Advancing Excellence
in America’s Nursing Homes
Campaign
OUR MISSION
OUR VISION
Making nursing homes better places to live, work and visit
Every nursing home resident in America experiences personcentered 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.
Campaign Overview
How We Got Started
Our Members
Continuing Our Work
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)
Circle of
Success
Nine New Goals
PROCESS GOALS
• Improving Staff Stability
• Increasing Use of Consistent
Assignment
• Increasing Person-Centered Care
• Safely Reducing Hospitalizations
Continued …
Nine New Goals
CLINICAL GOALS
• Using Medications Appropriately
• Increasing Resident Mobility
• Preventing and Managing Infections Safely
• Reducing Pressure Ulcers
• Decreasing Symptoms of Pain
Expected Outcomes
To Engage and Challenge
Nursing Homes
To Provide Valuable Data
and Quality Improvement
Expected Outcomes
To Establish National Standards
and Best Practices
Becoming a Central Voice
for Quality Initiatives
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
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
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
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)
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)
About the Campaign
National, Voluntary, Aligned
Registered Participant/Active Participant
Register, Update Profile
Select Goals
Submit Data
Quality Improvement
Resources for NINE New Goals
Hospitalizations
Staff Stability
Pressure Ulcers
Medications
Antipsychotics
Consistent
Assignment
Infections
C. difficile
Mobility
PersonCentered
Care
Pain
Management
15
Organizational Goals
Hospitalizations
Staff Stability
Pressure Ulcers
Medications
Antipsychotics
Consistent
Assignment
Infections
C. difficile
Mobility
PersonCentered
Care
Pain
Management
16
PlanDoStudyAct
17
Explore the Goal
www.nhqualitycampaign.org
Why Choose Mobility?
20
PlanDoStudyAct
Where am I?
PlanDoStudyAct
Study
Examine
Processes
Probing
Questions
PlanDoStudyAct
25
Improve
http://www.nhqualit
ycampaign.org/star_
index.aspx?controls=
MobilityImprove
26
Engage
27
The Tracking Tools
AE_YourGoalTrackingTool.xls
28
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
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?
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
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?
32
Staff Stability
Consistent Assignment
Person Centered Care
Hospitalizations
Infections
Medications
Mobility
Pressure Ulcers
Pain
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
What’s Next
Strengthening the Lanes
Increasing Nursing Home
Participation
Expanding Campaign Outreach
Thank you!
Visit Us
www.nhqualitycampaign.org
Connect Online
Contact Us
Adrienne Thomas
athomas@aeltcc.org
(202) 508-9439