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Collaborative


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The National Nursing Home Quality Care Coalition (NNHQCC), created by the Centers for Medicare & Medicaid Services (CMS), unites nursing homes across the nation under one goal—to work together to ensure residents receive the highest possible quality of care.

Nursing homes in every state of atom Alliance have been working with each other to

  • improve quality and performance improvement practices,
  • eliminate preventable healthcare-acquired conditions (HACs) and
  • dramatically improve resident satisfaction.

They are participating in hands-on learning and action sessions and quality improvement training, using proven interventions and promoting resident-centered care. And you’re invited to join.

From Collaborative Members

"The collaborative has really helped in providing us with very specific tools that we can use."

Beth Stephens, Administrator, NHC Sparta

2014-08-27T13:21:45-05:00

Beth Stephens, Administrator, NHC Sparta

"The collaborative has really helped in providing us with very specific tools that we can use."

From Collaborative Members

"The collaborative has allowed us to learn and grow as well as to share with each other how we can apply QAPI in our facilities."

Susie Hutchings, DON, Erwin Healthcare Center

2014-08-27T13:22:40-05:00

Susie Hutchings, DON, Erwin Healthcare Center

"The collaborative has allowed us to learn and grow as well as to share with each other how we can apply QAPI in our facilities."
Why Join
Be a part of a national and local collaborative packed with personalized tools and resources and continual opportunities to learn. You’ll see an improvement in the quality of your facility and satisfaction of your residents.
Hot Topics
Nursing homes will work on creating QAPI plans, reducing antipsychotic drug use, increasing resident mobility, increasing national star ratings, improving National Nursing Home Composite Quality Measure scores and reducing hospital readmissions.
CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

National Nursing Home Change Package, March 2015
National Nursing Home Change Package, March 2015

Preview: National Nursing Home Change Package, March 2015
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680.72 KB | Last Updated: March 30, 2015

Collaborative Blog

  • New Resource for Preventing Harm in Nursing Homes

    New Resource for Preventing Harm in Nursing Homes

    New Resource for Preventing Harm in Nursing Homes One-third of nursing home residents experience an adverse or temporary harm event, and the majority of those are preventable. To raise awareness of nursing home safety and support safer care, the Centers for Medicare & Medicaid Services (CMS) and the Quality Innovation Network National Coordinating Center (QIN-NCC)…
  • Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores

    Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores

      Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores Influenza Vaccinations Around 3,500 people die of the flu each year across the nation. An institutional Influenza A outbreak can result in up to 60 percent of the population becoming ill, with 25 percent of those affected developing complications severe enough to result…
  • Pain Management for Nursing Home Residents

    Pain Management for Nursing Home Residents

      Pain Management for Nursing Home Residents A high percentage of nursing home residents experience pain that impairs mobility, diminishes quality of life and often goes unrecognized and untreated by healthcare providers. Pain is not a part of normal aging and unrelieved pain can have enormous physiological and psychological effects on residents. Pain management is a…

Blog Archive

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Five-Star Quality Rating System Technical Users’ Guide, July 2012
Provides a comprehensive description of the design for the Nursing Home Compare Five-Star Rating System
CDC Toolkit for Long-Term Care Employers: Seasonal Flu
Provides resources to help long-term care facility, agency or corporation owners and administrators provide access to influenza vaccination for their workforce and to help any employer of workers in long-term care understand the importance of influenza vaccination for their employees
Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report
The second edition of the AHRQ Nursing Home Survey on Patient Safety Culture User Comparative Database Report presents data from 18,968 staff within 263 U.S. nursing homes.
The National Consumer Voice
INTERACT 3.0
Minnesota Department of Health: Root Cause Analysis Toolkit
CDC: Infection Prevention in Long-Term Care
TeamSTEPPS for Long Term Care
IHI Model for Quality Improvement
Advancing Excellence in America’s Nursing Homes
The Center for Excellence in Assisted Living
Trauma Informed Care Resources
Trauma Informed Care Resources

Preview: Trauma Informed Care Resources
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501.05 KB | Last Updated: October 5, 2018

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
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5.06 MB | Last Updated: January 14, 2016

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
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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

Preview: 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

Preview: 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

Preview: 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

Preview: 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

Preview: Change Package Strategy 7: Construct Solid Business Practices
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230.32 KB | Last Updated: July 15, 2015

HAC Recruitment Packet - Composite Measure FAQs
HAC Recruitment Packet - Composite Measure FAQs

Preview: HAC Recruitment Packet - Composite Measure FAQs
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101.75 KB | Last Updated: February 5, 2015

National Quality Strategy Toolkit
National Quality Strategy Toolkit

Preview: National Quality Strategy Toolkit
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1.95 MB | Last Updated: February 5, 2015

National Quality Strategy Lever Fact Sheet
National Quality Strategy Lever Fact Sheet

Preview: National Quality Strategy Lever Fact Sheet
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304.38 KB | Last Updated: August 21, 2015

National Quality Strategy Fact Sheet
National Quality Strategy Fact Sheet

Preview: National Quality Strategy Fact Sheet
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343.86 KB | Last Updated: February 5, 2015

Recruitment Kit - AL
Recruitment Kit - AL

Preview: Recruitment Kit - AL
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6.83 MB | Last Updated: February 5, 2015

Nursing Home Eliminates Restraint-Free Alarms - AL Success Story
Nursing Home Eliminates Restraint-Free Alarms - AL Success Story

Preview: Nursing Home Eliminates Restraint-Free Alarms - AL Success Story
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628.66 KB | Last Updated: February 6, 2015

