State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report
APPENDIX E. Provider Training Programs
TABLE OF CONTENTS
- Teaching Nursing Home Program
- Educational Materials
- Conference Calendar
Florida's Teaching Nursing Home Program1
Florida's Teaching Nursing Home (TNH) Program was created in 1999 via legislative House Bill 1971 and was funded in 2000 to establish an integrated long term care (LTC) training curriculum for physicians and initiate an online geriatrics university. The TNH program is under the direction of Bernard Roos, MD, Director of the Stein Gerontological Institute at the Miami Jewish Home & Hospital for the Aged.
The TNH program is committed to integrated systems and to linking LTC resources and other community-based healthcare assets with professional and academic talents throughout our state. The TNH program has already established productive working relationships with several major nursing homes, with each of Florida's medical schools, and with several nursing schools.
Mission: Forging a more integrated and patient-centered LTC system through a comprehensive multidisciplinary statewide program of excellence in geriatrics training and research related to best practices and standards of care.
Create and promote multidisciplinary education and research in LTC.
Research, implement, and disseminate "best practices" for targeted LTC concerns.
Enhance awareness and image of the LTC continuum, including community-based services.
Initiate a dynamic process of statewide standardization of LTC that promotes and protects the interests of care recipients and providers.
Strategy: Provide forums, initiative, and core resources for identification and prioritization of LTC issues promote research and training in relevant best LTC practices and their adoption by communities and their entire range of health-care providers.
Promote synergistic quality improvement in LTC through linking the concerns and activities of academia, industry, professional organizations, and public interest and advocacy groups.
Create online forum resources and networks to promote needs assessments and to support training and best practices that address LTC concerns raised in communities throughout our state.
Assist in care and training initiatives/models for community-identified LTC needs.
Respond to LTC training and research needs of professionals, regulators, and emerging legislation.
Develop multidisciplinary models to support quality improvement across LTC's continuum.
Below are several educational materials developed by the MU MDS and Quality Research Team, the Statewide Planning Committee for Improving MDS Assessment and Use, and the Quality Improvement Program for Missouri. All of these documents are in Adobe Portable Document Format (PDF), therefore you will need Adobe Acrobat Reader to view and print the documents. You can download the free Adobe Acrobat Reader at http://get.adobe.com/reader/. We hope you put these materials to good use.
The Resident Assessment Instrument
Item by Item
The MDS Version 2.0 Item by Item Quick Reference and Self Study Guide interprets each item on the MDS by giving a written detailed description along side many of the MDS items. The Item by Item guide also explains the standard coding conventions, timetables for submission, and other valuable information you will need when completing the MDS. In addition, the PPS supplement illuminates the mysteries of PPS. The appendix gives you additional resources and contact information.
The Item by Item can be downloaded in 3 parts.
Item by Item
The Case Study is a two-part scenario that takes you through the MDS, RAP triggers, RAP documentation, and care plans for a sample nursing home resident. Part One is a resident's initial admission to the nursing home while Part Two is a significant change in status resulting in a hospital stay and Medicare return admission. The Case Study is a valuable document for anyone practicing in Long-Term Care.
Download the Case Study
The Self-Study Modules present an overview of the entire Resident Assessment Process (RAI) with emphasis on the Resident Assessment Protocols (RAPs) and care planning process based on the RAI. The modules are organized so that you can learn at your own pace. If you are struggling with care plan or RAP issues, or are working with staff in need of RAI education, the Self-Study Modules can help.
Download the Self-Study Modules
Quality Indicator (QI) Reports
Show-Me QI Report User's Guide
The "Show-Me" QI Reports are available to all nursing homes in Missouri submitting MDS data to the state database. These QI reports differ from the federal reports that facilities have access to nationwide. The "Show-Me" QI Reports show 5 quarters of data, allowing facilities to track their QIs over time. In addition, the "Show-Me" Reports have expert set thresholds for use to compare your specific facility QI data. The "Show-Me" QI Report User's Guide explains how to download and use your Missouri "Show-Me" QI reports.
Download the Show-Me QI Report User's Guide
Sample "Show-Me" QI Report
Download a sample page from a "Show-Me" QI Report to see how it looks
Download the Sample "Show-Me" QI Report
List of Thresholds
Here is a complete listing of the expert set QI thresholds used on the "Show-Me" Reports. We hope these thresholds help you determine potential problem areas when compared with your facility QI scores so that improvement in resident care and outcomes may occur.
Download the complete List of Thresholds
Other Educational Tools
Mary Zwygart-Stauffacher, PhD, RN, CS, GNP/GCNS presented a workshop entitled "Prevention and Detection of Acute Clinical Problems in Older Adults" in the fall of 2001. The workshop was videotaped, professionally edited and distributed FREE to long-term care facilities in Missouri. Unfortunately, there are no more videos. However, for those facilities that did receive a video, the Quality Improvement Program for Missouri has developed a post-test to test your knowledge after viewing the video.
