Videos uploaded by user “Lake Superior Quality Innovation Network (Lake Superior QIN)”
Quality Assurance Performance Improvement (QAPI) Self-Assessment
Jane Pederson, MD, MS helps you recognize the self-assessment tool as valuable for QAPI implementation and to know how to apply the completed self-assessment to improve QAPI implementation. QAPI Self-Assessment Tool: http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/downloads/QAPISelfAssessment.pdf
What Is Sepsis? (Nurse version)
This is a brief video discussing the definition and impact of sepsis for nurses and the long-term care community. "Faces of Sepsis" video courtesy of the Sepsis Alliance http://www.sepsis.org
What Is Sepsis? (CNA version)
This is a brief video discussing the definition and impact of sepsis for certified nurse assistants (CNAs) and the long-term care community. "Faces of Sepsis" video courtesy of the Sepsis Alliance http://www.sepsis.org
Quality Payment Program: A 10-Minute Overview
Lake Superior Quality Innovation Network presents an overview of the Quality Payment Program (QPP). As part of the Lake Superior QIN, Stratis Health supports all clinicians and practices across the state of Minnesota to participate in QPP. The objectives of the overview are to familiarize you with the goals of QPP, provide an overview of the program basics covering the two primary paths, and share with you the support services that are available for Minnesota participants. For more info, email the Minnesota QPP help desk at QPPHelp@stratishealth.org. Transcript: https://www.lsqin.org/wp-content/uploads/2017/08/QPP-10-minute-Overview-Transcript.pdf Slide handouts: https://www.lsqin.org/wp-content/uploads/2017/08/QPP-10-min-Overview-PPT-slide-handouts.pdf Disclaimer: content provided in this presentation is based on the latest information made available by the Centers for Medicare & Medicaid Services (CMS) and is subject to change.
Quality Measures Series: Falls
Handouts: http://bit.ly/Falls_handouts This webinar is part of a series intended to help nursing homes understand and improve the thirteen long-stay measures that are used to calculate the Quality Measure Composite Score. Measure Description This measure reports the percent of long-stay residents who have experienced one or more falls with major injury reported in the target period or look-back period. Contact info: Michigan - MPRO Kathleen Lavich 248-465-7399 klavich@mpro.org Minnesota - Stratis Health Kristi Wergin 952-853-8561 kwergin@stratishealth.org Wisconsin - MetaStar Liz Dominguez 608-441-8255 ldomingu@metastar.com
Improving Emergency Department Flow for People with Behavioral Health Problems
Stuart Buttlaire Ph.D and Annette McCain Ph.D discuss barriers and the current situation for people with behavioral health problems in the emergency room.
Healthcare-associated Infections (HAI) Initiative Kick Off
Dianne McCagg of the Lake Superior Quality Innovation Network (LSQIN) presents information on the new Centers for Medicare and Medicaid (CMS) HAI initiative for 2014-2019.
Top 5 Facts about Reducing Healthcare-Associated Infections
Here are the top 5 facts about Reducing Healthcare-Associated Infections. To join this initiative or for more information, please contact info@lsqin.org. Music: "Paris" by LASERS (https://www.facebook.com/lasersounds)
Pain: Assessment & Management
Slides: https://www.lsqin.org/wp-content/uploads/2015/03/Pain-Lecture-032415.pdf Participants will be able to effectively integrate principles of pain assessment and management into their clinical practice. Objectives: 1. Learners will describe the different types of pain 2. Learners will examine current options for pain management.
QAPI for Home Health: Part 1
Part 1 of this 2 part webinar series addresses Quality Assurance and Performance Improvement (QAPI) strategies for Home Health Agencies (HHA). Participants will learn about introductory QAPI concepts specific to HHA’s and standards required for the development of a QAPI plan.
Developing an Action Plan
Slides: http://bit.ly/AP_slides Activity: http://bit.ly/AP_activity LSQIN NH Action Plan Template: http://bit.ly/NH_APT CMS QAPI Action Plan Template: http://bit.ly/QAPI_APT Alternate Action Plan Template: http://bit.ly/QI_APF CE info: http://bit.ly/AP_CEinfo NNHQCC Learning Session 2: Webinar 4 of 4 Kathleen Lavich discusses developing an action plan for your performance improvement project.
