Content contained in this newsletter may have been previously published in prior issues of the QCC newsletter.
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The Florida Nursing Home
Quality Care Connection
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Connect with Residents, Celebrate Lives
To provide care that is truly person-centered, a quality-driven nursing home creates an environment where residents always come first. This can be accomplished by:
  • Treating residents as they want to be treated.
  • Fostering relationships with families.
  • Creating connections with the community.
  • Providing compassionate end-of-life care.
For more insight and practical tips about connecting with residents, read pages 14-18 of the Quality Care Collaborative Change Package.
Contact us with any questions at 
Pain Assessment and Management: Tips and Change Ideas
According to the Resident Assessment Instrument (RAI) manual, pain "can cause suffering and is associated with inactivity, social withdrawal, depression, and functional decline." Proper assessment and effective interventions can help to prevent these adverse outcomes (section J0100, Pain Management). The National Nursing Home Quality Improvement Campaign (formerly Advancing Excellence in America's Nursing Homes Campaign) has a number of great resources for Performance Improvement Project (PIP) teams, including a list of probing questions that PIP teams can use as they begin pain management discussions:
  1. Are assessments done daily?
  2. Are we capturing signs of pain staff observe in individuals?
  3. Are we listening to the resident's report of pain?
  4. What type of assessment tool are we using?
  5. Do we use a dementia-specific assessment tool?
  6. Are we using a verbal scale?
  7. Are we using a non-verbal scale?
  8. Do we match the right assessment with the population?
  9. Do we use nursing home pain management protocols or standing orders for pain management?
For more pain management resources, visit the "Goals" section of the  National Nursing Home Quality Improvement Campaign website.
Also, HSAG developed this Quality Measure Tip Sheet addressing Pain for your use. Visit the  HSAG NHQCC website for more resources like this.
Next month: Change ideas for preventing falls with major injury.
QAPI Corner
Step 3: Take Your QAPI Pulse with Self-Assessment
Every effective change initiative begins with a self-assessment, and Quality Assurance & Performance Improvement (QAPI) is no exception. Since many facilities already practice aspects of performance improvement, the Centers for Medicare & Medicaid Services (CMS) has developed a 24-item self-assessment to help you take your QAPI pulse. The QAPI Self-Assessment:
  • Is meant to be an honest reflection of your progress with QAPI.
  • Should be completed with input from the entire QAPI team and organizational leadership.
  • Will help you evaluate the extent to which components of QAPI are in place within your organization.
  • Will identify any areas that may require further development. 
For more information about the self-assessment,  read page 12 of QAPI At-a-Glance
Please complete your QAPI Self-Assessment
if you have not done so already. It is a valuable tool to drive QAPI in your facility.
Next month: Identifying your organization's guiding principles.
HSAG Resource Spotlight
Access all of the CMS tools for QAPI from one easy-to-use electronic resource library. Learn more.
Ensure resources are in place for your facility's PIP teams with this helpful one-page checklist.
Watch this 15-minute video that highlights best practices in reducing antipsychotic medications Learn more.
Have you completed your QAPI Self-Assessment? 

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