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Presented by: Presented by: John Sauer, WAHSA John Sauer, WAHSA Brian Purtell, WHCA Brian Purtell, WHCA Jenifer Harrison, MetaStar Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Heather Bruemmer, Board on Aging and Long Term Care Term Care
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Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Mar 26, 2015

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Page 1: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Presented by:Presented by:John Sauer, WAHSAJohn Sauer, WAHSABrian Purtell, WHCABrian Purtell, WHCAJenifer Harrison, MetaStarJenifer Harrison, MetaStarHeather Bruemmer, Board on Aging and Long Term Heather Bruemmer, Board on Aging and Long Term Care Care

Page 2: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Advancing ExcellenceAdvancing Excellence

Two-year, voluntary, nationwide Two-year, voluntary, nationwide campaign campaign

Kick-Off: September 29, 2006 Kick-Off: September 29, 2006 Builds on the success of other campaignsBuilds on the success of other campaigns

– Quality First Quality First – CMS Nursing Home Quality InitiativeCMS Nursing Home Quality Initiative– Culture change/Person-centered care Culture change/Person-centered care

movementmovement www.nhqualitycampaign.org www.nhqualitycampaign.org

Page 3: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Campaign FoundersCampaign Founders Alliance for Quality Nursing Alliance for Quality Nursing

Home CareHome Care American Association of American Association of

Homes and Services for the Homes and Services for the Aging (AAHSA)Aging (AAHSA)

American Association of American Association of Nurse Assessment Nurse Assessment Coordinators (AANAC)Coordinators (AANAC)

American College of Health American College of Health Care Administrators Care Administrators (ACHCA)(ACHCA)

American Health Care American Health Care Association (AHCA)Association (AHCA)

American Medical Directors American Medical Directors Association (AMDA)Association (AMDA)

Centers for Medicare & Centers for Medicare & Medicaid Services (CMS) Medicaid Services (CMS)

Quality Improvement Quality Improvement Organizations (QIOs)Organizations (QIOs)

The Commonwealth FundThe Commonwealth Fund The Evangelical Lutheran The Evangelical Lutheran

Good Samaritan SocietyGood Samaritan Society National Association of National Association of

Health Care Assistants Health Care Assistants (NAHCA)(NAHCA)

National Citizen’s Coalition National Citizen’s Coalition for Nursing Home Reform for Nursing Home Reform (NCCNHR)(NCCNHR)

National Commission for National Commission for Quality Long-Term Care Quality Long-Term Care

Page 4: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Campaign StructureCampaign Structure

National Steering CommitteeNational Steering Committee Local Area Network for Excellence Local Area Network for Excellence

(LANE)(LANE)– MetaStarMetaStar– WHCA & WAHSAWHCA & WAHSA– OQA (formerly BQA), Board on AgingOQA (formerly BQA), Board on Aging– Family/ResidentsFamily/Residents– Many OthersMany Others

Page 5: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Campaign SupportCampaign Support

LANE membersLANE members Teleconferences/Web Ex Teleconferences/Web Ex

OpportunitiesOpportunities Resources will be made availableResources will be made available Advancing Excellence WebsiteAdvancing Excellence Website Participant Directed OpportunitiesParticipant Directed Opportunities

Page 6: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Campaign GoalsCampaign Goals

ClinicalClinical Reduce high-risk Reduce high-risk

pressure ulcerspressure ulcers Reduce use of Reduce use of

physical restraintsphysical restraints Reduce pain in long-Reduce pain in long-

term residentsterm residents Reduce pain in post-Reduce pain in post-

acute residentsacute residents

OrganizationalOrganizational Set clinical targets Set clinical targets

(www.nhqi-star.org)(www.nhqi-star.org) Reduce staff Reduce staff

turnoverturnover Measure resident & Measure resident &

family satisfactionfamily satisfaction Consistent Consistent

assignment of assignment of caregiverscaregivers

Page 7: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Campaign Goal Campaign Goal SelectionSelection Pick at least three:Pick at least three:

– One clinicalOne clinical– One process goalOne process goal– The last goal can be your choiceThe last goal can be your choice

