Nursing Home Quality Improvement Tools and Resources
See below for tools and resources related to Nursing Home Quality Improvement
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Van Audit Tool
This editable tool supports nursing homes in tracking weekly and monthly tasks involving nursing home transportation vehicles.
COVID-19 Vaccination Tracking Tool
This tool supports nursing homes in tracking COVID-19 vaccine administration for residents and staff. Updated June 2021
COVID-19 Centers for Medicare & Medicaid Services (CMS) Mock Survey Tool
This tool supports nursing homes in evaluating COVID-19 infection prevention and control systems in place against CMS evaluation criteria.
F880 Meal Monitor Audit
This tool is a hand hygiene and contact precautions observation meal monitor.
Environmental Cleaning Evaluation Worksheet
Use this tool for data entry tool to record results of evaluation for each surface on the checklist for every room monitored.
Hand Hygiene
Use these tools to conduct observation audits of hand hygiene and to track compliance.
- Hand Hygiene Audit Tool (hand washing surveillance) | Access tool
- Hand Hygiene Audit | Access tool
- Hand Hygiene Competency Validation (checklist) | Access tool
- Resident Hand Hygiene Audit | Access tool
Personal Protection Equipment (PPE) Audit Tool
Use this tool to conduct observation audits for donning and doffing PPE and to track compliance. The tool includes a compliance calculator to get a compliance rate.
Six-Week Presidential Campaign for Updated COVID-19 Vaccines
On November 22, 2022 a fact sheet was released from The White House announcing a six-week campaign to get more Americans their updated COVID-19 vaccine. The link below will re-direct to The White House website.
Access fact sheet on The White House website
Playbook to Manage COVID-19
In alignment with the six-week presidential campaign for increasing updated COVID-19 vaccinations among Americans, The White House, in partnership with the U.S. Department of Health and Human Services, released the Winter Playbook for Nursing Homes and Other Long-term Care Facilities to Manage COVID-19 and Protect Residents, Staff, and Visitors. The link below will re-direct to The White House website page for the playbook.
Access playbook on The White House website
Why Long Term Care Residents Should Get the COVID-19 Bivalent Booster
Created by the American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL), this resource outlines key facts on why long term care residents should get the bivalent COVID-19 booster. The link below will re-direct to the AHCA/NCAL get vaccinated website and the resource.
Access resource on the #get vaccinated website
Remdesifir Antiviral Medication Coding and Reimbursement
On January 7, 2022 the Centers for Medicare & Medicaid Services (CMS) sent out a special edition newsletter announcing the new code for remdesivir in the Healthcare Common Procedure Coding System (HCPCS). The links below will re-direct to the CMS website for the newsletter and the Veklury® (remdesivir) website for the product information.
Access newsletter on CMS website
Access manufacturer reimbursement information for remdesifir from Veklury® website
COVID-19 Outpatient Therapeutics Clinical Decision Guide
The Administration for Strategic Preparedness and Response (ASPR), within the U.S. Department of Health and Human Services (HHS), created a clinical decision guide for COVID-19 outpatient therapeutics for those 12 years and older. The link below will re-direct to the ASPR website.
Access decision guide on ASPR website
Improving COVID-19 Outcomes in Nursing Homes Across America
Centers for Medicare & Medicaid Services (CMS) Quality Improvement (QI) Voices audio series on COVID-19 in nursing homes shares quick 15 minute conversations with expert guests and provides links to related resources with each topic. The link below will re-direct to the CMS QI Voices website.
Article on the COVID-19 Booster Lowering Infections, Hospitalizations and Deaths in Nursing Homes
An article in the Pharmacy Times called, Study Finds SARS-CoV-2 Booster Vaccination Lowers Infections, Hospitalizations, and Deaths in Nursing Homes written by Rose McNulty was published December 16, 2022. The link below will re-direct to the Pharmacy Times website.
Read full article on the Pharmacy Times website
Improving COVID-19 Outcomes in Nursing Homes Across America
The Centers for Medicare & Medicaid Services (CMS) Quality Improvement Voices: Improving COVID-19 Outcomings in Nursing Homes Across America is an audio series by CMS to take a closer look at the projects and people behind improving health care quality and outcomes. Episode topics include: information on the updated COVID-19 vaccine, long term care treatment options for COVID-19 and COVID-19 programs for infection prevention in nursing homes. The link below will re-direct to the CMS quality improvement organizations program website.
Access audio series on the CMS quality improvement organizations website
Ask the Experts – COVID-19
A fact sheet on COVID-19 topics including vaccine recommendations, vaccine products, special populations and vaccine safety, the Ask the Experts: COVID-19 resource published on immunize.org can be a great tool to answer questions and combat vaccine hesitancy. The link below will re-direct to immunize.org.
Access the full fact sheet at immunize.org
Vaccine Information for Non-English Speaking Populations
Thanks to support from the Centers for Medicare & Medicaid Services (CMS), immunize.org has resource handouts in various languages and has been able to expand its offerings of vaccination information statement translations. The links below will re-direct to immunize.org.
Access translations of handouts for patients and staff at immunize.org
Access vaccination information statement translations at immunize.org
Up-To-Date COVID-19 Vaccine Decision Tree
Determine if someone is up-to-date with their COVID-19 vaccinations based on criteria for the National Healthcare Safety Network (NHSN).
COVID-19 Centers for Medicare & Medicaid Services (CMS) Mock Survey Tool
This tool supports nursing homes in evaluating COVID-19 infection prevention and control systems in place against CMS evaluation criteria.
Checklist of Best Practices to Keep COVID-19 Out of Nursing Homes
This checklist supplements health care agency (Centers for Medicare & Medicaid Services [CMS], Centers for Disease Control and Prevention [CDC], etc.) guidelines to keep residents, staff and visitors safe in nursing homes.
NHSN Frequently Asked Questions (FAQs) for Long-Term Care Facilities (LTCFs)
This document outlines the process for access to the NHSN and processes for facility administrators.
Access tool
Top 10 Questions Answered on the COVID-19 Bivalent Vaccine
This resource includes 10 questions about the COVID-19 bivalent vaccine answered by Mountain-Pacific Quality Health Pharmacist (PharmD) Kyla Newland and Registered Nurse (RN) Jesse Kinsey.
View Handout
COVID-19 Vaccine Clinic Fillable Flyer Template
This flyer provides an easily customized template for advertising COVID-19 vaccination clinics. It includes fillable sections to include a specific date, time and location. The flyer also includes facts about the COVID-19 bivalent booster vaccination and general vaccine facts.
Bivalent Booster Letters
These three letters are customizable to use as a way to encourage inform long-term care management/staff, residents and their loved ones of the importance and effectiveness of the new bivalent COVID-19 immunization boosters.
Access and download – Letter to Director
Access and download – Letter to Resident
Access and download – Letter to Loved Ones
COVID-19 County Transmission Level Fillable Signage
These three signs are customizable to use as a way to inform both visitors and employees to the facility what the current rate of COVID-19 transmission is in the county your facility is located in.
View COVID-19 Transmission Level Sign
View COVID-19 County Transmission Level Sign for Employees
View COVID-19 County Transmission Level Sign for Visitors
Managing during the Pandemic Tip Sheet
This tip sheet provides advice for health care workers to remember to care for their own physical and mental wellbeing while caring for those with COVID.
COVID-19 Resource Guide
This tool provides quick-link resources for the latest information and guidance from the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS).
COVID-19 Care Plan Template
This tool provides a ready-made COVID-19 care plan that is customizable to fit the facility’s specific needs and policies.
COVID-19 Nursing Home Cohorting Policy Template
This tool provides a ready-made cohorting policy that is customizable to fit the facility’s specific needs.
COVID-19 Nursing Home Visitation Policy Template
This tool provides a ready-made visitation policy that is customizable to fit the facility’s specific needs.
COVID-19 Vaccine/Booster Declination Form
Use this tool to provide nursing home staff who are declining to receive a COVID-19 vaccination series or a booster shot.