Learning Session 6: Reducing Hospital Admissions to Improve Resident Outcomes
Lake Superior Quality Innovation Network presents the first webinar of the National Nursing Home Quality Collaborative’s Learning Session Six. Speaker: Kristi Wergin, R.N., BSN, CPHQ, Stratis Health. Kristi describes the negative impact of hospital admissions/readmissions on nursing home residents and walks viewers through the financial incentives for nursing homes to reduce their admission/readmission rates. For PDF slide handouts, visit https://www.lsqin.org/wp-content/uploads/2018/08/LS6-Webinar-1-080718.pdf. For a transcript, visit https://www.lsqin.org/wp-content/uploads/2018/08/transcript-ls6-Webinar-1-080718.pdf. To register for the other webinars in Learning Session Six, visit https://www.lsqin.org/initiatives/nursing-home-quality/ls6/.
Understanding the SNF Readmission Report
Transcript: https://www.lsqin.org/wp-content/uploads/2016/12/understanding-snf-transcript.docx
Quality Measure Series: Weight Loss
Handouts: http://bit.ly/WL_handouts This webinar is part of a series intended to help nursing homes improve the thirteen long-stay measures that are used to calculate the Quality Measure Composite Score. Measure Description This measure captures the percentage of long-stay residents who had a weight loss of 5% or more in the last month or 10% or more in the last two quarters who were not on a physician prescribed weight-loss regimen noted in an MDS assessment during the selected quarter. Contact info: Michigan - MPRO Kathleen Lavich 248-465-7399 klavich@mpro.org Minnesota - Stratis Health Kristi Wergin 952-853-8561 kwergin@stratishealth.org Wisconsin - MetaStar Liz Dominguez 608-441-8255 ldomingu@metastar.com
Applying QAPI Principles: Reducing the Number of Residents Who Report Moderate to Severe Pain
Slides: https://www.lsqin.org/wp-content/uploads/2016/07/QAPI.Pain_.Oakwood_PPT-Handout.pdf Learn from a nursing home team that has been successful in helping residents with complaints of pain and are seeing a reduction in the number of residents reporting moderate to severe pain using quality assurance performance improvement (QAPI) principles.
Top Five Facts about Improving Identification of Depression and Alcohol Use Disorder
Here are the top 5 facts about Improving Identification of Depression and Alcohol Use Disorder. To join this initiative or for more information, please contact info@lsqin.org. Music: "Paris" by LASERS (https://www.facebook.com/lasersounds)
Developing Measures for Quality Improvement - NNHQCC Session 1
Slides: http://bit.ly/1PjhO5b Activity: http://bit.ly/1L2d5PC In this webinar we will focus on how we think about and create measures for performance improvement projects.
Plan Do Study Act (PDSA)
Slides: http://bit.ly/PDSAslides Activity Sheet: http://bit.ly/PDSAactivitySheet Blank PDSA Sheet: http://bit.ly/PDSAblank CE info: http://bit.ly/PDSA_CEinfo
Learning Session 4 | Session 4: Antibiotic Stewardship in LTC facilities: Where Do You Start?
Lake Superior Quality Innovation Network’s nursing home team presents the fourth webinar in the four-part Learning Session 4. Speaker: Christopher Crnich, MD, PhD, MS, describes the relationship between C. difficile infections and antibiotic stewardship, and then describes the fundamentals and first steps in initiating an antibiotic stewardship program. Slide handouts: https://www.lsqin.org/wp-content/uploads/2017/08/antibiotic-stewardship-ls4-crnich.pdf
Top 5 Facts about Quality Improvement through the Physician Quality Reporting System
Here are the top 5 facts about Quality Improvement through the Physician Quality Reporting System (PQRS). To join this initiative or for more information, please contact info@lsqin.org. Music: "Paris" by LASERS (https://www.facebook.com/lasersounds)
Herpes Zoster (Shingles)
Visit www.immunize.org for more information on standing orders.
