Quality Improvement Resources

Quality Indicator Survey (QIS)

QIS Forms

Advancing Excellence in America’s Nursing Homes

Since its inception in 2006, the Advancing Excellence in America’s Nursing Homes Campaign (AE) has been working to make nursing homes better places to live, to work and to visit.  We now have over 8000 nursing homes, over 51% of all nursing homes, signed up.  Although it is never too late to sign up, nursing homes are making the transition from recruitment to performance.  Through participating nursing homes’ use of our web-based tools and entry of data, we can show a decreased prevalence of pressure ulcers, decreased use of restraints and reduced symptoms of pain.  We have designed and continue to develop Quality Assurance/Performance Improvement (QAPI) tools to collect data on the eight goals identified by the Advancing Excellence Campaign.  We have developed and continue to support a national network of 51 Local Area Networks of Excellence (LANEs) which are coalitions of key state stakeholders working together to advance quality of life and quality of care.  Best practices are being developed and shared through the Accelerating LANE Performance Projects and the Critical Access Nursing Home Projects sponsored by the Campaign.  New campaign goals will be rolled out in late spring 2012 to keep the campaign growing and going strong. Best of all – this is FREE for you!

ACHCA Maine Chapter

The Mission of the Maine Chapter of the American College of Health Care Administrators (ACHCA) is to provide its members with opportunities for professional growth and development and the ability to build a network of colleagues.  The Chapter shall also focus its efforts on the development of the profession working in conjunction with other relevant organizations such as the state of Maine Nursing Home Administrator’s Licensing Board, the Maine Health Care Association, and with university-based administration programs to address the critical leadership needs of our field including mentoring programs and the development of resources to advance best practices for A.I.T. programs and other leadership initiatives.

The Pioneer Network

The Pioneer Network was formed in 1997 by a small group of prominent professionals in long-term care to advocate for person-directed care. This group called for a radical change in the culture of aging so that when our grandparents, parents — and ultimately ourselves — go to a nursing home or other community-based setting it is to thrive, not to decline.  This movement, away from institutional provider-driven models to more humane consumer-driven models that embrace flexibility and self-determination, has come to be known as the long-term care culture change movement.  Their partners and audience are primarily engaged in some aspect of long-term care including long-term care CEOs and administrators, consumers and family caregivers, doctors and nurses, direct care providers, and others who care about, and care for, the aging. Pioneer Network is a center for all stakeholders in the field of aging and long term care whose focus is on providing home and community for elders. They believe that the quality of life and living for America's elders is rooted in a supportive community and cemented by relationships that respect each of us as individuals regardless of age, medical condition or limitations.

new england qin-qio

The New England QIN-QIO is proud to carry out the mission of the national Quality Improvement Organization Program, which has produced measurably better and safer care for Medicare beneficiaries and helped communities reduce health care spending.

In the work period that ended in July 2014, we and QIOs across the country worked closely with providers and federal, state and private partners in local communities to improve care transitions and prevent more than 95,000 hospitalizations and 27,000 hospital readmissions among Medicare beneficiaries. CMS data show a 13.22 percent decline in hospital readmissions among Medicare beneficiaries in QIO-assisted communities, compared with a 12.55 percent decline nationally. These reductions saved nearly $1 billion in health care costs. CMS findings showed that communities where QIOs played an active role in improving transitions achieved greater reductions in readmissions.

Our collaborative work across the country led to impressive results to prevent harm and improve care for Medicare beneficiaries:

  • 85,149 fewer days with urinary catheters
  • 44,640 potential adverse drug events prevented
  • 6,250 nursing home residents living without physical restraints
  • 3,374 prevented or healed pressure ulcers in nursing home residents
  • 1,826 medical professionals using electronic health record data to report quality measures

The New England QIN-QIO provides resources, education and consultation services to nursing home administration and staff to help them improve the safety and quality of care for every resident. Specific goals include increasing mobility, reducing falls and decreasing antipsychotic medication use and reducing unplanned transfers, as well as improving transitions in care.

For more information about the how QIOs are improving health care for the nation’s Medicare beneficiaries, visit the American Health Care Association’s website.

For more information on the Nursing Home Collaborative, visit http://www.healthcarefornewengland.org/wp-content/uploads/C2_WebOnePager_120914_FIN.pdf.