygiene
QAPI and MDS Resources
Overview of the Minimum Data Set Changes: Sections D, K and O
Introduction to the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) Process – Webinar (5/2/2023)
Sections K and M: Navigating the MDS to Ensure Accurate Nutrition, Wound Assessment and Coding – Webinar (9/20/2022)
Storytelling through MDS – Webinar (5/26/2022)
ARD Management: Making Molehills Out of Mountains – Webinar (4/28/2022)
Taking a “Shot” at the Influenza/Pneumococcal Vaccination Quality Measures – Webinar (6/9/2021)
Are You Ready for the October 1, 2019 PDPM – Webinar (9/11/2019)
Setting a Foundation for Your QAPI Program – Webinar (10/14/2020)
Regulatory Resources

Survey Readiness Book

This survey/proof book was designed to help nursing homes and other care facilities organize their documents for quick and easy access during a survey. This book, also called a survey prep binder, will help your facility stay survey-ready every day.

Survey Readiness Book

Comparison of Health Care Quality Organizations

Deficiency and Tag Template with Explanation

How to Write an Acceptable Plan of Correction – Webinar (August 31, 2021)
Opioid Stewardship
Other Tools & Resources

Vaccinations & Medication Resources

COVID-19
It's Worth a Shot (Vaccinations and Beyond)
January 3 – Facility Resolutions & Staff Training Tracking Tool:
January 10 – A Look Back at It’s Worth a Shot & Vaccination Storage:
January 17 – Infection Prevention and Control Program & Staff Training and Competency:
January 24 – National Healthcare Safety Network Antimicrobial Use and Resistance Reporting:
January 31 – Eye Awareness & Viven Health Interactive Training:
February 7 – Emerging Strategies to Address the Opioid Epidemic & Setting SMART Goals for Success:
February 14 – American Heart Month & Adverse Drug Events:
February 21 – Management Strategies for People Living with Dementia:
February 28 – Getting to Know National Healthcare Safety Network (NHSN) Antimicrobial Use Data:
March 6 – Age-Friendly Health Systems: 4Ms Care in Nursing Homes:
March 13 – Viven Health Interactive Education:
March 20 – Enhanced Barrier Precautions at Hale Makua Wailuku:
March 27 – National Healthcare Safety Network (NHSN) Antimicrobial Resistance (AR) Option Reporting and Analysis:
April 3 – Critical Access Hospital Approach to Management of Severe Sepsis & Septic Shock:
April 17 – Implementing Enhanced Barrier Precautions:
April 24 – Antimicrobial Use (AU)/Antimicrobial Resistance (AR) National Healthcare Safety Network (NHSN) Reporting Question and Answer (Q&A) Discussion:
May 1 – Mountain Pacific Blog & Partner Spotlight – Enriching Lives:
May 8 – F563 Crash Course 101:
May 15 – Hepatitis in Montana:
May 22 – Using National Healthcare Safety Network in Your Facility:
May 29 – Alaska Stroke Coalition:
June 5 – Alzheimer’s and Brain Awareness Month:
June 12 – Partner Spotlight – Care Navigation, Best Practices and Challenges:
June 19 – Reviewing Your Quality Measure (QM) Quarterly Reports:
June 27 – Activity Enrichment in Long-Term Care:
July 10 – Adverse Drug Events (ADEs):
July 17 – National Healthcare Safety Network (NHSN) Open Office Hours:
July 24 – Understanding Skin Cancer – Screening and Detection:
July 31 – Emergency Preparedness Tabletop Exercise for Long-Term Care (LTC):
August 7 – Upcoming Respiratory Season and Vaccine Recommendations:
August 14 – Narcotic Inventory Management in Nursing Homes:
August 21 – Combatting Stigma:
August 28 – Staff and Resident Wellness in Long-Term Care:
September 4 – Unintentional Injury – Fall Prevention Part 1:
September 11 – Unintentional Injury – Fall Prevention Part 2:
September 18 – Decolonization:
September 25 – Sepsis Journey:
October 2 – Immunization Updates and Updated Resource Review:
October 9 – Components of an Infection Prevention Program:
October 16 – Area Health Education Center:
October 23 – Hospital Respiratory Data Reporting
October 30 – New Website Review and It's Worth a Shot Stats
November 6 – Hypodermoclysis
January 4 – Montana Infection Control Mentorship Program and RSV in Adults:
January 11 – Commonly Asked Vaccine Questions and Flu Testing Protocols:
January 18 – Hawaii ICARS Program & COVID Unit Mitigation Practices:
January 25 – Big Sky Care Connect Health Information Exchange:
February 1 – Series Reflection and Resources:
February 8 – COVID-19 Therapeutic Updates and Mountain Pacific Vaccine Resources:
February 15 – Vaccine Updates and Sharing Out Suggestions:
February 22 – Precautions:
March 1 – National Healthcare Safety Network:
March 8 – COVID-19 Outbreak Mock Survey Tool & Emergency Preparedness Planning:
March 15 – Naloxone: What Your Nursing Home Needs to Know & Opioid Prescribing Updates:
March 22 – Plan of Corrections:
March 29 – Site Identified Issues and Clostridioides Difficile Infections:
April 5 – State Immunization Information System Reminders & Two Most Common Pharmacy Citations and How to Avoid Them:
April 12 – Emergency Preparedness Plans:
