Department of Health Care Finance (DHCF) and Comagine Health Nursing Facility Quality Improvement Collaborative 2019 Outcomes Congress October 22, 2019
Comagine Health • Comagine Health, formerly Qualis Health and HealthInsight, is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system. • As a trusted neutral party, we work in our communities to address key complex health and health care delivery problems. • We serve people in Alabama, Alaska, Idaho, Mississippi, Nevada, New Mexico, Oregon, Utah, Washington, D.C., Washington State and Wyoming.
Agenda 8:30 - 9:00 am Registration and Sign-in 9:00 - 9:40 am Introductions, Special Recognitions and Collaborative Update 9:40 - 10:20 am Facility Spotlight 10:20 - 10:30 am Break 10:30 - 11:10 am Expert Presentation 11:10 - 11:50 am Storyboards “Speed Dating” 11:50 am - 12:00 pm Next Steps, Evaluation & Wrap Up
Special Recognitions!
Collaborative Year One Review
Collaborative Aims • Partner with DHCF staff to create “all, teach, all learn” Learning and Action Networks • Assess nursing facility readiness to participate in pay-for-performance and develop a plan of action on areas of improvement • Provide individual and group technical assistance (e.g. training, education and quality improvement consultation services) to 17 DC nursing facilities to instill high-quality, person-centered care • Engage nursing facilities in rapid-cycle improvements in areas at the system level • Ensure nursing facility staff are adequately trained to conduct MDS assessments • Conduct Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey to measure resident/family experience and identify areas for improvement
Nursing Facility Quality Improvement Collaborative Model WE ARE HERE!
Nursing Facility Quality Improvement Collaborative • Pre-work: January-March 2019 • Face-to-Face Orientation Meeting: January 28, 2019 • Collaborative Handbook & Change Package Distributed to NFs: February 2019 • Individual Initial Assessment Site Visits #1: February-March 2019 • NFs complete pre-work: February-March 2019 • Learning Session 1: March 28, 2019 (1:00 – 4:00 pm) - Host: DHCF • Action Period 1: March-May 2019 • In-person Training at DC Health Care Association: April 19, 2019 • Webinar #1: National Nursing Home Quality Improvement Campaign (NNHQIC) Part 1: Overview - May 14, 2019 (1:00 – 2:00 pm) • Senior Leader Reports • Individual Technical Assistance Site Visits #2: March – June 2019 • Learning Session 2: June 26, 2019 (8:00 am - 12:30 pm) Host: Bridgepoint Sub-Acute Capitol Hill • Action Period 2: June - September 2019 • Webinar #2: MDS Coding Part 1 - August 26, 2019 (10:00 am - 12:00 pm) • Webinar #3: MDS Coding Part 2 - September 23, 2019 (10:00 am - 12:00 pm) • Senior Leader Reports • Individual Technical Assistance Site Visits #3: July-September 2019 • Outcomes Congress: October 22, 2019 (8:30 am - 12:00 pm) Host: Carroll Manor Nursing and Rehabilitation Center
Collaborative Tools & Resources DHCF Collaborative Website https://dhcf.dc.gov/node/1390591
Collaborative Year One Quick Stats Total Number of Site Visits: 49 Average Overall Average Level of Level of NF Participation: Satisfaction: 91% 99%
Collaborative Year One Quick Stats (cont.) Learning Sessions 1 & 2 Average Overall Average Level of Level of NF Participation: Satisfaction: 94% 98%
Collaborative Year One Quick Stats (cont.) Webinars 1, 2 & 3 Average Overall Average Level of Level of NF Participation: Satisfaction: 67% 98%
Nursing Facility Suggestions/Topics for Collaborative Activities • Dementia care • End of Life Program • Care planning • MDS • C.N.A documentation • PDPM • Incontinence • Workforce recruitment and staffing • Change management • Readmissions • Community resources • Pressure Injuries • Providing culturally competent care for LGBTQ • Urinary Tract Infections residents • Falls • Physician, nurse practitioner and facility • Infection control leadership collaboration • Antipsychotic Medication • Homelessness • How to integrate CRISP into day to day systems • STAR Ratings • Understanding the DHCF baseline quality measures • Antibiotic Stewardship and re-measures • Data analytics
How’s the Collaborative Doing?
How’s the Collaborative Doing? Source: DHCF
What’s Next?
Collaborative Year Two Look Ahead Prework November 2019 - January 2020 Individual Technical Assistance Site Visits November 2019 - January 2020 Kick-off Teleconference December 2019 Collaborative Handbook & Change Package January Nursing Facilities Complete Prework January - February Learning Session 1 February (8:30 am - 12:30 pm) Action Period 1 February - April Senior Leader Reports February - April Individual Technical Assistance Site Visits March - April Webinar April
Collaborative Year Two (cont.) Learning Session 2 May (8:30 am - 12:30 pm) Action Period 2 May – July Senior Leader Reports May - July Individual Technical Assistance Site Visits June - July Webinar July Learning Session 3 August (8:30 am - 12:30 pm) Action Period 3 August - October Senior Leader Reports August - October Individual Technical Assistance Site Visits September - October Webinar September Outcomes Congress October (8:30 am - 12:00 pm)
Thank you! Reminders: • Please sign up for individual Collaborative 2 Site Visit #1 (November 2019 – January 2020) • One member from each Team please complete your Senior Leader Report • Please complete your post-event evaluation!
Contact: Gazelle Zeya, MBA, MS, RAC-CT Quality Improvement Advisor Lead Comagine Health GZeya@Comagine.org | 800.949.7536 Ext. 292 Derdire “De” Coleman, RN Quality Improvement Advisor Lead Department of Health Care Finance Derdire.Coleman@dc.gov | 202.724.8831
Recommend
More recommend