Long Term Care Facilities Circular Letters

• Nursing Homes and Rest Homes Circular Letters
  • General
  • MOLST (Medical Orders for Life-Sustaining Treatment)
• Additional Circular Letters for Nursing Homes Only
  • General
  • Automated External Defibrillators
  • Dispute Resolution
  • Medications

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Nursing Homes and Rest Homes Circular Letters

General

• #12-02-557 Fire Safety Requirements for Long Term Care Facilities, Mandatory Sprinkler Installation Requirement - 2/27/2012 
• #12-01-556 Electronic Transmission of Correspondence - 1/25/2012 
• #11-12-552 Use of Electronic Medical Records in Long Term Care Facilities - 12/27/2011 
• #11-11-553 Data Submission Instructions for Seasonal Influenza Vaccination of Employees at Massachusetts Health Facilities for the 2011-2012 Influenza Season - 12/14/2011 
• #11-02-547 Change in Process for Distributing BHCS Circular Letters - Request for Email Contact Information - 2/24/2011 
• #11-01-545 Care Transitions and Universal Transfer - 1/18/2011 
  • Universal Transfer Form and Instructions  file size 25MB
• #11-01-543 Long Term Care Health Maintenance Guidelines - 1/18/2011 
  • Pediatric and Adolescent Resident 
  • Adult Residents Aged 19 to 69 
  • Eldely Residents Aged 70 or Older 
• #10-11-540 Infection Prevention during Blood Glucose Monitoring and Insulin Administration - 11/24/2010 
• #10-11-538 Massachusetts DPH Nursing Home Brochure (Revised) - 11/2/2010 
• #10-10-536 Clarification Regarding Authorized Vaccinators for the 2010 - 2011 Influenza Season - 10/5/2010 
• #10-09-535 Reporting and Data Collection Guidelines for Seasonal Influenza Vaccination of Employees at Massachusetts Health Facilities for the 2010-2011 Influenza Season 9/22/2010 

  • Control of Influenza and Pneumococcal Disease in Long-Term Care Facilities 

• #09-12-525 Update on Regulations Regarding Influenza Vaccination of Employees and Annual December 15th Deadline - 12/4/2009 

  • Amendments to Regulations 

• #09-11-524 Waiver or Modification of Federal Requirements Under Section 1135 of the Social Security Act - 11/3/2009 

  • Attachment A - waiver or modification of requirements 

  • Attachment B - Fact Sheet 

  • Attachment C - Requesting an 1135 Waiver 

• #09-10-523 Compliance with Regulations Regarding Influenza Vaccination of Employees when Vaccine is Unavailable - 10/21/2009 

• #09-08-521 Guidelines for the Vaccination of Employees Against Seasonal Influenza and Pandemic A H1N1 Influenza - 9/14/2009 

  • Guidelines 

• #09-08-520 Emergency Regulation - Influenza Vaccination of Long Term Care Facility Employees - 8/28/2009 

  • Proposed Amendments to 105 CMR 150.002(D)(8): Licensing of Long-Term Care Facilities 

  • Sample Influenza Vaccine Declination Form 

  • Sample Vaccination Declination Tracking Form 

  • Partial List of Seasonal Flu Vaccine Distributors 

• #09-04-509 Resident Transfer Agreements - 4/28/2009 

• #08-04-085 LTCF Communications During an Emergency - 4/4/2008 

• #07-07-477 Tuberculosis Testing and Treatment for Nursing Homes and Rest Homes - 7/27/2007 

  • Policy 

  • Two Step Skin Testing 

  • Targeted Testing and Treatment of Latent Tuberculosis Infection

• #06-11-468 Long Term Care Facility Employee Flu Immunization Requirement and Attachments - 11/20/2006 

  • Memo to Public Health Council and Amendments

  • Sample Influenza Vaccine Declination Form

  • Sample Vaccination Declination Tracking Form

• #06-6-464 Comfort Care for Residents in Long Term Care Facilities 8/15/2006 

• #06-4-459 Attestation for Continuity of Operations Plans (COOPs) 

• #05-10-451 Revised Guidelines for Long Term Care Facility Emergency Ambulance Transport Policies 10/14/2005 

• #05-09-452 Stock Medications - 9/30/2005 

• #05-04-448 Do Not Resuscitate Orders - 4/8/2005 

• #4-00-400 Unauthorized Use of DMH Form AA-1 -4/2002 

• #02-04-424 Recall of Sprinkler Heads in Health Care Facilities 4/2/2002 

• #12-97-373 NIOSH Alert: Preventing Allergic Reactions to Natural Rubber Latex in the Workplace - 12/1997 

MOLST (Medical Orders for Life-Sustaining Treatment)

Additional Circular Letters for Nursing Homes Only

General

• #11-02-546 Updated Data Submission Instructions for Seasonal Influenza Vaccination of Employees - 2/25/2011 

• #10-11-538 Massachusetts DPH Nursing Home Brochure (Revised) - 11/2/2010 

• #08-12-503 Final Deadline for Broadband Conversion for MDS/OASIS Connectivity - 12/16/2008 

  • Broadband Preamble (no longer available)

• #08-05-488 Cardiopulmonary Resuscitation in LTCFs with 24 Hour Skilled Nursing Staff On Duty 

  • Advisory Ruling 

  • Nursing Competencies Related to Advisory Ruling 

  • Task Force Final Report 

• #08-04-487 Broadband Conversion for MDS/OASIS Submissions and CASPER Reporting Connectivity - 4/29/2008 

• #08-03-484 Use of Cameras During the Survey Process - 3/25/2008 

  • CMS Memorandum S&C-06-33 (provided by CMS)

  • Consent to Photograph Form 

  • Survey Photo Log 

• #08-01-480 Resident Empowerment Program& VIII - Request for Response - 1/2008 

  • Request for Response (RFR) 

• #07-02-473 Emergency Preparedness at Long Term Care Facilities - 2/7/2007 

  • Provider Attestation (RTF) 

• #12-04-447 Family Councils in Nursing Homes - 1/4/2005 

  • Attachment A 

• #03-12-437 Paid Assisted Feedings - 12/2003 

• #01-06-412 Standing Orders - 6/2001 

• #12-00-407 Nursing Home Residents with Mental Retardation or Developmental Disability - 12/2000 

Automated External Defibrillators

• #05-06-449 Automated External Defibrillators (AEDs) in Nursing Facilities 6/15/2005 

Dispute Resolution

• #11-12-554 Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) - 12/27/2011 

  • IDR and IIDR Request Cover Sheet 

Medications

• #06-10-467 Revised List of Controlled Substances in Schedule II-V - 10/18/2006 

  • Revised List 

  • Oral Morphine Sulfate Conversion Chart 

• #03-04-433 Antipsychotic Medications - 4/2003 

• #02-04-425 Medications - 4/16/2002 

  • Medication Guidelines and Policies

• #5-97-363 Management of Clostridium difficile - 5/15/1997 

• #8-99-395 Methods to facilitate the appropriate administration of morphine sulfate - 8/9/1999 

  • Common Morphine Sulfate Conversion Charts

• #12-98-386 Assessment of the Medication Knowledge of Individuals Administering Medications - 12/21/1998 

 

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This information is provided by the Division of Health Care Quality within the Department of Public Health.