After years of success, MCQC has launched a new website and digital presence to help them reach a greater number of people.
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Author: Karen Sicheneder
Matt Scheperle is the recipient of the 2020 Jordon-Krambeck Award. Matt has been the IT expert for
MCQC for several years, and he designed and has maintained the present MCQC website. The
website has had thousands of visitors over the past several years, and it has provided helpful
information for those seeking assistance in finding a nursing home or long-term care facility for a
loved one. The website requires constant updating and maintenance, which Matt has handled
without any problems or delays. Matt has worked for the State of Missouri for 20 years as an IT
expert.
The Jordon-Krambeck Award is given to individuals who exemplify a total commitment to
improving the lives of recipients of long-term care. Matt has done that and more. Through
Matt’s design and maintenance of the MCQC website, MCQC has become more effective in its
efforts to provide services and care for Missouri’s elderly and handicapped citizens. Thanks, Matt for
your work in keeping our website functioning!
Dave Damico is the recipient of the 2016 Hank and Phyllis Krambeck Award. Dave is the current President of The Missouri Coalition for Quality Care (MCQC), and has served on the MCQC board in numerous capacities. Dave is currently retired after serving successfully in various public agencies, both in entry-level positions as well as management. During his previous career, he worked in programs for children, families, the elderly, and the poor. He came to MCQC with a rich heritage of experience in social programs. The Hank and Phyllis Krambeck award is given to individuals who exemplify a total commitment to improving the lives of recipients of long-term care. Dave has done that and more. Because of Dave, MCQC has become more effective in its effort to improve services and care for Missouri’s elderly and handicapped citizens. He is very deserving of this award.
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MCQC NEWS 4th Quarter 2020
VOTING: If you are over 65 and live in Missouri, you can vote absentee ballot. You do not need to have anything notarized. You can request an absentee ballot from your local election authority or you can vote in person at the office of the local election authority. Go to vote.org for more information on voting. The deadline to request a mail-in ballot must be received by 5:00 PM on Wednesday, October 21, 2020. If you mail in your completed ballot, it must be received by November 3, at 7:00 p.m. If you hand-deliver a ballot to your election office, you must do so by November 3 at 7:00 p.m. Please be sure that the ballot is completed and signed.
If you do not know where your election office is, you may contact the Missouri Secretary of State, by calling: 1-573-751-2301 or at www.sos.mo.gov. Please remember to vote. If voting by absentee ballot, please do so early.
October is Resident’s Rights Month. This year’s theme is “Connections Mattersâ€. This emphasizes connections to family, friends, and the community as essential components of good health and quality of life for residents. It is important that we keep in contact with family and friends who are in a nursing home. Studies have shown that the more contact with them, the better they do. These past 7 months have been hard on nursing homes, as nursing homes have had to set some stiff regulations on visiting with family and friends. Most of the nursing homes have limited visitation to phone calls or standing outside the window to their room and waving at them and talking on the phone. There have been very few exceptions to the rules. Nursing Homes were doing as they were instructed to keep the residents and staff safe from Covid-19.
There are some changes to the visitation policy. The Center for Medicare and Medicaid Services (CMS) has issued new guidelines for visitations. Nursing homes may now allow visitations with your family member or friend. This could be in a designated room that is sanitized, or it may be in an outdoor area, such as a garden area. Those coming to visit will have their temperature taken and they will be asked about symptoms of Covid-19 that they may or may not have. They will be required to wear a mask, covering their mouth and nose at all times, when on the nursing home grounds and buildings. This is very much like what we go through to go to the doctor’s office. They will have to sanitize their hands using hand sanitizers. Their family member or friend will go through the same procedures. At no time will they be allowed to touch their family member or friend. There is to be no hugging.
Nursing homes will set the standards as to time and number of visitors. Therefore, visitors will need to contact the nursing home to schedule an appointment. Time with the family member or friend will be limited to a time frame set by the nursing home.
IT IS IMPORTANT BEFORE GOING TO THE NURSING HOME/LONG-TERM CARE FACILITY, THAT YOU CONTACT THE NURSING HOME/LONG-TERM CARE FACILITY TO FIND OUT WHAT IS THEIR CRITERIA FOR VISITS. THE NURSING HOME WILL SET THE CONDITIONS.
For more information on the CMS standards, you may check our website www.mcqc.com. The CMS standards are on there. You can also contact CMS, Center for Medicare and Medicaid Services at www.cms.gov.
If you are having difficulty with the nursing home, you can contact the Missouri State Ombudsman by calling 1-800-309-3282. You can email them at: LTCOmbudsman@health.mo.gov.
Remember it is important that you contact the nursing home before going to visit to find out what their policy is on visits.
