Department of Health Care Finance (DHCF) and Comagine Health

Nursing Facility Quality Improvement Collaborative

2019 Outcomes Congress

October 22, 2019

• Comagine Health, formerly Qualis Health and HealthInsight, is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system.

• As a trusted neutral party, we work in our communities to address key complex health and health care delivery problems.

• We serve people in Alabama, Alaska, Idaho, Mississippi, Nevada, New Mexico, Oregon, Utah, Washington, D.C., Washington State and Wyoming.

Comagine Health

Agenda

8:30 - 9:00 am Registration and Sign-in

9:00 - 9:40 am Introductions, Special Recognitions and Collaborative Update

9:40 - 10:20 am Facility Spotlight

10:20 - 10:30 am Break

10:30 - 11:10 am Expert Presentation

11:10 - 11:50 am Storyboards “Speed Dating”

11:50 am - 12:00 pm Next Steps, Evaluation & Wrap Up

Special Recognitions!

Collaborative Year One Review

Collaborative Aims

• Partner with DHCF staff to create “all, teach, all learn” Learning and Action Networks

• Assess nursing facility readiness to participate in pay-for-performance and develop a plan of action on areas of improvement

• Provide individual and group technical assistance (e.g. training, education and quality improvement consultation services) to 17 DC nursing facilities to instill high-quality, person-centered care

• Engage nursing facilities in rapid-cycle improvements in areas at the system level

• Ensure nursing facility staff are adequately trained to conduct MDS assessments

• Conduct Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey to measure resident/family experience and identify areas for improvement

Nursing Facility Quality Improvement Collaborative Model

WE ARE HERE!

Nursing Facility Quality Improvement Collaborative • Pre-work: January-March 2019

• Face-to-Face Orientation Meeting: January 28, 2019• Collaborative Handbook & Change Package Distributed to NFs: February 2019• Individual Initial Assessment Site Visits #1: February-March 2019• NFs complete pre-work: February-March 2019

• Learning Session 1: March 28, 2019 (1:00 – 4:00 pm) - Host: DHCF

• Action Period 1: March-May 2019• In-person Training at DC Health Care Association: April 19, 2019• Webinar #1: National Nursing Home Quality Improvement Campaign (NNHQIC) Part 1: Overview - May 14, 2019 (1:00 – 2:00 pm)• Senior Leader Reports• Individual Technical Assistance Site Visits #2: March–June 2019

• Learning Session 2: June 26, 2019 (8:00 am - 12:30 pm) Host: Bridgepoint Sub-Acute Capitol Hill

• Action Period 2: June - September 2019• Webinar #2: MDS Coding Part 1 - August 26, 2019 (10:00 am - 12:00 pm)• Webinar #3: MDS Coding Part 2 - September 23, 2019 (10:00 am - 12:00 pm)• Senior Leader Reports • Individual Technical Assistance Site Visits #3: July-September 2019

• Outcomes Congress: October 22, 2019 (8:30 am - 12:00 pm) Host: Carroll Manor Nursing and Rehabilitation Center

Collaborative Tools & Resources

https://dhcf.dc.gov/node/1390591

DHCF Collaborative Website

Collaborative Year One Quick Stats

Total Number of Site Visits: 49

Average Overall Level of

Satisfaction:

99%

Average Level of NF Participation:

91%

Collaborative Year One Quick Stats (cont.)

Learning Sessions 1 & 2

Average Level of NF Participation:

94%

Average Overall Level of

Satisfaction:

98%

Collaborative Year One Quick Stats (cont.)

Webinars 1, 2 & 3

Average Level of NF Participation:

67%

Average Overall Level of

Satisfaction:

98%

Nursing Facility Suggestions/Topics for Collaborative Activities

• End of Life Program

• MDS

• PDPM

• Workforce recruitment and staffing

• Readmissions

• Pressure Injuries

• Urinary Tract Infections

• Falls

• Infection control

• Antipsychotic Medication

• How to integrate CRISP into day to day systems

• Understanding the DHCF baseline quality measures and re-measures

• Dementia care

• Care planning

• C.N.A documentation

• Incontinence

• Change management

• Community resources

• Providing culturally competent care for LGBTQ residents

• Physician, nurse practitioner and facility leadership collaboration

• Homelessness

• STAR Ratings

• Antibiotic Stewardship

• Data analytics

How’s the Collaborative Doing?

How’s the Collaborative Doing?

Source: DHCF

What’s Next?

Collaborative Year Two Look Ahead

Prework November 2019 - January 2020

Individual Technical Assistance Site Visits November 2019 - January 2020

Kick-off Teleconference December 2019

Collaborative Handbook & Change Package January

Nursing Facilities Complete Prework January - February

Learning Session 1 February (8:30 am - 12:30 pm)

Action Period 1 February - April

Senior Leader Reports February - April

Individual Technical Assistance Site Visits March - April

Webinar April

Collaborative Year Two (cont.)

Learning Session 2 May (8:30 am - 12:30 pm)

Action Period 2 May – July

Senior Leader Reports May - July

Individual Technical Assistance Site Visits June - July

Webinar July

Learning Session 3 August (8:30 am - 12:30 pm)

Action Period 3 August - October

Senior Leader Reports August - October

Individual Technical Assistance Site Visits September - October

Webinar September

Outcomes Congress October (8:30 am - 12:00 pm)

Thank you! Reminders: • Please sign up for individual Collaborative 2 Site

Visit #1 (November 2019 – January 2020)

• One member from each Team please complete your Senior Leader Report

• Please complete your post-event evaluation!

Contact:Gazelle Zeya, MBA, MS, RAC-CTQuality Improvement Advisor LeadComagine Health GZeya@Comagine.org | 800.949.7536 Ext. 292

Derdire “De” Coleman, RN Quality Improvement Advisor LeadDepartment of Health Care FinanceDerdire.Coleman@dc.gov | 202.724.8831