Nursing Home Quality
Better Together.Specifically, we are partnering with nursing homes to:
- Improve the Five Star Quality Domain Score Rating that includes 15 quality measures
- Reduce adverse drug events with a focus on anticoagulants, diabetic agents, opioids and antipsychotic medications
- Increase resident safety
- Reduce healthcare acquired infections and conditions
- Improve appropriate and quality care transitions with an emphasis on the reduction of emergency department visits and readmissions
We will meet nursing homes where they are at in their quality improvement journey. Participating homes have access to expertise and technical assistance from our team. Best practices, data, tools and trainings are available to support nursing homes in achieving set quality improvement aims. We identify and facilitate educational opportunities and peer networking while utilizing data as a driver for change.
Nuts & Bolts Monthly Newsletter
Nuts & Bolts | February 2024
Nuts & Bolts | March 2024
Nursing Home Quality Measure Video Series
Nursing Home Quality News
News
North Dakota Immunization Conference | June 18 -20, 2024
Alzheimer’s Association: Upcoming Events | Grief and Healing, Native Populations and Alzheimer’s and Advanced Care and Legal Planning
Language Access Plan: Effective Communication is Critical for Understanding, Empowerment and High-Quality Care
Great Plains QIN LAN Event | Decoding Dialysis: Improving Care Across the Continuum for Patients with Kidney Disease – May 21, 2024
South Dakota State-Specific Resources
Activities of Daily Living (ADL)
Advance Care Planning
Adverse Drug Events
NEW- Act on Adverse Drug Events – Management of Nosebleeds in Nursing Homes
Adverse Events in Nursing Homes | CMS
ADE Resources and Tools (Opioid Glycemics Anticoagulants) | HSAG
All Cause Harm Prevention in Nursing Homes: Change Package to Prevent Harm
American Geriatric Pocket Guide to the Beers Criteria
Disposal of Unused Medications | US Food & Drug Adm
Fact Sheet Medications Linked To Falls | CDC
IHI SNF Trigger Tool for Measuring Adverse Events
LTC Hypoglycemia Management Protocol
Medication Errors and Adverse Drug Events | PSNET | AHRQ
National Action Plan for ADE Prevention | US Dept Health Human Services
Quality Prescribing | AMDA | PALTC
Roadmap to Success: ADE – Opioids | HSAG HQIC
Antipsychotic Medications
→Video Tutorial: Great Plains QIN Antipsychotic Reduction Prioritization Tool
Are you Releasing to a Nursing Home? How to Decrease Readmissions
All Cause Harm Prevention in Nursing Homes Change Package
CMS National Partnership Resources
Dementia Care & Antipsychotic Drugging Advocacy Toolkit
Medications Linked to Falls
National Partnership to Improve Dementia Care in Nursing Homes | CMS
Road Map to Success Reducing Antipsychotic Medications Workshop | MPRO Lake Superior QIN
Antipsychotic Medication Reference | TMF
IA-ADAPT | Iowa Geriatric Education Center – The University of Iowa
Antibiotic Stewardship & C. Diff Reduction
Antibiotic Stewardship Videos:
Great Plains QIN Core Elements of Antibiotic Stewardship Video (12 minutes)
Great Plain QIN Core Elements of Antibiotic Stewardship Presentation (to accompany video)
NEW – Great Plains QIN Developing An Antibiotic Stewardship Program: Long-Term Care (33 minutes)
NEW – Great Plains QIN Developing An Antibiotic Stewardship Program Presentation (to accompany video)
CDC Symptom Relief for Viral Illnesses
Connecting the Dots – Antibiotic Stewardship, Immunization, Sepsis
CDC Core Elements of Antibiotic Stewardship for Nursing Homes
Nursing Home Antimicrobial Stewardship Modules
Toolkit 1. Suspected UTI SBAR Toolkit (AHRQ)
Nursing Home Antibiotic Stewardship and CDiff Training Sessions | qioprogram.org
The MN Department of Health
C. diff LTC Toolkit
C. diff Tools
GPQIN Decision Tree for Diarrhea Management
GPQIN CDI Chart Review Tool
C. diff Guidelines and Prevention Resources | CDC –
Healthcare Providers:
The latest C.diff prevention guidance and resources
NEW and UPDATED C. diff materials
FREE print materials (search “C. diff” under “Programs”)
Answers to frequently asked questions about C. diff
CDC tools: Visit CDC’s C. diff website to learn more
Bladder & Bowel
Toolkit 1. Suspected UTI SBAR Toolkit (AHRQ)
Great Plains QIN Urinary Tract Infection (UTI) Quality Measure (LS) Tip Sheet
Great Plains QIN Urinary Tract Infection: Patient Tips
Great Plains QIN Urinary Tract Infection: Provider Tips
Dementia Care
Dementia Archives – Pioneer Network
Dementia Friendly Toolkit
DREAM Toolkit
Healthy Brain Initiative
IA-ADAPT | Iowa Geriatric Education Center – The University of Iowa (uiowa.edu)