Facility Exceeds National AP Reduction Goal - AL Success Story
Facility Exceeds National AP Reduction Goal - AL Success Story

Preview: Facility Exceeds National AP Reduction Goal - AL Success Story
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722.63 KB | Last Updated: February 6, 2015

Allen Memorial Success Story
Allen Memorial Success Story

Preview: Allen Memorial Success Story
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1.14 MB | Last Updated: February 6, 2015

Reducing Restraints One Resident at a Time
Reducing Restraints One Resident at a Time

Preview: Reducing Restraints One Resident at a Time
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1.07 MB | Last Updated: August 21, 2015

Tennessee Nursing Homes Collaborate to Make Quality Improvements
Tennessee Nursing Homes Collaborate to Make Quality Improvements

Preview: Tennessee Nursing Homes Collaborate to Make Quality Improvements
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405.61 KB | Last Updated: August 21, 2015

Universities & Geriatric Education Centers in the South
Universities & Geriatric Education Centers in the South

Preview: Universities & Geriatric Education Centers in the South
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1.36 MB | Last Updated: February 6, 2015

CMS Nursing Homes Best Practices—July 2014
CMS Nursing Homes Best Practices—July 2014

Preview: CMS Nursing Homes Best Practices—July 2014
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0.00 KB | Last Updated: February 6, 2015

Abt Star Rating Report
Abt Star Rating Report

Preview: Abt Star Rating Report
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2.35 MB | Last Updated: February 6, 2015

Thomas Hamilton Survey Letter
Thomas Hamilton Survey Letter

Preview: Thomas Hamilton Survey Letter
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153.89 KB | Last Updated: February 6, 2015

Understanding the New MDS 3.0 Quality Measures
Understanding the New MDS 3.0 Quality Measures

Preview: Understanding the New MDS 3.0 Quality Measures
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503.63 KB | Last Updated: February 6, 2015

5 Steps to Manage Your Employee Mix
5 Steps to Manage Your Employee Mix

Preview: 5 Steps to Manage Your Employee Mix
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1,016.63 KB | Last Updated: February 6, 2015

Staff Stability Toolkit
Staff Stability Toolkit

Preview: Staff Stability Toolkit
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4.02 MB | Last Updated: February 6, 2015

Activity: The Importance of Dedicated Caregivers
Activity: The Importance of Dedicated Caregivers

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60.92 KB | Last Updated: February 6, 2015

Operationalizing Consistent Assignment
Operationalizing Consistent Assignment

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698.82 KB | Last Updated: February 6, 2015

Using the MDS 3.0 as an Engine for High Quality Individualized Care
Using the MDS 3.0 as an Engine for High Quality Individualized Care

Preview: Using the MDS 3.0 as an Engine for High Quality Individualized Care
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109.26 KB | Last Updated: February 6, 2015

How to Use the CMS Hand in Hand Tool for Dementia Care
How to Use the CMS Hand in Hand Tool for Dementia Care

Preview: How to Use the CMS Hand in Hand Tool for Dementia Care
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1.49 MB | Last Updated: February 6, 2015

Do You Know Your Number?
Lake Superior QIN-QIO explains the composite score measure
What Is Palliative Care?
atom Alliance Pinterest Board: Nursing Home Care
QIO Program Progress Infographic 2011-2014
QIO Program Progress Infographic 2011-2014

Preview: QIO Program Progress Infographic 2011-2014
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1.68 MB | Last Updated: February 5, 2015

Antipsychotic Success Graphic
Antipsychotic Success Graphic

Preview: Antipsychotic Success Graphic
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478.58 KB | Last Updated: February 6, 2015

CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

RCA Five Whys
RCA Five Whys

Preview: RCA Five Whys
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135.85 KB | Last Updated: February 5, 2015

Fishbone Diagram
Fishbone Diagram

Preview: Fishbone Diagram
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213.81 KB | Last Updated: February 6, 2015

Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
An Illustrated Look at QI in Healthcare
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams
INTERACT 3.0
Video: Domestic Lean Goddess PDSA
Creating a Strong Team
Creating a Strong Team

Preview: Creating a Strong Team
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291.77 KB | Last Updated: February 6, 2015

Interactive PDSA Worksheet
Interactive PDSA Worksheet

Preview: Interactive PDSA Worksheet
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223.14 KB | Last Updated: February 6, 2015

Using PDSA for Quality Improvement
Using PDSA for Quality Improvement

Preview: Using PDSA for Quality Improvement
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54.30 KB | Last Updated: February 6, 2015

Developing an Aim Statement
Developing an Aim Statement

Preview: Developing an Aim Statement
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451.91 KB | Last Updated: February 10, 2015

Developing Vision and Mission Statements
Developing Vision and Mission Statements

Preview: Developing Vision and Mission Statements
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575.33 KB | Last Updated: February 10, 2015

Interactive Team Worksheet
Interactive Team Worksheet

Preview: Interactive Team Worksheet
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120.56 KB | Last Updated: February 6, 2015

PDSA Examples
PDSA Examples

Preview: PDSA Examples
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800.96 KB | Last Updated: February 6, 2015

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Embracing QAPI

The QAPI process is key to helping your nursing home establish, maintain and sustain high-quality care for residents.

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Reducing Antipsychotics

Decrease the use of unnecessary antipsychotic medications and improve the quality of life for residents.

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Improving Mobility

Improving resident mobility is not only about safety, it’s also about dignity and independence. Discover what you can do.