This year, the 2013 award, known as the Krambeck Award, was awarded to both a Missouri Individual and a Missouri organization.
The individual honored for 2013 is Leslie Jordon, an MCQC founding member who passed away in December 2012 after a long and courageous battle with cancer.
On Saturday October 26, 2013, the Missouri Coalition for Quality Care presented the 2013 Krambeck Award to Mrs. Leslie Jordon. Mrs. Jordon devoted her life to ensuring that the elderly received the quality care and respect that they deserve. Mrs. Jordon worked for the former Missouri Division of Aging and was a co-founder of the Missouri Coalition for Quality Care. She passed away in December of 2012 after a long battle with cancer.
| Accepting the award were her two granddaughters: Annalee and Mia Rintoul. Presenting the award to them is Ms. JoAnne Morrow, MCQC Board member and close friend of Mrs Jordon. In the second photo with Mia and Annalee are Hank and Phyllis Krambeck for whom the award is named. |
On June 17, 2013, MCQC honored the Northwest Area Agency on Aging. This agency is a planning and service agency that is charged under the Older Americans Act with identifying and meeting the needs of older adults who are at least 60 years of age in the 18-county area in northwest Missouri. Its staff and volunteers seek to empower and provide older adults of Northwest Missouri the opportunity to live safe, healthy, independent lives in the home environment of their choice.
The Northwest Area Agency on Aging is providing valuable assistance to a large rural section of Missouri where the needs of senior residents is great. Without the services of this agency, the quality of live for seniors would be diminished. Because the goals of MCQC are to improve the quality of care and quality of life experienced by not only nursing facility residents, but also in-home care and residential people, the Missouri Coalition for Quality Care President Dave Damico was pleased to present the Krambeck Award to the agency’s Board Chair, John Murphy, and its director, Becky Flaherty.
MCQC is happy to announce that the 2010 Krambeck Award has been awarded to Jo Anne Morrow.
Ms. Morrow has served many years working for the elderly and handicapped of Missouri. She serves as an attorney for the Missouri Department of Social Services working on eldercare issues. She was responsible for initiating legal action against deficient nursing homes in Missouri. She provided legal assistance to staff at DSS in dealing with problem nursing homes.
She has served on the MCQC in many capacities during her long tenure on the board. She has appeared on radio and television, appeared in court on cases, working on individual cases and other issues involving the elderly. Although she finds herself buried in work at Legal Aid of Eastern Missouri, she continues to serve as President of the MCQC Board. She truly goes beyond the call of duty.
The 2009 Krambeck Award was presented to Dr. Lylia J. Poland, better known as Dr. Susie of Kirksville, MO. A banquet was held in her honor at the Thousand Hills Restaurant in Kirksville on Saturday April 24, 2010. It was standing room only as many of her friends and patients were there to honor her. She was presented many gifts in addition to the 2009 Krambeck Award. The “Sweet Nothings” a coed acappella group from Truman State University provided the entertainment.
Dr. Susie was selected for the award for her contributions to the elderly in her area. She had worked with MCQC on an issue involving an elderly woman whose children were abusing her. She gave freely of her time including testifying in court on behalf of the woman. This is typical of Dr. Susie. Her staff and her patients stated that she is always available to her patients, day and night. No one is turned away and she becomes more than a Doctor to her patients she is their friend. Her dedication to her patients is why MCQC selected her for the 2009 Krambeck Award.
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Missouri Senate 2021
SB 41 Burlison, Eric
Provides for licensing of advance practice registered nurses (APRNs) through the Missouri Board of Nursing. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This act is substantially similar to SB 714 (2020).
Last Action: 01/14/2021 – Second Read and Referred to Health and Pensions Committee.
SB 177 Onder, Bob
Current law limits licensed home health agencies to those that provide two or more home health services at the residence of a patient according to a physician’s written and signed plan of treatment. This act permits such licensed entities to provide treatment according to written plans signed by physicians, nurse practitioners, clinical nurse specialists, or physician assistants.
Last Action: 02/10/2021 – Hearing conducted in Seniors, Families, Veterans & Military Affairs Committee.
SB 193 Onder, Bob
Currently, collaborative practice arrangements between physicians and advanced practice registered nurses must include written provisions to maintain geographic proximity unless an exception applies. This act repeals this geographic proximity requirement. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents.
Last Action: 01/28/2021 – Second Read and Referred to Health and Pensions Committee.
SB 223 Onder, Bob
Under this act, any contract or agreement that creates or establishes the terms of a partnership, employment, or any other form of professional relationship between a nonprofit hospital or health system and a physician or an advanced practice registered nurse that includes any restriction of the right of the physician or advanced practice registered nurse to practice medicine or nursing in any geographic area for any period of time after the termination of such partnership, employment, or professional relationship shall be void and unenforceable with respect to said restriction. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This act is identical to SB 932 (2020).
