Nursing Home Quality Care Collaborative (NHQCC) Learning

   Nursing Home Quality Care Collaborative (NHQCC) Learning

Operationalzing QAPI

A Practical Guide to QAPI - an in-depth introduction to the five elements of QAPI implementation and the organizational practices that support the teamwork and communication needed to ensure QAPI’s success. Click this link to view the webinar.

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• Article: Relationships Matter
• IPRO QAPI Self Assessment
• Goal Setting Worksheet QAPI
• Guide for Developing a QAPI Plan
• QAPI People Development Worksheet

Achieving Staff Stability - apply the QAPI process of staff stability, including goal setting, collecting and using data and piloting improvements. Click this link to view the webinar.
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• Cycle of Instability to Improvement
• Staff Stability Presentation
• AntiPsychotic Measure Description
• IPRO QAPI Self Assessment
• Interview Key Questions
• Attendance & Scheduling
• Recruitment/Hiring Orientation
• Staff Stability Tool Kit
• Worksheet 1 – Employment Status
• Worksheet 2 – Current Staff by Length of Service
• Worksheet 3 – Vacancies
• Worksheet 4 – Turnover Rates
• Worksheet 5 – Turnover Replacement Costs
• Worksheet 6 – Termination by Length of Service
• Worksheet 7 – Absenteeism
• Worksheet 8 – Call-In Log
• Worksheet 9 – Incentives

A Positive Chain of Leadership - looks at the practices and major responsibilities of effective leaders and ways to maintain positive presence, generate teamwork, and engage staff in problem-solving. Click this link to view the webinar.
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• Method Interventions
• A Positive Chain of Leadership July 2013 Handout
• GOAL Setting Worksheet QAPI
• Action Plan Planner
• Characteristics of Leaders
• Encouraging the Heart Self-Assessment
• Staff Memo

Systems for Communication, Teamwork, and Collaborative Problem-Solving - monitoring and systematic analysis of QAPI, ways to systematically involve staff in the feedback data, how to implement consistent assignment and practices that maximize the benefits of consistent assignment.Click this link to view the webinar.
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• QAPI in Action
• Systems for Teamwork, Communication, and Collaborative Problem Solving
• Method Interventions
• Step One: Foundational Organizational Practices Introduction
• Consistent Assignment Tip Sheet
• Huddles Tip Sheet
• QI Huddles Closest to the Resident Tip Sheet
• Involving CNAs in Care Planning Tip Sheet

Maximizing QAPI to Provide High Quality Individualized Care Learning

Performance Improvement: Reducing Resident Stressors that Generate the Behavioral Distress and Anti-Psychotic Medications - focus on psycho-social factors related to maintenance of resident’s customary routines. How to know residents routines through interventions that prevent environmentally induced agitation and thereby reduce unnecessary use of antipsychotic medications. Click this link to view the webinar.
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• Performance Improvement- Reducing Stressors & Inappropriate Use of Antipsychotic Medications
• Videos: (Please note: Some of these videos require QuickTime Player in order to view)
  • Reducing Resident Distress: Michael
  • Understanding Agitation and Aggression: Dr. Susan Wehry
  • Bathing Without a Battle
  • Resident Benefits From Music Program: Cobble Hill
• Reducing Antipsychotic Tip Sheet
• Anti-Psychotic Tool
• Music Assessment
• State Operational Manual (SOW): Dementia Care Update
• Surveyor Training Videos-Dementia Care Link

Maximizing QAPI to Provide High Quality Individualized Care - Mastering QAPI Principles to Support CQI: QAPI Success: From Plan to Action
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• QAPI Success from Plan to Action
• Videos: (Please note: Some of these videos require QuickTime Player in order to view)
  • Huddles and Consistent Assignment: Working Together to Build Trust and Reduce Residents’ Distressed Behaviors
  • Making Sure Everyone’s Included in the Process
• QAPI at a Glance
• IPRO QAPI Self Assessment
• QAPI Plan Guide
• Anti-Psychotic Quality Measure Description
• QAPI Land Guide
• QAPI Land

Performance Improvement; improving Clinical Outcomes through Staff Engagement in Individualizing Care - use key QI methods to learn the how of change, comprehensive approach to performance improvement that integrates clinical best practice and collaborative problem solving medic

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• Engaging Staff in Individualizing Care
• First 24 Hours Tip Sheet
• Alarm Elimination Case Study
• Rethinking the Use of Positioning Alarms
• Promoting Mobility Tip Sheet
• IPRO QAPI Self Assessment
• Mr. McNally Cards

Leadership for Continuous Quality Improvement - Harnessing QAPI Tools to Maximize QI Efforts design, scope, governance and operation of the organizations QAPI plans, reflect on practices that contribute to successful outcomes

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• IPRO Harnessing QAPI Tools
• QAPI: A Foundation For Successful Caregiving/Provider Magazine
• Dementia Care in Nursing Homes/ CMS Surveyor + Certification Letter

NHQCC QAPI Tools Binder

• Learning Session 8 NHQCC QAPI Tools Index
• QAPI News Brief

Section 1

1. QAPI Five Elements
2. QAPI at a Glance
3. IPRO QAPI Self Assessment
4. QAPI Purpose
   
5. Guide Develop QAPI Plan

Section 2

1. QAPI Leadership Rounding Tool
2. Example Performance Objectives Job Description

Section 3

1. Measure Indicator Development Worksheet
2. Measure Indicator Collection and Monitoring
3. Instructions Develop Dashboard
4. Goal Setting Worksheet IPRO
5. Prioritization Worksheet PIP

Section 4

1. Worksheet Create PIP Charter
2. PIP Launch Checklist
3. PDSA Cycle Template
4. PIP Inventory
5. Sustain Decision Guide
6. Brainstorming Affinity Grouping Multi-Voting Tool
7. Communication Plan Worksheet
8. Storyboard Guide for PIPS
9. Improvement Success Story

Section 5

1. Guidance for FMEA
2. Guidance for RCA
3. Flowchart
4. Five Whys
5. Fishbone Tool RCA