advancing excellence in america’s nursing homes campaign making nursing homes better places to...
TRANSCRIPT
Advancing Excellencein America’s Nursing Homes
Campaign
Making nursing homes better places to live, work and visitOUR MISSION
OUR VISION Every nursing home resident in America experiences person-centered quality of life as a result of a stable and empowered workforce, dedicated to improving clinical and organizational outcomes, and engaging in open communication and transparency.
Campaign Overview
How We Got Started
Our Members
Continuing Our Work
Campaign Overview
THE CAMPAIGN INCLUDES:
•More than 60% (9,455) of the nation’s nursing homes
•3,578 consumers
•3,216 nursing home staff members
•52 state-based Local Area Networks of Excellence (LANEs)
Circle ofSuccess
Nine New Goals
PROCESS GOALS
•Improving Staff Stability
•Increasing Use of Consistent Assignment
•Increasing Person-Centered Care
•Safely Reducing Hospitalizations
Continued …
Nine New Goals
CLINICAL GOALS
•Using Medications Appropriately
•Increasing Resident Mobility
•Preventing and Managing Infections Safely
•Reducing Pressure Ulcers
•Decreasing Symptoms of Pain
To Engage and ChallengeNursing Homes
To Engage and ChallengeNursing Homes
Expected Outcomes
To Provide Valuable Dataand Quality ImprovementTo Provide Valuable Dataand Quality Improvement
To Establish National Standardsand Best Practices
To Establish National Standardsand Best Practices
Expected Outcomes
Becoming a Central Voicefor Quality Initiatives
Becoming a Central Voicefor Quality Initiatives
Broader Impact
New CMS Quality Assurance/Performance Improvement requirements emphasize: •Problem identification•Data collection•Root-cause analysis•Performance measurement and tracking
Advancing Excellenceand QAPI
Broader Impact
Element 1 Design and Scope
Element 2 Governance and Leadership
Element 3 Feedback, Data Systems and Monitoring
Element 4 Performance Improvement Projects
Element 5 Systematic Analysis and Systemic Action
5 Elements of QAPI
Broader Impact
Quality Assurance Performance Improvement
Reactive Proactive
Episode or event-based Aggregate data and patterns
Prevent recurrence Optimize process
Sometime anecdotal Always measurable
Retrospective Concurrent
Audit-based monitoring Continuous monitoring
Sometimes punitive Positive change
Broader Impact
Advancing Excellence goal “packages” can help nursing homes align with QAPI
– Goals include clinical, resident choice and organizational infrastructure topics (QAPI Element 1 and 4)
– Advancing Excellence’s Circle of Success – PDSA change framework for systematic performance analysis leading to systemic action (QAPI Element 5)
– Data measurement and tracking tools (QAPI Elements 3, 4 and 5)
Using Advancing Excellenceto support QAPI
Broader Impact
Advancing Excellence goal “packages” can help nursing homes align with QAPI
– Root-cause analysis tools – called “Probing Questions” (QAPI Element 5)
– Measures created from best available evidence (QAPI Element 1)
– Vetted resources to guide interventions (QAPI Element 4)
– Consumer, staff and leadership fact sheets (QAPI Element 2)
Using Advancing Excellenceto support QAPI
About the Campaign
National, Voluntary, AlignedNational, Voluntary, Aligned
Registered Participant/Active ParticipantRegister, Update ProfileSelect GoalsSubmit Data
Registered Participant/Active ParticipantRegister, Update ProfileSelect GoalsSubmit Data
MobilityPerson-
CenteredCare
ConsistentAssignment
InfectionsC. difficile
Pressure UlcersStaff Stability
MedicationsAntipsychotics
Hospitalizations
Pain Management
Quality Improvement Resources for NINE New Goals
15
MobilityPerson-
CenteredCare
ConsistentAssignment
InfectionsC. difficile
Pressure UlcersStaff Stability
MedicationsAntipsychotics
Hospitalizations
Pain Management
Organizational Goals
16
PlanPlanDoStudyActDoStudyAct
17
Explore the Goal
www.nhqualitycampaign.org
20
Why Choose Mobility?
PlanPlanDoDoStudyActStudyAct
Where am I?
PlanDoPlanDoStudyStudyActAct
Study
Examine Processes
Probing Questions
PlanDoStudyPlanDoStudyActAct
25
26
Improve
http://www.nhqualitycampaign.org/star_index.aspx?controls=MobilityImprove
27
Engage
The Tracking Tools
28
AE_YourGoalTrackingTool.xlsAE_YourGoalTrackingTool.xls
QA and PI
Quality Assurance Performance Improvement
Reactive Proactive
Episode or event-based Aggregate data & patterns
Prevent recurrence Optimize process
Sometime anecdotal Always measurable
Retrospective Concurrent
Audit-based monitoring Continuous monitoring
Sometimes punitive Positive change
QA and PI
Quality Assurance Performance Improvement
Reactive Proactive
Episode or event-based Aggregate data & patterns
Prevent recurrence Optimize process
Sometime anecdotal Always measurable
Retrospective Concurrent
Audit-based monitoring Continuous monitoring
What went wrong? How can we be excellent?
Easy view of individual records allows resident-level view
Matrix of individual data allows scanning for patterns
Summary information helps identify opportunities to improve at the system level
Tracking Tools Support QA and PI
Data and the Quality Improvement Process
How do I know where I am?
Where do I want to be?
What processes are associated with my outcome?
When I change a process, how do I know it had the effect I wanted?
How am I doing compared to other nursing homes working on this goal?
32
Staff Stability
Consistent Assignment
Person Centered Care
Hospitalizations
Infections
Medications
Mobility
Pressure Ulcers
Pain
•Maintain your status as an Active Participant•Let consumers find you and display your contact information and a link to your website•View your data: Trend graphs display your progress over time•See your progress compared to other Campaign participants within your state and the nation
Monthly Data Entry on the AE Website
From You
For You
•Enter ONLY summary data from your tracking tool – just a few numbers each month.•Estimated time: 10 minutes or less
What’s Next
Strengthening the Lanes
Increasing Nursing Home Participation
Expanding Campaign Outreach
Thank you!
Visit Us www.nhqualitycampaign.org
Connect Online
Contact UsAdrienne Thomas
[email protected](202) 508-9439