April 19 – Enhanced Barrier Precautions:
April 26 – Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes:
May 3 – Emergency Preparedness Plan: Part Two:
May 10 – Updated Hand Hygiene Guidelines:
May 17 – End of the Public Health Emergency:
May 24 – Reviewing the Value in Audits & Highlighting the Hawaii Infection Prevention Network:
June 7 – Infection Prevention Education & Quality, Safety & Education Portal:
June 14 – Transitions of Care Toolkit
June 21 – Malnutrition and Sepsis:
June 28 – Appreciative Inquiry:
July 12 – Simulation in Motion – Montana:
July 19 – Implementing Culture Change throughout Wyoming:
July 26 – Role of the Infection Control Committee and the Infection Control Risk Assessment:
August 2 – Security Risk Analysis and Center of Excellence Overview:
August 9 – NHSN Updates, QSO-23-02-ALL & Navigating the Mountain Pacific Website:
August 16 – Resident Readmissions and Provider Collaboration:
August 23 – Immunization Updates:
August 30 – Adverse Drug Events & Medication Stewardship Programs:
September 6 – Mobile Vaccine Clinics & Vaccine Tracking Dashboard:
September 13 – Enhanced Barrier Precautions:
September 20 – Long COVID-19 in Elders:
September 27 – Something in the AIR:
October 4 – Partnerships for Community Health:
October 11 – Resource Showcase:
October 18 – International Infection Prevention Week:
October 25 – Influenza Honor Roll, Vaccine Consent Forms, Emergency Preparedness and After Action Plans:
November 1 – Pain Management Strategies for People Living with Dementia:
November 8 – Lung Cancer Awareness Month:
November 15 – Heading into the Holidays: Food Safety:
November 29 – Mobile Vaccine Clinic Guide & Holiday Decorating:
December 6 – State Ombudsman Presentations:
December 13 – Holiday Happiness & Project Firstline Updates:
December 20 – Engaging Patients and Dietary Adherence & Anticoagulant Use in Long-Term Care Settings:
January 19 – COVID-19 Vaccine Mandate:
January 26 – Vaccine Storage and NHSN Data Reporting:
February 2 – A Thorough Review of Attachment A (Vaccine Mandate and F483)
February 9 – Battling Burnout:
February 16 – Vaccine Accessibility:
February 23 – Ombudsman Role and Sharing:
March 2 – COVID-19 Vaccination Requirements:
March 9 – Partner Spotlight; Resident COVID-19 Booster Rates:
March 16 – Scenario-Based Risk Assessment:
March 23 – #KindnessRx Campaign:
March 30 – Q&A about the CMS Memo:
April 6 – Using an “Escape Room” for IP Training:
April 13 – Regulatory Updates:
April 20 – Admission Process to an SNF:
April 27 – Battling Burnout Revisited:
May 4 – Vaccine Access Updates and Cohorting Best Practices:
May 11 – NHSN Reporting Updates and Routine COVID-19 Testing:
May 18 – The Power of Language to Create Culture and PPE Fatigue:
May 25 – Immunization Updates and What’s New with Project Firstline:
June 1 – Montana’s imMTrax Overview:
June 8 – Vaccine Statistics and Success in the Field:
June 15 – New Resources and Adverse Drug Events:
June 22 – Technology in Your Practice and Long COVID:
June 29 – Taking the Lead on Vaccinations:
July 6 – Employee Vaccine Tracking and Boosters:
July 13 – Vaccine Education Resources and Alaska’s Vaccine Journey:
July 20 – Antimicrobial Stewardship in Long-Term Care and Environmental Cleaning and Disinfection:
July 27 – Updated Vaccine Recommendations and National COVID-19 Data:
August 3 – Environmental Cleaning and Disinfection:
August 10 – Nursing Home Waivers and Isolation Guidance:
August 17 – BASE10 Infection Prevention and Control:
August 24 – Misinformation and Risk Assessment:
August 31 – COVID-19 Strategies for Success and Tip Sheet:
September 7 – Bivalent COVID-19 Vaccine Update and Tip Sheet:
September 14 – The Four Ds and Reducing Risks from Water:
September 21 – COVID-19 Bivalent Booster Recommendations, Cohorting and Patient Placement:
September 28 – CMS Staffing Measures and Approved Infection Control Trainings:
October 5 – 2022/2023 Flu Vaccine Recommendations and Flu Vaccine Hesitancy: Common Concerns:
October 12 – Data Correlation for Vaccine and Outbreaks and “Data Story” Template:
October 19 – Skilled Nursing and Nursing Facility Most Cited Deficiencies and Montana Infection Control Mentorship Program:
October 26 – Top 10 Questions about the Bivalent Vaccine and National DEA Drug Take Back Day:
November 2 – Escaping: A Creative Journey through Infection Control:
November 9 – Immunization Recommendations for Patients with Diabetes and Diabetes Management in the Elderly:
November 16 – Infection Control Assessment and Response (ICAR) Lessons Learned and Phase 3 Updates:
November 23 – Phase 3 Updates and Additions:
November 30 – Facility Pets and Infection Control and Environmental Assessment of Vaccine Access:
December 7 – Herd Immunity and Health Literacy:
December 14 – Antibiotic Stewardship and COVID-19 Data Tracking Dashboard:
December 21 – COVID-19 Preventative Agents & Treatments and Wellness:
Antipsychotic Medications
Part 1 – March 22, 2022
Part 2 – April 5, 2022
Part 3 – May 31, 2022