Centers for Medicare & Medicaid Services (CMS) Hotspot Referral Root Cause Analysis Fishbone Diagram
Use this tool to help find the cause of a COVID-19 outbreak.
Long-Term Care: Providing Monoclonal Antibody Therapy Safely – Webinar (6/16/21)
This interactive online event presents information to help advance the skillset of clinical staff in providing monoclonal antibody therapy.
View Recorded Webinar
View Slide Deck
COVID-19 Stakeholder Fireside Chats
The Centers for Medicare & Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC) host a fireside chat on vaccine safety. This is part of a special series, a part of the CMS National Nursing Home Stakeholder Call Series, aimed at addressing staff questions and concerns about the new COVID-19 vaccines. Each session will be moderated by CMS with speakers from CDC and representatives of front line staff and providers.
This chat will continue to address myths surrounding vaccine danger with the following panelists:
- Dr. Lee Fleisher, CMS Chief Medical Officer and Director Center for Clinical Standards and Quality (CMS)
- Dr. Amanda Cohn, Chief Medical Officer (Acting), Office of Vaccine Policy, Preparedness, and Global Health, Office of the Director (CDC)
- Cassandra Lowe, Certified Nursing Assistant (CNA)
COVID-19 Health Care Providers Fact Sheet
The Trump Administration is taking aggressive action and exercising regulatory flexibilities to help health care providers combat and contain the spread of the 2019 novel coronavirus disease (COVID-19). In response to COVID-19, the Centers for Medicare & Medicaid Services (CMS) is taking proactive steps through 1135 waivers to rapidly expand the Administration’s efforts against COVID-19.
COVID-19 Emergency Declaration Health Care Providers Fact Sheet | View Fact Sheet
COVID-19 Nursing Home Visitor Guidance
The Centers for Medicare & Medicaid Services (CMS) announced critical new measures designed to keep America’s nursing home residents safe from the 2019 novel coronavirus disease (COVID-19), based on the newest recommendations from the Centers for Disease Control and Prevention (CDC). The CMS memorandum directs nursing homes to significantly restrict visitors and nonessential personnel and restrict communal activities. The new measures are meant to protect America’s seniors, who are at highest risk for complications from COVID-19. While visitor restrictions may be difficult for residents and families, it is an important temporary measure for their protection.
CMS Announces New Measures to Protect Nursing Home Residents from COVID-19 | View Press Release (Updated 9/23/22)
Memo Nursing Home Guidance QSO-20-39-NH | View Memo (Revised 5/08/23)
COVID-19 Resident/Family Handouts
Nursing homes have proven to be especially susceptible to COVID-19 outbreaks, as residents are at high-risk for being affected and experiencing complications and even death. Despite facility efforts to develop and follow responsible infection prevention policies and procedures, the pandemic still puts nursing home residents and staff at risk. These handouts provide helpful information for residents and families to help prevent infection, spread, hospitalizations and deaths.
- Resident Outing Informed Consent | Download form
- COVID Risk Questionnaire | Download form
- Centers for Disease Control and Prevention COVID-19 Plan | View handout
COVID-19 Training for Nursing Home Staff & Management
This resource includes directives from CMS for scenario-based training, fundamentals of COVID-19 prevention for nursing home management training and Agency for Healthcare Research and Quality (AHRQ), Extension for Community Healthcare Outcomes (ECHO) and Institute for Healthcare Improvement (IHI) training.
View Handout
Social Connecting while Physical Distancing: Engaging Nursing Home Residents during COVID-19 – Webinar (6/25/20)
This interactive, peer-to-peer, information-sharing, online event presents innovative ways for nursing homes to engage residents in meaningful activities during the COVID-19 pandemic, while combating social isolation and adhering to state and federal regulations.
View Recorded Webinar
You Get What You Get If You Don’t Disinfect
This resource is from the Wyoming Department of Health and offers best practices on how to properly disinfect, respiratory hygiene and isolation precautions.
View Handout
Visitor Signage Aligning with the End of the Public Health Emergency
Facility Respiratory Infection Status for Visitors (customizable): Access the sign
Facility Respiratory Infection Status for Health Care Workers (customizable): Access the sign
Facility Visitation Guidelines (customizable): Access the sign
CDC Cover Your Cough: Access the flyer
CDC Provider Factsheet: Access the flyer
Ohana Pacific Health (OPH) Cover Your Cough: Access the flyer
OPH COVID-18 Symptoms: Access the flyer
OPH Please Wear Masks: Access the flyer
OPH Prevention Reminders: Access the 8.5-inch by 11-inch flyer | Access the 11-inch by 17-inch poster
OPH Visitor Restrictions: Access the flyer
OPH Wash Your Hands: Access the flyer
Vaccine Clinic Fillable Flyer Template
This flyer provides an easily customized template for advertising vaccination clinics. It includes fillable sections for a specific date, time and location. The flyer also includes facts about adult immunizations.
Nursing Home Infection Control and Prevention Training Options
Access Resource
Urinary Tract Infection (UTI) Resources
Urinary Tract Infection (UTI) Signs and Symptoms Assessment Access Resource
Risk Factors for Urinary Tract Infections (UTIs) Access Resource
Urinary System and Your Health Access Resource
Enhanced Barrier Precautions (EBPs) Quick Guide Tool
The document was designed for use as either a one-page guide or to be cut into fourths and used as easy-access pocket cards.
EBPs Quick Guide Badge Cards
This quick reference tool was designed to be printed double-sided, cut and laminated to fit behind either a vertical or horizontal identification badge.
Barrier Precautions Comparison Sheet
Access Resource
Which Disinfectants Kill COVID-19?
This infographic, produced by the U.S. Environmental Protection Agency (EPA) , walks through how to tell if the disinfectant product(s) being used are effective against COVID-19 and how to use the List N tool on the EPA website to find out which product(s) should be used to fight COVID-19.
Fit Testing Name Badge Card Templates
Access Templates
Infection and Sepsis Zone Tool
Use this zone tool to conduct a daily assessment.
See Tool
Infection and Sepsis Zone Tool – Badge Cards
Use this zone tool to conduct a daily assessment. This quick reference tool was designed to be printed double-sided, cut and laminated to fit behind either a vertical or horizontal identification badge.
Nursing Home Top 10 Infection Control Deficiencies
Find top infection control deficiencies and suggestions on how to remediate each issue in this tip sheet.
See Tool
Infection Prevention Quick Guide and Checklist
New to the world of infection prevention or looking for infection prevention resources? This guide can help!
See Tool
Long-Term Care Healthcare Associated Infections (HAI) and Immunization Reporting Tool
This template assists with infection and immunization reporting.
See Tool
NHSN Reporting Requirements – Webinar (6/24/2021)
Review of NHSN reporting requirements for long-term care facilities, including the COVID-19 vaccination module, with Tom Vincent, Data Analyst, Mountain-Pacific Quality Health, and Erika Baldry MPH, CIC, Communicable Disease Epidemiologist and Montana HAI Program Coordinator.
See Webinar
See Webinar Slide Deck
NHSN Frequently Asked Questions (FAQs) for Long-Term Care Facilities (LTCFs)
This document outlines the process for access to the NHSN and processes for facility administrators.
Access tool
CDC Long Term Care Antibiotic Stewardship
Access Webpage
Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
This toolkit catalogs many solutions designed at the state level to protect vulnerable nursing home residents during the coronavirus disease 2019 (COVID-19) pandemic. This information was collected by a variety of partners, including Centers for Medicare & Medicaid Services (CMS) contractors of the Quality Improvement Organization (QIO) Program.
Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes | View Toolkit
Early Recognition of Sepsis in Long-Term Care – Webinar (9/19/18)
This 30-minute presentation will describe the development of the Nevada Sepsis Coalition Toolkit for skilled nursing facilities and provide an overview of the individual tools in the toolkit. The Sepsis Toolkit is designed to support skilled nursing facilities in early recognition and intervention for signs and symptoms of sepsis in residents.
