Nursing Home Quality
Care Collaborative (NHQCC)

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Alliant Essential Communication Elements Toolkit

This tool is improvement of cross-setting management of high risk medications (opioids, anticoagulants, and diabetes medications) during transitions of care to prevent adverse drug events and subsequently reduce emergency department visits, hospitalizations and readmissions.

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CLAS Assessment Form

CLAS is defined as services that are respectful of and responsive to individual cultural health beliefs, and practices, preferred languages, health literacy levels and communication needs. The CLAS standards provide a guideline with actions steps and strategies to address and eliminate health care disparities. Adopting these standards will help advance better health and health care in the U.S.

The purpose of this assessment is to help your organization evaluate its current status as it relates to CLAS.

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The Nursing Home Quality Care Collaborative (NHQCC) is an all teach, all learn initiative led by Alliant QIN-QIO as part of the 12th Statement of Work (SOW). The Collaborative uses evidence based and data driven methodologies to guide and rapidly spread quality practices to nursing homes (NHs) with the goal of ensuring that nursing home residents receive the highest possible quality of care. Specifically, the NHQCC works to instill quality and performance improvement practices focusing on the systems that impact quality to reduce healthcare-acquired conditions, adverse drug events, re-admissions and emergency department (ED) visits and improve the total quality measure score.

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Care Coordination

Convene community coalitions
Reduce avoidable readmissions, admissions to hospitals and preventable emergency department visits
Identify and promote optimal care for super utilizers

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COVID-19

Support nursing homes by establishing a safe visitor policy and cohort plan
Provide virtual events to support infection control and prevention
Support nursing homes and community coalitions with emergency preparedness plans

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Emergency Preparedness

Essential aspect of ensuring the safety and well-being of individuals during times of crisis

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Immunization

Increase influenza, pneumococcal and COVID-19 vaccination rates

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Opioid Utilization and Misuse

Promote opioid best practices
Reduce opioid adverse drug events in all settings
Stigma

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Patient Safety

Reduce hospitalizations due to c. diff
Reduce adverse drug events
Reduce facility acquired infections
Stigma

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Training

Encourage completion of infection control and prevention trainings by front line clinical and management staff

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Nursing Homes Resources

Health Equity

Improving Communication Access For Individuals Who Are Blind Or Have Low Vision

Guide to Developing a Language Access Plan

Improving Communication Access For Individuals Who Are Deaf Or Hard Of Hearing

Adverse Drug Events

Deprescribing Process Checklist

Anticoagulant Prescribing PDSA Sample Worksheet

Diabetes Medication Prescribing PDSA Sample Worksheet

Opioid Prescribing PDSA Sample Worksheet

Anticoagulant Adverse Drug Events (ADEs) One-Pager

Diabetes Adverse Drug Events (ADEs) One-Pager

Antipsychotic Adverse Drug Events (ADEs) One-Pager

Opioid Adverse Drug Events (ADEs) One-Pager

Anticoagulation (Blood Thinner) Zone Tool – Nursing Homes

Adverse Drug Event Trigger Tool

Emergency Prepardness

Trauma Informed Care PPT with Pre and Post Learning Assessment Guide + Module

Readmission & Emergency Dept. Visits

Skilled Nursing Facility (SNF) Rehospitalization Risk Assessment Tool

Readmission Driver Diagram – Reaching Your Goals

Raise the SBAR

Quality Improvement Initiative (QII) PDSA Worksheet

My Medication Bags Bite Sized Learning and Medication Review Tip Sheet

Communication Checklist: Signs and Symptoms Associated with Suspected Urinary Tract Infections (UTIs)

Go To The Hospital Or Stay Here: A Decision Guide for Residents, Families, Friends, and Caregivers Pre & Post Test with Answer Guide

Post Dialysis Zone Tool

Medication Errors

Opioid and Med Bag Intervention

Naloxone

Naloxone in Nursing Homes: A Checklist for Process Review

Delirium

Delirium Toolkit One Pager

Delirium Powtoon – What is Delirium?

