Quality In Long-Term Care

HCA 353, Assignment 1:

Must be in 12 point, Times New Roman with 1” margins. Length should be approximately 3-4 pages double spaced (excluding Title Page, Abstract page and References page) including your summary paper of research and your QAPI worksheet. Must follow all APA format requirements.

All questions must be responded to.

Reading:

Go to the Centers for Medicare and Medicaid Services (CMS) website and read about QAPI (Quality Assurance Process Improvement) http://www.medicare.gov/NursingHomeCompare/About/What-Is-NHC.html and the 5 elements of QAPI. These elements can also be found on the Joint Commission for Accreditation website at http://www.jointcommission.org/assets/1/6/Crosswalk_TJC_QAPI_ncc.pdf

Assignment 1 Directions:

Use the same nursing facility you selected for Discussion Board 1 on the CMS Nursing Home Compare website (http://www.medicare.gov/nursinghomecompare/search.html).

For your chosen facility, select either

A.) an inspection result health deficiency OR

B.)a quality measure that is rated below the quality average for Kentucky or National.

*Note: I have provided an example of both Option A and Option B at the end of this document to help you understand what I am asking you to do.

1. Provide the name and location of the facility you selected.

2. Provide detail on what quality measure you have selected.

3. Provide a weblink to the quality measure you have selected.

4. Research: find at minimum of 2 full article references on Google Scholar that provide history or recommendations relative to the quality measure you selected. For example, you might choose residents that experienced pain as your quality measure to improve upon because your nursing home has a higher than average rating for that quality measure

You can find articles that talk about pain levels of residents, how to determine pain for non-communicating residents, alternative methods to pain reduction, etc. Summarize and cite these sources in 1-2 pages and how that information was utilized and beneficial to development of your QAPI Goal Setting Worksheet.

5. Utilizing the measure that you selected, complete a QAPI Goal Setting Worksheet for quality improvement. Your Goal Sheet should result in either no deficiencies on the next inspection process or improved quality rating percentage for the facility.

* Your goals/action plans must be REALISTIC!!!! Do not put that you will do a daily audit every shift of with every staff member because you cannot possibly do that unless within your document you state staff that will assist you in that process. Again, think about if what you have put is REALISTIC or not.

Remember to utilize appropriate data collection, measurement and evaluation methods as is discussed in your book Chapters 1, 3, and 4 for your Goal Setting Worksheet.

Example 1:

Health and Fire Safety Inspections, Option A:

1. I chose option A and my facility is zip code 42101, Signature Healthcare of Bowling Green, KY

https://www.medicare.gov/nursinghomecompare/search.html

2. I clicked on “health and fire safety inspections” then scrolled down to “nutrition and dietary: 1 deficiency found” and it stated:

“Nursing home failed to “Store, cook, and serve food in a safe and clean way”

3. Weblink is:

https://www.medicare.gov/nursinghomecompare/profile.html#profTab=1&ID=185089&Distn=13.1&loc=42101&lat=37.1184213&lng=-86.5400674

4. I would then write a 1-2 page (excluding title page, abstract and references) paper that is a summary of my research on regulations and training of staff related to required storing, cooking and serving of food in nursing facilities or health care facilities. I would write how that information was utilized in completion of my QAPI Goal Setting Worksheet and realistic expectations of staff, to include what human error can occur.

5. QAPI Goal Setting Worksheet: I would then attach my completed QAPI form on how to address this specific deficient practice in my building.

Example 2:

Qualty Measures, Option B

1. I chose option B and my facility is zip code 42101, Signature Healthcare of Bowling Green, KY

https://www.medicare.gov/nursinghomecompare/search.html

2. I clicked on Quality Measures and then scrolled down to long-stay residents and then selected

Percent of long-stay residents experiencing one or more falls with major injury” because the facility’s percentage was higher (4.6) than both KY (3.5) and national (3.3) averages

3. The weblink to this page is:

https://www.medicare.gov/nursinghomecompare/profile.html#profTab=3&ID=185089&Distn=13.1&loc=42101&lat=37.1184213&lng=-86.5400674

4. I would then write a 1-2 page (excluding title page, abstract and references) paper that is a summary of my research on regulations and training of staff related to required falls in nursing facilities or health care facilities, to include best practices, fall prevention techniques or recommendations for both oriented and confused residents and use of siderails and other interventions. I would write how that information was utilized in completion of my QAPI Goal Setting Worksheet and realistic expectations of staff, to include what human error can occur.

5. QAPI Goal Setting Worksheet: I would then attach my completed QAPI form on a realistic action plan to improve this percentage rating in my building, knowing that a rating of 0% is impossible because falls WILL happen. I cannot prevent them but can improve my percentage with a decrease in falls.

HCA 353 Assignment 1

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