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

2. Advancing Excellence Two-year, voluntary, nationwide campaign Two-year, voluntary, nationwide campaign Kick-Off: September 29, 2006 Kick-Off: September 29, 2006 Builds on the success of other campaigns Builds on the success of other campaigns –Quality First –CMS Nursing Home Quality Initiative –Culture change/Person-centered care movement www.nhqualitycampaign.org www.nhqualitycampaign.org

3. Campaign Founders Alliance for Quality Nursing Home Care Alliance for Quality Nursing Home Care American Association of Homes and Services for the Aging (AAHSA) American Association of Homes and Services for the Aging (AAHSA) American Association of Nurse Assessment Coordinators (AANAC) American Association of Nurse Assessment Coordinators (AANAC) American College of Health Care Administrators (ACHCA) American College of Health Care Administrators (ACHCA) American Health Care Association (AHCA) American Health Care Association (AHCA) American Medical Directors Association (AMDA) American Medical Directors Association (AMDA) Centers for Medicare & Medicaid Services (CMS) Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organizations (QIOs) Quality Improvement Organizations (QIOs) The Commonwealth Fund The Commonwealth Fund The Evangelical Lutheran Good Samaritan Society The Evangelical Lutheran Good Samaritan Society National Association of Health Care Assistants (NAHCA) National Association of Health Care Assistants (NAHCA) National Citizens Coalition for Nursing Home Reform (NCCNHR) National Citizens Coalition for Nursing Home Reform (NCCNHR) National Commission for Quality Long-Term Care National Commission for Quality Long-Term Care

4. Campaign Structure National Steering Committee National Steering Committee Local Area Network for Excellence (LANE) Local Area Network for Excellence (LANE) –MetaStar –WHCA & WAHSA –OQA (formerly BQA), Board on Aging –Family/Residents –Many Others

5. Campaign Support LANE members LANE members Teleconferences/Web Ex Opportunities Teleconferences/Web Ex Opportunities Resources will be made available Resources will be made available Advancing Excellence Website Advancing Excellence Website Participant Directed Opportunities Participant Directed Opportunities

6. Campaign Goals Clinical Reduce high-risk pressure ulcers Reduce high-risk pressure ulcers Reduce use of physical restraints Reduce use of physical restraints Reduce pain in long-term residents Reduce pain in long-term residents Reduce pain in post-acute residents Reduce pain in post-acute residentsOrganizational Set clinical targets (www.nhqi-star.org) Set clinical targets (www.nhqi-star.org) Reduce staff turnover Reduce staff turnover Measure resident & family satisfaction Measure resident & family satisfaction Consistent assignment of caregivers Consistent assignment of caregivers

7. Campaign Goal Selection Pick at least three: Pick at least three: –One clinical –One process goal –The last goal can be your choice –Selection of goals is really up to you. –Goal selection is confidential

8. Reduce High-Risk Pressure Ulcers Goal 1:Nursing home residents receive appropriate care to prevent and minimize pressure ulcers National average 12.8% National average 12.8% Wisconsin state average: 10.7% Wisconsin state average: 10.7%

9. Reduce Physical Restraints Goal 2: Nursing home residents are independent to the best of their ability and rarely experience daily physical restraints National average 6.3% National average 6.3% Wisconsin state average: 2.3% Wisconsin state average: 2.3%

10. Reduce Pain in Long-Term Residents Goal 3: Nursing home residents who live in a nursing home longer than 90 days infrequently experience moderate or severe pain National average 5.1% National average 5.1% Wisconsin state average: 4.4% Wisconsin state average: 4.4%

11. Reduce Pain in Post-Acute Residents Goal 4: People who come to nursing homes after staying in the hospital infrequently experience moderate to severe pain National average 21.2% National average 21.2% Wisconsin state average: 26.7% Wisconsin state average: 26.7%

12. Set Targets Goal 5: Setting individualized targets for clinical quality improvement (STAR Target Setting) (STAR Target Setting) Wisconsin: Nearly 1/3 of NHs have set targets over the last two years Wisconsin: Nearly 1/3 of NHs have set targets over the last two years

