Abstract: . . .  nursing homes beyond the original 57 NNHIC homes are reported to have adopted one or more key ideas from the NNHIC. Page 31 November 9, 2005 31 Closing the LTC Quality Gap • NHQI national effort to improving quality • QIOs fulfill a critical need • Substantial early gains • Assistance is essential Page 32 November 9, 2005 32 For More Information: www.ahqa.org Dave Adler 202-261-7572 dadler@ahqa.org David Farrell . . .
. . .  treatment practices • Stage III/IV incidence declined substantially (by two- thirds) • Stage II lesions declined by one-third – their story is probably complex • Stage III-IV prevalence declined little • Improvements on process measures (assessments, documentation, use of pressure reducing surfaces) Page 30 November 9, 2005 30 Pressure Ulcer Collaborative: What We Learned? • Most of the success stems from . . .
. . .  proactive quality improvement in clinical systems • 2002: New name “QIO” better reflects the work. – “…the QIOs have overcome, to some degree, the previously adversarial and punitive roles of Peer Review Organizations with hospitals… QIOs are potentially poised to take a leading role in promoting quality of care.” • Bradley et al. Health Services Research, April 2005 Page 4 November 9, 2005 4 7 th Statement . . .
. . .  quality improvement Page 1 November 9, 2005 1 Quality Improvement Organizations (QIOs) and the 8 th Scope of Work AHCA Annual Convention October 18, 2005 Dave Adler Director, Government Affairs American Health Quality Association David Farrell Project Manager Quality Partners of Rhode . . .
. . .  29 Pressure Ulcer Collaborative: Outcomes • Nursing home teams can manage the CQI process and make major gains • Most teams can cause high rates of improvement with good assessment, targeting, prevention, and treatment practices • Stage III/IV incidence declined substantially (by two- thirds) • Stage II lesions declined by one-third – their story is probably complex • Stage III-IV prevalence declined little . . .
. . .  resources • Added effect comes from team-building 5,484 nursing homes beyond the original 57 NNHIC homes are reported to have adopted one or more key ideas from the NNHIC. Page 31 November 9, 2005 31 Closing the LTC Quality Gap • NHQI national effort to improving quality • QIOs fulfill a critical need • Substantial early gains • Assistance is essential Page 32 November 9, 2005 32 For More Information: www.ahqa.org . . .
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