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Indiana Regional Long Term Care Collaborative Project

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Presentation on theme: "Indiana Regional Long Term Care Collaborative Project"— Presentation transcript:

1 Indiana Regional Long Term Care Collaborative Project
Brenda Buroker, RN

2 Project Purpose The Indiana Regional Long Term Care Collaborative Project was designed to assist long term care facilities in implementing a quality improvement program to address resident needs. The two-year project began in 2014 and was extended for another two-years in 2016.

3 Problem Assessment Nursing homes often lack process improvement expertise needed for quality improvement projects Nursing homes often lack subject matter expertise needed to develop effective quality improvements Deficiencies are often the result of a lack of adequate assessments and assessment tools Collaborative efforts have not been effective or sustainable

4 Project Coordinator The ISDH contracted with the University of Indianapolis Center for Aging & Community to serve as Project Coordinator. The Center: Provided training for collaborative leaders Organized learning sessions Tracked outcomes Provided subject matter expertise.

5 Project Description Created seven regional collaborative groups in the initial two-year project Added two more groups for a total of nine groups Each group consists of nursing homes

6 Regional Collaborative Groups
Each Collaborative Group included the following: Lead organization Academic institution Community organizations Quality Improvement Organization(s) Consumer organizations Nursing homes State survey agency surveyors

7 Project Activities Each collaborative group developed and implemented two QAPI projects over the two-year project to address a quality issue Each facility developed or updated their QAPI Plan The total cost of the project was $600,000 and was funded with CMP funds

8 QAPI Projects Developed
Reducing urinary tract infection rates Reduction in CNA turnover Reducing HAI related re-hospitalizations Reducing pneumonia rates Reducing use of anti-psychotic drug use Reducing falls

9 Outcomes A Collaborative Toolkit was created to provide resources on the development of a collaborative and the QAPI Project Plans for each project. The toolkit is available at

10 Outcomes 186 nursing homes participated to some extent as part of the initial seven collaborative groups. Projects developed by the seven initial groups resulted in 16% - 51% improvements. By the end of the first two years, $1,438,000 in savings were identified through the quality improvement projects.

11 Benefits of a Regional Collaborative
More cost and time effective for facilities than a project that requires more travel Allows for participation by more staff than just “usual suspects” of key administrators and directors Smaller group allows increased opportunity for discussion and interaction among

12 Lessons Learned: Best Practices
Lead Organization for Collaborative Group: Having a community organization as the lead organization for the Collaborative Group improves participation and continuity. Lead organizations included areas agencies on aging, academic institutions, and healthcare quality improvement organizations.

13 Lessons Learned: Best Practices
Involving a local academic institution: Each group included a college or university located in the region that offered healthcare programs. Academic programs were eager to participate and provided technical assistance and support for the group.

14 Lessons Learned: Best Practices
Promote compliance: It was difficult to get facilities to participate as it was perceived as one more thing to do. The project was promoted as assisting facilities to be compliant with the coming QAPI regulations.

15 For Additional Information
Indiana Regional Collaborative Project Web Page at


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