Innovations
Enhanced Toileting Program Reduces Incontinence and Its Comorbidities Among Residents of Long-Term Care Facility 2/27/2013
A long-term care facility adopted an enhanced toileting program consisting of the following components: individualized toileting plan of care based on periodic resident assessments, revised and new care documentation tools, devices to assist with toileting, and comprehensive education and training for facility staff.
Nursing Home Learning Collaborative Improves Quality of Care, Reduces Staff Turnover 2/27/2013
In an approach to improving nursing home care known as the "Wellspring Program," nursing homes join an alliance that allows participants to exchange performance experience and conduct interdepartmental group training for both frontline staff and leadership on quality improvement and culture change processes.
American Indian Nation–Owned Skilled Nursing Facility Provides Culturally Responsive Services, Leading to High Patient Satisfaction and Low Staff Turnover 2/20/2013
A Native American tribe–owned skilled nursing facility provides culturally competent services using a holistic approach to health and well-being, leading to high patient and family member satisfaction and low staff turnover.
Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home 2/20/2013
Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers’ ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.
Nurse-Managed Facility in Home-Like Setting Helps Residents With Dementia Maintain Function, Avoid Falls and Disruptive Behaviors 2/6/2013
Liberty Country Living, a long-term care facility for people with dementia, offered nurse-managed care in a home-like setting, with a focus on supporting residents' capabilities. The facility had a high ratio of staff to residents and promoted social interaction, ambulation, and continence. The program helped residents stay ambulatory, maintain continence, avoid weight loss, avoid falls and disruptive behaviors, and reduce psychotropic medication use. After 5 years of operation, Liberty closed abruptly due to changes in State regulations.
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QualityTools
Pressure Ulcer Tools 2/20/2013
This site provides various resources on the assessment, treatment, and prevention of pressure ulcers.
Interventions to Reduce Acute Care Transfers (INTERACT) Tools 2/13/2013
INTERACT is a quality improvement program designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents in skilled nursing facilities. The goal of INTERACT is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.
A Systems Approach to Quality Improvement in Long-Term
Care: Safe Medication Practices Workbook 1/30/2013
This 200-page resource manual outlines a systems approach to medication management in long-term care.
Long-Term Care Improvement Guide 1/16/2013
This guide was created to propel long-term care communities in their improvement efforts by presenting a collection of concrete strategies for actualizing a resident-directed, relationship-centered philosophy.
Long-Term Care Planning Tool 12/19/2012
The Long-Term Care Planning Tool presents users with a series of questions and then calculates their long-term care costs, available services, and financing options. Other resources are also provided to assist users in understanding their long-term care options.
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