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Quality Assurance & Performance Improvement (QAPI)

QAPI Homepage

The Centers for Medicare & Medicaid Services homepage for QAPI programs, which are critical to improving the quality of life, and quality of care and services delivered in nursing homes.



QAPI At A Glance

This Centers for Medicare & Medicaid Services step-by-step guide explains how to implement QAPI in nursing homes.



Quality Measure Composite Score

Quality Measure Tip Sheet: Weight Loss (Long-Stay)

This tip-sheet handout provides an overview of the weight loss quality measure, MDS coding requirements, and more.



Quality Measure Tip Sheet: Urinary Tract Infection (Long-Stay)

This tip-sheet handout provides an overview of the urinary tract infection quality measure, MDS coding requirements, and more.



Antipsychotic Medication

Antipsychotic Reduction Tool

This tool will provide you with step-by-step instructions for prioritizing antipsychotic reduction efforts with residents in your facility.



Avoiding Unnecessary Antipsychotic Use Infographic

This infographic outlines the five steps to avoid unnecessary antipsychotics from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.



Care Coordination

INTERACT

(Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities.



Transition from Hospital How-To Guide

This guide, developed by the Institute for Healthcare Improvement (IHI), focuses on the transfer of residents from the hospital to the nursing home setting and the associated transfer of responsibility between the care teams. (Nursing home is an umbrella term that includes skilled nursing facilities, long-term care facilities, acute rehabilitation facilities, and post-acute care facilities.)



General Health Issues

Borun Center: Incontinence Management

This website provides access to a training module for incontinence management as a means to improve nursing home care.



Improved Pain Management in Skilled Nursing Facilities

An examination of the nature and adverse effects of pain and guidelines for improved pain management for nursing home residents.



Healthcare-Associated Infections

Steps to Prevent Healthcare-Associated Infections Infographic

This infographic outlines the five steps to prevent healthcare-associated infections in nursing homes from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.



Mental Health

Dementia Oversight Team.Care Options Meeting (DOT.COM) Overview

A fact sheet about how DOT.COM can help address need-driven behaviors in nursing home residents with dementia.



Dementia Training Series for Nursing Homes

This training provides nursing homes with information that emphasizes person-centered care for persons with dementia, and the prevention of abuse.



Mobility

Wheelchair Seating Assessment

A one-page wheelchair seating assessment to evaluate older adults in wheelchairs.



The Falls Management Program

This website provides access and links to free educational materials that you can use when training your staff and working with your residents and families to reduce falls and physical restraints.



Nursing Home Training Sessions

Nursing Home Training Sessions Introduction

This site is an introduction to a set of training sessions aimed to provide nursing home leaders with training materials that can be used to enhance understanding of important concepts and practices that promote stewardship and C. difficile prevention, and provide information, tools, and resources...



Session 1: TeamSTEPPSĀ® in LTC: Communication Strategies to Promote Quality and Safety

This session is one of a series of six sessions for nursing homes to support implementation of principles and practices of antibiotic stewarship and prevention and management of C. difficile infections.



Physical Restraints

Physical Restraints Success Story

South Tampa Health and Rehabilitation Center shares their story about eliminating restraints at their facility.



Case Study: Nursing Home Alarm Elimination Program

A three-page case study that summarizes an intervention used to eliminate the use of personal alarms on residents while also reducing falls.



Pressure Ulcers

Protein-Energy Malnutrition Definition

This fact sheet provides a definition and values commonly used to grade the severity of protein-energy undernutrition.



Skin Integrity and Medications: A Closer Look

This guide and chart categorizes medications and the effects these types of medications can have on wound healing and altering alertness.



Vaccinations

Healthcare Staff Immunization Flyer

This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in healthcare settings.



Long-Term Care Staff Immunization Flyer

This flyer is designed for healthcare organization leaders and focuses on strategies to encourage immunizations among staff members in long-term care settings.



Urinary Tract Infections

MDS Coding Guidelines for Urinary Tract Infections

This handout provides Minimum Data Set (MDS) coding guidelines for urinary tract infections (UTIs).