See Webinar
Legionella and CMS Requirements – Webinar (9/6/2018)
See Webinar
See Webinar Slide Deck
See “About Legionella” Slide Deck
Montana Antimicrobial Stewardship Resources
The Montana Antimicrobial Stewardship (ABS) Collaborative is a group effort to create a statewide Antimicrobial Stewardship Program (ASP) implementation plan. Our goal is to collaborate, assist and offer resources, expertise and tools through multiple programs for use by Montana inpatient and outpatient facilities.
Learn More
National Healthcare Safety Network (NHSN)
National Healthcare Safety Network (NHSN) is the nation’s most widely used healthcare-associated infection tracking system. NHSN provides facilities, states, regions and the nation with data needed to identify problem areas, measure progress of prevention efforts and ultimately eliminate healthcare-associated infections.
Access Website Here
Resources for Self-Isolation and Self-Quarantine
These resources are designed to aid case investigators and contact tracers in asssessing ability to safely isolate or quarantine at home and the need for additional social support.
- Self-Isolation and Self-Quarantine Home Assessment Checklist | View Checklist
- 3 Key Steps to Take While Waiting for Your COVID-19 Test Results | View PDF
- 14-Day Temperature and Symptom Log for Contact Tracing | View Log
The Germinatr – Short Video
It’s Worth a Shot – COVID-19 Vaccination and Booster 2024 Series
A weekly educational session to discuss COVID-19 boosters and vaccines.
- January 3 – Facility Resolutions & Staff Training Tracking Tool: Access the recording | Access the slides
- January 10 – A Look Back at It’s Worth a Shot & Vaccination Storage: Access the recording | Access the slides
- January 17 – Infection Prevention and Control Program & Staff Training and Competency: Access the recording | Access the slides
- January 24 – National Healthcare Safety Network Antimicrobial Use and Resistance Reporting: Access the recording | Access the slides
- January 31 – Eye Awareness & Viven Health Interactive Training: Access the recording | Access the slides
- February 7 – Emerging Strategies to Address the Opioid Epidemic & Setting SMART Goals for Success: Access the recording | Access the slides
- February 14 – American Heart Month & Adverse Drug Events: Access the recording | Access the slides
- February 21 – Management Strategies for People Living with Dementia: Access the recording | Access the slides
- February 28 – Getting to Know National Healthcare Safety Network (NHSN) Antimicrobial Use Data: Access the recording | Access the slides
- March 6 – Age-Friendly Health Systems: 4Ms Care in Nursing Homes: Access the recording | Access the slides
It’s Worth a Shot – COVID-19 Vaccination and Booster 2023 Series
A weekly educational session to discuss COVID-19 boosters and vaccines.
- January 4 – Montana Infection Control Mentorship Program and RSV in Adults: Access the recording | Access the slides
- January 11 – Commonly Asked Vaccine Questions and Flu Testing Protocols: Access the recording | Access the slides
- January 18 – Hawaii ICARS Program & COVID Unit Mitigation Practices: Access the recording | Access the slides
- January 25 – Big Sky Care Connect Health Information Exchange: Access the recording | Access the slides
- February 1 – Series Reflection and Resources: Access the recording | Access the slides
- February 8 – COVID-19 Therapeutic Updates and Mountain-Pacific Vaccine Resources: Access the recording | Access the slides
- February 15 – Vaccine Updates and Sharing Out Suggestions: Access the recording | Access the slides
- February 22 – Precautions: Access the recording | Access the slides
- March 1 – National Healthcare Safety Network: Access the recording | Access the slides
- March 8 – COVID-19 Outbreak Mock Survey Tool & Emergency Preparedness Planning: Access the recording | Access the slides
- March 15 – Naloxone: What Your Nursing Home Needs to Know & Opioid Prescribing Updates: Access the recording | Access the slides
- March 22 – Plan of Corrections: Access the recording | Access the slides
- March 29 – Site Identified Issues and Clostridioides Difficile Infections: Access the recording | Access the slides
- April 5 – State Immunization Information System Reminders & Two Most Common Pharmacy Citations and How to Avoid Them: Access the recording | Access the slides
- April 12 – Emergency Preparedness Plans: Access the recording | Access the slides
- April 19 – Enhanced Barrier Precautions: Access the recording | Access the slides
- April 26 – Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in Nursing Homes: Access the recording | Access the slides
- May 3 – Emergency Preparedness Plan: Part Two: Access the recording | Access the slides
- May 10 – Updated Hand Hygiene Guidelines: Access the recording | Access the slides
- May 17 – End of the Public Health Emergency: Access the recording | Access the slides
- May 24 – Reviewing the Value in Audits & Highlighting the Hawaii Infection Prevention Network: Access the recording | Access the slides
- May 31 – Culturally and Linguistically Available Services & The Importance of Medication Reconciliation: Access the recording | Access the slides
- June 7 – Infection Prevention Education & Quality, Safety & Education Portal: Access the recording | Access the slides
- June 14 – Transitions of Care Toolkit: Access the recording | Access the slides
- June 21 – Malnutrition and Sepsis: Access the recording | Access the slides
- June 28 – Appreciative Inquiry: Access the recording | Access the slides
- July 12 – Simulation in Motion – Montana: Access the recording | Access the slides
- July 19 – Implementing Culture Change throughout Wyoming: Access the recording | Access the slides
- July 26 – Role of the Infection Control Committee and the Infection Control Risk Assessment: Access the recording | Access the slides
- August 2 – Security Risk Analysis and Center of Excellence Overview: Access the recording | Access the slides
- August 9 – NHSN Updates, QSO-23-02-ALL & Navigating the Mountain Pacific Website: Access the recording | Access the slides
- August 16 – Resident Readmissions and Provider Collaboration: Access the recording | Access the slides
- August 23 – Immunization Updates: Access the recording | Access the slides
- August 30 – Adverse Drug Events & Medication Stewardship Programs: Access the recording | Access the slides
- September 6 – Mobile Vaccine Clinics & Vaccine Tracking Dashboard: Access the recording | Access the slides
- September 13 – Enhanced Barrier Precautions: Access the recording | Access the slides
- September 20 – Long COVID-19 in Elders: Access the recording | Access the slides
- September 27 – Something in the AIR: Access the recording | Access the slides
- October 4 – Partnerships for Community Health: Access the recording | Access the slides
- October 11 – Resource Showcase: Access the recording | Access the slides
- October 18 – International Infection Prevention Week: Access the recording | Access the slides
- October 25 – Influenza Honor Roll, Vaccine Consent Forms, Emergency Preparedness and After Action Plans: Access the recording | Access the slides
- November 1 – Pain Management Strategies for People Living with Dementia: Access the recording | Access the slides
- November 8 – Lung Cancer Awareness Month: Access the recording | Access the slides
- November 15 – Heading into the Holidays: Food Safety: Access the recording | Access the slides
- November 29 – Mobile Vaccine Clinic Guide & Holiday Decorating: Access the recording | Access the slides
- December 6 – State Ombudsman Presentations: Access the recording | Access the slides
- December 13 – Holiday Happiness & Project Firstline Updates: Access the recording | Access the slides
- December 20 – Engaging Patients and Dietary Adherence & Anticoagulant Use in Long-Term Care Settings: Access the recording | Access the slides
It’s Worth a Shot – COVID-19 Vaccination and Booster 2022 Series
A weekly educational session to discuss COVID-19 boosters and vaccines.
