Sunday, April 19, 2015


The AHCA/NCAL Quality Initiative is an effort that builds upon existing work in the long term and post-acute care field by setting specific, measurable targets to further improve quality of care in America’s skilled nursing centers and assisted living communities. AHCA/CAHF members are encouraged to reach defined, concrete goals over the next three years, in four core areas.

Safely Reduce the Off-Label Use of Antipsychotics:
California achieved this goal in Q3, 2013.
By December 2013, reduce the off-label use of antipsychotic drugs by 15 percent. Learn more

Safely Reduce Hospital Readmissions: By March 2015, reduce the number of hospital readmissions within 30 days during a SNF stay by 15 percent. Learn more.

Increase Staff Stability: By March 2015, reduce turnover among nursing staff (RN, LPN/LVN, CNA) by 15 percent. Learn more.

Increase Customer Satisfaction: By March 2015, increase the number of customers who would recommend the facility to others up to 90 percent. Learn more.

Congratulations to the Quality Initiative Participants!
Overall, 80 percent of CAHF members achieved at least one of the four quality goals in 2014.

Twenty-two skilled nursing centers achieved all four national quality goals within a two-year time frame. 
View the List

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 300,000 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. 

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 excited and encouraged by CMS’ call to facilitate the formation of a partnership in California to reduce the unnecessary use of antipsychotic medications in nursing homes. 

CAHF encourages all California facilities to participate in the focused effort to reduce off-label use of antipsychotic medications in long-term care.

2014 Antipsychotic Partnership Report

Join the Quality Initiative Campaign

CAHF Members: Sign up to receive your free campaign packet, including a window decal.

Quality Initiative Tools & Resources
See Who's Participating

Representing California nursing home providers and dedicated to quality health care

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