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2011 AHCA/NCAL National Quality Award Program - Bronze Award –


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Title: 2011 AHCA/NCAL National Quality Award Program - Bronze Award –

2011 AHCA/NCAL National Quality Award Program-
Bronze Award
Tim Case, AHCA/NCAL National Quality Award
2011 Quality Award Schedule
  • Intent to Apply Submission Process Opens November
    15, 2010
  • Intent to Apply Deadline January 18, 2011 at
    800pm EST
  • Applications Accepted Online February 1, 2011
  • Bronze Application Deadline February 28, 2011 at
    800pm EST
  • Bronze Applicant Notification and Feedback
    Distribution June 30, 2011
  • AHCA/NCAL Annual Convention Expo (Las Vegas,
    NV) September 18 - 21, 2011

AHCA/NCAL National Quality Award3 Steps to
  • Baldrige Performance Excellence Program
  • Bronze Organizational Profile
  • Silver Core Values and Concepts
  • Gold Health Care Criteria for Performance

Bronze Requirements
  • Responses to 2.0 criteria in two areas
  • Organizational Description
  • Organizational Environment
  • Organizational Relationships
  • Organizational Situations
  • Competitive Environment
  • Strategic Context
  • Performance Improvement System.

Bronze Keys to Success
  • There are no trick questions.
  • Labeling sections as directed is required.
  • Address all areas of each criteria.
  • Adhere to the technical requirements.

Eligibility Requirements (Bronze)
  • Member of AHCA/NCAL.
  • No substandard quality of care or immediate
    jeopardy on any surveys within the last three
  • Applicants with multi-levels of care may elect to
    apply for the entire organization or may apply
    for a distinct part of the organization, but make
    sure you are consistent throughout the
  • Applicants must participate in a Quality Award
    educational program (by participating in this
    seminar, you have met the requirement).

Technical Requirements
  • 5 page limit, plus 1 page for acronyms only - 8 ½
    by 11 page size, 12-pt Times New Roman font, 1
  • Pages must be numbered.
  • Must complete all sections of the application and
    label responses appropriately.
  • Applications should be written in prose style
    using complete sentences.
  • Graphs, charts and tables are encouraged. Text
    within tables 10pt, within graphs 8pt.
  • Refer to page 7 for complete technical

Submitting Your Application
  • Bronze applications are submitted electronically
    via AHCA/NCAL website (www.ahcancal.org).
  • Deadline to submit is February 28, 2011
    800pmEST. Late applications will not be
  • Submit one Microsoft Word document that includes
    responses to criteria (5-page limit).
  • All successful submissions will generate a
    confirmation email.

  • You are responsible for what you submit.
  • Draft versions
  • Incomplete versions
  • Incorrectly formatted versions
  • Late submissions
  • The first application you submit will be

Ethical Requirements
  • When you submit an application you are personally
    certifying that
  • The application is an accurate and true
    reflection of the application of the AHCA/NCAL
    award criteria to this facility.
  • The content of this application is original to
    this facility and was not supplied by others,
    including the corporate office, parent company,
    or external consultants (mission statement
  • You understand that if the application is deemed
    by AHCA/NCAL not to meet these requirements, it
    will be disqualified and the application fee will
    be forfeited.
  • Applications will be compared against other
    current and previous applications to screen for

Multi-Facility Coordination Tips
  • Read, understand and disseminate the appropriate
    resources from the AHCA/NCAL website at
  • Require that every facility applying view the two
    Bronze webinars posted on the website.

Multi-Facility Coordination Tips
  • You can not supply any text to be used verbatim
    in a facilities application.
  • Warn facilities against copying text verbatim
    from corporate materials.
  • Coordinators (including consultants) can function
    as application reviewers, but not as application

The Bronze Criteria
  • Lets break down the criteria.

P.1 Organizational Description
  • What are your key organizational characteristics?
    Describe your organizations operating
    environments and your key relationships with
    residents, stakeholders, suppliers and partners.

P.1Organizational Description
  • a. Organizational Environment
  • b. Organizational Relationships

a. Organizational Environment
  • (1) What is the organizations environment
    urban, suburban, rural, etc.?
  • (2) What are the applicants major health care
    services (e.g., skilled nursing, subacute,
    assisted living, etc.)?

a. Organizational Environment
  • (3) What is the organizations mission/vision
    statement (verbatim) and the specific methods
    used to communicate it across the organization?
  • (4) What is the organizations workforce profile?
    Identify your key workforce groups by position
    (e.g., professional nurse, nursing assistant,
    cook, dietary aide, housekeeper), the desired
    number in each position, and a general
    description of the education level and/or
    professional requirements for each position.
  • Consider using a table to provide your

a. Organizational Environment
  • (5) What are the organizations major equipment
    and technologies (e.g. computers, transfer
    equipment, automated dispensers, alarm devices,
  • (6) What is the regulatory environment under
    which the organization operates? What are the
    applicable health care delivery, occupational
    health and safety, physical plant, payment and
    reimbursement regulations?