13. Setting Targets, Cont Research shows that nursing homes that regularly set QI targets are more likely to improve the quality of care they provide to their residents. Research shows that nursing homes that regularly set QI targets are more likely to improve the quality of care they provide to their residents. We hope that 90% of Wisconsin nursing homes will voluntarily set annual clinical quality targets on www.nhqi-star.org. We hope that 90% of Wisconsin nursing homes will voluntarily set annual clinical quality targets on www.nhqi-star.org.www.nhqi-star.org

14. Resident and Family Satisfaction Surveys Goal 6: Nearly all nursing homes assess resident and family experience of care and incorporate this information into their quality improvement activities National Goal:>80% of nursing homes regularly assess resident experience of care and incorporate into their quality improvement activities National Goal:>80% of nursing homes regularly assess resident experience of care and incorporate into their quality improvement activities Wisconsin: Unknown Wisconsin: Unknown

15. Staff Turnover Goal 7: Most nursing homes measure staff turnover and develop action plans as appropriate to improve staff retention National Goal: >80% of nursing homes regularly measure staff turnover & develop action plans to reduce the rate of turnover by 2008 National Goal: >80% of nursing homes regularly measure staff turnover & develop action plans to reduce the rate of turnover by 2008 National average for staff turnover will be reduced by 15% National average for staff turnover will be reduced by 15% Wisconsin state average: 51% (CNA) Wisconsin state average: 51% (CNA)

16. Consistent Assignment Goal 8: To maximize quality as well as resident and staff relationships, the majority of nursing homes will employ consistent assignment One-third of nursing homes will have adopted consistent assignment of CNAs to residents One-third of nursing homes will have adopted consistent assignment of CNAs to residents Wisconsin: Unknown Wisconsin: Unknown

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

18. Resident and Family Participation Residents and families participating in the campaign will help create greater awareness of quality of care and the resources available now, and they will encourage providers to improve the care they deliver. Residents and families participating in the campaign will help create greater awareness of quality of care and the resources available now, and they will encourage providers to improve the care they deliver. Residents and families should encourage Residents and families should encourage facilities to focus their efforts on those goals that are most important to the residents.

19. How to Participate as a Resident or Family Member Go to campaign web-site at : www.nhqualitycampaign.org Go to campaign web-site at : www.nhqualitycampaign.org www.nhqualitycampaign.org Click on For Consumers Click on For Consumers Read about opportunities for consumers to support the campaign Read about opportunities for consumers to support the campaign Fill out registration form Fill out registration form Begin communicating with others about the campaign Begin communicating with others about the campaign

20. National Campaign Objectives Related to Resident and Family Participation The campaign will: The campaign will: –Provide consumers the opportunity to participate in a national two-year campaign designed to improve nursing home quality. –Promote opportunities for resident, their families, ombudsman, citizen groups and other advocates to work with nursing facility staff on ways to achieve the campaigns goals and to support facilities efforts to institute meaningful, lasting changes.

21. National Campaign Objectives - continued Create opportunities for national, state, and local dialogues on nursing home quality that promote resident-directed care, culture change, improved quality of care and life for residents, and better working conditions for staff. Create opportunities for national, state, and local dialogues on nursing home quality that promote resident-directed care, culture change, improved quality of care and life for residents, and better working conditions for staff. Provide consumers with concrete educational materials on the seven areas of quality being addressed in the campaign. Provide consumers with concrete educational materials on the seven areas of quality being addressed in the campaign.

22. Why Should Wisconsin Nursing Homes Participate? Celebrate Our Successes Celebrate Our Successes Improve Outcomes Improve Outcomes Embrace Quality Improvement over Survey and Enforcement Embrace Quality Improvement over Survey and Enforcement Right the politics Right the politics Its the right thing to do for the nursing home residents, staff, and organization. Its the right thing to do for the nursing home residents, staff, and organization.

23. How to Join? 1. Go to www.nhqualitycampaign.org www.nhqualitycampaign.org 2. Select three or more goals 3. Submit online registration form

26. Questions? John Sauer, WAHSA (800) 466-7011 John Sauer, WAHSA (800) 466-7011 Brian Purtell, WHCA (800) 277-9422 Brian Purtell, WHCA (800) 277-9422 Jenny Harrison, MetaStar (800) 362- 2320 Jenny Harrison, MetaStar (800) 362- 2320 You may also call any of the LANE members who are listed on the campaign website. You may also call any of the LANE members who are listed on the campaign website.