- January 19 – COVID-19 Vaccine Mandate: Access the recording | Access the slides
- January 26 – Vaccine Storage and NHSN Data Reporting: Access the recording | Access the slides
- February 2 – A Thorough Review of Attachment A (Vaccine Mandate and F483): Access the recording | Access the slides
- February 9 – Battling Burnout: Access the recording | Access the slides
- February 16 – Vaccine Accessibility: Access the recording | Access the slides
- February 23 – Ombudsman Role and Sharing: Access the recording | Access the slides
- March 2 – COVID-19 Vaccination Requirements: Access the recording | Access the slides
- March 9 – Partner Spotlight; Resident COVID-19 Booster Rates: Access the recording | Access the slides
- March 16 – Scenario-Based Risk Assessment: Access the recording | Access the slides
- March 23 – #KindnessRx Campaign: Access the recording | Access the slides
- March 30 – Q&A about the CMS Memo: Access the recording | Access the slides | Access the example competency self-assessment and professional development plan
- April 6 – Using an “Escape Room” for IP Training: Access the recording | Access the slides
- April 13 – Regulatory Updates: Access the recording | Access the slides
- April 20 – Admission Process to an SNF: Access the recording | Access the slides
- April 27 – Battling Burnout Revisited: Access the recording | Access the slides
- May 4 – Vaccine Access Updates and Cohorting Best Practices: Access the recording | Access the slides
- May 11 – NHSN Reporting Updates and Routine COVID-19 Testing: Access the recording | Access the slides
- May 18 – The Power of Language to Create Culture and PPE Fatigue: Access the recording | Access the slides
- May 25 – Immunization Updates and What’s New with Project Firstline: Access the recording | Access the slides
- June 1 – Montana’s imMTrax Overview: Access the recording | Access the slides
- June 8 – Vaccine Statistics and Success in the Field: Access the recording | Access the slides
- June 15 – New Resources and Adverse Drug Events: Access the recording | Access the slides
- June 22 – Technology in Your Practice and Long COVID: Access the recording | Access the slides
- June 29 – Taking the Lead on Vaccinations: Access the recording | Access the slides
- July 6 – Employee Vaccine Tracking and Boosters: Access the recording | Access the slides
- July 13 – Vaccine Education Resources and Alaska’s Vaccine Journey: Access the recording | Access the slides
- July 20 – Antimicrobial Stewardship in Long-Term Care and Environmental Cleaning and Disinfection: Access the recording | Access the slides
- July 27 – Updated Vaccine Recommendations and National COVID-19 Data: Access the recording | Access the slides
- August 3 – Environmental Cleaning and Disinfection: Access the recording | Access the slides
- August 10 – Nursing Home Waivers and Isolation Guidance: Access the recording | Access the slides
- August 17 – BASE10 Infection Prevention and Control: Access the recording | Access the slides
- August 24 – Misinformation and Risk Assessment: Access the recording | Access the slides
- August 31 – COVID-19 Strategies for Success and Tip Sheet: Access the recording | Access the slides
- September 7 – Bivalent COVID-19 Vaccine Update and Tip Sheet: Access the recording | Access the slides
- September 14 – The Four D’s and Reducing Risks from Water: Access the recording | Access the slides
- September 21 – COVID-19 Bivalent Booster Recommendations, Cohorting and Patient Placement: Access the recording | Access the slides
- September 28 – CMS Staffing Measures and Approved Infection Control Trainings: Access the recording | Access the slides
- October 5 – 2022/2023 Flu Vaccine Recommendations and Flu Vaccine Hesitancy: Common Concerns: Access the recording | Access the slides
- October 12 – Data Correlation for Vaccine and Outbreaks and “Data Story” Template: Access the recording | Access the slides
- October 19 – Skilled Nursing and Nursing Facility Most Cited Deficiencies and Montana Infection Control Mentorship Program: Access the recording | Access the slides
- October 26 – Top 10 Questions about the Bivalent Vaccine and National DEA Drug Take Back Day: Access the recording | Access the slides
- November 2 – Escaping: A Creative Journey through Infection Control: Access the recording | Access the slides
- November 9 – Immunization Recommendations for Patients with Diabetes and Diabetes Management in the Elderly: Access the recording | Access the slides
- November 16 – Infection Control Assessment and Response (ICAR) Lessons Learned and Phase 3 Updates: Access the recording | Access the slides
- November 23 – Phase 3 Updates and Additions: Access the recording | Access the slides
- November 30 – Facility Pets and Infection Control and Environmental Assessment of Vaccine Access: Access the recording | Access the slides
- December 7 – Herd Immunity and Health Literacy: Access the recording | Access the slides
- December 14 – Antibiotic Stewardship and COVID-19 Data Tracking Dashboard: Access the recording | Access the slides
- December 21 – COVID-19 Preventative Agents & Treatments and Wellness: Access the recording | Access the slides
- February 15, 2023 – F575 Posting Requirements: Access the PDF
- February 22, 2023 – F812 Food Safety Requirements: Access the PDF
- March 1, 2023 – F656 Comprehensive Care Plans: Access the PDF
- March 8, 2023 – F623 Timely Notification Before Transfer or Discharge: Access the PDF
- March 15, 2023 – F677 Activity of Daily Living Care Provided for Dependent Residents: Access the PDF
- March 22, 2023 – F880 Infection Prevention: Access the PDF
- March 29, 2023 – F576 Resident Rights (Telephone, Mail and Electronic Communications): Access the PDF
- April 5, 2023 – F610 Investigations/Prevention/Correct Alleged Violations: Access the PDF
- April 12, 2023 – F761 Label/Store Drugs & Biologicals: Access the PDF
- April 19, 2023 – F656 Comprehensive Care Plan: Access the PDF
- April 25, 2023 – F881 Antibiotic Stewardship: Access the PDF
- May 3, 2023 – F689 Free of Accident/Hazards/Supervision/Devices: Access the PDF
- May 10, 2023 – Emergency Plan E-0004: Access the PDF
- May 17, 2023 – F578 Request/Refuse/Discontinue Treatment: Access the PDF
- May 24, 2023 – F865 QAPI Program/Plan, Disclosure/Good Faith Attempt: Access the PDF
- May 31, 2023 – F755 Pharmacy Services: Access the PDF
- June 7, 2023 – F945 Infection Control Training: Access the PDF
- June 14, 2023 – F726 Nursing Services – Competent Staff: Access the PDF
- June 21, 2023 – F757 Unnecessary Drugs: Access the PDF
- June 28, 2023 – F758 Psychotropic Medications: Access the PDF
- July 5, 2023 – F867 Quality Assurance & Performance Improvement (QAPI): Access the PDF
- July 12, 2023 – F641 Accuracy of Assessments: Access the PDF
- July 19, 2023 – F686 Skin Integrity: Access the PDF
- July 26, 2023 – F883 Influenza and Pneumococcal Immunizations: Access the PDF
- August 2, 2023 – F657 Care Plan Timing & Revision: Access the PDF
- August 9, 2023 – F697 Pain Management: Access the PDF
- August 16, 2023 – F760 Residents Are Free of Significant Medication Errors: Access the PDF
- August 23, 2023 – F756 Drug Regimen Review: Access the PDF
- August 30, 2023 – F692 Nutrition/Hydration Status Maintenance: Access the PDF
- September 6, 2023 – F684 Quality of Care: Access the PDF
- September 13, 2023 – F655 Comprehensive Person-Centered Care Planning & Baseline Care Plan: Access the PDF
- September 20, 2023 – F604 Right to be Free from Physical Restraints: Access the PDF
- September 27, 2023 – F600 Free from Abuse and Neglect: Access the PDF
- October 4, 2023 – F580 Notify of Changes (Injury, Decline, Room, etc.): Access the PDF
- October 11, 2023 – F690 Bowel/Bladder Incontinence, Catheter, UTI: Access the PDF
- October 18, 2023 – F835 Administration: Access the PDF
- October 25, 2023 – F554 Resident Self-Administered Medications Clinically Appropriate: Access the PDF
- November 1, 2023 – F609 Reporting of Alleged Violations: Access the PDF
- November 8, 2023 – F678 Cardio-Pulmonary Resuscitation (CPR): Access the PDF
- November 15, 2023 – F740 Behavioral Health Services: Access the PDF
- November 29, 2023 – F584 Safe, Clean, Comfortable and Homelike Environment: Access the PDF
- December 6, 2023 – F688 Increase/Prevent Decrease in ROM/Mobility: Access the PDF
- December 13, 2023 – F625 Notice of Bed Hold Policy Before/Upon Transfer: Access the PDF
- December 20, 2023 – F695 Respiratory/Tracheostomy Care and Suctioning: Access the PDF
- January 3, 2024 – F558 Reasonable Accommodations of Needs and Preferences: Access the PDF
- January 10, 2024 – F658 Services Provided Meet Professional Standards of Quality Access the PDF
- January 17, 2024 – F732 Posted Nurse Staffing Information: Access the PDF
- January 24, 2024 – F693 Tube Feeding Management/Restore Eating Skills: Access the PDF
- January 31, 2024 – F842 Resident Records – Identifiable Information: Access the PDF
- February 7, 2024 – F884 National Healthcare Safety Network Reporting: Access the PDF
- February 14, 2024 – F836 Compliance with Federal, State and Local Laws and Professional Standards: Access the PDF
- February 21, 2024 – F635 Admission Orders for Immediate Care: Access the PDF
- March 1, 2024 – F741 Sufficient/Competent Staff – Behavioral Health Needs: Access the PDF
- March 6, 2024 – F676 Activities of Daily Living (ADL)/Maintain Abilities: Access the PDF
Malnutrition: How to Nourish for Increased Quality of Health – Webinar (12/06/2023)
Head-to-Toe Health Assessment Tool
This tool provides a quick reference guide to completing a comprehensive resident assessment. The document was designed for use as either a one-page guide or to be cut into fourths and used as easy-access pocket cards.