– Selection of goals is really up to you. Selection of goals is really up to you. – Goal selection is confidentialGoal selection is confidential

Page 8: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Reduce High-Risk Reduce High-Risk Pressure UlcersPressure Ulcers

Goal 1:Nursing home residents Goal 1:Nursing home residents receive appropriate care to receive appropriate care to prevent and minimize pressure prevent and minimize pressure ulcers ulcers

National average 12.8%National average 12.8% Wisconsin state average: 10.7%Wisconsin state average: 10.7%

Page 9: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Reduce Physical Reduce Physical RestraintsRestraints

Goal 2: Nursing home residents are Goal 2: Nursing home residents are independent to the best of their independent to the best of their ability and rarely experience daily ability and rarely experience daily physical restraintsphysical restraints

National average 6.3%National average 6.3% Wisconsin state average: 2.3%Wisconsin state average: 2.3%

Page 10: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Reduce Pain in Reduce Pain in Long-Term ResidentsLong-Term Residents

Goal 3: Nursing home residents Goal 3: Nursing home residents who live in a nursing home who live in a nursing home longer than 90 days infrequently longer than 90 days infrequently experience moderate or severe experience moderate or severe painpain

National average 5.1%National average 5.1% Wisconsin state average: 4.4%Wisconsin state average: 4.4%

Page 11: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Reduce Pain in Reduce Pain in Post-Acute ResidentsPost-Acute Residents

Goal 4: People who come to Goal 4: People who come to nursing homes after staying in nursing homes after staying in the hospital infrequently the hospital infrequently experience moderate to severe experience moderate to severe painpain

National average 21.2%National average 21.2% Wisconsin state average: 26.7%Wisconsin state average: 26.7%

Page 12: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Set TargetsSet Targets

Goal 5: Setting individualized targets Goal 5: Setting individualized targets for clinical quality improvementfor clinical quality improvement

(STAR Target Setting) (STAR Target Setting)

Wisconsin: Nearly 1/3 of NHs have Wisconsin: Nearly 1/3 of NHs have set targets over the last two years set targets over the last two years

Page 13: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Setting Targets, ContSetting Targets, Cont

Research shows that nursing homes Research shows that nursing homes that regularly set QI targets are more that regularly set QI targets are more likely to improve the quality of care likely to improve the quality of care they provide to their residents.they provide to their residents.

We hope that 90% of Wisconsin We hope that 90% of Wisconsin nursing homes will voluntarily set nursing homes will voluntarily set annual clinical quality targets on annual clinical quality targets on www.nhqi-star.orgwww.nhqi-star.org..

Page 14: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Resident and Family Resident and Family Satisfaction SurveysSatisfaction SurveysGoal 6: Nearly all nursing homes assess Goal 6: Nearly all nursing homes assess

resident and family experience of care resident and family experience of care and incorporate this information into and incorporate this information into their quality improvement activitiestheir quality improvement activities

National Goal:>80% of nursing homes National Goal:>80% of nursing homes regularly assess resident experience of regularly assess resident experience of care and incorporate into their quality care and incorporate into their quality improvement activities improvement activities

Wisconsin: UnknownWisconsin: Unknown

Page 15: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Staff TurnoverStaff Turnover

Goal 7: Most nursing homes measure staff Goal 7: Most nursing homes measure staff turnover and develop action plans as turnover and develop action plans as appropriate to improve staff retentionappropriate to improve staff retention

National Goal: >80%National Goal: >80% of nursing homes of nursing homes regularly measure staff turnover & develop regularly measure staff turnover & develop action plans to reduce the rate of turnover action plans to reduce the rate of turnover by 2008by 2008

National average for staff turnover will be National average for staff turnover will be reduced by 15%reduced by 15%

Wisconsin state average: 51% (CNA)Wisconsin state average: 51% (CNA)

Page 16: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Consistent AssignmentConsistent Assignment

Goal 8: To maximize quality as well Goal 8: To maximize quality as well as resident and staff relationships, as resident and staff relationships, the majority of nursing homes will the majority of nursing homes will employ “consistent assignment”employ “consistent assignment”

One-third of nursing homes will One-third of nursing homes will have adopted “consistent have adopted “consistent assignment” of CNAs to residentsassignment” of CNAs to residents