b. Organizational Relationships
  • (1) What are the organizations principal
    stakeholders groups? Include customers and other
    groups most affected by the organization's
    services, actions, and success. What are the
    differences in requirements and expectations
    among stakeholder groups? In addition to
    residents, identify three other principal
    stakeholders in the first column of the table
    below. In the second column, identify the
    important requirements that each of these
    principal stakeholder groups has of the
    organization. In the third column, identify the
    processes that your organization uses to learn of
    these important stakeholder requirements. Your
    responses should be complete and clear.

b. Organizational Relationships
  • (2) What are the key types of suppliers of goods
    and services, including other health care
  • (3) From the above, what are the most important
    types of suppliers of goods and services?

b. Organizational Relationships
  • (4) What are the limitations, special business
    relationships, or special requirements that may
    exist with some or all suppliers and partners?
  • (5) What are the organizational structure and key
    management links to the parent company if the
    applicant organization is owned by a parent
    organization? Respond NA if the applicant is
    not owned by a parent organization.

P.2 Organizational Situation
  • What is your organizations strategic situation?
    Describe your organizations competitive
    environment, key strategic challenges and
    advantages, and your system for performance

P.2 Organizational Situation
  • a. Competitive Environment
  • b. Strategic Context
  • c. Performance Improvement System

a. Competitive Environment
  • (1) What is the organizations position (relative
    size) within the local market environment?
    Include numbers and types of competitors.
  • (2) What are the principal factors that determine
    competitive success in the local market?

a. Competitive Environment
  • (3) What are your key available sources of
    comparative and competitive data from within the
    long term care profession? What limitations, if
    any, are there in your ability to obtain this
    data? (Consider your access to comparative data
    provided by national surveys, published research
    on turnover rates, the federal nursing home
    compare website, state health care associations,
    your multi-facility organization, state data
    bases for cost reports and census data, "secret
    shopper " initiatives, etc. Some organizations
    may not have access to much comparative data
    because of the category of long term care
    organization, location, or ownership, While a
    specific number of sources is not required,
    applicants should show some initiative in finding
    something that will help them assess their
    position in their competitive environment.)

b. Strategic Context
  • (1) What are at least two major strategic
    challenges or advantages for the organization
    (e.g., entry into new markets or segments, human
    resource recruitment and
  • retention, new alliances with suppliers,
    physicians, or other partners, introduction of
    new technologies, changes in the health care
    environment that impact the organizations
    delivery of services, changes in strategy, or
    other challenges or advantages)?

b. Strategic Context
  • (2) What is the reason(s) why it is important
    that the organization address these challenges or

c. Performance Improvement System
  • (1) What are the key elements of your performance
    improvement system? In your response, describe
    the key steps and/or tools that you typically use
    for process improvement or innovation. To qualify
    for the Bronze award level, you must be able to
    articulate the approach you generally use to
    improve a performance outcome. At the Silver
    award level, applicants should be able to
    describe a specific methodology that they
    systematically use throughout the organization
    for process improvement and innovation. This may
    be a methodology such as FOCUS-PDSA, Six Sigma's
    DMAIC, or another approach that has been
    developed or adopted by the organization from
    other resources such as Advancing Excellence.

c. Performance Improvement System
  • (2) What one clinical quality indicator did the
    organization improve by applying the key elements
    of your performance improvement system? The
    indicator should be clearly clinical in nature,
    not merely a process measure that impacts a
    clinical indicator. Using the key steps and/or
    tools of your performance improvement system,
    describe the process by which this indicator was
    improved, including what specific changes were
    made. Include data illustrating the improvement.
    IFC/MR facilities only Given the largely
    non-clinical nature of IFC/MR services, these
    facilities may report on improvement of a
    non-clinical indicator in response to this

c. Performance Improvement System
  • (3) Assisted Living Facilities (ALFs) and
    Developmental Disability (DD) residential
  • services providers only Because you are
    unable to report survey data, please report
  • briefly on a second quality improvement
    effort. This effort need not necessarily be
    clinical in nature. Describe the process by which
    improvement was attained, including what specific
    changes were made. Include data illustrating the

c. Performance Improvement System
  • (4) What are the organizations key
    organizational performance measures?

The difference between a good application and a
great one?
  • Integration!

For more information...
  • For more information about the AHCA/NCAL National
    Quality Award Program, please contact either Tim
    Case at tcase3362_at_charter.net
  • or Courtney Krier at ckrier_at_ahca.org
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