Delirium Jeopardy Facilitator Guide

Delirium Consumer Pamphlet

Delirium Posters

Fred at the SNF: A Case Study in Delirium – Episode 2

Introducing Fred: A Case Study in Delirium – Episode 1

Communication Checklist: Signs and Symptoms of Delirium

Delirium YouTube Playlist

Delirium Geri-Guide Toolkit with Pre-Post Assessment

Clinical Pathways for Delirium – Post Acute Care

Clinical Pathways for Delirium – Acute Care

Delirium and Acute Encephalopathy – Care Pathway Learning Assessment

Community Coalition Delirium Toolkit – Care Pathway Implementation

Community Coalition Delirium Toolkit Quick Reference Guide

Community Coalition Delirium Toolkit: A Comparison of Delirium, Dementia and Depression

Healthcare Associated Infections/Infection Control

Quality Improvement Initiative (QII) PDSA Worksheet

Stethoscope Cleaning Module

Using Disinfectants – COVID-19

Safe Glucometer Use Module Bundle

SNF Care Pathway Symptoms of Sepsis and Septic Shock

Immunization Schedules for Adults Based on Age/Medical/Work

Florida Legislative Statement on Nursing Homes/Immunizations

Menu of State Long-Term Care Facility Influenza Vaccination Laws

You Call the Shots (All Modules)

The Epidemiology and Prevention of Vaccine – Preventable Diseases (Pink Book)

You Call the Shots (CDC Module): Vaccine Storage & Handling

Vaccine Storage and Handling Toolkit

Checklist for Storage and Handling

Flu Vaccine and People with Egg Allergies

Contraindications and Precautions

General Best Practice Guidelines for Immunization

Pneumococcal Vaccine Timing for Adults

Sparkling Surfaces: Stop the Spread of COVID-19

August 2020 Shop Talk: Data Submission into the NHSN COVID-19 Module Infection Prevention “Surveillance, Tracking and Reporting“ (STAR) Facilities

Nursing Home C.difficile Infection

Quality Improvement Tools

Sample PDSA SBAR

Five Whys Tool for Root Cause Analysis

Antipsychotic Admission and Quarterly Review Worksheet

Antipsychotic Medication Rounding Tool

Antipsychotic Medication Trigger Tool

Force Field Analysis

Immunization Schedules for Adults Based on Age/Medical/Work

Florida Legislative Statement on Nursing Homes/Immunizations

Menu of State Long-Term Care Facility Influenza Vaccination Laws

You Call the Shots (All Modules)

The Epidemiology and Prevention of Vaccine – Preventable Diseases (Pink Book)

You Call the Shots (CDC Module): Vaccine Storage & Handling

Vaccine Storage and Handling Toolkit

Checklist for Storage and Handling

Flu Vaccine and People with Egg Allergies

Contraindications and Precautions

General Best Practice Guidelines for Immunization

Pneumococcal Vaccine Timing for Adults

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Upcoming Events

Nursing Home Patient Safety Series: Reducing Facility-Associated Infections and Hospitalizations Related to UTIs

October 18, 2023, 1:30 - 2:30 p.m. ET

SUMMARY: This healthcare-associated infection (HAI) prevention webinar will discuss interventions to reduce urinary tract infections (UTIs) in nursing facilities. The session will specifically discuss evidence-based clinical and infection prevention strategies to prevent UTIs in residents. This session will also provide resources to improve multidisciplinary collaboration between the infection preventionist, nursing staff, clinicians, and medical directors. […]

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Nursing Home Readmission Affinity Group: Creating Interdisciplinary Programs to Reduce Avoidable Readmissions

October 10, 2023, 2pm ET | 1pm CT

Dr. Swati Gaur, MD, MBA, CMD, AGSF, medical director of New Horizons Nursing Facilities, shares her skilled nursing facility’s experience with their Patient at Risk (PAR) program and how it impacted avoidable readmissions and ED visits. LEARNING OBJECTIVES: 1. Identify resident care processes that contribute to readmissions. 2. Create a PAR program to address priority […]

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Elements of a Successful Vaccination Season: Engagement, Communication and Documentation

September 28, 2023, 12:30pm ET | 11:30am CT

The program will provide the importance of engagement, communication, and documentation for a successful vaccination season. Panelists from a nursing home and community coalition will share their success stories and strategies in promoting vaccine confidence and reducing vaccine hesitancy to achieve increased vaccination rates. In summary, using these elements plays a critical role increasing vaccination […]

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