nursing home quality care collaborative team...

Nursing Home Quality Care Collaborative

Team Communication Kick-off

April 4, 2017

2

Using Webex Chat and Hand Raise

3

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

4

Welcome to the Collaborative!

We are here!

5

Alex Brockwell Resident Advisor Qualis Health Nursing Home Quality Care Collaborative

6

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

7

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

8

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

9

10

Knoster, Villa & Thousand (2000). A Framework for Thinking about Systems Change http://medicare.qualishealth.org/projects/care-transitions/selected-resources/other/diagnose-hinderance

11

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

12

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

14

QAPI Self-Assessment

• QAPI Self-Assessment www.surveymonkey.com/r/WK6CJF7

15

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

16

Define your team & set the vision

17

Susan Eaton team model

Resident & Family

Management & Admin. Clinical Staff

Direct Care Givers

18

IHI Model for Improvement

http://www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx

19

PDSA Cycle for Learning Improvement

www.Medicare.QualisHealth.org/LS1

20

Measurement

21

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

22

AHRQ Survey Toolkit

www.Medicare.QualisHealth.org/NHQCC-TeamComm

23

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

25

TeamSTEPPS

www.Medicare.QualisHealth.org/NHQCC-TeamComm

26

Q & A

27

www.Medicare.QualisHealth.org/QualityGems

28

Team reports and storyboards

www.Medicare.QualisHealth.org/Storyboard

29

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

30

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

31

Action Plan Resources

• Qualis Health QAPI resources www.Medicare.QualisHealth.org/QAPI

• TeamSTEPPS Train-the-trainer online learning www.Medicare.QualisHealth.org/ NHQCC-TeamComm

32

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

33

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

tracit@qualishealth.org 208-383-5947

Paula Parsons QI Associate

paulap@qualishealth.org 206-288-2470