• Today we’re focusing on F740, F741, F742, F743, and F744 on behavioral health services.
• Look for additional updates each week through October.

• Reference to Appendix P was removed.
• Reference was added to the Psychosocial Outcome Severity Guide.
• Language related to mental health and substance use disorders was added throughout the guidance.

• Reference to Appendix P was removed.
• Reference was added to the Psychosocial Outcome Severity Guide.
• Language related to history of trauma and/or post-traumatic stress disorder and language related to mental health and substance use disorders was added throughout guidance.

• Minor technical changes were made to these tags that includes removal of the reference to Appendix P and addition of reference to the Psychosocial Outcome Severity Guide. 

• Foster teamwork and support across all teams.
• Examine your system for communicating resident care needs to the interdisciplinary team (IDT) and direct care staff.
• Implement a system of daily huddles to improve real-time information flow between teams and shifts.
• Identify areas of workflow improvement to allow staff to better understand residents’ individual needs.
• Develop a consistent system for evaluating when a resident’s change in status, care needs, or goals require an update of the care plan, including new interventions.
• Encourage staff to incorporate critical thinking and collaborative problem solving when there is a change in a resident’s status or needs.

• Trauma Informed Care Training
• Behavioral Health and Trauma Informed Care 
• Sex, Drugs, and Rolling Walkers
• Trauma Informed Care: Behavioral Health Services Webinar 

• Refer to Appendix PP-State Operations Manual.
• Register for training on these changes on the CMS Quality, Safety & Education Portal (QSEP) – Driving Healthcare Quality webpage.
• Access the Action Brief: 483.40 Behavioral Health.