Reducing Healthcare-Acquired Conditions in Nursing Homes

A commitment to making care safer

Improving Quality of Care in Nursing Homes

There are 1.4 million Americans living in the nation’s 15,600 nursing homes. We must be able to depend on nursing homes to provide reliable, compassionate, high-quality care. The Centers for Medicare & Medicaid Services (CMS) has created a strategy for guiding local, state and national efforts to improve nursing home quality of care. As part of that strategy,

Great Plains QIN is uniting nursing homes in a collaborative structure to share tools, knowledge and experiences for improving resident safety and clinical processes and reducing preventable healthcare conditions. Participants are learning from the best practices of nursing homes that have consistently earned a “5-star” rating in Nursing Home Compare, receive free education, resources and participate in rapid-cycle improvement projects. Our efforts align with the CMS National Nursing Home Quality Care Collaborative to:

  • Assist nursing homes to attain a score of six or better on the National Nursing Home Composite Quality Measure
  • Improve the rate of mobility among long-stay nursing home residents
  • Improve the targeted rate of reduction in the use of unnecessary antipsychotic medication in dementia residents
  • Decrease HAIs, other Healthcare–Acquired Conditions (HACs) and potentially avoidable hospitalizations
Through the five-year Nursing Home Collaborative, we are offering:
  • Customized onsite consultation
  • Quality improvement skills training
  • Evidence-based tools and resources
  • Ongoing educational opportunities
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Nursing Home Quality News



Immunizations are Not Just for Children

Immunizations not only help your body fight off disease, they help prevent you from spreading them. Though many people associate immunizations with children, as you age many vaccinations wear off and you may…read more →

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Great Plains Quality Care Collaborative (QCC) Milestone Achievements & Progress

The Great Plains QCC Milestones are a simple way for you to improve your resident care while you test the use of quality improvement techniques essential to the QAPI process. For specific information on actions needed to achieve each Great Plains QCC Milestone level please refer to the Great Plains Quality Care Collaborative Milestones document.