Wisconsin: UnknownWisconsin: Unknown

Page 17: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Consumer InvolvementConsumer Involvement

The Board on Aging and Long The Board on Aging and Long Term Care encourages residents Term Care encourages residents and families to get involved with and families to get involved with this national campaign to improve this national campaign to improve the quality of life and care in the quality of life and care in nursing homes in the state of nursing homes in the state of WisconsinWisconsin

Page 18: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Resident and Family Resident and Family ParticipationParticipation

Residents and families participating in the Residents and families participating in the campaign will help create greater campaign will help create greater awareness of quality of care and the awareness of quality of care and the resources available now, and they will resources available now, and they will encourage providers to improve the care encourage providers to improve the care they deliver.they deliver.

Residents and families should encourage Residents and families should encourage facilities to focus their efforts on those facilities to focus their efforts on those goals that are most important to the goals that are most important to the residents.residents.

Page 19: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

How to Participate as a How to Participate as a Resident or Family Resident or Family MemberMember Go to campaign web-site at : Go to campaign web-site at :

www.nhqualitycampaign.orgwww.nhqualitycampaign.org Click on “For Consumers”Click on “For Consumers” Read about opportunities for Read about opportunities for

consumers to support the consumers to support the campaigncampaign

Fill out registration formFill out registration form Begin communicating with others Begin communicating with others

about the campaignabout the campaign

Page 20: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

National Campaign National Campaign Objectives Related to Objectives Related to Resident and Family Resident and Family ParticipationParticipation The campaign will:The campaign will:

– Provide consumers the opportunity to Provide consumers the opportunity to participate in a national two-year campaign participate in a national two-year campaign designed to improve nursing home quality.designed to improve nursing home quality.

– Promote opportunities for resident, their Promote opportunities for resident, their families, ombudsman, citizen groups and families, ombudsman, citizen groups and other advocates to work with nursing other advocates to work with nursing facility staff on ways to achieve the facility staff on ways to achieve the campaign’s goals and to support facilities’ campaign’s goals and to support facilities’ efforts to institute meaningful, lasting efforts to institute meaningful, lasting changes.changes.

Page 21: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

National Campaign National Campaign Objectives - continuedObjectives - continued Create opportunities for national, state, Create opportunities for national, state,

and local dialogues on nursing home and local dialogues on nursing home quality that promote resident-directed quality that promote resident-directed care, culture change, improved quality of care, culture change, improved quality of care and life for residents, and better care and life for residents, and better working conditions for staff.working conditions for staff.

Provide consumers with concrete Provide consumers with concrete educational materials on the seven areas educational materials on the seven areas of quality being addressed in the of quality being addressed in the campaign.campaign.

Page 22: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Why Should Wisconsin Why Should Wisconsin Nursing Homes Nursing Homes Participate?Participate?

Celebrate Our SuccessesCelebrate Our Successes Improve OutcomesImprove Outcomes Embrace Quality Improvement Embrace Quality Improvement

over Survey and Enforcementover Survey and Enforcement Right the politicsRight the politics It’s the right thing to do for the It’s the right thing to do for the

nursing home residents, staff, and nursing home residents, staff, and organization.organization.

Page 23: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

How to Join?How to Join?

1.1. Go to Go to www.nhqualitycampaign.orgwww.nhqualitycampaign.org

2.2. Select three or more goalsSelect three or more goals

3.3. Submit online registration formSubmit online registration form

Page 24: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.
Page 25: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.
Page 26: Presented by: John Sauer, WAHSA Brian Purtell, WHCA Jenifer Harrison, MetaStar Heather Bruemmer, Board on Aging and Long Term Care.

Questions?Questions?

John Sauer, WAHSA (800) 466-7011John Sauer, WAHSA (800) 466-7011 Brian Purtell, WHCA (800) 277-9422Brian Purtell, WHCA (800) 277-9422 Jenny Harrison, MetaStar (800) 362-Jenny Harrison, MetaStar (800) 362-

23202320

You may also call any of the LANE You may also call any of the LANE members who are listed on the members who are listed on the campaign website.campaign website.