Last Action: 01/28/2021 – Second Read and Referred to Professional Registration Committee.
SB 293 Hoskins, Denny
Modifies provisions relating to advanced practice registered nurses (APRNs) by removing unnecessary requirements like mileage barriers, chart reviews, ratios and a one-month preceptorship. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This act is similar to HB 2226 (2020).
Last Action: 03/22/2021 – Hearing scheduled in Professional Registration Committee.
SB 519 Kimminau, Matt
Modifies the expiration date of the RX Cares for Missouri Program from August 28, 2019, to August 28, 2026.
Last Action: 03/04/2021 – Second Read and Referred to Health and Pensions Committee.
SB 584 Kimminau, Matt
Changes the period of time Advanced Practice Registered Nurses (APRN) must practice with the collaborating physician continuously present and allows the APRN to practice outside of the 75 mile geographic proximity requirements if he or she utilizes telehealth. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This provision is similar to SB 193 (2021).
Last Action: 03/22/2021 – Hearing scheduled in Professional Registration Committee.
HB 84 Stephens, Mike
Modifies provisions relating to advanced practice registered nurses (APRNs) by removing unnecessary requirements like mileage barriers, chart reviews, ratios and a one-month preceptorship. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This bill is similar to provisions in HB 2226 (2020).
Last action: 03/04/2021 – Referred to Health and Mental Health Policy Committee; hearing on 03/22/21.
HB 502 Schroer, Nick
MProvides for licensing of advance practice registered nurses (APRNs) through the Missouri Board of Nursing. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This bill is similar to provisions in HB 2226 (2020).
Last action: 01/07/2021 – Read Second Time.
HB 768 Grier, Derek
The bill removes the requirement that an advanced practice registered nurse (APRN) enter into a collaborative practice arrangement with a physician in order to deliver health care services so that an APRN can, without entering into a collaborative practice agreement, deliver health care services that are within the scope of practice of the APRN and that are consistent with the skill, training and competence of the APRN. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents.
Last action: 01/12/2021 – Read Second Time.
HB 949 Mayhew, Don
Prohibits a long-term care facility or political subdivision form adopting policies in response to an outbreak of a contagious illness that restrict an immediate family member, essential caregiver, ombudsman, or public administrator who is willing to comply with reasonable safety protocols from visiting a resident in person or attending medical appointments with the resident.
Last action: 02/11/2021 – Referred to Special Committee on Government Accountability.
HB 989 Mayhew, Don
Requires the Department of Health and Senior Services to provide information and support to persons with Alzheimer’s disease and related dementias by establishing a family support group in every county. Further establishes the “Alzheimer’s State Plan Task Force” which will assess all state programs that address Alzheimer’s and update and maintain an integrated state plan to overcome Alzheimer’s.
Last action: 03/08/2021 – Referred to Health and Mental Health Policy Committee.
HB 1014 Morse, Herman
Creates provisions relating to the establishment of protocols for visiting family members in hospitals and long-term care facilities during an outbreak of a contagious illness.
Last action: 02/11/2021 – Referred to Special Committee on Government Accountability.
HB 1064 Wiemann, John
Reduces liability for institutions, including long-term care facilities, in civil actions arising from COVID-19.
Last action: : 03/02/2021 – Referred to Special Committee on Litigation Reform. Public hearing scheduled on 03/09/21; bill not heard.
HB 1101 Gunby, Trish
Extends COVID-19 related absentee voting provisions through the end of 2021.
Last action: 02/10/2021 – Read Second Time.
HB 1102 Lewis, Patty
Creates no-excuse absentee voting.
Last action: 02/10/2021 – Read Second Time.
HB 1159 Wallingford, Wayne
Permits licensed home health agencies to provide services according to written plans signed by physicians, nurse practitioners, clinical nurse specialists, or physician assistants. This bill is similar to SB 177 (2021).
Last action: 02/19/2021 – Read Second Time.
HB 1224 Stephens, Mike
Changes the period of time Advanced Practice Registered Nurses (APRN) must practice with the collaborating physician continuously present and allows the APRN to practice outside of the 75 mile geographic proximity requirements if he or she utilizes telehealth. MCQC supports the removal of any barrier for APRNs that limits their ability to provide care to nursing home residents. This provision is similar to SBs 193 and 584 (2021).
Last action: 02/23/2021 – Read Second Time.
HB 1290 Boggs, Mitch
Prohibits hospitals and certain health care facilities from instituting policies that limit patients’ abilities to be visited by designated family members or friends during any hospitalization or treatment that lasts for a period exceeding 24 hours including during a public health emergency.
Last action: 03/04/2021 – Referred to Health and Mental Health Policy Committee.