Tools for Better Dementia Care
National Partnership to Improve Dementia Care in Nursing Homes
National Partnership-Dementia Care Resources
Depression
All Cause Harm Prevention in Nursing Homes Change Package
CDC Promotes Public Health Approach to Address Depression Among Older Adults
DREAM Toolkit
National Nursing Home Quality Care Collaborative Change Package
Promoting emotional health and preventing suicide: Spark Toolkit | SAMHSA
Treatment of Depression in Older Adults Evidence Based Practices Kit | SAMHSA
Quality Measure Coding Tip Sheet Depressive Symptoms LS | TMF
Emergency Preparedness
Enhanced Barrier Precautions (EBP)
Enhanced Barrier Precautions
CMS QSO-24-08-NH
CDC June 2021 Consideration for use of EBP
Introduction to Enhanced Barrier Precautions in NH’s
CDC Recommendations to Prevent Spread of MDRO’s
AHCA EBP-sample-policy
Enhanced Barrier Precautions- Med-pass
CDC Enhanced Barrier Precautions Poster
CDC Observation Tool for EBP
EBP Poster
Enhanced Barrier Precautions in Skilled Nursing Facilities PowerPoint
Implementation of PPE Use in Nursing Homes to Prevent Spread of MDRO’s
CDC Frequently Asked Questions
Survey Resources
Revision History for LTC Survey Process Documents and Files
Survey Resources
CMS Nursing Home Page
Additional Resources
ND Health and Human Services- Enhanced Barrier Precautions
NC MDRO Toolkit
Staff Education (Recording)
Enhanced Barrier Precautions (Recording)
AHCA Webinar – March 3, 2020 (Recording)
Recognizing an Outbreak (Recording)
Managing an Outbreak (Recording)
Falls
All Cause Harm Prevention in Nursing Homes Change Package
DREAM Toolkit
Module 3. Falls Prevention | AHRQ.gov
STEADI – Older Adult Fall Prevention | CDC
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities | AHRQ.gov
Great Plains QIN Falls Tracking Tool – Excel file
Great Plains QIN Falls Quality Measure Coding Tips
Great Plans QIN Falls Huddle Sheet
Infection Control & Prevention
Great Plains QIN Examples of Available Metrics for Risk Calculation of Respiratory Illness [fillable form)
Great Plains QIN Infection Prevention Tools and Resources
Great Plains QIN Infection Prevention Orientation Checklist
Great Plains QIN Infection Preventionist Education and Training Resources
All Cause Harm Prevention in Nursing Homes Change Package
AHRQ Toolkit to Reduce CAUTI and Other HAIs in Long-Term Care Facilities
CDC Nursing Home and Assisted Living Tools, Training, and Resources for Healthcare Infections
Decision Tree For Diarrhea Management
Head to Toe (H2T) Infection Prevention Toolkit
Nursing Home Training Sessions
Infection Prevention
Infection Prevention & Control Assessment Tool for NH’s Preparing for COVID-19 | HAI | CDC
Infection Control Assessment Tools | HAI | CDC
CDC’s Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings
COVID-19
NEW- Great Plains QIN Nursing Home COVID-19 Key Resources
Great Plains QIN Vaccinations Webpage
Assessment of COVID-19 Prevention Activities (greatplainsqin.org)
CMS Targeted COVID-19 Training for Frontline Nursing Home Staff and Management
State Specific Resources
North Dakota Department – HAI Division
South Dakota Department of Health-HAI Division
Influenza and Pneumonia Vaccination
Great Plains QIN Nursing Home Vaccination Change Package
#GetVaccinated Long-Term Care Provider Toolkit
Great Plains QIN Influenza Quality Measure MDS Coding Tip Sheet
Great Plains QIN Pneumococcal Quality Measure MDS Coding Tips
Great Plains QIN Vaccination Quality Measure Checklist
Great Plains QIN Electronic Vaccination Log – Excel File
All Cause Harm Prevention in Nursing Homes Change Package
National Nursing Home Quality Care Collaborative Change Package
Change Package Crosswalk
CMS Nursing Home Compare Five Star Rating System User Guide
Post-acute and LTC Facility Toolkit: Influenza Vaccination among Healthcare Personnel | Seasonal Influenza (Flu) | CDC
Adult Vaccination for Healthcare Professionals Home | CDC
Medicare Spending Per Beneficiary (MSPB)
Pain & Opioids
GPQIN Prescription for Self-Management of Pain (can be completed electronically or printed)
GPQIN Comfort Menu
GPQIN Naloxone Training
Opioids
Resources to reduce opioid misuse | CMS
Opioid Prescribing Resources | CDC
Managing Opioid Use in Long-Term Services and Support (utahgwep.org)
Stem the Tide: Addressing the Opioid Epidemic | AHA.org
Opioid Use in Long-Term Care: Guidelines and Policy Recommendations – PubMed (nih.gov)
Opioids in Nursing Homes | AMDA | The Society for Post-Acute and Long-Term Care Medicine (paltc.org)
Opioid Interventions in Nursing Homes and Community Coalitions | QIOProgram.org
Pain
Pathways to Safer Opioid Use (simulations training) | health.gov
