Interchange LANE Best Practice “Associations as LANE Convener"

"Associations as LANE Convener" Problem Statement: New York State had no LANE convener and no formal participation in Advancing Excellence (AE). Goal: Establish a New York LANE convener to support state nursing homes in quality improvement and participation in AE campaign. Solution: Four concerned provider associations joined forces.

Continuing Care Leadership Coalition (CCLC) Healthcare Association of New York State (HANYS) New York Association of Homes and Services for the Aging (NYAHSA) New York State Health Facilities Association (NYSHFA)

Issues Identified Diminished nursing home participation in AE quality improvement (QI) campaign –Providers questioning “another new QI program” and their investment –Providers concerned about confidentiality of their data reporting of AE goals Need for a recognized and trusted organization(s) to lead the initiative –Four associations familiar to nursing homes –Need for branding of a new QI resource and as state link to AE Need for easy, efficient communication across our large state –Provide information and education to nursing homes efficiently –Communication and information to LANE members Need for resources to support activity –Each convener partner abilities/limits –Recruiting LANE members

Major Work Establish a brand Education and information Create relationship with national AE Build LANE membership Seek supporting resource(s)

Continuing Challenges AE participation by nursing homes LANE support from key stakeholders state survey agency, etc. Sustainability

Outcomes to Date Familiar entity Education/Information Nursing Home AE Participation Goals Measurement LANE Membership

New York State Participants

Timeline of Partnership Activity May 2007 – There 47 New York State Nursing Homes participating in the Advancing Excellence Campaign June 2007 – CCLC, HANYS, NYAHSA, NYSHFA joined together to form the Empire Quality Partnership Mid-June 2007 – Empire Quality Partnership began reaching out to NYS organizations and invited them to join as LANE partners August 2007 – The collaborative launched the official Empire Quality Partnership website and the server January 31, st Statewide Teleconference: Achieving Goals 1 April 22, 2008 – 2 nd Statewide Teleconference: Achieving Goals II: Consistent Assignment and Staff Retention Date September 26, 2008 – 3 rd Statewide Teleconference: Achieving Goals III: Resident Satisfaction. November 2008 – NYS Board of Examiners of Nursing Home Administrators agreed to sign on as NYS LANE participant December 2008 – There are 132 New York State Nursing Homes Participating in the Advancing Excellence Campaign

Empire Quality Partnership Website Resources and Tools Calendar of Events November visitors 382 visits, and 1,648 pages viewed June ,505 visitors 2,617 visits 13,877 pages viewed, and 18,823 hits November ,323 visitors 4,289 visits 19,006 pages viewed, and 25,178 hits

Campaign Clinical Goals ( Information based on Advancing Excellence Nursing Home Quality Campaign) High Risk Pressure Ulcers (1) Physical Restraints (2) Chronic Care Pain (3) Post-acute Care Pain (4) New York State Nursing Homes (participating in AE)13.0%2.9%2.6%17.2% All New York Nursing Homes13.7%3.3%2.5%14.9% Nationwide Nursing Homes (participating in AE)11.7%4.6%3.8%19.6% All Nationwide Nursing Homes12.1%4.3%4.0%19.5% National Campaign Goals Objective<10<5<4<15

Campaign Organizational Goals (Information based on Advancing Excellence Nursing Home Quality Campaign) Goal 5 - Setting Targets New York State Nursing Homes (participating in AE)90.0% All New York Nursing Homes67.0% Nationwide Nursing Homes (participating in AE)36.5% All Nationwide Nursing Homes32.7% National Campaign Goal Objective>90 Goal 6 - Resident and Family Satisfaction New York State Nursing Homes participating in Goal 625.3% Nationwide Nursing Homes participating in Goal 616.4% Goal 7 - Nursing Staff Turnover New York State Nursing Homes that selected Goal 716.4% Nationwide Nursing Homes that selected Goal 710.2% Average Turnover Rate by Participating New York State Nursing Homes43.0% Average Turnover Rate by Participating Nationwide Nursing Homes57.9% Goal 8 - Consistent Assignment New York State Nursing Homes participating in Goal 819.5% Nationwide Nursing Homes participating in Goal 821.9%

New York State LANE Members New York State Medical Director’s Association IPRO (NYS Quality Improvement Organization (QIO)) NYS’ Alzheimer’s Association Quality Care Committee Wound Care Educators Culture Change Organizations Long Term Care Provider Associations Nursing Home Board of Examiners

Contacts –CCLC Roxanne Tena-Nelson, JD, MPH, Executive Vice President (212) Laura L. Castelli, Director of Government Relations (518) –HANYS Debora LeBarron RN BS, Senior Director, Continuing Care (518) –NYAHSA Elliott R. Frost, Senior Policy Analyst (518) , ext. 140 –NYSHFA Nancy L. Leveille, RN, MS, Senior Director, Member Operational Support (518) , ext. 20