Quality Assurance & Performance Improvement (QAPI)
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.
This Centers for Medicare & Medicaid Services step-by-step guide explains how to implement QAPI in nursing homes.
Quality Measure Composite Score
This handout provides simple instructions on how to view your QM trend graphs through the NNHQIC website.
This handout provides information on nursing home antipsychotic medication reduction targets, what they mean, steps that need to be taken, setting your targets, and more.
This tool will provide you with step-by-step instructions for prioritizing antipsychotic reduction efforts with residents in your facility.
This infographic outlines the five steps to avoid unnecessary antipsychotics from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.
This tip sheet will show you how to view your official rehospitalization data by accessing your Certification and Survey Provider Enhanced Reports (CASPER) Confidential Feedback Report.
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.
General Health Issues
Advancing Excellence is working to make nursing homes better places to live, work, and visit.
An examination of the nature and adverse effects of pain and guidelines for improved pain management for nursing home residents.
A directive that provides information to caregivers regarding how the individual has preferred to perform ADLs, sleep preferences, hobbies, former occupation(s).
A fact sheet about how DOT.COM can help address need-driven behaviors in nursing home residents with dementia.
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.
A clinical practice guideline that provides evidence based assessment strategies and interventions to prevent falls occurring in older adults in the community and long-term care setting.
Nursing Home Training Sessions
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...
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.
South Tampa Health and Rehabilitation Center shares their story about eliminating restraints at their facility.
A three-page case study that summarizes an intervention used to eliminate the use of personal alarms on residents while also reducing falls.
This handout can be utilized to help identify the root cause for the development of a specific resident's pressure ulcer and help identify opportunities for preventing pressure ulcers going forward.
The Braden Risk Assessment Tool is a tool to help assess a patient's risk of developing a pressure ulcer.
This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in healthcare settings.
This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in long-term care settings.
Facility Assessment Tool
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.
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)
This handout provides probing questions to aid in safely preventing and managing C. difficile infections.
This is an introduction to a set of training sessions aimed to provide NH 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 to take action...
All-Cause Harm Prevention
This Change Package aims to serve as a key resource to prevent harm (adverse events, abuse, and neglect) and improve quality of life through safer care for nursing home residents across the country.