Pain: Considering Complementary Approaches (eBook) | NCCIH (nih.gov)
Pain: Assessment, Non-Opioid Treatment Approaches and Opioid Management | ICSI
Pain Assessment Scales | UF Pain Assessment and Management Initiative
Pain Management Best Practices | HHS
Equitable Approaches to Pain Management and Safe Opioid Use | IPRO
Pressure Injuries & Wounds
Great Plains QIN SBAR Wound and Skin Communication Record
GPQIN Wound Culture Competency Checklist
NPIAP Pressure Injury Free Materials
NPIAP Pressure Injury Staging Poster
NPIAP Pressure Injury Prevention Points
All Cause Harm Prevention in Nursing Homes Change Package
Braden Scale Interventions Guide
CNA Shower Skin Review
DREAM Toolkit
Head to Toe (H2T) Infection Prevention Toolkit
National Nursing Home Quality Care Collaborative Change Package
National Pressure Injury Advisory Panel Resources
QIO Pressure Ulcer Tracking Tool
Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
SkinTears.org resources
Webinars | WCEI
Wound Care Matters resources | WCEI.net
Wound Care Tools and Resources | WCEI
Quality Improvement
Great Plains QIN Auditing Performance Tracking Resources
⇒ Great Plains QIN Auditing Performance Tracker Template
⇒ Video: How to Use the Auditing Performance Tracking Tool
⇒ Presentation/Slides: QAPI Performance Tracking Tool
Great Plains QIN Performance Improvement Project (PIP) Template (print version)
Great Plains QIN Performance Improvement Project (PIP) Template [fillable form)
Great Plains QIN: Examples of Available Metrics for Risk Calculation of Respiratory Illness [fillable form)
Quality Measures: How They Are Developed, Used, & Maintained
CMS COVID-19Nursing Home Training – QSEP Access Tutorial
[Developed by Great Plains Quality Innovation Network]
AHRQ Competency Check vs. Observational Audit
AHRQ Observational Audits
CMS Five-Star Quality Rating System Resources
CMS Quality Measures User Manual
CMS Nursing Home Compare Five Star Rating System User Guide
CMS QAPI Nursing Home Resources
Developing a Restful Environmental Action Manual (DREAM) Toolkit
Employee Competency Assessments CMPRP Toolkit 1
Employee Satisfaction Survey CMPRP Toolkit 2
Guide to Staff Satisfaction CMPRP Toolkit 3
Head to Toe Infection Prevention Toolkit
All Cause Harm Prevention in Nursing Homes Change Package
National Nursing Home Quality Care Collaborative Change Package
QAPI How to Guide
QAPI Plan Template Worksheet [fillable form]
QAPI Structure Diagram
Quality Measure Video Series
Re-hospitalization and Emergency Department Visits
GPQIN: Readmissions Interview Tool
GPQIN: When To Call for Help Tool
GPQIN: When to Call for Help Tool Booklet Version (Print Setting: Print On Both Sides: Flip pages on short edge)
NEW GPQIN Checklist For When To Call For Help
GPQIN: Reducing Avoidable Emergency Department Visit & Hospitalization Visit Toolkit
Are You Releasing to A Nursing Home? How to Decrease Readmissions
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training
Interact Tools, Resources, Training
Improving Patient Safety in Long-Term Care Facilities
GPQIN: Skilled Nursing Facility Shared Best Practices to Reduce Potentially Preventable Readmissions
Resident & Family Engagement
Residents Whose Ability to Move Independently Worsened
Sepsis
CDC Sepsis Overview
CDC Get Ahead of Sepsis Campaign
CMS Head to Toe Infection Prevention Toolkit
NEW Great Plains QIN: STOP And TELL Tool
Great Plains QIN: Connecting the Dots – Antibiotic Stewardship, Immunization, Sepsis
National Sepsis Alliance | Long-Term Care
National Sepsis Alliance: It’s About Time Campaign
Sepsis Alliance Institute: Skilled Nursing and Long-Term Care
Successful Return to Home & Community from a SNF
Culturally Competent and Trauma Informed Care
Trauma Informed Care Resources
Trauma-Informed Care Implementation Resource Center
Culturally and Linguistically Appropriate Services (Great Plains QIN Resources)
CMS Training for F699 Trauma Informed Care and F656 Comprehensive Care Plans
Federal Regulatory Resource Links
CMS iQIES
CMS Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual
CMS Policy & Memos to States and CMS Locations
CMS Provider Enrollment and Certification Guidance Regulations for NH’s
- State Operations Manual Appendix PP
- Survey Resources (ZIP): Includes Critical Care Pathways
CMS Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
CMS Skilled Nursing Facility Value Based Purchasing (SNF VBP) Program
CMS Staffing Data Submission Payroll Based Journal (PBJ)
CMS Quality Measures: The Download section has MDS QM Manual (ZIP)
- PDF Documents: Get Adobe® Reader®
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.