Disability levels in the area of psychiatric conditions, other than Alzheimer’s and other dementias, were about the same as in the 1980s, with one-third of the residents in the DRI study, as in this study, reporting a mental, emotional, or nervous condition. Similarly, as shown in Exhibit 6-4 , the percentage of residents with a diagnosis of me
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Summary and Conclusions
Washington State was chosen for a site visit because it has a long-standing, statewide technical assistance program, called the "Quality Assurance Nurse" (QAN) program. The QAN program evolved from an earlier UR program.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Aspects of Washington's Quality Improvement Program Noted to be Less Successful
Virtually all with whom we spoke said that it would be better if the QANs had more time for QANing. As one provider put it "What's discouraging is that [the QAN program] seems to have been out of commission for a while; they must be doing surveys." Several providers with whom we spoke reported not having a QAN visit in over a year; one reported on
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Overview of the QAN Program
As noted above, QAN staff are responsible for a number of activities such as conducting surveys in addition to their role providing information exchange (technical assistance). The latter activity is referred to as "QANing" and is the heart of the state's unique program.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Overall Intent/Vision for Washington's Quality Improvement Program
Washington State views the QAN program as one part of a three part integrated system of quality assurance: "an objective survey process, a responsive complaint investigation process, and a proactive [QAN] process. Through these activities, Washington monitors, measures, and intervenes to ensure compliance with defined state and federal requirement
Prior to the on-site visit, factual information about the QAN program was gathered from discussions with the Technical Advisory Group and stakeholders (at the national level) and through review of program materials, including the program manual Quality Assurance Nurse Program (State of Washington, Residential Care Services Aging and Adult Ser
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Texas Department on Aging/ Ombudsman Restraint Reduction Initiative
In addition to the programs described above, the Ombudsman and his staff, who have a presence in facilities, are conducting training on resident centered care. Restraints were chosen as a focus because they are a long-standing issue with consumer advocates, restraint use is notably high in Texas and currently a major DHS concern, and the Departme
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Description of State-Initiated Quality Improvement Programs in Texas
This section includes a description of Texas' quality improvement programs. The following programs were reviewed in detail with those interviewed: Statewide Quality Review Quality Monitoring Program QMWeb/best practice development Quality Reporting System (QRS) Joint Training of Providers and Surveyors Liaison with Providers The de
Abt staff member Christine Hale and consultant Barbara Manard were responsible for the site visit.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Aspects of Missouri's Quality Improvement Programs Noted to Work Well
Most of the stakeholders contacted believed that the program as a whole was very beneficial. Feedback from providers that is collected on evaluation forms following technical assistance visits by the QIPMO nurses was overwhelmingly positive. A facility director of nursing expressed that "QIPMO visits are free, not punitive, supportive and encourag
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Governance of Programs
QIPMO programs are completely separate from the state survey agency and the Division of Aging provides only broad oversight, receiving summary reports of QIPMO activity which identify the number of facilities visited with no facility names specified. All QIPMO programs and staff are the responsibility of the University of Missouri-Columbia MDS an
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Description of Quality Improvement Programs in Missouri
The Missouri Quality Improvement Program for Missouri (QIPMO) is an on-site clinical consultation program intended to assist nursing homes with their quality improvement programs. There are several distinctive features of the QIPMO program:
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Impetus for Missouri's Quality Improvement Programs
The QIPMO programs originated from the vision of Marilyn Rantz and supporters at the Division of Aging. Dr. Rantz holds a Ph.D. in Nursing from the University of Wisconsin-Milwaukee, Masters of Science in Nursing from Marquette University, and Master of Arts in Teaching from the University of Wisconsin-Whitewater. She has also been a nursing home
Abt staff members Alan White and Donna Hurd spent three days in Jefferson City and Columbia, Missouri in July 2002, meeting with state survey agency staff, ombudsman, provider association staff and members, state Quality Improvement Organization (QIO) staff, QIPMO nurses and developer Marilyn Rantz as well as facility staff who had participated in
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Maryland's Nursing Home Performance Evaluation Guide
Maryland also established one of the first state public reporting tools. In 1999, the Maryland General Assembly established the Maryland Health Care Commission (MHCC) to carry out several health care reforms in the state, including development of information on nursing home quality. The MHCC worked with the Department of Health and Mental Hygiene
The impetus for the enactment of the Maryland quality improvement programs in 2000 as explained by the provider associations and the survey agency appears to have been based on a series of events and activities that occurred both within and outside the state in the preceding ten years. Beginning in 1989, deplorable conditions existing in a Marylan
Abt staff members Terry Moore and Donna Hurd accompanied by Task Order Officer Jennie Harvell and consultant Barbara Manard met with individuals involved in the development, management and implementation of the programs, and with nursing facility staff that had been surveyed under the technical assistance program. Over a three-day visit in April 2
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Sustainability and Lessons Learned
Participants did not indicate any plans to change the behavioral consultation visits, although some recommended that expanding the program would be advantageous. Current budget constraints limit any plans in this direction. The survey respondent stated that any additional funds would most likely to be used to hire more surveyors.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Description of Quality Improvement Programs in Iowa
This section includes a brief description of each of Iowa's quality improvement programs followed by a discussion of program funding, governance and the management and staffing structure. The following quality improvement programs were reviewed:
Abt staff members Alan White and Donna Hurd met with individuals involved in the development, management and implementation of Iowa's programs, as well as representatives from two of the state's provider groups, the State's Long Term Care Ombudsmen, and others familiar with the state's programs. Over a three-day visit in June 2002, the research te