1. Advancing Excellencein America’s Nursing HomesCampaign OUR MISSION Making nursing homes better places to live, work and visit OUR VISION Every nursing home resident in America experiences person-centered quality of life as a result of a stable and empowered workforce, dedicated to improving clinical and organizational outcomes, and engaging in open communication and transparency.

2. Campaign Overview How We Got Started Our Members Continuing Our Work

3. Campaign Overview THE CAMPAIGN INCLUDES: • More than 60% (9,455) of the nation’s nursing homes • 3,578 consumers • 3,216 nursing home staff members • 52 state-based Local Area Networks of Excellence (LANEs)

4. Circle ofSuccess

5. Nine New Goals PROCESS GOALS • Improving Staff Stability • Increasing Use of Consistent Assignment • Increasing Person-Centered Care • Safely Reducing Hospitalizations Continued …

6. Nine New Goals CLINICAL GOALS • Using Medications Appropriately • Increasing Resident Mobility • Preventing and Managing Infections Safely • Reducing Pressure Ulcers • Decreasing Symptoms of Pain

7. Expected Outcomes To Engage and ChallengeNursing Homes To Provide Valuable Dataand Quality Improvement

8. Expected Outcomes To Establish National Standardsand Best Practices Becoming a Central Voicefor Quality Initiatives

9. Broader Impact New CMS Quality Assurance/Performance Improvement requirements emphasize: • Problem identification • Data collection • Root-causeanalysis • Performance measurement and tracking Advancing Excellenceand QAPI

10. Broader Impact Element 1 Design and Scope Element 2 Governance and Leadership Element 3 Feedback, Data Systems and Monitoring Element 4 Performance Improvement Projects Element 5 Systematic Analysis and Systemic Action 5 Elements of QAPI

11. Broader Impact

12. Broader Impact Advancing Excellence goal “packages” can help nursing homes align with QAPI • Goals include clinical, resident choice and organizational infrastructure topics (QAPI Element 1 and 4) • Advancing Excellence’s Circle of Success – PDSA change framework for systematic performance analysis leading to systemic action (QAPI Element 5) • Data measurement and tracking tools (QAPI Elements 3, 4 and 5) Using Advancing Excellenceto support QAPI

13. Broader Impact Advancing Excellence goal “packages” can help nursing homes align with QAPI • Root-cause analysis tools – called “Probing Questions” (QAPI Element 5) • Measures created from best available evidence (QAPI Element 1) • Vetted resources to guide interventions (QAPI Element 4) • Consumer, staff and leadership fact sheets (QAPI Element 2) Using Advancing Excellenceto support QAPI

14. About the Campaign National, Voluntary, Aligned • Registered Participant/Active Participant • Register, Update Profile • Select Goals • Submit Data

15. Quality Improvement Resources for NINE New Goals Hospitalizations Staff Stability Pressure Ulcers Infections C. difficile Medications Antipsychotics Consistent Assignment Mobility Person-Centered Care Pain Management

16. Organizational Goals Hospitalizations Staff Stability Pressure Ulcers Infections C. difficile Medications Antipsychotics Consistent Assignment Mobility Person-Centered Care Pain Management

17. PlanDoStudyAct

18. Explore the Goal

19. www.nhqualitycampaign.org

20. Why Choose Mobility?

21. PlanDoStudyAct

22. Where am I?

23. PlanDoStudyAct

24. Study Examine Processes Probing Questions

25. PlanDoStudyAct

26. Improve http://www.nhqualitycampaign.org/star_index.aspx?controls=MobilityImprove

27. Engage

28. The Tracking Tools AE_YourGoalTrackingTool.xls

29. QA and PI

30. QA and PI

31. Easy view of individual records allows resident-level view Matrix of individual data allows scanning for patterns Summary information helps identify opportunities to improve at the system level Tracking Tools Support QA and PI

32. Data and the Quality Improvement Process How do I know where I am? Where do I want to be? What processes are associated with my outcome? When I change a process, how do I know it had the effect I wanted? How am I doing compared to other nursing homes working on this goal?

33. Staff Stability

34. Consistent Assignment

35. Person Centered Care

36. Hospitalizations

37. Infections

38. Medications

39. Mobility

40. Pressure Ulcers

41. Pain

42. Monthly Data Entry on the AE Website From You • Enter ONLY summary data from your tracking tool – just a few numbers each month. • Estimated time: 10 minutes or less For You • Maintain your status as an Active Participant • Let consumers find you and display your contact information and a link to your website • View your data: Trend graphs display your progress over time • See your progress compared to other Campaign participants within your state and the nation

43. What’s Next Strengthening the Lanes Increasing Nursing Home Participation Expanding Campaign Outreach

44. Thank you! Visit Us www.nhqualitycampaign.org Connect Online Adrienne Thomas athomas@aeltcc.org (202) 508-9439 Contact Us