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Leading and Sustaining Systemic Change Collaborative

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Thank you for your commitment to improving the quality of life for your residents by participating in the Leading and Sustaining Systemic Change Collaborative (LSSCC). You are the leaders of a more resident-centered culture dedicated to achieving national quality improvement goals.

National Goals:

  • Improve QAPI practices
  • Eliminate preventable healthcare-acquired conditions
  • Dramatically improve resident satisfaction

 

How We Will Achieve These Goals:

Collectively, we will use the IHI Breakthrough Collaborative model to work together to achieve these goals.

We will also use evidence-based tools and methods:

Peer_Coach_Map

dementiaandantipsychotics

 

Outcomes Congress

September 22, 2016

Leading & Sustaining Systemic Change Collaborative (LSSCC) – Outcomes Congress
Outcomes Congress Celebration Video

Outcomes Congress PowerPoint Presentation

LSSCC Best Practices Handbook

LSSCC Storyboard Projects and Top Performers Book

Certificate of Completion for Collaborative 1

Learning Session 4 (LS4)

Access Video and Transcript

LS4 PPT Slides
LS4 PPT Slides

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7.72 MB | Last Updated: May 17, 2016

Storyboard Instructions

Storyboard Abstract Example

Action Period 3 (AP3)

March 9, 2015
Video: LSSCC Action Period 3
Download: LSSCC Action Period 3 Transcript
AP3 Reducing Unnecessary Antipsychotics PPT
AP3 Reducing Unnecessary Antipsychotics PPT

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5.79 MB | Last Updated: March 4, 2016

Survey and Certification Letter - Focused Dementia Care Survey Tools
Survey and Certification Letter - Focused Dementia Care Survey Tools

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294.93 KB | Last Updated: March 4, 2016

Integrated Process Assessment - Antipsychotic Medications
Integrated Process Assessment - Antipsychotic Medications

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198.16 KB | Last Updated: March 4, 2016

BPSD Brief Worksheet
BPSD Brief Worksheet

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248.42 KB | Last Updated: March 4, 2016

10 Steps to Eliminating Off-Label Use of Antipsychotics
10 Steps to Eliminating Off-Label Use of Antipsychotics

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564.15 KB | Last Updated: March 4, 2016

4 Nondrug Pocket Guide CARD
4 Nondrug Pocket Guide CARD

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301.64 KB | Last Updated: March 4, 2016

Learning Session 3 (LS3)

January 21, 2015
Video: LSSCC Webinar
LS3 LAN Event PPT
LS3 LAN Event PPT

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5.47 MB | Last Updated: January 25, 2016

QAPI Step 10: Plan, Conduct, Document PIPs
QAPI Step 10: Plan, Conduct, Document PIPs

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181.29 KB | Last Updated: January 25, 2016

QAPI Step 11: Getting to the Root of the Problem
QAPI Step 11: Getting to the Root of the Problem

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127.32 KB | Last Updated: February 5, 2015

QAPI Step 12: Take Systematic Action
QAPI Step 12: Take Systematic Action

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184.99 KB | Last Updated: January 25, 2016

LSSCC Best Practices
LSSCC Best Practices

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133.58 KB | Last Updated: January 25, 2016

Learning Session 2 (LS2)

September 30, 2015
Video: LS2 Using Performance Improvement Methods to Achieve and Sustain the Results You Want
Video Excerpt: Using the National Nursing Home Change Package to Make Improvements
Video Excerpt: QAPI and the Proposed Revision of Requirements of Participation
Video Excerpt: How Healthy Gulf Coast Care Transitions is Helping Reduce Hospital Readmissions
Learning Session 2: Using Performance Improvement Methods to Achieve and Sustain the Results You Want
Learning Session 2: Using Performance Improvement Methods to Achieve and Sustain the Results You Want
PIP Charter Worksheet
PIP Charter Worksheet

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135.17 KB | Last Updated: September 30, 2015

QAPI Steps 7-9
QAPI Steps 7-9

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418.58 KB | Last Updated: September 30, 2015

Action Period 1 (AP1)

July 23, 2015
Video: Improving Your Composite Score by Addressing Incontinence, ADLs and UTIs
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Video Excerpt: Trends and Efficacy of Incontinence Treatment
Video Excerpt: Urinary Tract Prevention Strategies from Millers Manor
Improving Your Composite Score by Addressing Incontinence, ADLs and UTIs, presentation (PPT)
Improving Your Composite Score by Addressing Incontinence, ADLs and UTIs, presentation (PPT)
ADL Training Sheet
ADL Training Sheet