The Basics of Antibiotic Resistance: Focus on Carbapenem-Resistant Enterobacteriaceae (CRE)
Learn from the Centers for Disease Control and Prevention (CDC) the latest information on preventing and treating Carbapenem-Resistant Enterobacteriaceae (CRE). Objectives *Review common bacteria identified in nursing homes and antibiotics used to treat them *Describe mechanisms for antibiotic resistance to develop in bacteria including carbapenem-resistance *Discuss ways your laboratory can provide information about antibiotic resistance to your facility Presenter Nimalie Stone, MD, is the Medical Epidemiologist for Long-Term Care in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention. She is a board-certified infectious disease physician with a research and clinical background in managing infections and antibiotic resistant pathogens in post-acute and long-term care settings. In her role at CDC, Dr. Stone works to address the needs for infection prevention programs in long-term care.
An Integrated Approach
The Lake Superior Quality Innovation Network (LSQIN) has taken a different approach to structuring quality improvement work. Some of the employees speak about the new structure and how it affects LSQIN and their partners.
Infection Preventionist Series | Webinar 5: Frequent Citations: What Are We Missing?
Lake Superior Quality Innovation Network presents Webinar 5 in the Infection Preventionist Series. Host Diane Dohm, MT, IP, CIC, CPHQ, MetaStar, Inc., explores the common citations received by nursing homes and reviews prevention and resolution methods. For PDF slide handouts, visit https://www.lsqin.org/wp-content/uploads/2017/12/Ip-Series-5-Common-citations.pdf.
Understanding the Nursing Home Quality Measures
Sample Casper Report Handout: https://www.lsqin.org/wp-content/uploads/2015/03/QualityMeasureWebinarHandout-Sample-reports-2015-02-13.pdf Quality Measures Presentation Slide Handouts: https://www.lsqin.org/wp-content/uploads/2015/03/Handouts_QualityMeasuresPPT-2015-02-18.pdf This session will focuses on: -The history and the purpose of the National Nursing Home Quality Measures -How to read a CASPER report -How to use the Quality Measure User's Manual to improve quality measure scores -Understanding the National Nursing Home Composite Quality Measure Speakers: Nadine Olness, RN, RAC-CT, is the Minnesota RAI Coordinator and Case Mix Review Nurse Educator at the Minnesota Department of Health. She is a registered nurse with extensive background in long term care. She is a certified Resident Assessment Coordinator and a current member of the AHFSA RAI Panel. Kristi Wergin RN, BSN, CPHQ, is a Program Manager at Stratis Health. She provides quality improvement leadership for Minnesota nursing homes as part of the Centers for Medicare and Medicaid Services (CMS) Quality Innovation Network Quality Improvement Organization contract. Currently, she is leading a team that is assisting nursing homes in MI, MN, and WI in their quality improvement efforts as part of the National Nursing Home Quality Care Collaborative. 2-18-15
Overview of Substance Use Disorders
Diagnostic Criteria and Medications Used in Treatment Project funded by a Michigan Department of Health and Human Services Innovation Grant Cory Waller MD discusses: -The Biopsychosocial etiology of addiction -Addiction as a brain-based disease -Addiction as a chronic disease similar to diabetes type-2, HTN, and asthma -The comorbidities in substance abuse disorders -Changes in diagnostic criteria for substance use disorders in the DSM-V -Medications used in the treatment of substance use disorders
New Look at Managing Falls
Lake Superior QIN and the National Nursing Home Quality Collaborative (NNHQCC) present falls and mobility expert Sue Ann Guildermann and a New Look at Managing Falls in Nursing Homes. Slide handouts: https://www.lsqin.org/wp-content/uploads/2016/12/NewLookatManagingFalls.pdf
New Antibiotic Stewardship Program (ASP) Guidelines
Slides: https://www.lsqin.org/wp-content/uploads/2016/08/New-ASP-Guidelines-Handout.pdf This webinar is in follow up to the evidence-based guidelines for implementation and measurement of antibiotic stewardship interventions in inpatient populations that were recently published in the journal Clinical Infectious Diseases. Speaker Tamar Barlam, MD, MSc – Dr. Barlam is an associate professor of Medicine at Boston University School of Medicine, attending physician in the Section of Infectious Diseases, the program director for the Infectious Disease Training Program, and the director of antimicrobial stewardship for the Boston Medical Center. She has close to 30 years’ experience directing antimicrobial stewardship programs. Her research is focused on understanding factors that influence antimicrobial prescribing, and the implementation and impact of stewardship interventions.
