QIO Nursing Home Introduction Scott Gibson Quality Improvement Advisor February 2017

Who is invited to participate? All nursing homes and skilled nursing units in the state who care for residents with Medicare.

What are the goals of the Collaborative? Nursing Home Goals Improve resident mobility Reduce antipsychotic drug use in residents with dementia Implement Quality Assurance Performance Improvement (QAPI) Conduct Root Cause Analysis (RCA) and Performance Improvement Projects (PIPs)

What are the goals of the Collaborative? (cont.) Nursing Home Goals Improve national nursing home composite quality measure score Improve national nursing home star rating Increase provider participation in the National Nursing Home Quality Improvement (NNHQI) Campaign: Active Participation

Beth H. To Drive and Sustain Systemic Change… it must be championed by effective leaders that are equipped to develop high functioning teams utilizing QAPI methodology, as well as, effective communication skills. Leaders must have input and buy-in from all staff in order to sustain systemic change. Scott Gibson , QI Advisor for Qsource of KY is now going to share with you some of these important leadership concepts from Kotters and TeamSTEPPS that we have learned throughout these 18 months. 5

How are nursing homes performing across the state and nationally?

NH Compare did not post Q3 state/national rates yet

Where are there opportunities for improvement?

This chart shows # of nursing homes with top 3 clinical areas of ‘missed opportunities’ (therefore present most opportunities for improvement). Of the 291 homes in KY, Antipsychotic medications – 228 Incontinence – 216 ADL decline – 178

Resources for Top Three Opportunities for Improvement Incontinence/ADL Decline http://youtu.be/zrIjkDYPlSQ Antipsychotic Medications https://www.youtube.com/watch?v=0C6lb6ySgEE&feature=youtu.be Immobility http://atomalliance.org/risks-immobility-snf-world/ Calculate your Composite Score in real time http://atomalliance.org/download/nursing-home-composite-score-calculator/

What are the benefits of participating? Nursing Home Goals Onsite technical assistance Monthly nursing home update calls News from CMS, QAPI, PIPs and guest speakers Second Thursday of each month (Except April and August) 2:00 to 3:00 p.m. Eastern / 1:00 to 2:00 p.m. Central Opportunities to discuss barriers and areas of concern, share lessons learned and offer best practices On-demand learning sessions Educational resources and materials

Timeframe for the Collaborative Nursing Home Goals Kickoff call in April 2017 Action Period One is May – July 2017 Learning Session One webinar in August 2017 Action Period Two Sept. 2017 – March 2018 Learning Session Two webinar in April 2018 Action Period Three May – July 2018 Outcomes Congress September 2018

LSSCC Collaborative One Downloads Best Practices Handbook, Storyboard Projects Book and a Celebration Video are available for download on the LSSCC webpage.

On-Demand Learning (ODL) Our On-Demand Learning (ODL) area on www.atomAlliance.org allows you to participate in archived events when it is most convenient. Live events are usually posted as an ODL opportunity 10 days after the live session. Requirements to participate? Review the list of ODL opportunities Click “Go” Submit your name and other information for documentation Click “Submit” and you’ll have access to the ODL of your choice. Share the opportunity with your peers!

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Contact Information Scott Gibson Quality Improvement Advisor scott.gibson@area-G.hcqis.org 502-680-2669 www.atomAlliance.org This material was prepared by atom Alliance, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO), coordinated by Qsource for Tennessee, Kentucky, Indiana, Mississippi and Alabama under a contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services. Content does not necessarily reflect CMS policy. 17.SS.KY.C2.02.001