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273.17 KB | Last Updated: July 23, 2015

June 25, 2015
Video: Leading and Sustaining Systemic change Collaborative (LSSCC) AP1: Clinical Intensive Educational Webinar: Composite Score Reports
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Video Excerpt: How to Create Composite Score Awareness and Application Understanding in a Nursing Home Chain
Video Excerpt: How One Tennessee Nursing Home Manually Calculates Their Composite Score
Video Excerpt: How Jefferson County Nursing Home Has Consistently Maintained a Composite Score of 6.00 or less
Nursing Home Composite Score Calculator
Nursing Home Composite Score Calculator

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1.13 MB | Last Updated: August 21, 2015

Nursing Home Composite Score Calculator Instructions
Nursing Home Composite Score Calculator Instructions

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647.61 KB | Last Updated: July 20, 2015

Guidance for RCA
Guidance for RCA

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204.43 KB | Last Updated: August 21, 2015

Learning Session 1 (LS1)

May 28, 2015
Video: LSSCC LS1: Leadership and Teamwork
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QAPI Companion Guide: Steps 1-3 Worksheets
QAPI Companion Guide: Steps 1-3 Worksheets

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253.80 KB | Last Updated: August 21, 2015

Kick Off Event

April 23, 2015
Video: atom Alliance’s Leading and Sustaining Systemic Change: Why This Collaborative Matters
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NH Composite Score Q&As
NH Composite Score Q&As

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101.76 KB | Last Updated: August 21, 2015

Nursing Home Best Practices Evaluation
Nursing Home Best Practices Evaluation

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22.16 MB | Last Updated: August 21, 2015

Peer Coaching

February 26, 2015
Video: Peer Coaching Program Orientation
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March 26, 2015
Video: Peer Coaching Workshop: Making a Difference Peer to Peer

Nursing Home Change Package

Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
Change Bundle: To Encourage Nursing Home Residents
Change Bundle: To Encourage Nursing Home Residents' Mobility

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34.80 KB | Last Updated: July 15, 2015

Change Bundle: To Prevent Healthcare Acquired Infections.
Change Bundle: To Prevent Healthcare Acquired Infections.

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41.81 KB | Last Updated: July 15, 2015

Change Package Strategy 1: Lead with a Sense of Purpose
Change Package Strategy 1: Lead with a Sense of Purpose

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733.37 KB | Last Updated: July 15, 2015

Change Package Strategy 2: Recruiting and Retaining Quality Staff
Change Package Strategy 2: Recruiting and Retaining Quality Staff

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934.02 KB | Last Updated: July 15, 2015

Change Package Strategy 3: Connect with Residents
Change Package Strategy 3: Connect with Residents

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1.02 MB | Last Updated: July 15, 2015

Change Package Strategy 4: Nourish Teamwork and Communication
Change Package Strategy 4: Nourish Teamwork and Communication

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225.46 KB | Last Updated: July 15, 2015

Change Package Strategy 5: Be a Continuous Learning Organization
Change Package Strategy 5: Be a Continuous Learning Organization

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432.53 KB | Last Updated: July 15, 2015

Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 7: Construct Solid Business Practices
Change Package Strategy 7: Construct Solid Business Practices

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230.32 KB | Last Updated: July 15, 2015

Person-Centered Care

Missouri LANE Webinar Series
Monday, September 21, 2015
Opening Our Eyes to a Person-Directed Culture
Webinar: Advancing Excellence MOLANE Webinar Series Getting Into Action Person-Centered Culture #1
Handout: MOLANE and MC5 Webinar Person Centered Culture #1 9-21-15.pdf
Website: MOLANE Resources

Thursday, October 1, 2015
Communicating in a Person-Directed Culture
Webinar: Person-Centered Culture Webinar Oct 1 2015
Handout: MOLANE & MC5 Webinar Series Person Centered Culture #2
Website: MOLANE Resources

Tuesday, October 27, 2015
Rolling Out the Person-Centered Care Tool with Advancing Excellence
Webinar: Webinar #3 Oct 27 2015
Handout: Handout of AE MOLANE Presentation PCC goal
Website: MOLANE Resources

Thursday, November 5, 2015
Learning from the Experts: Using Data to Improve Care with Abramson Center, Pennsylvania
Webinar: Learning from the Experts Person Centered Care Nov 5 2015
Handout: Advancing Excellence/Missouri LANE Webinar Updated #4
Website: MOLANE Resources

QAPI

MDS 3.0 QM User’s Manual Version 10
The MDS 3.0 QM User’s Manual V10.0 contains detailed specifications for the MDS 3.0 quality measures, including the six new measures.