Quality Improvement Incentive Payment (QIIP)
Slides: https://www.lsqin.org/wp-content/uploads/2015/03/Quality-Improvement-Incentive-Payment_FinalHandouts_2015_03_03.pdf Q and A: https://www.lsqin.org/wp-content/uploads/2015/03/DHS-QIIP-Webinar-Questions.pdf The QIIP program is a Minnesota-based Quality Improvement Incentive program for nursing homes. Presenters: Valerie Cooke Manager, NF Quality and Research Kim Class, RN Quality Improvement Coordinator Minnesota Department of Human Services March 3, 2015
Living Well with Diabetes
The following video shows how a program in Michigan, known as Diabetes PATH (Personal Action Toward Health), is helping people with diabetes live and healthier, and happier, lives. Diabetes PATH is based on Stanford University’s Chronic Disease Self-Management Program. For more information about diabetes self-management programs: Michigan: http://bit.ly/1A346N8 | 517-335-1236 Minnesota: kcarleton@stratishealth.org | (952) 853-8582 Wisconsin: mfunseth@metastar.com | (608) 441-8229 Music: "Julia" by Jahzzar (http://www.betterwithmusic.com)
New IPF Quality Reporting Measures and Bridge Appointments
Slides: http://bit.ly/IPF_QR_slides Join us for a webinar overview of the new measures, plus a look at how Pro Health System Milwaukee handles transitions of care, including bridge appointments, creating a mobile psych department, and setting up triage protocols in the ED.
Choosing a Performance Improvement Project - NNHQCC Session 1
Slides: http://bit.ly/1zKBY1j Prioritization worksheet for PIPs: http://go.cms.gov/1c1P5jg PIP charter: http://go.cms.gov/1FNw545 PIP checklist: http://go.cms.gov/1E5xTkD CMS QAPI website: http://go.cms.gov/1bvmkuT Process tool framework: http://go.cms.gov/1DQVW5j QAPI at a glance: http://go.cms.gov/1E5ykeA NNHQCC Change Package: http://bit.ly/1GXfQAg Guide for developing a QAPI plan: http://go.cms.gov/1c1QKFu This webinar helps viewers: Identify how to utilize Quality Assurance Performance Improvement (QAPI) resources to assist in choosing a Performance Improvement Project (PIP) Describe how to use the National Nursing Home Quality Care Collaborative (NNHQCC) Change Package as a resource and foundation for their quality initiatives Identify how to develop PIP teams with specific “charters”
Heart Failure Webinar Series | Supporting CHF Patients in the Home Setting
This webinar is the forth in a series of webinars to assist communities in improving heart failure care. PDF of slides: https://www.lsqin.org/wp-content/uploads/2017/09/Supporting-CHF-Patients-in-the-Home-Setting.pdf
Guide to Developing a Written QAPI Plan. NNHQCC Learning Session #3
Guide to Developing a Written QAPI Plan NNHQCC Learning Session #3 is a webinar for nursing home staff to identify the purpose of developing a QAPI plan, identify how to use the Lake Superior QIN QAPI plan, and outline next steps in the development of a QAPI plan. Slide handouts: https://www.lsqin.org/wp-content/uploads/2016/08/LearningSession3-QAPIPlan-2016-08-10-2up.pdf
Increasing Adult Immunizations: Physician Offices
Video Resources: https://www.lsqin.org/wp-content/uploads/2015/05/F.1-Video-Series-Resource-Document.docx
Increasing Adult Immunizations: Home Health Agencies
Video Resources: https://www.lsqin.org/wp-content/uploads/2015/05/F.1-Video-Series-Resource-Document.docx
Root Cause Analysis (RCA) Toolkit
Slides: http://bit.ly/1di0ZHc Kathie Nichols, BSN, RN, CRRN, presents the basics of root cause analysis, including how to access and use the free RCA Toolkit for Long-Term Care available at: http://www.stratishealth.org/providers/rca-toolkit/index.html
Motivational Interviewing for Home Health Professionals: Part One
This two-part webinar series introduces home health professionals to motivational interviewing (MI). Webinar one offers a brief overview of the evidence-base for MI and the foundational spirit of this approach. Presentation slides: http://bit.ly/2zKaWZV
Creating a Quality Culture - NNHQCC Session 1
Slides: http://bit.ly/1GXZWIJ Prework: http://bit.ly/1E4E5JE Creating a Quality Culture. Learning Session 1. Strategies that will strengthen your nursing home’s quality culture
Understanding Opioids: From Neurobiology to Treatment
This webinar is designed to provide the participant an overview of opioids, licit and Illicit. It will cover opioid types, physiology and neurobiology and opioid effects. It will also cover abuse and dependence to opioids, current treatment modalities, including Medication Assisted Treatment, as well strategies to combat opioid overdose and misuse.
