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MIPS Program Manual

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Georgia Health Care Association Resident Centered Care Initiative - 2016-04-GA-1107 About the Program Those affected with Dementia often struggle to preserve their personhood and to remain connected with their past and present while maintaining a dignified and meaningful quality of life. The Georgia Health Care Association (GHCA) wants to help ease this struggle. Thanks to a grant from the Centers for Medicare and Medicaid Services funded by the civil monetary penalty fund, GHCA, in partnership with the Music & Memorysm Organization and other key stakeholders, will offer a Music Integration Program designed to give life to memories through music. The program encourages the involvement of family, community and staff to develop and incorporate personalized music into resident activities and caregiving. We have the potential to touch thousands of lives through the program, which will initially be available to 150 skilled nursing centers. Current Research Research supports the following positive effects of music on persons with dementia: • Improved mood • Calmness and less agitation • Enhanced engagement and socialization • Heightened ability to communicate Which leads to: • Reduced antipsychotic, anxiolytic and • More meaningful interactions antidepressant use • Greater staff efficiencies and reduced cost • Fewer falls and less resistance to care Key Program Components • Education to assist caregivers and family members to understand the effects of Alzheimer’s and other types of Dementia and the potential benefits of personalized music as an integral part of resident’s plan of care • Certification in Music & Memorysm • Training, equipment and technical support to implement Music & Memorysm program • Instruments & speakers to integrate music into activities and bathing Participation Participation is available to all skilled nursing centers in Georgia on a first come basis, with an emphasis on centers that specialize in memory care or that have high psychotropic utilization rates. Participants must complete a participation agreement to initiate enrollment in the program. Please contact Tiffany Nelson, Program Coordinator at [email protected] or 478-258-9483 for more information. About GHCA The Georgia Health Care Association (GHCA) is a mission driven organization dedicated to advancing quality for seniors residing in skilled nursing and assisted living centers. We provide support to over 350 providers in both rural and urban areas across the state. Equipment: Qty: # Received Maracas 1 Claves 2 Cabasa 2 Egg shaker 5 Tone Block w/mallet 1 Castanet 1 Musical Spoons 1 Tambourine 2 Cowbell w/striker 1 Triangle w/striker 2 Finger Cymbals 1 Wrist Bells 2 Tone Bars w/mallet 2 Bathing Suite Mountable SPEAKER Yorkville 1 iPod Shuffle 15 Headphones 15 External portable speaker (small) 1 AC adapter/charger 15 iTunes Cards (could be 1 card or multiple= $500) varies 3.5mm Splitter 2 HP Laptop 1 "Alive Inside" DVD 1 MIPS Center Impact Evaluation v3 Page 1 of 1 1. Center Name & CCN#:* -- Please Select -- 2. Is this your baseline report?* Yes No 3. If this is not your baseline report, what quarter/year are you reporting for? -- None -- 4. Name of person submitting the form:* 5. Email address of person submitting the form:* 6. Date signed MIPS Participation Agreement:* mm/dd/yyyy 7. Have the program champion(s) at your center changed?* Yes No 8. If your program champion(s) have changed, please enter the new champion(s) name(s) & email(s) below: 9. M&M certification completion date:* mm/dd/yyyy 10. Enter the following data: Rate/Response Comments Anti-Psychotic Drug Rate (%, Quality Measure) LS Depressive Symptoms (%, Quality Measure) LS Antianxiety/Sedative Hypnotics (%, Quality Measure) LS Rehospitalization Rate (%, Trend Tracker) LS Pain (% Quality Measure) Total Employee Turnover Rate (%, Facility Record) Number of residents with active M&M care plan (# 1-15, facility Record) Overall State Rating (1-5 scale, NH Compare) Quality Measure Star Rating (1-5 scale, NH Compare) 11. Upon completion of certification and implementation of program, outline plan for program sustainability and/or changes to enhance program: Resident Impact Evaluation V2 Page 1 of 1 1. Center Name & CCN#:* -- Please Select -- 2. Resident Identifier:* 3. Diagnosis:* 4. New Dx of Schizophrenia?* Yes No 5. Is this a baseline report?