Reducing Emergency Department Visits and 30-Day Readmission (May 2023)
Presented by Dr. Douglas Kuntzweiler, this presentation discusses how to reduce resident visits to the emergency department as well as how to reduce the rate of 30-day readmissions.
COPD Booklet
A practical guide to living with Chronic Obstructive Pulmonary Disease
See Booklet
Transitions of Care Toolkit
How to Refer – Reference Partner Cards
Access Cards
COPD Zone Tool
See Tool
Skilled Nursing Facility Rehospitalization Risk Assessment
See Tool
Heart Disease Zone Tool
See Tool
Herramienta de manejo de la salud cardiovascular
Ver herramienta
Living with Heart Failure Booklet
A Guide to Keeping a Strong and Steady Beat
See Booklet
Resident Information Booklet
Go to the hospital or stay here?
See Booklet
See Two-page Tear-off
Skilled Nursing Facility (SNF) Resident Pre-Admission Checklist
See Tool
S.B.A.R.
A structured resident safety communication technique designed to convey a great deal of information in a succinct and brief manner.
See Tool
Best Practices for Pain Management and prevention of Re-admission Webinar
Access Webinar
Hawaii Long-Term Care Workgroup
The following resources offer education and awareness around providing care during the COVID-19 outbreak, according to the Hawaii Department of Health (DOH) and Centers for Disease Control and Prevention (CDC) guidelines:
- 5 Steps to Prepare You for Caring for a Person in a Foster or Care Home – PDF
- 5 Steps When Caring for a Person with COVID-19 in the Home – PDF
- 5 Steps to Practice Prevention of COVID-19 Every Day – PDF
- 5 Things to Know about Contact Tracing Calls – PDF
- Guidance for Other Care Givers and Case Managers – PDF
- Guidance On What To Do if You Are A Caregiver Diagnosed with COVID-19 – PDF
- Hawai’i State Center for Nursing COVID-19 Resources – Website
- Personal Protection Equipment Resources for Hawaii – PDF
Interfacility Transfers
PreAdmission Huddle Equipment – Special Care Needs for SNF Residents
See Tool
Nursing Home Kickoff – Webinar (July 2020)
During this webinar, Mountain-Pacific Quality Health Program Director Mary Erickson presents our nursing home initiatives, including the new goals and objectives for Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) work. Topics covered include infection prevention and support, prevention of emergency room and hospital visits/readmissions, improving resident access to behavioral health, changes to recruitment and participation and changes to Mountain-Pacific staff.
Access Recording | View the Slides
- Mountain-Pacific Quality Improvement Support | Access handout
- Medicare Quality Innovation Network (QIN) Quality Improvement Initiatives: Nursing Home Goals, Metrics and Planned Activities | Access handout
- Mountain-Pacific’s MDS Coding Webinar Series | Access handout
SNF Transfer Checklist
See Tool
Welcome to the Reducing Preventable Admissions/Readmissions Nursing Home Collaborative: Understanding Changes in Readmission Measures in Nursing Homes – Webinar (9/7/2018)
See Webinar – 49 min
Staff Training Tracker for Facility Use
Creating a Culture of Staff Empowerment – Webinar (2/7/2018)
Nursing home leaders will share strategies to boost staff empowerment, increase ownership and accountability, engage staff in quality improvement and promote the retention of quality staff. Discover how staff empowerment and an organizational culture can improve the overall quality of care, environment and enhance the quality of life for both staff and residents alike.
See More
Employee Retention: Tips for Leaders
Employee turnover is costly and time-consuming. It creates stress for existing employees and scheduling havoc. Keeping good employees should be a leadership priority.
Access Tool Here
Peer Coach Training Materials
As a Peer Coach, you will serve as an integral part of the nursing home care community to promote quality improvement and provide support for those participating in the National Nursing Home Quality Care Collaborative.
Access Tool Here
Staffing Turnover
Access Tool Here
Tips for Success: Consistent Assignment
Access Tool Here
Tips for Success: Huddles
Access Tool Here
Tips for Success: Leadership Presence
Access Tool Here
Tips for Success: Staff Stability
Access Tool Here
Nursing Home Emergency Preparedness Checklist for Updated Guidance
In light of the coronavirus disease 2019 (COVID-19) public health emergency (PHE), the Centers for Medicare & Medicaid Services (CMS) has updated the Emergency Preparedness Interpretive Guidelines to further expand on best practices, lessons learned and planning considerations for emerging infectious diseases (EID).
Access Tool Here
Nursing Home Emergency Procedures Flipchart
You can customize this tool to help with your emergency preparedness.
Access Tool Here
Emergency Preparedness Plan Template
Use this template to help with your emergency planning.
Access Tool Here
Emergency Preparedness Plan: After-Action Template
This tool can be used to evaluate the effectiveness and efficiency of an emergency preparedness plan.
Access tool here
Health Care Disaster Preparedness through Lessons Learned – Webinar
See More
Culturally and Linguistically Appropriate Services (CLAS) Checklist
Access Tool Here
Wyoming Culture Change Webinar Series
Building culture change through community is only of many goals of the Wyoming Culture Change Coalition. Hosted by Carmen Bowman, Wyoming Culture Change Grant Project Coordinator, this webinar series focuses on a variety of topics impacting nursing home residents, staff and communities. Funded by the Wyoming State Survey Agency and the Centers for Medicare & Medicaid (CMS) Region VIII-funded CMP Grant, all content is shared by Mountain-Pacific with permission.
- April 29, 2022 – Affecting Resident-Directed Living and Team Member Retention View the recording | Access the slides
- May 27, 2022 – Going Deeper into the Details of Individuals’ Lives View the recoding | Access the slides
- July 22, 2022 – Meaning and Purpose, Jobs and Volunteerism View the recording | Access the slides
- September 23, 2022 – Dining Practice Standards: Diet Liberalization View the recording | Access the slides
- October 21, 2022 – Dining Practice Standards: Altered Consistency and Real Foods First View the recording | Access the slides
- December 26, 2022 – Creating Joy and Festivity for People in Isolation during the Holidays View the recording | Access the slides
- January 27, 2023 – New Year, New Words: “Get the Word Out” View the recording | Access the slides
- February 24, 2023 – Employee Councils and Other Ideas to Impact Retention/Recruitment View the recording | Access the slides
- March 24, 2023 – Year 2 Participating Homes’ Culture Change Journeys View the recording | Access the slides
Approaches to Quality Sleep Culture – Webinar (7/10/2019)
See Webinar
APY Reduction Packet
Questions to Ask before Starting Antipsychotic Medications
Access Tool Here
Changes in Condition: Diabetes and Hypoglycemia – Webinar (2/1/2019)
See Webinar – 55 min
See Slide Deck
CMS Hand in Hand: A Training Series for Nursing Homes
CMS Hand in Hand: A Training Series for Nursing Homes
Access Link Here
College Students and Professionals in Nursing Homes
Do you have problems with your students leaving while the dorms are closed for summer and holidays? Are your residents lonely and wish they had people who just had time to “be” with them? Check out these innovative living arrangements being utilized in other states and countries. Visionary – absolutely! The gap between our youth and elders is larger than ever and we are an aging society with need outgrowing resources. Outside of the box thinking is needed to solve our challenges and reunite our youth and elders.
