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
This QCC Newsletter is your quarterly National Nursing Home Quality Care Collaborative (NNHQCC) in Florida member update that provides information on the latest activities. It is a quick reference for information on upcoming learning events, links to improvement tools, resources, news, best practices, and success stories. 
Upcoming Events
NNHQCC and CDI Initiative: Reporting and Reduction Initiative National Healthcare Safety Network (NHSN) Analysis

For Florida CDI Cohort
Members Only

Thursday, June 28, 2018
2 to 3 p.m ET
After attending this webinar, you should be able to:
  • Review the CDI Laboratory-identified (LabID) event categorization.
  • Demonstrate how to generate a data set and run rate tables for CDI LabID Event data.
  • Review the seven generated CDI rate tables specific to your facility.
  • Demonstrate how to retrieve your facility’s core elements of antibiotic stewardship report.
  • Review the core elements of antibiotic stewardship report.
Best Practice Tools and Resources for Reducing Antipsychotic Medication and Improving Dementia Care in Nursing Homes

Thursday, July 12, 2018
2 to 3 p.m ET
After attending this webinar, you should be able to:
  • Understand the importance of reducing the use of antipsychotic medications for individuals living with dementia.
  • Raise awareness of national and state partnerships to improve dementia care.
  • Learn how to access tools and resources to reduce off-label antipsychotic medication use in nursing homes.
Did you Miss an NNHQCC Webinar?
Webinar materials and the recorded webinars are available on the HSAG website!
Go to and search by date to locate a past event.
Nourish Teamwork and Communication
Nursing homes should expect and support effective communication to connect people and build relationships between staff members and residents. Disseminating information in a complete, consistent, and timely manner can help nourish strong teamwork and communication. Consider these strategies:
  • Implement formal communication between shifts.
  • Conduct regular staff surveys and share results.
  • Create opportunities for people across departments to pitch in and break down job silos.
  • Look for coaching opportunities to strengthen team relationships.

For more insight and practical tips about connecting with residents, read pages 19-21 of the Quality Care Collaborative Change Package .

Contact us with any questions at
Preventing Falls with Major Injury
Falls are a serious issue among nursing home residents, and can result in disability, functional decline, and reduced quality of life. Furthermore, a fear of falling can cause a loss of function, depression, feelings of helplessness, and social isolation. Falls can have a variety of causes, including muscle weakness, environmental hazards, and medications.
The Centers for Disease Control and Prevention (CDC) recommends a number of fall interventions that could be used in nursing home performance improvement projects (PIPs):
  1. Medication review to assess risks and benefits.
  2. Changes in the nursing home environment to help residents move safely (e.g., grab bars, handrails, and lowering bed heights).
  3. Exercise programs to improve residents' balance, strength, and physical functioning.
For more fall prevention resources, visit the resource section of the  Health Services Advisory Group website or the Centers for Disease Control and Prevention (CDC) STEADI (Stopping Elderly Accidents, Deaths & Injuries) initiative website , which is aimed at preventing falls among older adults.

Next quarter: Tips and change ideas for depressive symptoms. 
QAPI Corner
Step 4: Identify Your Organization's Guiding Principles

The Centers for Medicare & Medicaid Services (CMS) revised the rules of participation (RoP) for long-term care facilities to include full implementation of Quality Assurance & Performance Improvement (QAPI) in three phases by November 2019.
For QAPI to be successful, it is important to establish a purpose and guiding principles, which describe the organization's beliefs and philosophy pertaining to QAPI. The principles should guide what th organization does, why it does it, and how. This is important because nursing homes are complex organizations, and clear guiding principles can unify the various departments that depend on each other to provide high-quality resident care.
For more information about QAPI guiding principles,  read page 12 of QAPI At-a-Glance. Also review the tool on page 32 to see examples of guiding principles.
Next quarter: Developing your QAPI plan.
HSAG Resource Spotlight
This infographic outlines the 5 steps to prevent healthcare-associated infections in nursing homes from the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package.   Learn more .

The Nursing Home Training Sessions are a set of trainings aimed to provide nursing home leaders with training materials that can be used to enhance understanding of important concepts and practices that promote stewardship and C. difficile prevention, and provide information, tools, and resources to take action to improve practices. Learn more.

Access all of the CMS tools for QAPI from one easy-to-use electronic library. Learn more.
This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for Florida, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. FL-11SOW-C.2-06272018-02