* Yes No 6. If this is not a baseline report, what quarter/year are you reporting for? -- None -- 7. Name of person submitting the form:* 8. Email address of person submitting the form:* 9. Date of M&M Care Plan Implementation:* mm/dd/yyyy 10. Enter the following data:* Data B0700 Makes Self Understood (0-3) C0500 Summary Score- BIMS (00 - 15, or 99) D0300 Total Mood Severity Score (0 - 27, or 99) D0600 Total Mood Severity Score-Staff Assessment (00 - 30) E0200 Behavioral Symptoms- Presence & Frequency: Physical Behavior Symptoms (0 - 3) E0200 Behavioral Symptoms- Presence & Frequency: Verbal Behavior Symptoms (0 - 3) E0200 Behavioral Symptoms- Presence & Frequency: Other Behavioral Symptoms Not Directed toward others (0 - 3) J0100 Pain Management: Received scheduled pain med regimen? ( 0=no, 1=yes) J0100 Pain Management: Received PRN pain medication? ( 0=no, 1=yes) J0100 Pain Management: Received non-medication intervention for pain? ( 0=no, 1=yes) 11. Medication Regimen: (not all inclusive list, only specific classifications noted below) Dosage changes, date of order Medication Dosage Frequency discontinuation or not used Anti-psychotic Anti-anxiety Sedative/Hypnotic MUSIC & MEMORY® ACTION PLAN WORKSHEETS Refer to Implementation Guide for Full Details STEP ONE: Activate a High-Functioning Team STEP TWO: Prepare STEP THREE: Begin Your Pilot STEP FOUR: Launch Your Program Organization-Wide STEP FIVE: Sustain 6.1 STEP ONE Action Plan Worksheet: Activate a High-Functioning Team Action Item Who’s Responsible Target Completed Date Date Form Interdisciplinary Team Access Care Community and Invite Team Members Assign Tasks (ex: tech savvy staff/volunteers to build playlists) Schedule Team Meetings (monthly/weekly). Include Administrators and Nursing Staff Download and/or Print MUSIC & MEMORY® Implementation Guide and Action Plan Worksheets Obtain Music & Memory Certificates of Completion and Plaque Upon Completion of Certification Training (webinars and online course) 6.2 STEP TWO Action Plan Worksheet: Prepare Action Item Who’s Responsible Target Completed Date Date Order Equipment Hands-on Staff Access Online iTunes Training via Care Community Download and/or Print Key Program Documents from Care Community Create Organization-owned iTunes Account Assign Who Will Set Up iTunes Library Identify Equipment Storage Area for Pilot Label Music Devices and Headphones Train Staff to Use Equipment for Pilot Identify Pilot Participants Get Permissions 6.3 STEP THREE Action Plan Worksheet: Pilot Your Program Action Item Who’s Responsible Target Completed Date Date Work One-to-one with Pilot Participants to Discover Favorite Music Purchase/obtain Needed Music Create iTunes Library Create Playlists for Pilot Participants Load Playlists to Music Devices; Print Two Copies of Playlists (file one, and place one with individual for change requests) Test and Revise Playlists with Pilot Participants Use Forms to Track Impact and Add to Care Plan Expand to Other Participants, Shifts and Care Needs 6.4 STEP FOUR Action Plan Worksheet: Launch Your Program Organization-Wide Action Item Who’s Responsible Target Date Date completed Take Your Program Organization-wide! Launch Celebration and/or Announce at Staff Meetings Promote Music & Memory Program in Marketing Materials, Website, Social Media. Add M&M Certified Logo to Your Website to Promote Your Program Create Organization-wide System for Documenting Impact, Tracking and Refining Program. (Sample assessment tools available in Care Community) Determine Time Frame for Adding New Participants Continue to Add New Participants and New Applications of Music 6.5 STEP FIVE Action Plan Worksheet Sustain Action Item Who’s Responsible Target Completed Date Date Sustain Your Team by Sending Additional Team Members for Music & Memory Training. Contact [email protected] Integrate Music & Memory Into New Employee Orientation & Ongoing Training Identify and Implement Strategies to Build Team Commitment Across Your Organization and with Participants’ Family Members Optional: Recruit Volunteers to Build Support in Your Community and Expand Your Program. Register Them for Training as Needed. Fundraise to Expand Your Program Stay Connected to Music & Memory Through Care Community EXPANDING YOUR PROGRAM’S TEAM: THE ALL-IN APPROACH Recharge your caregiver batteries and experience fulfillment of purpose in a uniquely rewarding way. This transformative program can enhance outcomes, quality of care, and the lives of those you serve. It can transform relationships and make your job easier. ® Get to Know the MUSIC & MEMORY PROGRAM Step 1 Step 2 Step 3 Step 4 Step 5 View the Browse Locate the Access Care Go to Care Videos from Through the Action Plan Community Community Music & Manual Worksheets & Write to View the Tour Memory Implementation carequestions@ Video & Then Laptop Guide musicand Go to Training memory.org Videos to View & Share Leadership - Get the Advantage https://www.youtube.com/watch?v=jCmVQt5-EdU&feature=youtu.be Morse Life C.N.A. https://musicandmemory.org/landing/introducing-cnas-to-music-and-memory/ Reducing Antipsychotic Meds https://www.youtube.com/watch?v=wjSVY3kf9S8 Henry http://www.youtube.com/watch?v=fyZQf0p73QM
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