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:
We will also use evidence-based tools and methods:
- Team STEPPS
- Kotter’s 8 Step Process for Leading Change
- NEW! National Nursing Home Change Package
- Advancing Excellence
- CMS QAPI
New Resource!
Preview: Facility Assessment
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483.97 KB | Last Updated: September 12, 2017
Preview: Dementia Care in Nursing Homes - Call Presentation
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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.
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
Preview: QAPI Written Plan How-To Guide
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1.02 MB | Last Updated: March 14, 2017
Preview: Incontinence Management for Nursing Home Residents
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199.38 KB | Last Updated: August 3, 2017
Preview: Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
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43.03 KB | Last Updated: July 15, 2015
Preview: Change Bundle: To Encourage Nursing Home Residents' Mobility
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34.80 KB | Last Updated: July 15, 2015
Preview: Change Bundle: To Prevent Healthcare Acquired Infections.
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41.81 KB | Last Updated: July 15, 2015
Preview: Change Package Strategy 1: Lead with a Sense of Purpose
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733.37 KB | Last Updated: July 15, 2015
Preview: Change Package Strategy 2: Recruiting and Retaining Quality Staff
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934.02 KB | Last Updated: July 15, 2015
Preview: Change Package Strategy 3: Connect with Residents
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1.02 MB | Last Updated: July 15, 2015
Preview: Change Package Strategy 4: Nourish Teamwork and Communication
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225.46 KB | Last Updated: July 15, 2015
Preview: Change Package Strategy 5: Be a Continuous Learning Organization
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432.53 KB | Last Updated: July 15, 2015
Preview: Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
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335.15 KB | Last Updated: July 15, 2015
Preview: 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
Preview: QAPI Written Plan How-To Guide
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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.
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 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
Preview: Change Bundle: Avoidance of Unnecessary Antipsychotic Medications in Nursing Home Residents Living with Dementia
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43.03 KB | Last Updated: July 15, 2015
Increasing Mobility
Preview: Joint Commission: Preventing Falls and Fall-Related Injuries in Health Care Facilities
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130.24 KB | Last Updated: October 8, 2015
Preview: Elements of Pressure Ulcer Prevention - a Discussion and Evaluation
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1.11 MB | Last Updated: August 25, 2015
Preview: Change Bundle: To Encourage Nursing Home Residents' Mobility
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34.80 KB | Last Updated: July 15, 2015
Person-Centered Care
Managing Personality and Behavior Changes (PDF)
Preview: Person-Centered Care Webinars and Resources from the Missouri LANE
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5.06 MB | Last Updated: January 14, 2016
Resident/Family/Beneficiary Engagement
Preview: A Process for Care Planning & Resident Choice
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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
Preview: Antibiotic Stewardship Assessment
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195.29 KB | Last Updated: September 5, 2017
Preview: Hand Hygiene Assessment
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158.73 KB | Last Updated: September 5, 2017
Preview: Environmental Cleaning Assessment
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352.43 KB | Last Updated: September 5, 2017
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 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
Beyond CDI Basics Prevention Strategies: Reaching Across the Continuum of Care to Decrease CDI Events (Webinar Series)
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
Our Iceberg Is Melting: Cartoon
John Kotter: The Heart of Change
Explaining Kotter’s 8-Step Change Model
John Kotter: The Perils of Confusing Management with Leadership
John Kotter: Change Management vs. Change Leadership — What’s the Difference?
John Kotter: Organizational Hierarchy
John Kotter: Leadership
John Kotter: Why Do Change Efforts Lose Momentum?
Do You Know Your Number?
Lake Superior QIN-QIO explains the composite score measure
What Is Palliative Care?
Video: Domestic Lean Goddess PDSA
QAPI Overview Video Presentation
LSSCC Blog
Strategic Partnership Helps Nursing Homes Report Infections
In November of 2016, the Centers for Medicare & Medicaid (CMS) finalized new reporting regulations for participating long-term care facilities. Read More »
How to Make Sure Your Residents Get the Sleep They Need
Imagine… Imagine having slept in the same room for 50 years. Then, your health requires that you be moved into a long-term care facility. Read More »
Bathing Without a Battle: Award-Winning Training for Long-Term Care Staff
The award-winning, evidence-based Bathing Without a Battle training on person-centered bathing for people with Alzheimer’s disease and other dementias is now accessible online free of charge. Read More »
Nursing Homes Need to Submit Data in the Payroll-Based Journal (PBJ) System
The Payroll-Based Journal (PBJ) System went into effect on July 1, 2016. Skilled nursing facilities (SNFs) are required to collect direct care staffing and census data for each fiscal quarter. First quarter data under this mandatory reporting system will be submitted for July 1, 2016 through September 30, 2016. The deadline to submit reports to… Read More »
Use of Antipsychotic Medications in Nursing Homes Declining Regionally
MEMPHIS, TENN. — atom Alliance, a regional Quality Innovation Network-Quality Improvement Organization (QIN-QIO) working under contract to the Centers for Medicare & Medicaid Services (CMS), reports steady progress in its second year of a multi-year effort to reduce unnecessary use of antipsychotic medications among nursing home residents in the states it serves. Across the atom… Read More »