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Quality Assurance & Performance Improvement (QAPI)

QAPI Homepage

The Centers for Medicare & Medicaid Services homepage for QAPI programs, which are critical to improving the quality of life, and quality of care and services delivered in 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

Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual (V 1.15; October 2017)

This manual is intended to provide clear guidance about how to use the Resident Assessment Instrument (RAI) correctly and effectively to help provide appropriate care. (V 1.15; October 2017)



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.



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

CMS' SNF Adverse Drug Event Trigger Tool

This tool was created by CMS as a resource document for SNFs containing necessary information for evaluating high risk medications/prevent unnecessary admissions or readmissions. It was designed to be a crosswalk that lists common potentially preventable ADEs, risk factors, triggers, and probes.



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.



General Health Issues

Borun Center: Incontinence Management

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



Improved Pain Management in Skilled Nursing Facilities

An examination of the nature and adverse effects of pain and guidelines for improved pain management for nursing home residents.



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

Advanced Directive

A directive that provides information to caregivers regarding how the individual has preferred to perform ADLs, sleep preferences, hobbies, former occupation(s).



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.



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.



Nursing Home Training Sessions

Nursing Home Training Sessions Introduction

This site is an introduction to a set of training sessions aimed to provide nursing home leaders with training materials that can be used to enhance understanding of important concepts and practices that promote stewardship and C. difficile prevention, and provide information, tools, and resources...



Session 1: TeamSTEPPSĀ® in LTC: Communication Strategies to Promote Quality and Safety

This session is one of a series of six sessions for nursing homes to support implementation of principles and practices of antibiotic stewarship and prevention and management of C. difficile infections.



Physical Restraints

Physical Restraints Success Story

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



Case Study: Nursing Home Alarm Elimination Program

A three-page case study that summarizes an intervention used to eliminate the use of personal alarms on residents while also reducing falls.



Pressure Ulcers

AHRQ Pressure Ulcer Assessment

An Agency for Healthcare Research and Quality form for documenting all wound characteristics as well as information on wound treatment and prevention.



Braden Risk Assessment Tool

The Braden Risk Assessment Tool is a tool to help assess a patient's risk of developing a pressure ulcer.



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).



Facility Assessment Tool

Facility Assessment Tool Template

This is an optional template provided for nursing facilities, and if used, it may be modified. Each facility has flexibility to decide the best way to comply with this requirement.



Incontinence

Resources to Support Incontinence Management for Residents Living in Nursing Homes

This is a resources list for incontinence management. This document provides a list of resources to support incontinence management for residents living in nursing homes. (updated 7/30/2017)