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Campaign Aim

Improving N ursing Home Quality: Accelerating Change through the Advancing Excellence in America’s Nursing Homes Campaign Centers for Medicare & Medicaid Services Satellite Broadcast and Webcast Friday, March 23, 2007 1:00 PM –3:00 PM EDT. Campaign Aim. To pursue excellence in the quality

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Campaign Aim

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  1. Improving Nursing Home Quality:Accelerating Change through the Advancing Excellence in America’s Nursing Homes CampaignCenters for Medicare & Medicaid ServicesSatellite Broadcast and WebcastFriday, March 23, 20071:00 PM –3:00 PM EDT

  2. Campaign Aim To pursue excellence in the quality of life and quality of care for the more than 1.5 million residents of America’s nursing homes by enhancing choice, strengthening workforce and improving clinical outcomes. www.nhqualitycampaign.org

  3. National Founding Members • The Alliance for Quality Nursing Home Care • American Association of Homes and Services for the Aging -- AAHSA • American Association of Nurse Assessment Coordinators -- AANAC • American College of Health Care Administrators – ACHCA • American Health Care Association -- AHCA • American Medical Directors Association -- AMDA • Centers for Medicare & Medicaid Services -- CMS • The Commonwealth Fund • The Evangelical Lutheran Good Samaritan Society • National Association of Health Care Assistants -- NAHCA • National Citizens’ Coalition for Nursing Home Reform -- NCCNHR • National Commission for Quality Long-term Care

  4. An Unprecedented Coalition Representing: • 11,000 nursing homes nationwide • 45,000 health care professionals, including: • 3,500 Health Care Administrators • 6,000 Directors of Nursing • 7,200 Medical Directors • 9,000 Gerontological Nurses and Nurse Coordinators • 20,000 Certified Nursing Assistants • 1,000 Consumer Advocates; Millions of caregivers • 1.8 million Service Employees • National Commission for Quality Long-term Care: • Two Governors • Four current Members of Congress • Former Senator Kerrey and Former Speaker Gingrich • Quality experts

  5. Campaign Components • Meaningful Goals • Measures and Data Sources • National and State Infrastructure • Technical Assistance • Evidenced-based Protocols • Guidelines

  6. National Quality Initiatives: Common Goals

  7. Campaign Goals Clinical Goals: • Reduce prevalence of pressure ulcers among high risk residents • Reduce use of daily physical restraints • Management of pain among long stay residents • Management of pain among post acute residents • Measure definitions available on www.cms.hhs.gov/nhcompare • Data derived from MDS • Automatically updated quarterly from MDS

  8. Campaign Goals Organizational Goals: • Target setting among nation’s nursing homes • Measurement of resident and/or family satisfaction • Reduce workforce turnover • Adoption of consistent assignment

  9. Provider Benefits of a National Campaign • Advances Evidenced-based Practice • Improved Strategies to Promote Positive Clinical Outcomes and Regulatory Compliance • Improved Customer Satisfaction • Focus on Staff Retention • Cost Savings • Improved Decision-making Strategies • Supports Risk Management • Supports Pay for Performance Initiatives • Advances Use of Technology • National Support At the Table – Now & in the Future

  10. National Benchmarks & Targets

  11. Target Setting • Definition: Setting personal quality improvement goals for pressure ulcers, physical restraints, and pain • Use www.nhqi-star.org • Easy to use • More than 8,000 nursing homes have already set targets • Pre-established accounts for all providers • Provides ideas about how to set targets • Updated at least annually

  12. Measuring Customer Satisfaction • Definition: Is the resident and/or family member satisfied with the quality of care and services received? • Use www.nhqualitycampaign.org • Providers can select from a drop down list • Or enter “other” • Use this information for internal improvement • Self-reported at least annually on Web site

  13. Measuring & Reducing Nursing Staff Turnover • Definition: Reducing the number of nursing staff (RN, LPN, CNA) who leave the facility annually • Use www.nhqualitycampaign.org • Download excel spreadsheet • Document clinical staff terminations & average number clinical staff • Use this information to calculate annual turnover • Enter turnover rate on campaign website • Self-reported at least annually on Web site

  14. Adoption of Consistent Assignment • Definition: Having the same caregiver consistently caring for the same person on at least 85% of that caregiver’s shifts • Use www.nhqualitycampaign.org • Click yes or no • Date when first initiated • Self-reported at least annually on Web site

  15. Advancing Excellence Considerations • Understand the clinical and organizational goals • Measurement • Each process framework • Benchmark how your facility is doing • Evaluate costs and outcomes • Assess which goals you are already working on and ones that you want to work on • Spend time on www.nhqualitycampaign.org • Work with your LANE or QIO to learn how the campaign complements what you’re already doing

  16. National and State Infrastructure • National Campaign Steering Committee • Local Area Networks for Excellence (LANES) • Quality Improvement Organizations (QIOs) • Clinical Tools • www.nhqualitycampaign.org • www.medqic.org • Quality First Online Resources • Clinical Practice Guidelines from American Medical Director’s Association • Agency for Healthcare Research and Quality Guidelines

  17. National Campaign Steering Committee • New relationship paradigm that includes consumer advocates, nursing home providers, key sectors of government, quality improvement organizations, nurses, medical experts, and others. • Provide leadership, communication, and motivation for the campaign. • Monitor key indicators of nursing home quality; promoting excellence in care giving for nursing home residents, and acknowledging the critical role nursing home staff has in providing care.

  18. Local Area Networks for Excellence (LANEs) Network of individuals and organizations across the state (or territory) working together to fulfill needs at the local level to ensure campaign success. Roles and Responsibilities: • Raise Awareness • Drive Enrollment • Convene Meetings • Provide Technical Assistance • Communicate Key Campaign Messages • Respond to Critical Issues

  19. Monitoring Campaign Progress Visit Web site at www.nhqualitycampaign.org, will be updated regularly with campaign progress: • Enrollment by state and nationally • List of providers enrolled in campaign • Progress toward campaign goals • (Voluntary) individual progress towards campaign goals

  20. How to Become a Participating Provider Visit www.nhqualitycampaign.org: • Click on link “For Nursing Homes” • Commit to three to eight goals for quality improvement and register • Begin to work on selected goals using available technical resources • Connect with LANE or QIO • Join thousands of other providers • We encourage you to register by November 30, 2007

  21. How to Become a Participating Consumer Visit www.nhqualitycampaign.org: • Click on “For Consumers” • Read about opportunities for consumers to support the campaign • Fill out registration form • Begin communicating with others about the campaign

  22. Improving Nursing Home Quality:Accelerating Change through the Advancing Excellence in America’s Nursing Homes Campaignwww.nhqualitycampaign.org

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