Training Events
Sep 19 @ 1:30 pm – 2:00 pm
Presentation handout Participation Instructions: Pre-registration is not required. Please join 15 minutes prior to start. Locate the event, click “Join Now” Enter your name and email Enter the password: Sepsis (If a dialogue box appears, click[...]
Aug 30 @ 12:00 pm – 1:00 pm
  Presentation Slide Handout   Annually thousands of Americans are hospitalized and even die due to vaccine-preventable diseases.  Healthcare workers care for people at high risk for influenza-related complications so it is especially important for[...]
Aug 16 @ 1:00 pm – 2:00 pm
  Presentation Slide Handout   By attending this event, participants will gain additional knowledge about the IMPACT Act and realize how it will help Long-Term Care (LTC) and Skilled Nursing Facilities (SNF) improve quality of[...]
Aug 15 @ 1:00 pm – 2:00 pm
  Presentation slide handout Overview and Purpose: Join Peg Gilbert as she reviews the list of top ten common areas for infection prevention improvement and the evidence-based best practices for addressing them.  Participants will be[...]
Aug 14 @ 2:00 pm – 3:00 pm
Presentation slide handout During this Great 8 WebEx, staff members from three separate nursing homes in Wisconsin, Iowa and Oregon will share their best practices for pain management and prevention of readmissions. Pre-registration is not[...]
Jul 24 @ 3:30 pm – 4:30 pm
Presentation handout Overview and Purpose: Speakers will share insights and knowledge on trauma-informed care in nursing homes. Along with providing information and resources, approaches to care for individuals with a history of trauma will be explained.[...]
Jul 24 @ 12:15 pm – 1:00 pm
  Presentation/Slides Handout Join us as we welcome Johnathan Reeves from the Great Plains QIN, for a cross setting webinar focused on using your quality improvement program to fully utilize antibiotic stewardship efforts.   Target[...]
Jul 19 @ 2:00 pm – 3:30 pm
Presentation Handout Advance Care Planning Resources This webinar will feature a review of the Institute for Healthcare Improvement’s (IHI) framework for improving end-of-life care which includes five “bite-sized” practical principles. Stories from several organizations and[...]
Jun 14 @ 2:00 pm – 3:00 pm
Presentation/Slides Handout Access the WebEx Recording Overview and Purpose: Join us as we welcome Dr. Sarah Kabbani from the Centers for Disease Control and Prevention (CDC) for this timely webinar focused on antibiotic stewardship programs[...]
May 31 @ 1:00 pm – 2:00 pm
Presentation/Slide Handout Resident interview questions for continence shared by Kendra Roloff: Are you having problems with your bladder Do you ever lose urine when you don’t want to Do you ever leak urine when you[...]
May 31 @ 10:00 am – 11:00 am
  Presentation/Slides Handout Learn the recommended techniques for taking blood pressure (BP) Evaluation of blood pressure is essential in assessing cardiovascular health. As a standard part of many physicians’ office workflows, measuring blood pressure may[...]
May 10 @ 3:30 pm – 4:30 pm
Presentation/Slides Handout Participation Instructions: Pre-registration is not required. Please join 15 minutes prior to start. Locate the event, click “Join” Enter your name and email Enter the password: QAPI(If a dialogue box appears, click run. Set-up[...]
Apr 26 @ 2:00 pm – 3:00 pm
Presentation/Slide Handouts Recordings and Presentations Provided by Telligen Overview and Purpose: Please join us for this national webinar on the Immunization Champions, Advocates & Mentors Program (ICAMP) presented by The Gerontological Society of America (GSA).[...]
Apr 11 @ 11:00 am – 12:00 pm
Presentation/Slide Handout Early Recognition and Management of Sepis for Post-acute Settings (MPRO) Sepsis is one of the top diagnoses involved with readmissions throughout the Great Plains and Lake Superior Quality Innovation Networks. This webinar is[...]
Mar 28 @ 12:00 pm – 1:00 pm WebEx
Access the recording and presentation for this WebEx here. Every day, more than 90 Americans die after overdosing on opioids. The misuse of and addiction to opioids is an ongoing and rapidly evolving public health[...]
Mar 21 @ 12:00 pm – 1:00 pm
Due to technical difficulties the video of this training event is unavailable.  You can listen to the audio and download the presentation below.   Presentation/Slides Handout NETO 3-21-18 Transcript The Nebraska Emergency Treatment Orders[...]
Mar 8 @ 3:30 pm – 5:00 pm WebEx
Access the WebEx recording This webinar will review the definition, prevalence, incidence and risk factors for delirium. We will discuss the diagnosis, treatment and strategies to prevent delirium. Participants will have the opportunity to explore[...]
Feb 14 @ 11:00 am – 12:00 pm
  Presentation Handout Every two minutes someone dies from sepsis in the United States. Eighty percent of sepsis begins outside the hospital. The elderly, as well as patients with chronic conditions, are at significant risk[...]
Feb 7 @ 2:00 pm – 3:00 pm
Presentation handout Presentation Overview Join this exciting webinar, where nursing home leaders share strategies to boost staff empowerment, increase ownership and accountability, engage staff in quality improvement and promote retention of quality staff. Discover how[...]
Jan 30 @ 12:15 pm – 1:00 pm WebEx Virtual Training
    Presentation Handout WebEx Q&A by Dr. Ashraf   Join staff from Great Plains Quality Innovation Network as we host our Community Antibiotic Stewardship Hot Topic: Urinary Tract Infections in Post-Acute Patients and Long-Term[...]
Jan 24 @ 3:00 pm – 4:00 pm WebEx
  Download WebEx Recording Download PDF of slide handouts Sepsis Matters   Sepsis Matters!! Early Recognition and Management for Nursing Home and Home Health Providers.  This event will provide knowledge on why early recognition and management of[...]
Dec 7 @ 1:00 pm – 2:00 pm
  Aromatherapy Presentation Handout Behavior Monitoring Log Chat Question Responses   Aromatherapy is the therapeutic use of essential oils extracted from plants. In healthcare settings, safety, staff education and intelligent use of essential oils are[...]
Dec 6 @ 12:00 pm – 1:00 pm
Access the presentation recording Access the presentation slides/handout Overview: Join us for this exciting webinar that will provide an overview of Patient and Family Engagement (PFE) strategies for engaging patients and families as part of[...]
Nov 30 @ 2:00 pm – 3:00 pm
  The Data Is In Presentation Handouts During this WebEx, National Healthcare Safety Network-Clostridium Difficile Initiative project participants will learn how to extract reports from the submitted data. Peg Gilbert will share steps to ensure data[...]
Nov 9 @ 10:00 am – 11:30 am
This webinar will focus on wound assessments. Presentation handout Target Audience: Providers, nurses, practice managers and clinical staff are invited to join this event. Objectives: Upon completion of the WebEx, participants will be able to:[...]
Oct 31 @ 12:15 pm – 1:00 pm
Presentation Handout November 13-19, 2017 is Antibiotic Awareness Week. This observance is a key component of Centers for Disease Control and Prevention (CDC) efforts to improve antibiotic stewardship in communities, healthcare facilities and on the[...]
Oct 19 @ 3:00 pm – 4:00 pm
Up to 70 percent of nursing home residents receive an antibiotic during a year and up to 75 percent of antibiotics are prescribed incorrectly.¹ The Centers for Medicare & Medicaid Services (CMS) has finalized a[...]
Oct 5 @ 2:00 pm – 3:00 pm
QAPI Presentation Handout QAPI Plan Template Worksheet QAPI Written Plan How-to Guide Quality Assurance/Performance Improvement (QAPI) is a proactive, data-driven, systems-based approach that prepares nursing homes to provide care with better outcomes—improved quality of life,[...]
Sep 19 @ 11:30 am – 12:30 pm
Presentation Handout   Sepsis is a complication caused by the body’s overwhelming and life-threatening response to infection. It can lead to tissue damage, organ failure, and death. Sepsis is difficult to diagnose. It happens quickly[...]
Aug 29 @ 2:30 pm – 3:30 pm
Presentation Materials: Access the presentation handout. Join us for this exciting webinar, where nursing home colleagues will learn from their peers about innovative ways to improve residents’ quality of life and reduce the use of[...]
Antibiotic Stewardship/Infection Prevention
NCC Nursing Home Training Sessions for Antibiotic Stewardship & C.Difficile (Free CEUs)


