Nursing Home Quality

Better Together.

We look forward to partnering with and supporting nursing homes across our region over the next five years. We will work together to implement quality improvement strategies to achieve overall better care, lowered healthcare costs and better health outcomes.

Specifically, we will partner 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 will have access to expertise and technical assistance from our team.  Best practices, data, tools and trainings will be available to support nursing homes in achieving set quality improvement aims. We will identify and facilitate educational opportunities and peer networking while utilizing data as a driver for change.

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Nursing Home Quality Measure Video Series

Short videos to aid in understanding the CASPER report and each of the Nursing Home Quality Measures that comprise the Quality Five-Star Rating.
Nursing Home Quality News

Great Plains QIN Nursing Home Nuts & Bolts Newsletters 
We will post the most recent Nuts & Bolts newsletters on this page. If you would like a copy of a previous issue, contact Keri McDermott, Communications Director, at keri.mcdermott@greatplainsqin.org

News

See All Nursing Home News Posts 

 

North Dakota State-Specific Resources
North Dakota Nursing Home Compare
North Dakota PDMP
North Dakota Project ECHO
South Dakota State-Specific Resources
South Dakota PDMP
South Dakota Project ECHO
South Dakota Nursing Home Compare
Activities of Daily Living (ADL)

Functional Assessment and Active Monitoring
Guide to Using the 4Ms in the Care of Older Adults
The Lawton Instrumental Activities of Daily Living (IADL) Scale
Great Plains QIN Activities of Daily Living Quality Measure Coding Tip Sheet [Long Stay]

Advance Care Planning
Honoring Choices North Dakota
POLST North Dakota
Advance Care Planning South Dakota
Medical Order for Scope of Treatment (MOST) South Dakota
Comfort One South Dakota

Advance Care Planning MLN Fact Sheet/Resources
National POLST
CDC Advance Care Planning Course

Adverse Drug Events
Adverse Events in Nursing Homes
All Cause Harm Prevention in Nursing Homes Change Package
IHI SNF Trigger Tool for Measuring Adverse Events
Post-Acute & Long-Term Care Quality Prescribing

 

 

Antibiotic Stewardship/C.diff Reduction

Connecting the Dots – Antibiotic Stewardship, Immunization, Sepsis
Core Elements of Antibiotic Stewardship for Nursing Homes
Nursing Home Antimicrobial Stewardship Modules
Toolkit 1. Suspected UTI SBAR Toolkit (AHRQ)

Antipsychotic Medications 

Great Plains QIN Antipsychotic Measure Coding Tip Sheet [Short Stay]
Great Plains QIN Antipsychotic Measure Coding Tip Sheet [Long Stay]

Great Plains QIN Antipsychotic Reduction Resident Prioritization Tool 
→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

 

Bladder & Bowel
Great Plains QIN Catheter Inserted and Left in Bladder  Quality Measure (LS) Tip Sheet
Toolkit 1. Suspected UTI SBAR Toolkit (AHRQ)
Great Plains QIN Urinary Tract Infection (UTI) Quality Measure (LS) Tip Sheet
Effective Management of Urinary Incontinence in Long-Term Care Facilities

Dementia Care

Alzheimer’s Association
Dementia Friendly Toolkit
DREAM Toolkit
Healthy Brain Initiative
Tools for Better Dementia Care
National Partnership to Improve Dementia Care in Nursing Homes
National Partnership-Dementia Care Resources

Depression
DREAM Toolkit
ABCs of Combating Isolation
All Cause Harm Prevention in Nursing Homes Change Package
National Nursing Home Quality Care Collaborative Change Package
Change Packages Crosswalk
IA-ADAPT Improving Antipsychotic Appropriateness in Dementia Patients
Falls 
AHRQ Improving Patient Safety in Long-Term Care Facilities
All Cause Harm Prevention in Nursing Homes Change Package
DREAM Toolkit
Falls Management Program:  A Quality Improvement Initiative for Nursing Facilities
STEADI Resources
Great Plains QIN Falls Tracking Tool – Excel file
Great Plains QIN Falls Quality Measure Coding Tips
Great Plans QIN Falls Huddle Sheet

 

Healthcare Related Infections

Great Plains QIN – Nursing Home COVID-19 Key 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
Head to Toe (H2T) Infection Prevention Toolkit
Nursing Home Training Sessions

Assessment of Current COVID-19 Activities

North Dakota Department of Health-HAI Division
South Dakota Department of Health-HAI Division

Influenza and Pneumonia Vaccination

Connecting the Dots – Antibiotic Stewardship, Immunization, Sepsis

→ Great Plains QIN Nursing Home Vaccination Change Package 

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
Long-Term Care Facility Immunization Toolkit
Long-Term Care Toolkit to Increase Vaccination Among Personnel
Vaccines for Adults

Medicare Spending Per Beneficiary (MSPB)
IMPACT Act: Medicare Spending Per Beneficiary Measures Recording
Medicare Spending Per Beneficiary-Post Acute Care
Pain & Opioids
AHA-Stem the Tide Opioid reduction toolkit
CDC Guideline for Prescribing Opioids for Chronic Pain
CDC Opioid Guidelines Resources
Geriatric Pain Management Resources
Opioid Misuse Resources
Opioid Use in Long-Term Services and Supports Education Modules
Pain: Considering Complementary Approaches (eBook)
Pressure Injuries 
NPIAP Pressure Injury Free Materials
NPIAP Pressure Injury Staging Poster  
NPIAP Pressure Injury Prevention Points

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
DREAM Toolkit
Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
QIO Pressure Ulcer Tracking Tool
Licensed Nurse Weekly Skin Assessment
CNA Shower Skin Review  
Braden Scale Interventions Algorithm 

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)

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
Change Package Crosswalk

QAPI How to Guide
QAPI Plan Template Worksheet [fillable form]QAPI Structure Diagram

 

Quality Measure Video Series
Nursing Home Quality Measures Video Series
Re-hospitalization and Emergency Department Visits
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
Skilled Nursing Facility Shared Best Practices to Reduce Potentially Preventable Readmissions
Residents Whose Ability to Move Independently Worsened 

All Cause Harm Prevention in Nursing Homes Change Package
Independent Mobility Toolkit: (Texas HHS)
Bariatric Safe Patient Handling and Mobility Guidebook
Stepping On Program to Prevent Falls
Tai Chi Exercises
Great Plains QIN Ability to Move Worsens Tip Sheet 

Successful Return to Home & Community from a SNF
All Cause Harm Prevention in Nursing Homes Change Package
All Cause Harm Change Package Supplemental Resource
National Nursing Home Quality Care Collaborative Change Package
Change Package Crosswalk

Five Star Quality Rating System Technical Users’ Guide
INTERACT Tools/Training/Solutions
Toolkit to Educate and Engage Residents and Family Members

Trauma Informed Care
Trauma Informed Care Resources
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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.