Use these Plan-Do-Study-Act (PDSA) cycles as a guide to develop your own or try any that you think might work in your facility.
The QAPI plan will guide your organization’s performance improvement efforts. The QAPI regulation requires a written plan. This plan is a framework for an effective, comprehensive, data driven program that focuses on the indicators that reflect outcomes of care and quality of life.
Tool to find the root cause of a nursing home’s problem.
This worksheet was designed to work in conjunction with the QAPI Guide for Developing a QAPI Plan. It will help you summarize the QAPI progress you have achieved and create an outline for writing your QAPI plan.
“Weak” interventions often not prevent the recurrence of the original problem. Whenever possible, use strong interventions, suchas simplifying a process or making physical or environmental changes, to “hardwire” the change into the existing system.
Prevent recurring problems by ensuring that all possible root causes have been identified and addressed. Remember to use systematic tools, such as the fishbone diagram or the “Five Whys” to dig below the surface.
For those areas that require a PIPs, PIP teams should use a methodic or standardized process for making improvements. PDSA is one well-known model, but there are others that may also work for your organization. e important point is to use a strategic methodology, and not a haphazard, “throw it at the wall and see if it sticks” approach.
Effective use of data will help ensure that decisions are made based on fact, and not on an assumption of the truth. Just as a physician needs data about a patient to diagnose a condition, QAPI teams and PIP teams will need data to ensure they are targeting the right areas.
Is the care provided by your facility tied to your organization’s fundamental purpose or philosophy? How do you determine programmatic priorities? Taking time to articulate the purpose, the guiding principles and the scope of QAPI will help you integrate these efforts into your organization.
QAPI at a Glance states that QAPI relies on teamwork in several ways. Do teams at your organization have a clear purpose? Do teams have defined roles for each team member to play? Do teams have commitment and active engagement from each member?
The facility leadership (i.e., medical director, administrator, director of nursing and other key managers) is responsible for setting the tone to help staff identify how to meet the organization’s mission, vision, guiding principles, standards and expectations. Without strong leadership, change efforts often fail or are not sustainable.
PLEASE NOTE: You must be REGISTERED to view this On-Demand Learning Session The often hectic long term care setting must effectively manage a resident population that is particularly high risk for facility acquired pressure ulcers. This program introduces a novel approach to pressure ulcer prevention that can be incorporated into activities staff are already performing several times each day. This approach can help the nursing home team to work smarter instead of faster.
Training Series Overview Qsource and the Vanderbilt Center for Quality Aging have collaborated to offer nursing homes a web-based training program designed to teach non-nursing personnel to assist with daily feeding. The curriculum is led by experts in gerontology, nursing, social work and nutrition within the Vanderbilt University Medical Center. All 8 webinars and a post-test/evaluation must be completed if you are a non-nursing staff member who wants to be allowed to provide feeding assistance to residents in the state of Tennessee. However, individual webinars can be viewed by any [...]
This presentation provides instruction for enrolling your Long Term Care facility in the National Healthcare Safety Network (NHSN), the CDC's Healthcare Associated Infection Tracking System. Entering infection data into NHSN will allow facilities to help establish a national baseline for nursing home C. Difficile rates and subsequently identify goals to improve the quality of care and resident outcomes. What you will learn How to successfully enroll your long term care facility into NHSN and the Secure Access Management System (SAMS) Identify CDC resources to assist in NSHN and SAMS enrollment
This presentation provides instruction for preparing your long-term care facility to report to the National Healthcare Safety Network (NHSN), the CDC's Healthcare Associated Infection Tracking System. Entering infection data into NHSN will allow facilities to help establish a national baseline for nursing home C. Difficile rates and subsequently identify goals to improve the quality of care and resident outcomes. You will learn: How to successfully set up for reporting C. diff statistics How to create a monthly reporting plan How to join groups in NHSN system
After you're registered with NHSN, you need to get started tracking and reporting your CDI data. This webinar will show you some websites and resources that will help you maintain complete and thorough infection records for your long-term care facility. You will learn: How to use the Advancing Excellence tracking tool How to input CDI data for your residents How to report CDI data to NHSN
PLEASE NOTE: You must be REGISTERED to view this On-Demand Learning Session In this short webinar, Dr. Katherine Fleming-Dutra from the Centers for Disease Control and Prevention (CDC) explains antibiotic resistance and prescribing in the outpatient setting as she introduces the basics of Antibiotic Stewardship. Learn about the CDC's Core Elements of Antibiotic Stewardship: Commitment Action for policy and practice Tracking and reporting Education and expertise
PLEASE NOTE: You must be REGISTERED to view this On-Demand Learning Session Guest speaker Angela Craig leads an in-depth training series on sepsis for long-term care staff. She is an experienced ICU Clinical Nurse Specialist at Cookeville Regional Medical Center in Tennessee where she leads their sepsis program. She has critical experience in caring for sepsis patients and developing and implementing sepsis protocols. In this series, she covers: Developing and implementing an early recognition of the sepsis process Standardizing processes for the treatment of patients with early sepsis Standardizing [...]