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Nursing Home

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Quality Assurance & Performance Improvement (QAPI)

Federal Register QAPI Changes Overview

This document produced by the Quality Innovation Network National Coordinating Center provides a summary outlining the proposed new QAPI regulations for nursing homes.



QAPI At A Glance

This Centers for Medicare & Medicaid Services step-by-step guide explains how to implement QAPI in nursing homes.



Quality Measure Composite Score

Quality Measure Tip Sheet: Weight Loss (Long-Stay)

This tip-sheet handout provides an overview of the weight loss quality measure, MDS coding requirements, and more.



Quality Measure Tip Sheet: Urinary Tract Infection (Long-Stay)

This tip-sheet handout provides an overview of the urinary tract infection quality measure, MDS coding requirements, and more.



Antipsychotic Medication

Antipsychotic Reduction Tool

This tool will provide you with step-by-step instructions for prioritizing antipsychotic reduction efforts with residents in your facility.



Avoiding Unnecessary Antipsychotic Use Infographic

This infographic outlines the five steps to avoid unnecessary antipsychotics from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.



Care Coordination

INTERACT

(Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities.



Transition from Hospital How-To Guide

This guide, developed by the Institute for Healthcare Improvement (IHI), focuses on the transfer of residents from the hospital to the nursing home setting and the associated transfer of responsibility between the care teams. (Nursing home is an umbrella term that includes skilled nursing facilities, long-term care facilities, acute rehabilitation facilities, and post-acute care facilities.)



General Health Issues

Advancing Excellence in America's Nursing Homes

The Advancing Excellence in America's Nursing Homes Campaign is a coalition of 28 organizations working to make nursing homes better places to live, work, and visit.



Borun Center: Incontinence Management

This website provides access to a training module for incontinence management as a means to improve nursing home care.



Healthcare-Associated Infections

Steps to Prevent Healthcare-Associated Infections Infographic

This infographic outlines the five steps to prevent healthcare-associated infections in nursing homes from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.



Mental Health

Dementia Oversight Team.Care Options Meeting (DOT.COM) Overview

A fact sheet about how DOT.COM can help address need-driven behaviors in nursing home residents with dementia.



Dementia Training Series for Nursing Homes

This training provides nursing homes with information that emphasizes person-centered care for persons with dementia, and the prevention of abuse.



Mobility

Wheelchair Seating Assessment

A one-page wheelchair seating assessment to evaluate older adults in wheelchairs.



The Falls Management Program

This website provides access and links to free educational materials that you can use when training your staff and working with your residents and families to reduce falls and physical restraints.



Physical Restraints

Physical Restraints Success Story

South Tampa Health and Rehabilitation Center shares their story about eliminating restraints at their facility.



Rethinking the Use of Position Change Alarms

An article by Joanne Rader, Barbara Frank, and Cathie Brady that discusses and states the case for reducing and eliminating the use of personal alarms on older adults which will also reduce the risk for falls, restraint use, and other medical conditions.



Pressure Ulcers

Protein-Energy Malnutrition Definition

This fact sheet provides a definition and values commonly used to grade the severity of protein-energy undernutrition.



Skin Integrity and Medications: A Closer Look

This guide and chart categorizes medications and the effects these types of medications can have on wound healing and altering alertness.



Vaccinations

Healthcare Staff Immunization Flyer

This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in healthcare settings.



Long-Term Care Staff Immunization Flyer

This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in long-term care settings.



Urinary Tract Infections

MDS Coding Guidelines for Urinary Tract Infections

This handout provides Minimum Data Set (MDS) coding guidelines for urinary tract infections (UTIs).