3/3/16 – Video: “Why These Millennials Live in a Retirement Home,” posted by Seeker Stories (from Finland)
See Video – 3 minutes 8 seconds
12/12/14 – Video: “Dutch Retirement Home Breaks Boundaries and Age Divide,” posted by AFP news agency (from Holland)
See Video – 2 minutes 36 seconds
Article: “College Students Are Living Rent-Free in a Cleveland Retirement Home” by Smithsonian.com
Research shows that the unique arrangement could have health benefits for the elderly.
Cleveland: See More – 2 minutes
Creating a Memory Box
Creating a Memory Box for Residents with Dementia
Access Tool Here
Bowel and Bladder Incontinence Toolkit
This toolkit helps you complete a thorough assessment of, manage and monitor urinary incontinence among your long-term care residents.
Access Tool Here
Five Senses and Dementia
Using the Five Senses to Support Residents with Dementia
Access Tool Here
Incontinence Toolkit
Access Tool Here
INTERACT®
See INTERACT® version 4.0 tools for nursing homes
INTERACT® Tools for the Early Recognition and Management of UTIs, CAP and Sepsis – Webinar (11/2/2018)
See Webinar – 1 hr 35 min
Music and Memory – How can this help your residents?
4/2/12 – Video: “Seniors Fall in Love with iPods at Retirement Home,” a news segment posted by Music & Memory
This WGAL news story features seniors benefitting from the services of Music & Memory.
See Video – 3 minutes
Nursing Homes: Resolving Ethical Dilemmas in Advance Care Planning – Webinar (9/14/2017)
See Webinar
Opioid Use in Long-Term Services and Supports | Online Modules
Access eight modules that each take about 20 minutes to complete. Instructions for delivering the modules as a group educational activity are included in the tool. Modules cover the following topics:
- Module 1: Opioid use in long-term care
- Module 2: Opioids and risks in older adults
- Module 3: Opioid use in older adults with dementia
- Module 4: Recommendations and strategies for opioid use in older
adults - Module 5: Applying opioid wisdom to long-term care
- Module 6: SBIRT- A hammer or screwdriver? Choosing the right
tool - Module 7: Non-opioid pharmacological & non-pharmacological
pain management techniques - Module 8: Motivational Interviewing
Pain Assessment in Advanced Dementia (PAIN AD) Tool
Access Tool Here
Pain Management in the Elderly – Webinar (1/9/2018)
Presentation by Steven Atkinson PA-C, MS
See Webinar Presentation – 1 hour 33 minutes
See Presentation Slides
Reducing Heart Failure Related Readmissions for Nursing Homes 2. Anticoagulants for Nursing Homes – Webinar (1/18/2019)
See Webinar – 52 min
Resident Information Booklet
Go to the hospital or stay here?
See Booklet
See Trifold Pamphlet
See Two-page Tear-off
Shodair Trauma-Informed Culture – Webinar (9/16/2020)
This one-hour overview of the Sanctuary model is designed to help participants better understand trauma-informed cultures. This webinar looks at why a trauma-informed culture matters and tools that can be used to cultivate resilience within the workplace.
See Video
See Slides
Teach Back Training
See Website
Trauma-Informed Care in Long-term Care – Webinar (5/16/2019)
See Video
Trauma-Informed Care – Nursing Home TIC Talks – Webinar (9/14/2020)
Mountain-Pacific Quality Health’s Trauma-Informed Care (TIC) Talk features a review of the basics of TIC and how it impacts health both physically and mentally. Viewers will also learn how the Community Resiliency Model (CRM) relates to TIC and how to stay “resilience-focused.” For information more CRM training options, please contact us.
See Video
See Slides
Video: Clinical Laboratory Tests, What do the Results Mean? (1/29/2019)
Empowering nurses to participate in antimicrobial stewardship programs is the missing link in strengthening antimicrobial stewardship and improving patient care. It has been found that nurses are generally not comfortable with microbiology reports. Tune in to learn how to interpret lab results to improve patient care and antimicrobial stewardship in your community.
See Video
Video: “How to De-escalate a Difficult Situation” by Teepa Snow, posted by My Alzheimer’s Story (8/15/15)
This video offers ten ways to de-escalate a crisis.
See Video – 4 minutes 56 seconds
Video: “What Is Validation? Interview with Naomi Feil” by Ed Feil (5/15/2012)
Naomi Feil explains what validation is and why it is important to restore dignity and self-worth by using this technique.
See Video – 4 minutes 3 seconds
Wyoming GWEP Newsletter – Quality Assurance and Performance Improvement (QAPI) Resources
Many of our partners and the Centers for Medicare & Medicaid Services offer QAPI tools
and resources. We have assembled a list for you to access as needed, depending on
where you are with your QAPI efforts.
Access Resource
QAPI Poster
Access Resource
Overview of the Minimum Data Set Changes: Sections D, K and O
Jennifer LaBay, RN, details the changes to Sections D, K and O of the MDS ahead of their October 1, 2023 release.
See Webinar
See Slide Deck
Introduction to the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) Process – Webinar (5/2/2023)
Jennifer LaBay, RN, provides an overview of the RAI as it relates to MDS mandates.
See Webinar
See Slide Deck
Access the Minimum Data Set (MDS) Version 3.0
Sections K and M: Navigating the MDS to Ensure Accurate Nutrition, Wound Assessment and Coding – Webinar (9/20/2022)
Jennifer LaBay, RN, goes into Sections K and M of the Minimum Data Set (MDS), focusing on nutrition and wound assessment.
See Webinar
See Slide Deck
Storytelling through MDS – Webinar (5/26/2022)
Paula Konomos, RN, dives into the importance of the Minimum Data Set (MDS) and how data tells a story.
See Webinar
See Slide Deck
ARD Management: Making Molehills Out of Mountains – Webinar (4/28/2022)
Assessment reference date (ARD) management is a HUGE responsibility for MDS coordinators. During this webinar, you will learn how to break down the complexities of ARD management into simple processes for nurse assessment coordinators (NACs). This session is taught by the American Association of Post-Acute Care Nursing (AAPACN) development specialist Jessie McGill, RN, RAC-MT, RAC-MTA.
See Webinar
See Slide Deck
Back to Basics: Section GG – Webinar (9/22/2021)
Jessie McGill, RN, RAC-MT, RAC-MTA with American Association of Post-Acute Care Nursing will discuss section GG performance scales, tasks and subtasks, supporting documentation requirements for section GG and the differences between the performance periods on the OBRA and PPS assessments for section GG data collection.
See Webinar
See Slide Deck
Taking a “Shot” at the Influenza/Pneumococcal Vaccination Quality Measures – Webinar (6/9/2021)
Subject matter expert Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, shared influenza and pneumonia vaccine process strategies and resources.
Access recording | View slides
5-Star and Publicly Reported Quality Measure Update – Webinar (4/21/2021)
Subject matter expert Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, shared updates to the five-star rating system and publicly reported quality measures.
Access recording | View slides
Influenza and Pneumonia Immunization MDS Coding Tip Sheet – Handout (4/28/2021)
This tool is for nursing home Minimum Data Set (MDS) coordinators and those who support entering the MDS data. Use this information as a quick reference in addition to your Resident Assessment Instrument (RAI) manual and Quality Measures (QMs) Users Manual to accurately code influenza and pneumococcal vaccinations.