Download the Video Post-Test
Copyright (c) 2003
MU MDS and Quality Research Team & the Curators of the University of Missouri
DMCA and other copyright information
Published by: Susan Farrell and Steven Miller
Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec
Organizations that sponsor LTC educational events and that wish to have their scheduled conferences listed in this calendar should send an email to the QM Webmaster. Please include the title of your conference, a link to your conference web page if you have one, the name of the sponsoring organization, and the date and the location of the conference.
A separate calendar of DHS Joint Training events for providers and surveyors is available on the LTC-R Web.
- January 29 - TAHSA Seminar: Second Best Way to Keep From Being Sued | Presbyterian Village North | Dallas, TX
- February 2-3 - 2003 TAHSA Day at the Capitol & Public Policy Boot Camp | Omni Austin Hotel | Austin, TX
- February 5 - TAHSA Seminar: Second Best Way to Keep From Being Sued | St. Dominic Village Nursing Home | Houston, TX
- February 19-21 - TAHSA Seminar: Advancing Organizational Excellence | T Bar M Ranch | New Braunfels, TX
- February 25 - TAHSA Seminar: MDS 2.0 | Hilton Houston Hobby Airport | Houston, TX
- February 26 - TAHSA Seminar: RAPs, Care Plans, & QI's | Hilton Houston Hobby Airport | Houston, TX
- March 6-9 - AMDA Annual Symposium | Orlando, FL
- March 26 - TAHSA Seminar: Intermediate MDS, RAPs, and Care Plans | Watson Sysco Food Services | Lubbock, TX
- March 27 - TAHSA Seminar: Intermediate MDS, RAPs, and Care Plans | Manor Park | Midland, TX
- April 3-5 - TEXMED 2003 | Henry B. Gonzalez Convention Center and Hyatt Riverwalk | San Antonio, TX
- April 3-5 - TDA Annual Food and Nutrition Conference | Marriott Waterway Hotel and Convention Center | The Woodlands, Texas
- April 8 - TAHSA Seminar: MDS 2.0 | Crowne Plaza Market Center | Dallas, TX
- April 9 - TAHSA Seminar: RAPs, Care Plans, & QI's | Crowne Plaza Market Center | Dallas, TX
- April 10 - TAHSA Seminar: PPS Medicare Regulations and Compliance | Crowne Plaza Market Center | Dallas, TX
- April 26 - TAHSA Seminar: Assisted Living Facilities Licensing Standards | TAHSA/EIA office, 2205 Hancock Drive | Austin, TX
- April 26-29 - American College of Health Care Administration | Charleston Area Convention Center | Charleston, SC
- May 18-21 - TAHSA 44th Annual Meeting | Renaissance Hotel Austin | Austin, TX
- June 6 - TAHSA Seminar: Intermediate MDS, RAPs, and Care Plans | Golden Palms Retirement | Harlingen, TX
- June 14-19 - AMA Annual Meeting | Hyatt Regency | Chicago, IL
- June 27 - TAHSA Seminar: MDS Coding: QI's vs. QM's | Hilton Houston Hobby Airport | Houston, TX
- July 26 - TAHSA Seminar: Assisted Living Facilities Licensing Standards | TAHSA/EIA office, 2205 Hancock Drive | Austin, TX
- July 29 - TAHSA Seminar: MDS 2.0 | Holiday Inn Town Lake | Austin, TX
- July 30 - TAHSA Seminar: RAPs, Care Plans, & QI's | Holiday Inn Town Lake | Austin, TX
- July 31 - TAHSA Seminar: PPS Medicare Regulations and Compliance | Holiday Inn Town Lake | Austin, TX
- August 17-24 - AMDA Core Curriculum Modules: Summer Conference: A, B, C | Cambridge, MD
- September 20 - TMA Fall Summit | Renaissance Austin Hotel | Austin, TX
- September 25 - TAHSA Seminar: Intermediate MDS, RAPs, and Care Plans | Sheraton | Tyler, TX
- October 8-9 - NGNA Preconference: Best Practices Nursing Care of Older Adults: Innovations in Academic & Health Care Partnerships | JW Marriott on Westheimer by the Galleria | Houston, TX
- October 10-12 - NGNA Annual Convention: Gerontological Nursing: United in the Art of Caring | JW Marriott on Westheimer by the Galleria | Houston, TX
- October 14 - TAHSA Seminar: MDS Coding: QI's vs. QM's | Crowne Plaza Market Center | Dallas, TX
- October 25 - TAHSA Seminar: Assisted Living Facilities Licensing Standards | TAHSA/EIA office, 2205 Hancock Drive | Austin, TX
- October 25-28 - ADA 2003 Food & Nutrition Conference & Expo | Marriott Rivercenter and Riverwalk | San Antonio, TX
- November 3-6 - Texas Health Care Association (THCA): Convention | Austin, TX
- December 6-9 - AMA Interim Meeting | Honolulu
Last updated: January 27, 2003
Source: http://www.gate.net/~sgi/page%205.htm, 5/12/2003.
Source: http://mqa.dhs.state.tx.us/QMWeb/calendar.htm, 4/23/2003.
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