Resource Guide for Quality Improvement Tools Related to New (April 2016) Nursing Home Compare Quality Measures

An 11 minute recorded webinar entitled Quality Assurance and Performance Improvement (QAPI) Self-Assessment, intended for nursing home QAPI leaders, is available for you to use and share. This webinar discusses the value of the QAPI Self-Assessment and provides an overview of how to complete a QAPI Self-Assessment and use the results to implement and monitor QAPI broadly in an organization. This is presented by Jane Pederson MD, MS, Geriatrician & Nursing Home Subject Matter Expert, Quality Innovation Network-National Coordinating Center Team, Chief Medical Quality Officer, Stratis Health.

The recording, slides, and transcript are available here: http://www.healthcarecommunities.org/Communities/MyCommunities/QIO11thSOW/QIN-QIO/Documents.aspx?CategoryID=832265&EntryID=93112

QAPI at a Glance
QAPI Companion Guide

Antipsychotics
AE/ National Partnership to Improve Dementia Care Resources


Role of Geriatric Psychiatry in Caring for Persons with Dementia, MP3 audio file
Geriatric Psychiatry Dementia Care Transcript
Geriatric Psychiatry Role Dementia Care Brochure
Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
Partnership to Improve Dementia Care in Nursing Homes

Increasing Mobility

Joint Commission: Preventing Falls and Fall-Related Injuries in Health Care Facilities
Joint Commission: Preventing Falls and Fall-Related Injuries in Health Care Facilities
Elements of Pressure Ulcer Prevention - a Discussion and Evaluation
Elements of Pressure Ulcer Prevention - a Discussion and Evaluation

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1.11 MB | Last Updated: August 25, 2015

Change Bundle: To Encourage Nursing Home Residents
Change Bundle: To Encourage Nursing Home Residents' Mobility

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34.80 KB | Last Updated: July 15, 2015

Person-Centered Care

Person-Centered Care Webinars and Resources from the Missouri LANE
Person-Centered Care Webinars and Resources from the Missouri LANE

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5.06 MB | Last Updated: January 14, 2016

Improving Star Ratings

Improving Composite Score

Reducing Readmissions

Staff Stability

Consistent Assignment

Teambuilding

Resident/Family/Beneficiary Engagement

A Process for Care Planning & Resident Choice
A Process for Care Planning & Resident Choice

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2.21 MB | Last Updated: November 2, 2015

National Healthcare Safety Network Enrollment for LTC Facilities

This presentation provides instruction for enrolling your Long-Term Care facility in the National Healthcare Safety Network (NHSN), the CDC’s Healthcare Associated Infection Tracking System. Entering infection data into NHSN will allow facilities to help establish a national baseline for nursing home C. Difficile rates and subsequently identify goals to improve the quality of care and resident outcomes.

What you will learn

  • How to successfully enroll your long-term care facility into NHSN and the Secure Access Management System (SAMS)
  • Identify CDC resources to assist in NSHN and SAMS enrollment

 

Preparing your Long Term Care Facility to Report C. difficile in NHSN

This presentation provides instruction for preparing your long-term care facility to report to the National Healthcare Safety Network (NHSN), the CDC’s Healthcare Associated Infection Tracking System. Entering infection data into NHSN will allow facilities to help establish a national baseline for nursing home C. Difficile rates and subsequently identify goals to improve the quality of care and resident outcomes.

You will learn:

  • How to successfully set up for reporting C. diff statistics
  • How to create a monthly reporting plan
  • How to join groups in NHSN system

QuILTSS Consistent Assignment Webinar Series Session 1
May 18, 2016

Session 1 Webinar Powerpoint Presentation

Q&A Summary from the Kick-Off Webinar

QuILTSS Consistent Assignment Webinar Series Kick-Off
April 20, 2016

Kick-Off Webinar PowerPoint Presentation

Consistent Assignment Tip Sheet

LSSCC Blog