Building Blocks for Quality

Working to improve the quality of care delivery to nursing home residents.

The "building blocks for quality" learning offers a prospective approach to developing and sustaining effective Quality & Performance Improvement programs.

Learning Essentials
  1. Quality Assurance Performance Improvement (QAPI); Data; Collaborative Problem Solving; Maximizing Communication and Teamwork; Staff Stability
    The learning focuses on using the Quality Assurance & Performance Improvement (QAPI) model as the framework for nursing home quality including an introduction to building foundational practices and overall quality improvement (QI). Click this link for the learning materials

  2. Introduction to the QAPI Self-Assessment Tool
    The tool is a significant resource for the nursing home to evaluate the QAPI elements and link to its internal workings. The most important aspect of completing the tool is that it be done as a team. The team focus or perspective is important because it gives a broad spectrum of the systems of care and potential areas in need of focused improvement. Click this link for the learning materials
  3. Using CASPER Data to drive performance
    CASPER is an essential data source for identifying targets for focused improvement and guiding the nursing home improvement process. Improvement teams will determine the method of collection, monitoring, analysis and usefulness for deciding next steps. Utilizing the CASPER data in day-to-day workings will assist with setting targets for improvement and measuring the progress in the areas being monitored. Click this link for the learning materials

  4. Using Composite Measure Score to drive quality and performance
    The composite is comprised of thirteen long stay quality measures that represent larger systems within the long-term care setting. The composite measure is a tool that can be used to help monitor QI progress. Nursing homes can use the measure as an indicator of improvement cycle results, clinical outcomes measures, and composite scores. The composite measure is offered as another way to look at quality from a systems perspective. Click this link for the learning materials

  5. Eliminating Inappropriate Antipsychotic Medication Use
    The first step to eliminating inapropriate antipsychotic medication use in nursing homes is to identify residents receiving antipsychotic medications and assessing the processes of care and quality improvement system used to track, analyze, and eliminate inapropriate/off-label use.  Consider engaging staff closest to the residents in observation, communication, and problem-solving to identify, relieve, and avert causes of residents’ distress through personalized approaches to care. Click this link for the learning materials

  6. Clinical Quality Measures (QMs)The nursing home clinical quality measures come from MDS 3.0 resident assessment data routinely colleced and coded at specified intervals during the residents stay. These measures assess the resident’s physical and clinical conditions and abilities, as well as preferences and life care wishes. These assessment data are converted to develop the short and long stay quality measures. A resident is considered long stay if they have 101 or more cumulative days in the facility. The following information is specific to the long stay population. Click this link for learning materials

Initiatives

Care Coordination
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Cardiovascular Health
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Drug Safety
Anticoagulation Safety
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Hospital Safety
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Immunization
Immunization (DC)
Immunization (SC)
SC Immunization Coalition Materials
Nursing Home Quality
Nursing Home Quality (DC)
Nursing Home Quality (NY)
Building Blocks for Quality
QAPI Self-Assessment
Casper Data
Eliminating Inappropriate Antipsychotic Medication Use
Clinical Quality Measures (QM)
Composite Measure Score
NHQCC Collaborative Kick-Off
NHQCC Collaborative Outcomes Congress
QI/QAPI
Using a System's Approach to Quality & Performance Improvement
Nursing Home Quality Care Collaborative (NHQCC) Learning
Engaging Staff in Individualized Care
QAPI Self-Assessment and Related Resources
QAPI In Action
Quality Improvement (QI) Resources
Quality Improvement Strategies
Steps to QAPI
Elements for Framing QAPI in Nursing Homes
Clinical Topics
Medication Use Tools & Resources
Pressure Ulcer Clinical Tools & Resources
Restraint Clinical Tools & Resources
Falls with Major Injuries
Health Care Acquired Conditions
Eliminating Long Term Care Re-Admissions Tools & Resources
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ACE e-Newsletter
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QI/QAPI
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Sepsis in the News
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Technology-Enhanced Care
Meaningful Use of HIT (DC)
Meaningful Use of HIT (NY)
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Transforming End of Life
Quality Payment Program
Quality Payment Program (NY)
Quality Payment Program (DC)
Quality Payment Program (SC)

Contact Us

New York

Pauline Kinney, RN, MA, LNHA, RAC-CT
Senior Director, Health Care Quality Improvement
Tel: (516) 209-5402
Fax: (516) 326-0434
pauline.kinney@area-I.hcqis.org

Maureen Valvo, RN, BSN, RAC-CT
Senior Quality Improvement Specialist
Tel: (516) 209-5308
Maureen.valvo@area-I.hcqis.org

David L. Johnson, NHA, RAC-CT
Senior Quality Improvement Specialist
Tel: (518) 320-3516
David.johnson@area-I.hcqis.org

Dan Yuricic, MA
Senior Quality Improvement Specialist
Tel: (516) 209-5458
Danny.yuricic@area-I.hcqis.org

IPRO Nursing Home Team
ipronursinghometeam@ipro.org