Minimum Data Set (MDS) Significant Change – Webinar (3/24/2021)
Mountain-Pacific Quality Health and the Wyoming Office of Healthcare Licensing and Survey co-hosted the webinar with Jane Belt, RN, MS, RAC-MT, RAC-MTA, QCP. Discussion and key topics focused on how to:
- Determine the definition of significant change
- Delineate timing for completion of the significant change assessment
- Review RAI guidelines for determining major decline or improvement
- Discuss case studies to determine if a significant change assessment should be completed
Access Recording | View slides
Are you ready for the October 1, 2019 PDPM – Webinar (9/11/2019)
Access Recording
Change Package
This change package is intended for nursing homes participating in the National Nursing Home Quality Care Collaborative, led by the Centers for Medicare & Medicaid Services (CMS) and the Medicare Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs), to improve care for the millions of nursing home residents across the country. The Collaborative will strive to instill quality and performance improvement practices, eliminate Healthcare-Acquired Conditions (HACs) and dramatically improve resident satisfaction by focusing on the systems
that impact quality such as: staffing, operations, communication, leadership, compliance, clinical models, quality of life indicators and specific, clinical outcomes (targeted focus on inappropriate antipsychotics in persons living with dementia, falls, pressure ulcers, physical restraints, urinary tract infections and health care-acquired infections).
Access Tool Here
CMS QAPI Resources
The Centers for Medicare & Medicaid Services (CMS) strives to provide nursing home providers with access to resources (materials or websites) to support QAPI implementation. Follow this link to those CMS resources.
Access Tool Here
Continuing the Quality Improvement Journey – Webinar (4/12/2017)
See More
Data Basics: Quality Measure Report Moving Forward – Webinar (6/18/2020)
Mountain-Pacific Quality Health’s data analyst Tom Vincent dives into the following topics: five-star rating changes; quality measure score/rating; Mountain-Pacific’s Quality Measure reports. Learn more about Mountain-Pacific’s nursing home initiative goals and the changes in quality measures.
See Video
Engaging Staff in QAPI – Webinar (5/10/2018)
Webinar with Deb Fournier, MSB, CPHQ, ML NHA, chief operations officer for Maine Veterans’ Homes. Hosted by HealthInsight Nevada.
See More
Honoring Choices: Engaging Providers in Advanced Care Planning – Webinar (12/1/2017)
This webinar defines advanced care planning, discusses how to integrate planning into care and shares how advanced care planning is being handled in Wisconsin through the medical society through a program called “Honoring Choices Wisconsin.”
See More
How to Access CASPER Report
See Tool
ICAMP – Immunization Champions, Advocates & Mentors Training Program
This national webinar on the Immunization Champions, Advocates & Mentors Program (ICAMP) was presented by The Gerontological Society of America (GSA). ICAMP is intended to mobilize and assist health care professionals in their efforts to increase adult immunization rates and to reach the ultimate destination: the achievement of Healthy People 2020 goals for adult immunization. ICAMP provides tools and resources that align with the National Vaccine Advisory Committee (NVAC) Standards for Adult Immunization Practice which includes assessing patients, making a strong recommendation, administering or referring, and documenting.
See Video and Slides
MDS 3.0 RAI Manual Updates: What Changed for October 1 (10/20/2016)
This year’s MDS 3.0 RAI User’s Manual update was packed full of changes, from a new item set (the Medicare Part A PPS Discharge Assessment), to the new section GG on the MDS (section GG!). These changes are big! This session will focus on detailing the rules according to final instructions from CMS. We’ll discuss clarifications and changes from CMS on how to accurately capture items in section GG such as “usual performance,” “helper” and when to complete the end of Medicare Part A Assessment. In addition to covering the big changes, the session will clarify the numerous miscellaneous changes to chapters 2 and 3, including MDS sections C, J, M and others.
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MDS Coding Webinar Series
- 7/17/2020: Session 1 — COVID-19 MDS Coding & How It May Impact Your Quality Measures
- 8/14/2020: Session 2 — Open Office Hours/Q&A with Jennifer Labay
- 9/18/2020: Session 3 — Introduction to Quality Measures
- 10/16/2020: Session 4 — Q&A with Jennifer Labay
- 11/20/2020: Session 5 — MDS Coding: A Deeper Dive into Quality Measures
- 12/18/2020: Session 6 — MDS Coding: Open Office Hour with Jennifer Lebay
MDS Update: Is this change significant or not? – Webinar (3/8/2018)
See Webinar
MDS Updates 2018 – Webinar (8/15/2018)
See Webinar
Montana – State Survey Agency (SSA) – Discusses Emergency Preparedness – Webinar (2/8/2018)
See More
Need to Know: Significant Change and Discharge Assessments – Webinar (3/20/2019)
See Webinar
PDSA Worksheet for Testing Change
The Plan-DO-Study-Act (PDSA) worksheet is a useful tool for documenting a test of change.
Access Tool Here
Performance Improvement Project (PIP) Inventory
Use this template for high level tracking of all PIPs occurring within your organization.
Access Tool Here
Performance Improvement Project (PIP) Guide
Performance Improvement Project (PIP) Guide
Access Tool Here
QAPI and Prevention – Chain of Events
This handout shows how one preventative step can stop an adverse chain of events before it starts.
Access Tool Here
Respecting Personal Choices: Engaging Communities in Advance Care Planning – Webinar (11/19/2016)
This webinar discusses strategies to engage community-based programs to support advance care planning.
See More
Root Cause Analysis for Long-Term Care – Webinar (5/15/2015)
This presentation identifies how root cause analysis (RCA) is a valuable tool for Quality Assurance Performance Improvement (QAPI) and identifies steps for using it.
See More
Setting a Foundation for Your QAPI Program – Webinar (10/14/2020)
Data comes in all sizes and Quality Assurance & Performance Improvement (QAPI) is applicable in many settings. Recorded for community coalitions, this webinar focuses on the basics of QAPI and QAPI elements one and two.
See Video
Storyboard Guide for PIPs
A storyboard is a tool that can be used to simply and clearly communicate the story of a performance improvement project (PIP).
Access Tool Here
The 5 Elements of an Effective QAPI Program – Poster
Access Tool Here
Worksheet to Create a Performance Improvement Project Charter
A project charter clearly establishes the goals, scope, timing, milestones, and team roles and responsibilities for an Improvement Project (PIP).
Access Tool Here
Falls Huddle Sheet
This is a purposeful post-fall huddle sheet.
Access Tool Here
Quality Measures Falls Coding Tips
This handout has information for quality measure coding related to falls.
Access Tool Here
Enhancing Resident Mobility – Handout
This handout provides information about and tips for enhancing nursing homes’ residents’ mobility for improved function and wellbeing.
Access Tool Here
Home Safe Home: A Guide for Preventing Falls in the Home
This booklet provides facts and tips for older adults to help them fall-proof their homes and prevent injuries.
Access Tool Here
Fall Prevention Brochure
Access Brochure Here
Tips for Success: Fall Prevention and Mobility
Access Tool Here
The 3 Cs and 10 Questions for Fall Safety
Access Handout Here
Access Pocket Cards Here
Video – New Look at Managing Falls (2/2/2017)
Falls and mobility expert Sue Ann Guildermann has a New Look at Managing Falls in Nursing Homes.
See Video
Video – Sleep Hygiene/Falls – Part II (WebEx recording and handouts) (6/8/2017)
Presenter – Sue Ann Guildermann, RN, BA, MA – A good night of undisturbed sleep is one of the most important services we can give our residents. By eliminating or minimizing night-time interruptions, we can encourage more of the restorative sleep our residents need to maintain and enhance their quality of life. This presentation will provide practical strategies to prevent falls through uninterrupted sleep.
See Video
Survey Readiness Book (September 2023)
This toolkit was developed to help nursing homes organize documents for quick access during a survey.
Comparison of Health Care Quality Organizations
Handouts describing the difference between Mountain Pacific as a Quality Improvement Organization (QIO) and state organizations, differentiating between which are regulatory and which are not, and including what duties each organization performs.