Infection Preventionist Series | Webinar 3: Outbreak Recognition and Management
Lake Superior Quality Innovation Network presents the third webinar in a six-part webinar series on infection prevention topics in long term care. Each webinar is thirty minutes, which includes content and time for open discussion/Q&A. Speaker: Diane Dohm, nursing home project specialist, MetaStar, Inc. Audience: Nursing home infection preventionists and other nursing home staff interested in infection prevention. Download PDF slide handouts: https://www.lsqin.org/wp-content/uploads/2017/12/IC-series-3-outbreak-final.pdf
Long Term Care (LTC) Prevention Strategies for Carbapenem-resistant Enterobacteriaceae (CRE)
Slides: http://bit.ly/CREslides Learn the latest information on preventing and treating Carbapenem-Resistant Enterobacteriaceae (CRE) from Dr. Nimalie Stone of the Centers for Disease Control.
Track Your FY2018 HVBP Progress
Presentation slides: http://bit.ly/2dhsT7B FY2018 VBP Worksheet: http://bit.ly/2ddx6gH FY2018 VBP Worksheet – Large PPS Hospital Example: http://bit.ly/2ddw1Fz FY2018 VBP Worksheet – Small PPS Hospital Example: http://bit.ly/2dhskKO This learning session will show you how to track your fiscal year (FY) 2018 Hospital Value-Based Purchasing (HVBP) progress. Participants will be provided an overview on how to use the HVBP calculator. Additional discussion will include updates for future new measures.
The Alarm (and Restraint) Free Environment
Slides: http://bit.ly/AF_9-24 Objectives • Identify misconceptions of personal alarm use and benefits of alarm reduction/elimination • Identify steps needed to implement an alarm reduction program Speakers Lisa Anetrini, R.N., BSN, MS, LNHA, Ciena Healthcare Lisa Anetrini has more than twenty years of clinical experience in long-term care, Ms. Anetrini begun as a Nursing Assistant, honed her clinical skills as a Director of Nursing, and exhibited valuable leadership qualities as Licensed Nursing Home Administrator, Regional Clinical Director and currently as the Director of Clinical Services for Ciena Healthcare. Lisa is also the Nurse Planner for HealthCap Risk Management. She is an expert in improving clinical operations and bringing Centers into regulatory compliance. Ms. Anetrini directs the day -to – day clinical operations and monitors the quality of services rendered for Ciena Healthcare. She also is involved with the Health Care Association of Michigan Legal /Regulatory Committee; she is a member on the Survey/Regulatory and Quality committee with AHCA and a member of the Nurse Executive Council. Trista Piccirilli, R.N., LNHA, CDP, Ciena Healthcare Trista Piccirilli has been an RN for over 10 yrs, and was previously an LPN for 15 years, serving the majority of her 25 nursing years in long term care. She has served as a DON for approximately 5 years in Long Term Care, as a nurse manager for 15 years, and for the last 5 ½ years has worked for Ciena Healthcare as a Regional Clinical Coordinator for 2 ½ years and as the Assistant Director of Clinical Services for the last three years.
Understanding Quality Resource and Use Reports
Slides: http://bit.ly/QRURslides For physicians and provider organizations to which the value modifier applies, the annual Quality Resource and Use Reports (QRURs) disseminated each fall will serve as the final summary report on their quality and cost performance that determines how they perform in the value modifier. This webinar provides education on the components of the annual and mid-year QRUR, and how to read the QRUR to understand what areas you are doing well in and what areas need improvement.
Principles of Pain Assessment and Management in Older Nursing Home Patients
Palliative care specialist Dr. Sheida Talebreza speaks about pain management and assessment in nursing homes.