Improve Resident Care Using the National Nursing Home Quality Care Collaborative (NNHQCC) Composite Measure

The NNHQCC composite measure is a gauge to help monitor nursing home progress. Nursing homes participating in the NNHQCC focus on processes that improve their systems and measure individual tests of change. Specifically, they look at their Plan-Do-Study-Act (PDSA) improvement cycle results, clinical outcomes measures and composite scores.

The composite measure is not intended to replace or supersede existing local or federal initiatives, including the 5-star rating system, but is another way to look at quality from a system’s perspective.

The composite measure is comprised of 13 National Quality Forum (NQF)-endorsed, publically reported, long-stay quality measures that represent larger systems within the long-term care setting.

13 Long-Stay Quality Measures

  1. Percent of residents with one or more falls with major injury
  2. Percent of residents with a urinary tract infection
  3. Percent of residents who self-report moderate to severe pain
  4. Percent of residents with a pressure ulcer
  5. Percent of residents with loss of bowel or bladder control
  6. Percent of residents with catheter inserted or left in bladder
  7. Percent of residents physically restrained
  8. Percent of residents whose need for help with Activities of Daily Living has increased
  9. Percent of residents who lose too much weight
  10. Percent of residents who have depressive symptoms
  11. Percent of residents who received antipsychotic medications
  12. Percent of residents assessed and appropriately given the seasonal influenza vaccine
  13. Percent of residents assessed and appropriately given the pneumococcal vaccine

Learn more about how atom Alliance is working with nursing homes across five states to improve their composite score and how your facility can get involved.

Scott Gibson

Scott Gibson, BS

Scott Gibson is the Quality Improvement Advisor for the nursing home team at Qsource, the Quality Improvement Organization for Kentucky. Previously, Mr. Gibson worked with Health Care Excel for nine years in several similar positions. Aside from his work in quality improvement, Mr. Gibson has several years experience in journalism, public relations and adult education.