nursing home quality care collaborative team...
TRANSCRIPT
Nursing Home Quality Care Collaborative
Team Communication Kick-off
April 4, 2017
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Using Webex Chat and Hand Raise
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Qualis Health • A leading national population health
management organization • The Medicare Quality Innovation Network - Quality
Improvement Organization (QIN-QIO) for Idaho and Washington
The QIO Program • One of the largest federal programs dedicated to
improving health quality at the local level
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Welcome to the Collaborative!
We are here!
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Alex Brockwell Resident Advisor Qualis Health Nursing Home Quality Care Collaborative
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Learning Session 1: Team Communication
• April 4 Kick-off Webinar • April 12 Team Assessment Webinar • April 20 Team Communication
Webinar • Self-Study & PDSA cycles • May/June In-person Peer-to-Peer
Sharing Events • July TBD Action Period Office Hours
Call
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Learning Session 1: Team Communication
• April 4 Kick-off Webinar • April 12 Team Assessment Webinar • April 20 Team Communication
Webinar • Self-Study & PDSA cycles • May/June In-person Peer-to-Peer
Sharing Events • July TBD Action Period Office Hours
Call
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Today’s Objectives
• Understand how to use QAPI to change team culture
• Make a plan for action to improve team communication at your home
• Select tools to use for measuring team culture
• Prepare for self-study
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Knoster, Villa & Thousand (2000). A Framework for Thinking about Systems Change http://medicare.qualishealth.org/projects/care-transitions/selected-resources/other/diagnose-hinderance
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So What is QAPI?
Quality Assurance Measure quality
compliance standards Assure care reaches
acceptable levels Focus on provider
Required and reactive
Performance Improvement Improve processes to meet standards continuously Decrease problems by identifying opportunity for improvement Focus on resident Chosen and proactive
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The Five Elements of QAPI
____ Centers for Medicare & Medicaid Services QAPI At a Glance: A Step by Step Guide to Implementing Quality Assurance and Performance Improvement (QAPI) in Your Nursing Home
13 www.Medicare.QualisHealth.org/QAPI
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QAPI Self-Assessment
• QAPI Self-Assessment www.surveymonkey.com/r/WK6CJF7
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The Five Elements of QAPI
____ Centers for Medicare & Medicaid Services QAPI At a Glance: A Step by Step Guide to Implementing Quality Assurance and Performance Improvement (QAPI) in Your Nursing Home
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Define your team & set the vision
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Susan Eaton team model
Resident & Family
Management & Admin. Clinical Staff
Direct Care Givers
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IHI Model for Improvement
http://www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx
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PDSA Cycle for Learning Improvement
www.Medicare.QualisHealth.org/LS1
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Measurement
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Measuring Team Culture
• QAPI Self-Assessment • AHRQ Nursing Home Survey of
Patient Safety Culture • TeamSTEPPS Team Assessment
Questionnaire • TeamSTEPPS Change Management
“Sizing up the Culture” Exercise Sheet
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AHRQ Survey Toolkit
www.Medicare.QualisHealth.org/NHQCC-TeamComm
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TeamSTEPPS Assessments
• Team Assessment Questionnaire • 55-items • May use instead
of SOPS
• Sizing up the Culture Exercise – 8 stages of
change – Can be done
today with your team
TEAMSTEPPS 05.2 Culture Change 06.2 Page 24
Change Management ®
Sizing Up The Culture
Break into groups Read through and answer the questions on the
“Sizing Up the Culture Exercise Sheet” assigned to your group by the instructor
As you answer the questions, consider the current state of your nursing home and the current safety climate.
www.Medicare.QualisHealth.org/NHQCC-TeamComm
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TeamSTEPPS
www.Medicare.QualisHealth.org/NHQCC-TeamComm
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Q & A
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www.Medicare.QualisHealth.org/QualityGems
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Team reports and storyboards
www.Medicare.QualisHealth.org/Storyboard
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Action / Next Steps • Complete the Sizing up the Culture
worksheet • Consider using the AHRQ Nursing Home
Survey on Patient Safety or • TeamSTEPPS Team Assessment
Questionnaire • Review your data • Make an action plan • Attend the next webinar on April 12
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Prepare & Prework
• PDSA video (“Getting the Kids to School on Time”)
• Team video (“Opportunity to Apply TeamSTEPPS
Technique to Improve Outcome in Long-Term Care”)
www.Medicare.QualisHealth.org/LS1
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Action Plan Resources
• Qualis Health QAPI resources www.Medicare.QualisHealth.org/QAPI
• TeamSTEPPS Train-the-trainer online learning www.Medicare.QualisHealth.org/ NHQCC-TeamComm
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References & Links • Nursing Home Collaborative Handbook and Storyboard Template
www.Medicare.QualisHealth.org/Storyboard
• Nursing Home Collaborative Quality Gems Program www.Medicare.QualisHealth.org/QualityGems
• Survey on Patient Safety Culture for LTC
• Team Assessment Questionnaire
• Sizing Up the Culture Exercise Sheet
• TeamSTEPPS for LTC full program www.Medicare.QualisHealth.org/NHQCC-TeamComm
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For survey: www.SurveyMonkey.com/r/H2LL3HV
For more information:
www.Medicare.QualisHealth.org/NHQCC
This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and Washington, 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. ID/WA-C2-QH-2840-04-17
Contact Traci Treasure QI Consultant
[email protected] 208-383-5947
Paula Parsons QI Associate
[email protected] 206-288-2470