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 has partnered with nursing homes across the region to share tools, knowledge and experiences for improving resident safety and clinical processes and reducing preventable healthcare conditions.

Participants learn 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 have aligned 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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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

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Dementia & Antipsychotic Medication Reduction

External Resources

Other Quality Measure Topics

Nursing Home Composite Score Calculator Video

External Resources
All Cause Harm Prevention in Nursing Homes Change Package
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

Krystal Hays

Krystal Hays, DNP, RN, CDP, CADDCT, 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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Great Plains Quality Care Coalition

Our Vision: Through collaboration and partnership, we aspire to make healthcare in the Dakotas the best in the nation. We have partnered with committed nursing homes, community leaders and healthcare organizations to improve the care in our communities. Better together.