Kori Magallanez, BS

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• Kori Magallanez, BS
• Ohio KePRO

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Advancing Excellence

• Two-year, voluntary, nationwide campaign
• Kick-Off September 29, 2006
• Builds on the success of other campaigns
• Quality First
• CMS Nursing Home Quality Initiative
• Culture change/Person-centered care movement
• www.nhqualitycampaign.org

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Campaign Founders

• Alliance for Quality Nursing Home Care
• American Association of Homes and Services for
  the Aging (AAHSA)
• American Association of Nurse Assessment
  Coordinators (AANAC)
• American College of Health Care Administrators
  (ACHCA)
• American Health Care Association (AHCA)
• American Medical Directors Association (AMDA)

• Centers for Medicare Medicaid Services (CMS)
• Quality Improvement Organizations (QIOs)
• The Commonwealth Fund
• The Evangelical Lutheran Good Samaritan Society
• National Association of Health Care Assistants
  (NAHCA)
• National Citizens Coalition for Nursing Home
  Reform (NCCNHR)
• National Commission for Quality Long-Term Care.

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Campaign Goals

• Clinical
• Reduce high-risk pressure ulcers
• Reduce use of physical restraints
• Reduce pain in long-term residents
• Reduce pain in post-acute residents

• Organizational
• Set clinical targets (www.nhqi-star.org)
• Reduce staff turnover
• Measure resident family satisfaction
• Consistent assignment of caregivers

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Reduce High-Risk Pressure Ulcers

• Goal 1Nursing home residents receive appropriate
  care to prevent and minimize pressure ulcers.
• National average lt 10
• 30 of nursing homes lt 6
• No nursing home gt 24
• Ohio state average 12.3

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Reduce Physical Restraints

• Goal 2 Nursing home residents are independent to
  the best of their ability and rarely experience
  daily physical restraints.
• National average lt 5
• 50 of nursing homes lt 3
• No nursing home gt 19
• Ohio state average 5.8

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Reduce Pain in Long-Term Residents

• Goal 3 Nursing home residents who live in a
  nursing home longer than 90 days infrequently
  experience moderate or severe pain.
• National average lt 4
• 30 of nursing homes lt 2
• No nursing home gt 20
• Ohio state average 7.9

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Reduce Pain in Post-Acute Residents

• Goal 4 People who come to nursing homes after
  staying in the hospital only sometimes experience
  moderate to severe pain.
• National average lt 15
• 30 of nursing homes lt 10
• No nursing home gt 46
• Ohio state average 26.3

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Set Targets

• Goal 5 Most nursing homes will set
  individualized targets for clinical quality
  improvement.
• 90 of nursing homes will set annual clinical
  quality targets on www.nhqi-star.org
• 50 of nursing homes will set targets that are at
  least 25 lower than their current rate
• Ohio 67

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Resident and Family Satisfaction Surveys

• Goal 6 Nearly all nursing homes assess resident
  and family experience of care and incorporate
  this information into their quality improvement
  activities. 
• gt80 of nursing homes regularly assess resident
  experience of care and incorporate into their
  quality improvement activities
• Ohio All

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Staff Turnover

• Goal 7 Most nursing homes measure staff turnover
  and develop action plans as appropriate to
  improve staff retention.
• gt80 of nursing homes regularly measure staff
  turnover develop action plans to reduce the
  rate of turnover
• National average for staff turnover will be
  reduced by 15
• Ohio state average CNA 85, LPN/RN 50

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Consistent Assignment

• Goal 8 To maximize quality as well as resident
  and staff relationships, the majority of nursing
  homes will employ consistent assignment.
• One-third of nursing homes will have adopted
  consistent assignment among CNAs
• Ohio Unknown

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Campaign Structure

• National Steering Committee
• Local Area Network for Excellence (LANE)
• Ohio KePRO
• Trade associations OHCA, AOPHA
• State/local agencies TAP, Ombudsman
• Others OMDA, OHIMA, PCC Coalition

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QI Support

• LANE members
• Teleconferences
• Yahoo! Group
• Resources

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How to Join?

• Go to www.nhqualitycampaign.org
• Select three or more goals
• Submit online registration form

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Publication No. 8001-OH-156-12/2006. This
material was prepared by Ohio KePRO, the Medicare
Quality Improvement Organization for Ohio, under
contract with the Centers for Medicare Medicaid
Services (CMS), an agency of the U. S. Department
of Health and Human Services. The contents
presented do not necessarily reflect CMS policy.