1. “No Nursing Home Left Behind” National Nursing Home Quality Care Collaborative Kick-Off! Linda Savage, RN, BSN, CDONA

2. 2 Today’s Purpose: No Nursing Home Left Behind Expectations Understanding the Collaborative Colorado’s Family Member Representative Colorado’s Peer Coaches and Adopt a Home Program Let’s Get Motivated! How You Can Be Successful

3. 3 My “Why…”

4. 4 Take out a piece of paper…right now. Write down YOUR “WHY”

5. 5 No Nursing Home Left Behind We want 100% of the nursing homes in Colorado to join our quality improvement work and dedicate the time and energy to improving the quality of life and quality of care of all nursing home residents.

6. 6 What you’ve agreed to… Remain active in our quality improvement work, participate and share Use quality improvement tools and data in your home Complete a QAPI self-assessment annually

7. 7 Our commitment to you Distribute pertinent and valuable information –Monthly newsletter –Weekly Nursing Home Open Office call minutes/resources  Every Friday from 10:00 am to 11:00 am  1-877-739-4149 Code: 1278287928 Tools and resources –10 min voice over power point training and handbook Support, advocate, coaching and guidance –Bring the nursing homes to the table (with the hospital) –No Nursing Home Left Behind campaign and Adopt a Home program Data –Quarterly Composite Score trend reports and corporate dashboards

8. 8 NNHQCC: “the Collaborative” Structure of the QIN- QIO –Three states: Iowa, Illinois and Colorado –Families, beneficiaries and peer coaches Goals of the Collaborative –QAPI foundation –Annual QAPI Self- Assessment –6 or better (6-0) on the composite measure 3 Tracks: Begin May 2015 Hospitalizations (Iowa) –Reducing unplanned transfers Antipsychotic reduction (Colorado) –Decrease antipsychotic rates Staff stability (Illinois) –Increase staff stability

9. 9 Let’s meet our family member representative Heather Dalgren

10. 10

11. 11 Peer Coaches Recruited the top 10% of the National Nursing Home Quality Composite Measure 1 st Round of Peer Coaches trained –Adult learning techniques –QI tools (PDSA, RCA) –Casper reports They’ll share their expertise, insights and experiences on calls, webinars and at events *Colorado peer coaches will not provide 1:1 assistance to homes

12. 12 Let’s Meet Your Peer Coaches

13. 13 Holly Heights Care Center Janet Snipes and Lori Hicks

14. 14 Brookshire House Rehabilitation & Care Community Frances Holliday and Sherri Hipp

15. 15 Colorado’s Adopt a Home program Telligen Colorado and Colorado Health Care Association’s (CHCA) Nurse Executive Council (NEC) members Purposeful outreach and mentoring to One-Star Nursing Homes (22 in Colorado) Monthly webinars/sharing calls specific to One-Star challenges Support and mentoring from a NEC member NEC members have been trained: coaching, 5 Star, composite measure, QAPI, leadership Next Steps: Contact by a NEC member by April 17, 2015 Receive a letter inviting you to join and provide a response Invitation to May 5 th One-Star introduction webinar

16. 16 Let’s get motivated with Kenda!

17. 17 E. Dene Moore Care Center Kenda Spaulding

18. 18 Creating a Shared Vision

19. 19 The “Why” A Shared Vision establishes “why” we do what we do. It allows us to know what is on the horizon, and what direction we are going. It shapes our decisions.

20. 20 Shared Vision Empowers Teams Each team member knows what they can do to support the vision. They trust they can act toward a mutual purpose. Each department has their own way to offer support and can set their own goals to support the work. Dining teams may have their own way of supporting the vision, nursing another. The work expands! We become aligned. We are all moving the same direction.

21. 21 Benefits of a Shared Vision for an Interdisciplinary, Person Centered Team Creates extra support for patients. Improves consistency/frequency of responses by growing the skills of your team members A chance to learn about your team. The breadth of their skills may surprise you! Solutions come from all directions. Dining team or maintenance crew may have just the skills you need to succeed at meeting your goals! It’s not “just a nursing thing!” It’s not “just an activities thing!” A shared vision takes off the badges and puts the patient experience back in the center of care. It improves staff engagement and job satisfaction and connects a team in a new and meaningful way.

22. 22 High Performing Team Multiple Approaches

23. 23 Person Centered Care is the Hub of Decision Making Establish Shared vision, mutual purpose Learn more about individual team members’ strengths and styles, and how these form a team. Train leadership, teach communication, cultivate respect for diverse styles and skills. Develop your people. They are your greatest resource! Create an environment where people feel safe speaking out, reviewing a process as a team, and learning new things! (Communication work shops/ground rules.) Select the team building tools with the most validity. We are open to evidence based practice when treating a patient. Why not be as conscientious about our approaches to build teams and improve quality? There is a great deal of science behind the tools supported by CMS to improve quality. Communication Workshops Actual comments from participants

24. 24 Leadership has the Greatest Responsibility to Make it Safe

25. 25 “Keep your eyes on the stars but your feet on the ground.” “ When we know better we do better.” -Maya Angelou

26. 26 For you to be successful… Complete your pre-work –Three 10 minute voice over power-points  QAPI Overview Video  QAPI Self-Assessment Video  Telligen Handbook Video –Review the Telligen Quality Care Collaborative Handbook Pre-work is located here: http://www.telligenqinqio.com/resources/nursing-home-care Join a track (hospitalizations, antipsychotics, staff stability) *email registration coming soon!

27. 27

28. 28 Questions? This material was prepared by Telligen, the Medicare Quality Improvement Organization for Colorado, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Linda Savage, RN, BSN, CDONA/LTC Senior Quality Improvement Specialist linda.savage@area-D.hcqis.org Marcy Cameron Senior Quality Improvement Facilitator Marcy.cameron@area-D.hcqis.org