collaborative_header

Leading and Sustaining Systemic Change Collaborative

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:

 

New Resource!

Facility Assessment
Facility Assessment

Preview: Facility Assessment
Download

483.97 KB | Last Updated: September 12, 2017

Dementia Care in Nursing Homes - Call Presentation
Dementia Care in Nursing Homes - Call Presentation

Preview: Dementia Care in Nursing Homes - Call Presentation
Download

342.47 KB | Last Updated: September 12, 2017

Disclaimer:  This optional template is intended to help facilities comply with the new requirement that “Nursing facilities will conduct, document, and annually review a facility-wide assessment, which includes both their resident population and the resources the facility needs to care for their residents (§483.70(e))”. Use of this specific tool is not mandated by CMS, nor does its completion ensure regulatory compliance.

 


NCC Train the Trainer Logo

QIN NCC Train the Trainer Series *CEUs available

Click the GO button to view.

Go

_________________________________________

Action Period 2 Sharing Calls

Join us for three Sharing Calls over the next several months as we focus on some hot topics during the Collaborative II Action Period.

Register Here

Action Period 2 (Sept. 2017 – March 2018)

Focus: QAPI Written Plan Email

 

Learning Session 1 August 10, 2017

Watch the Presentation Recording

Learning Session 1 Presentation

NEW! National Nursing Home Change Package

Podcasts:

Teresa Smucker, Administrator at Healthwin in South Bend, Indiana shares how her team communicates well and emphasizes teamwork in their daily tasks. Listen Here

Josephina Batton, the director of nursing at Waters of Union City in Union City, Tennessee shares how she used the atom Alliance QAPI Written Plan How To Guide to draft her required performance improvement plan. Listen Here

atom Alliance QAPI Written Plan How To Guide

 

Kickoff Webinar April 13, 2017

Kickoff Webinar Video Recording

Collaborative II Kickoff Webinar Presentation

A Step in the Right Direction – Ave Maria Home Success Story Video

 

QAPI Written Plan How-To Guide
QAPI Written Plan How-To Guide

Preview: QAPI Written Plan How-To Guide
Download

1.02 MB | Last Updated: March 14, 2017

NCC Train the Trainer Logo

QIN NCC Train the Trainer Series

Incontinence Management for Nursing Home Residents
Incontinence Management for Nursing Home Residents

Preview: Incontinence Management for Nursing Home Residents
Download

199.38 KB | Last Updated: August 3, 2017

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

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

34.80 KB | Last Updated: July 15, 2015

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

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

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

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

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

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

934.02 KB | Last Updated: July 15, 2015

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

Preview: Change Package Strategy 3: Connect with Residents
Download

1.02 MB | Last Updated: July 15, 2015

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

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

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

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

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

Preview: Change Package Strategy 7: Construct Solid Business Practices
Download

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

QAPI Written Plan How-To Guide
QAPI Written Plan How-To Guide

Preview: QAPI Written Plan How-To Guide
Download

1.02 MB | Last Updated: March 14, 2017

12 Steps to QAPI
Four recorded webinars provide on-demand insight and instruction on how to implement the 12 Steps to QAPI in your facility. These webinars outline the principles of QAPI and review the following resources to help you with implementation:

  • QAPI at a Glance
  • QAPI Companion Guide
  • Nursing Home Change Package

Learn about the action steps to QAPI, proven change concepts, quality improvement tools and practical implementation tips. Watch them at your convenience on your own time.

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

Preview: Elements of Pressure Ulcer Prevention - a Discussion and Evaluation
Download

1.11 MB | Last Updated: August 25, 2015

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

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

34.80 KB | Last Updated: July 15, 2015

Person-Centered Care

Do you KNOW your residents? (Video)

Managing Personality and Behavior Changes (PDF)

Communication and Alzheimer’s

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

Preview: Person-Centered Care Webinars and Resources from the Missouri LANE
Download

5.06 MB | Last Updated: January 14, 2016

Resident/Family/Beneficiary Engagement

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

Preview: A Process for Care Planning & Resident Choice
Download

2.21 MB | Last Updated: November 2, 2015

The Core Elements of Antibiotic Stewardship for Nursing Homes (CDC Webpage)
Practical ways to initiate or expand antibiotic stewardship activities in nursing homes

Antibiotic Stewardship Assessment
Antibiotic Stewardship Assessment

Preview: Antibiotic Stewardship Assessment
Download

195.29 KB | Last Updated: September 5, 2017

Hand Hygiene Assessment
Hand Hygiene Assessment

Preview: Hand Hygiene Assessment
Download

158.73 KB | Last Updated: September 5, 2017

Environmental Cleaning Assessment
Environmental Cleaning Assessment

Preview: Environmental Cleaning Assessment
Download

352.43 KB | Last Updated: September 5, 2017

Signs of Sepsis Infographic

Nursing Home CDC Core Elements of Antibiotic Stewardship

Nursing Home CDC Core Elements Antibiotic Stewardship Appendix A

Nursing Home CDC Core Elements Antibiotic Stewardship Appendix B

Nursing Home CDC Core Elements Antibiotic Stewardship Checklist

Long-Term Care NHSN Enrollment Checklist

Nursing Home Antimicrobial Stewardship Guide

NHSN Tip Sheet (Add a User)

NHSN Tip Sheet (Add new facility administrator)

Tip Sheet: Entering CDI even in NHSN

Tracking and Reporting CDI in Nursing Homes (Webinar)

After you’re registered with NHSN, you need to get started tracking and reporting your CDI data. This webinar will show you some websites and resources that will help you maintain complete and thorough infection records for your long-term care facility.

You will learn:

  • How to use the Advancing Excellence tracking tool
  • How to input CDI data for your residents
  • How to report CDI data to NHSN

National Healthcare Safety Network Enrollment for LTC Facilities (Webinar)

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 (Webinar)

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

 

atom Alliance and the Tennessee Department of Health have partnered to develop a five-part Webinar training series for healthcare providers to decrease C. difficile infections (CDI). Topics covered in the series include:

  • Testing and Early Detection
  • Contact Precautions and hand Hygiene
  • Antibiotic Stewardship
  • Environmental Cleaning
  • Resources Available for Healthcare Providers

Each session includes downloadable presentation slides and a transcript, along with other relevant resources.

 

Five part series on Antimicrobial Stewardship in Long-term Care Facilities

  • Antimicrobial Stewardship and Long-term Care Facilities: Introduction – Video 1 (11 min.)
  • What is Antimicrobial Stewardship – Video 2 (10 min.)
  • Antimicrobial Stewardship in Long-term Care Facilities – Video 3 (10 min.)
  • Stewardship Interventions in Long-term Care Facilities – Video 4 (16 min.)
  • Interpreting Clinical Microbiology Reports – Video 5 (15 min.)

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

CMS QAPI
Team STEPPS
Kotter’s 8 Step Process for Leading Change
Advancing Excellence

LSSCC Blog