Nursing Home External Resources
ASAP NE posted the first of our videos from the Nebraska Antimicrobial Stewardship Summit held on June 1st.  This video is an excellent review on the management of several common infections.  Go to to find out more, or view the video on YouTube.

Agency for Healthcare Research and Quality
APIC Infection Prevention Competency Model
CDC Core Elements of Antibiotic Stewardship for Nursing Homes
CDC Core Elements of Antibiotic Stewardship for Nursing Homes Guidebook
Early Recognition and Management of Sepsis for Post-Acute Care Settings Toolkit
Minnesota AS toolkit and resources
National Nursing Home Quality Improvement Campaign (formerly Advancing Excellence)
Nebraska Antimicrobial Stewardship Assessment and Promotion Program
North Carolina Statewide Program for Infection Control and Epidemiology
The PEW Trust: Antibiotic Stewardship in Long-Term Care Facilities
When to Call A Physician for Antibiotics. Created by South Dakota Department of Health

Dementia & Antipsyschotic Medication Reduction

External Resources

Other Quality Measure Topics

Nursing Home Composite Score Calculator Video

External Resources
National Nursing Home Quality Improvement Campaign
NNHQI Consistent Assignment
NNHQI Hospitalizations Goals
NNHQI Infection Goals
NNHQI Pain Goals
NNHQI Person-Centered Care Goals
NNHQI Staffing Stability Goal
CDC Influenza Toolkit for LTC Providers
CMS National NH Collaborative Change Package
CMS Nursing Home Compare Five Star Rating System User Guide
CMS Quality Indicator Study (QIS) Survey Form
Pioneer Network
Pressure Ulcers Pressure Ulcer Training Modules - NDNQI
Understanding Depression in Later Life - Myths and Realities - NDSU Extension


External Resources

CMS QAPI Process Tool Framework
QAPI At a Glance Toolkit
QAPI Five WHYs Tool for Root Cause Analysis
QAPI Goal Setting Worksheet
QAPI Guidance for Performing RCA with PIPs
QAPI Guide for Developing a QAPI Plan
QAPI Self Assessment Tool 
QIO Program Nurshing Home Facility Assessment Tool
Stratis Root Cause Analysis Toolkit

Meet the Experts

Brenda Groves

Brenda Groves, LPN, CADDCT, CDSGF

Quality Improvement Consultant
Regional Task Lead
785-273-2552 x350
Email Brenda

Johnathan Reeves

Johnathan Reeves, BA

Quality Improvement Consultant
785-273-2552 x367
Email Johnathan

Krystal Hays

Krystal Hays, DNP, RN, RAC-CT

Quality Improvement Advisor
402-476-1399 x522
Email Krystal

Michelle Lauckner

Michelle Lauckner, RN, BA, RAC-CT, IP-BC

Quality Improvement Specialist

North Dakota


Email Michelle

Lori Hintz

Lori Hintz, RN

Program Manager
South Dakota
Email Lori

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Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.