MDS 3.0 Quality Measure Reports

Gradual Dose Reduction Form

Quality Measure Tip Sheet

Vaccinations

Management Resources

Sharing out Suggestions for Compliance (SOS)

February 15, 2023 – F575 Posting Requirements

February 22, 2023 – F812 Food Safety Requirements

March 1, 2023 – F656 Comprehensive Care Plans

March 8, 2023 – F623 Timely Notification Before Transfer or Discharge

March 15, 2023 – F677 Activity of Daily Living Care Provided for Dependent Residents

March 22, 2023 – F880 Infection Prevention

March 29, 2023 – F576 Resident Rights (Telephone, Mail and Electronic Communications)

April 5, 2023 – F610 Investigations/Prevention/Correct Alleged Violations

April 12, 2023 – F761 Label/Store Drugs & Biologicals

April 19, 2023 – F656 Comprehensive Care Plan

April 25, 2023 – F881 Antibiotic Stewardship

May 3, 2023 – F689 Free of Accident/Hazards/Supervision/Devices

May 10, 2023 – Emergency Plan E-0004

May 17, 2023 – F578 Request/Refuse/Discontinue Treatment

May 24, 2023 – F865 QAPI Program/Plan, Disclosure/Good Faith Attempt

May 31, 2023 – F755 Pharmacy Services

June 7, 2023 – F945 Infection Control Training

June 14, 2023 – F726 Nursing Services – Competent Staff

June 21, 2023 – F757 Unnecessary Drugs

June 28, 2023 – F758 Psychotropic Medications

July 5, 2023 – F867 Quality Assurance & Performance Improvement (QAPI)

