1. Advancing Excellence in America’s Nursing Homes Campaign
OUR MISSION
Making nursing homes better places to live, work and visit
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.

2. Campaign Overview
How We Got Started Our Members Continuing Our Work

3. 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)

4. Circle of Success

5. Nine New Goals PROCESS GOALS Improving Staff Stability
Increasing Use of Consistent Assignment
Increasing Person-Centered Care
Safely Reducing Hospitalizations
Continued …

6. Nine New Goals CLINICAL GOALS Using Medications Appropriately
Increasing Resident Mobility
Preventing and Managing Infections Safely
Reducing Pressure Ulcers
Decreasing Symptoms of Pain

7. Expected Outcomes To Engage and Challenge Nursing Homes
To Provide Valuable Data and Quality Improvement

8. Expected Outcomes To Establish National Standards and Best Practices
Becoming a Central Voice for Quality Initiatives

9. Advancing Excellence and QAPI
Broader Impact
Advancing Excellence and QAPI
New CMS Quality Assurance/Performance Improvement requirements emphasize:
Problem identification
Data collection
Root-cause analysis
Performance measurement and tracking

10. Broader Impact 5 Elements of QAPI
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

11. 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

12. Using Advancing Excellence to support QAPI
Broader Impact
Using Advancing Excellence to support QAPI
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)

13. Using Advancing Excellence to support QAPI
Broader Impact
Using Advancing Excellence to support QAPI
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)

14. About the Campaign National, Voluntary, Aligned
Registered Participant/Active Participant
Register, Update Profile
Select Goals
Submit Data

15. Quality Improvement Resources for NINE New Goals
Mobility
Person-Centered
Care
Consistent
Assignment
Infections
C. difficile
Pressure Ulcers
Staff Stability
Medications
Antipsychotics
Hospitalizations
Pain Management

16. Organizational Goals Mobility Person-Centered Care Consistent
Assignment
Infections
C. difficile
Pressure Ulcers
Staff Stability
Medications
Antipsychotics
Hospitalizations
Pain Management

17. PlanDoStudyAct

18. Explore the Goal

20. Why Choose Mobility?

21. PlanDoStudyAct

22. Where am I?

23. PlanDoStudyAct

24. Study
Examine Processes
Probing Questions

25. PlanDoStudyAct

26. Improve

27. Engage

28. The Tracking Tools
AE_YourGoalTrackingTool.xls

29. 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

30. 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?

31. Tracking Tools Support QA and PI
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

32. 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?

33. Staff Stability

34. Consistent Assignment

35. Person Centered Care

36. Hospitalizations

37. Infections

38. Medications

39. Mobility

40. Pressure Ulcers

41. Pain

42. Monthly Data Entry on the AE Website
From You
Enter ONLY summary data from your tracking tool – just a few numbers each month.
Estimated time: 10 minutes or less
For You
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

43. What’s Next
Strengthening the Lanes Increasing Nursing Home Participation Expanding Campaign Outreach

44. Thank you! www.nhqualitycampaign.org Adrienne Thomas
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Adrienne Thomas
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