Nursing Home Quality (NY)
Quality in Action - A Collaborative Approach
Nursing Home Quality Care Collaborative II (NHQCC)
The NHQCC is an all teach, all learn initiative, modeled after the Institute for Healthcare Improvement’s Breakthrough Series approach. The initiative is being led by CMS and QIN-QIOs, like IPRO, as part of the 11 Statement of Work (SOW). The Collaborative seeks to rapidly spread the practices of high performing nursing homes to every nursing home in the state, with the aim of ensuring that nursing home residents receive the highest possible quality of care. Specifically, the NHQCC will strive to instill quality and performance improvement practices (QAPI), reduce healthcare-acquired conditions, and improve resident satisfaction by focusing on the systems that impact quality such as: staff stability, communication, leadership, compliance, quality measures and specific clinical outcomes.
- NHQCC FOCUS ON...Quality Assurance Performance Improvement (QAPI)
QAPI is a data-driven, proactive approach to improving the quality of life, care, and services in nursing homes. QAPI activities assist with identifying gaps in systems or processes of care and opportunities for improvement; develop and implement an improvement or corrective plan; and continuously monitor effectiveness of interventions.
Click here to access QAPI learning materials
- NHQCC FOCUS ON...C. difficile infection (CDI)
Focus on preventing CDI and improving antibiotic prescribing contributes to an enhanced quality of care and life for residents in New York State (NYS) nursing homes and avoidance of negative outcomes from drug-resistant infections.Click here to access CDI learning materials
- NHQCC FOCUS ON...Communication Strategies/TeamSTEPPS
Communication is a process whereby information is clearly and accurately conveyed to another person using a method that is known and recognized by all involved. Failure to communicate effectively as a team significantly increases the risk of error. TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to resident safety.
Click here to access Communication/TeamSTEPPS learning materials
- NHQCC FOCUS ON…Infection Control/Antibiotic Use
Improving the use of antibiotics in healthcare; reducing the threat of antibiotic resistance is a national priority. Antibiotic stewardship refers to a set of commitments and actions designed to "optimize the treatment of infections while reducing the adverse events associated with antibiotic use."
Click here to access Infection Control/Antibiotic Use learning materials
- NHQCC FOCUS ON… Eliminating Inappropriate Antipsychotic Medication Use
The first step to eliminating inappropriate 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 inappropriate/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 here to access Antipsychotic Medication Use learning materials
- NHQCC FOCUS ON Using...Composite Measure Score
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
- NHQCC FOCUS ON... Clinical Quality Measures (QMs)
The nursing home clinical quality measures are derived from MDS 3.0 resident assessment data routinely collected 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. Assessment data are converted to develop the short and long stay quality measures.
Click here to access the Quality Measure learning materials specific to the long-stay population
- NHQCC FOCUS ON...Using CASPER Data to drive performance
CASPER is an essential data source for nursing homes identification of areas in need of focused improvement and management of improvement processes. Use of CASPER data in day-to-day work will assist NHs with setting improvement targets and measuring the progress.
Click here to access CASPER learning materials