July 12, 2023 – F641 Accuracy of Assessments

July 19, 2023 – F686 Skin Integrity

July 26, 2023 – F883 Influenza and Pneumococcal Immunizations

August 2, 2023 – F657 Care Plan Timing & Revision

August 9, 2023 – F697 Pain Management

August 16, 2023 – F760 Residents Are Free of Significant Medication Errors

August 23, 2023 – F756 Drug Regimen Review

August 30, 2023 – F692 Nutrition/Hydration Status Maintenance

September 6, 2023 – F684 Quality of Care

September 13, 2023 – F655 Comprehensive Person-Centered Care Planning & Baseline Care Plan

September 20, 2023 – F604 Right to be Free from Physical Restraints

September 27, 2023 – F600 Free from Abuse and Neglect

October 4, 2023 – F580 Notify of Changes (Injury, Decline, Room, etc.)

October 11, 2023 – F690 Bowel/Bladder Incontinence, Catheter, UTI

October 18, 2023 – F835 Administration

October 25, 2023 – F554 Resident Self-Administered Medications Clinically Appropriate

November 1, 2023 – F609 Reporting of Alleged Violations

November 8, 2023 – F678 Cardio-Pulmonary Resuscitation (CPR)

November 15, 2023 – F740 Behavioral Health Services

November 29, 2023 – F584 Safe, Clean, Comfortable and Homelike Environment

December 6, 2023 – F688 Increase/Prevent Decrease in ROM/Mobility

December 13, 2023 – F625 Notice of Bed Hold Policy Before/Upon Transfer

December 20, 2023 – F695 Respiratory/Tracheostomy Care and Suctioning

January 3, 2024 – F558 Reasonable Accommodations of Needs and Preferences

January 10, 2024 – F658 Services Provided Meet Professional Standards of Quality

January 17, 2024 – F732 Posted Nurse Staffing Information

January 24, 2024 – F693 Tube Feeding Management/Restore Eating Skills

January 31, 2024 – F842 Resident Records – Identifiable Information

February 7, 2024 – F884 National Healthcare Safety Network Reporting

February 14, 2024 – F836 Compliance with Federal, State and Local Laws and Professional Standards

February 21, 2024 – F635 Admission Orders for Immediate Care

March 1, 2024 – F741 Sufficient/Competent Staff – Behavioral Health Needs

March 6, 2024 – F676 Activities of Daily Living (ADLs)/Maintain Abilities

October 16, 2024 - F620 Admissions Policy

Care Coordination and Reducing Readmissions
Staffing Resources
Resident Management

Resident Information Documents

Visit the Wyoming Culture Change Coalition Portal for more resident resources.

Reducing Hospital Admissions/Readmissions

Safety Resources

Infection Prevention & Control
Visitor Signage Aligning with the End of the Public Health Emergency
Emergency Preparedness
Fall Prevention
NHSN
Trauma-Informed Care (TIC)
11/18/20 – Nursing Home TIC Talk: The Big Picture
12/2/20 – Nursing Home TIC Talk: Quality Improvement Efforts, Montana Mental Health Nursing Care Center
12/16/20 – Nursing Home TIC Talk: Impact of Loneliness & Isolation in Nursing Homes
12/30/20 – Nursing Home TIC Talk: Dementia
1/13/21 – Nursing Home TIC Talk: Delirium
1/27/21 – Nursing Home TIC Talk: Behavioral Emergencies
2/10/21 – Nursing Home TIC Talk: Managing Behavioral Emergencies
2/24/21 – Nursing Home TIC Talk: Psychopharmacology
3/10/21 – Nursing Home TIC Talk: Cognitive Behavioral Therapy
3/24/21 – Nursing Home TIC Talk: Bring it Home with Family and Caregivers