Thursday, December 08, 2016

The American Health Care Association (AHCA) has broadened its Quality Initiative* to further improve the quality of care in America’s skilled nursing care centers.  The expansion will challenge members to apply the Baldrige Performance Excellence Framework—the foundation of the 2015-2018 Quality Initiative—to meet measurable targets in eight areas with a focus on three key priorities: improvements in organizational success, short-stay/post-acute care, and long-term/dementia care.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

​*These areas are aligned with the Centers for Medicare & Medicaid Services (CMS)’ Quality Assurance/Performance Improvement (QAPI) program and federal mandates, such as Five-Star and the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.​​​​​​​​​​​​​​​​

Quality Initiative in California

A Message from CAHF CEO/President Jim Gomez to our members:

"As a participant in the American Health Care Association’s Quality Initiative, you are taking on an important challenge to improve the quality of life and quality of care for the 350,000 residents we serve each year in California.

This effort will take time, education and coordination among physicians and medical directors, pharmacists, nurses, nursing assistants, residents and families.

As you are aware, post-acute and long-term care is undergoing continual change to align with new regulations as well as advances in treatments and new approaches. In the wake of that activity, we must remain vigilant in seeking new pathways to improve the quality of care and quality of life for our residents.

Thank you for your participation."


Target: Accomplished

As of December 31, 2013, California skilled nursing providers reduced the unnecessary use of off-label, antipsychotics by more than 18 percent, exceeding the national goal of a 15 percent reduction. Since then providers have achieved a total reduction of 34 percent. California now ranks 9th best in the nation in reducing these drugs.

2015 Antipsychotic Partnership Report

Background: In May, 2012, the Centers for Medicare and Medicaid Services (CMS) announced a "Partnership to Improve Dementia Care in Nursing Homes,” a public–private partnership to ensure appropriate care and use of off-label antipsychotic medication for nursing home patients.

This initiative continues to be promoted in California by a coalition of interested stakeholders including CAHF, California Department of Public Health Licensing and Certification, CMS Region IX, California Association of Long-Term Care Medicine, Health Services Advisory Group and others that are working together to plan strategies and share resources under the direction of the California Culture Change Coalition.

CAHF is encouraged by CMS’ call to facilitate the formation of a partnership in California to reduce the unnecessary use of antipsychotic medications in nursing homes and urges all California facilities to participate in the focused effort.

Quality Initiative Tools & Resources

Representing California nursing home providers and dedicated to quality health care

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