Hawaii | View Handout
Montana | View Handout
Alaska | View Handout
Montana – Nursing Home Q&A with Montana DPHHS Certification Bureau – Webinar (January 2023)
A presentation by the Department of Public Health and Human Services Office of Inspector General Certification Bureau providing infection control information and recent updates from the Centers for Medicare and Medicaid Services for nursing homes, long-term care and critical access hospitals.
Access Recording | View the Slides
How to Write an Acceptable Plan of Correction – Webinar (August 31, 2021)
During this presentation Glendive Medical Center provides help to advance the skillset of staff in writing an acceptable plan of correction.
Access Recording | Access Slide Deck
Store, cook, serve food | View Handout
Make sure each resident gets a nutritional and well balanced diet. | View Handout
Accidents-Injuries | View Handout
Housekeeping-Maintenance Services | View Handout
Give notice to the resident before a room or roommate change. | View Handout
Template with Explanation | View Handout
Education Slides | View Handout
Montana Certification Bureau Nursing Home Presentation – Webinar (April 8, 2021)
During this presentation the Montana Certification Bureau provides visitation guidance to nursing homes.
Access Recording
Montana – Nursing Home Q&A with Montana DPHHS Certification Bureau – Webinar (September 2020)
This interactive webinar helps nursing homes learn about the latest guidance issued by the Centers for Medicare & Medicaid Services (CMS) on August 26 relating to long-term care facility testing requirements and the revised COVID-19 focused survey tool. Montana Department of Public Health and Human Services (DPHHS) Quality Assurance Division (QAD) Certification Bureau Chief Todd Boucher leads the discussion. Topics covered include COVID-19 testing for staff and residents, visitation, resuming survey activities and required COVID-19 training.
Access Recording | View the Slides
Montana – Q&A with Montana DPHHS Certification Bureau – Webinar (July 2020)
This interactive webinar helps nursing homes learn about the latest guidance and recommendations for visitation and caring for nursing home residents. Montana Department of Public Health and Human Services (DPHHS) Quality Assurance Division (QAD) Certification Bureau Chief Todd Boucher leads the discussion.
Access Recording | View Montana DPHHS Slides
Montana – Part I – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (May 2020)
Topics discussed include COVID-19, social distancing and reporting data to the National Healthcare Safety Network (NHSN).
Access Recording
Montana – Part II – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (May 2020)
Topics discussed include COVID-19 emergency declaration blanket waivers for health care providers and discussion relating to recommendations for nursing home reopening.
Access Recording
Montana – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (February 2020)
Access Recording
Montana – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (November 2019)
Access Recording
Montana – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (August 2019)
Access Recording
Montana – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (February 2019)
See More
Montana – State Survey Agency (SSA) and Nursing Home Q&A – Webinar (November 2018)
See More
Montana – State Survey Agency (SSA) – Webinar (August 2018)
See More
Montana – State Survey Agency (SSA) – Webinar (March 2018)
See More
Mealtimes: Making the Most Impact in 60 Minutes – Webinar (April 27, 2017)
See More
Nursing Home Facility Assessment Tool and State Operations Manual Revisions
For more information please see the following links:
Diversion Prevention and Harm Reduction in Long-Term Care – May 16, 2023
Skilled Nursing Facility Pain Assessment & Management Program (PAMP) Implementation Tool
Access the tool here.
Opioid Adverse Drug Event Bulletin
For more information on opioids, adverse drug events, advice from a pharmacist and more, explore our latest nursing home bulletin.
- Volume 1 – Opioid Adverse Drug Events (ADEs) – June 2022
- Volume 2 – Pain Assessment and Management – July 2022
- Volume 3 – ADEs in Long-Term Care – August 2022
- Volume 4 – Fentanyl in Long-Term Care – September 2022
- Volume 5 – Medication Disposal – October 2022
- Volume 6 – New Guidelines for Prescribing Opioids – November 2022
- Volume 7 – Nursing Home Residents Visiting Family – December 2022
- Volume 8 – Pain Management and Care Planning – January 2023
- Volume 9 – Medications for Opioid Use Disorder (MOUD) – April 2023
- Volume 10 – Medication Reconciliation – July 2023
- Volume 11 – Post-Surgery Pain Management – November 2023
Safe Disposal of Medications and the Prevention of Diversion
Overview of the 2022 CDC guidelines for prescribing opioids for chronic pain
The Centers for Disease Control and Prevention (CDC) updated the guidelines for prescribing opioids for pain. This resource provides an overview of the twelve recommendations for clinicians providing pain care for adults.
Gradual Dose Reduction: Lessons from the Field – Webinar Series (2022)
- Part 1 – March 22, 2022: See handout | See video
- Part 2 – April 5, 2022: See handout | See video
- Part 3 – May 31, 2022: Access the slides | See video
Navigating the Mental Health Complexities of a Progressively Younger Long-Term Care Population – Webinar (2/7/2018)
Michael Goldsmith MSW LMSW, shares strategies for identifying and addressing the mental health complexities of this younger long-term care population to improve their overall quality of life.
See Handout
See Video
Video – Best Practices for Reducing Antipsychotic Medication and Improving Dementia Care in Nursing Homes (8/22/2018)
See Video – 61 minutes 43 seconds
Video – Dr. Power discusses overcoming physician barriers to reducing antipsychotics – 3 (8/14/2018)
See Video – 58 minutes 17 seconds
Video – Dr. Power Physician Consultation on Antipsychotics – 2 (3/14/2018)
See Video – 64 minutes 10 seconds
Video – Dr. Power Physician Consultation on Antipsychotics – 1 (1/31/2018)
See Video – 56 minutes 5 seconds
Video – Impacting the Quality Measures with Innovative Person-Centered Care (8/29/2017)
Peers from Montana and three other states share their success with using new innovative practices.
See Video – 67 minutes 50 seconds
APY Reduction Packet
Questions to Ask before Starting Antipsychotic Medications
Access Tool Here
Creating a Memory Box
Creating a Memory Box for Residents with Dementia
Access Tool Here
Fighting for Dignity – Webinar (4/13/2016)
Prevention of Resident-to-Resident Negative Interactions in Dementia in Long Term Care Homes
See More
Click to continue.
Five Senses and Dementia
Using the Five Senses to Support Residents with Dementia
Access Tool Here
Sleep Checklist for Residents with Dementia
People with dementia usually have problems sleeping. This one-page handout suggests activities for nursing home staff to try to improve nighttime sleep for their residents who have dementia.
Access Tool Here
National Healthcare Safety Network (NHSN)
National Healthcare Safety Network (NHSN) is the nation’s most widely used healthcare-associated infection tracking system. NHSN provides facilities, states, regions and the nation with data needed to identify problem areas, measure progress of prevention efforts and ultimately eliminate healthcare-associated infections.
Access Website Here
NHSN Frequently Asked Questions (FAQs) for Long-Term Care Facilities (LTCFs)
This document outlines the process for access to the NHSN and processes for facility administrators.
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NHSN Reporting Requirements – Webinar (6/24/2021)
Review of NHSN reporting requirements for long-term care facilities, including the COVID-19 vaccination module, with Tom Vincent, Data Analyst, Mountain-Pacific Quality Health, and Erika Baldry MPH, CIC, Communicable Disease Epidemiologist and Montana HAI Program Coordinator.
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See Webinar Slide Deck
Long-Term Care NHSN Reporting Requirements List
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NHSN Reporting – Open Office Hours with Tom Vincent
Mountain-Pacific Data Analyst Tom Vincent answers questions about National Healthcare Safety Network (NHSN) reporting and provides assistance with the process to ease reporting for your nursing home.
- 5/18/20: See 30 Minute Video
- 6/1/20: See 30 Minute Video
- 11/19/20: See 30 Minute Video
Long-term Care NHSN Training – Webinar (2/27/2023)
Mountain-Pacific Data Analyst Tom Vincent provides a live training demo for the National Healthcare Safety Network long-term care reporting.
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See Webinar Slide Deck
Long-term Care NHSN Reporting – Webinar (3/20/2023)
Mountain-Pacific Data Analyst Tom Vincent and Infection Preventionist Lori Chikoyak share resources and answer questions about the National Healthcare Safety Network long-term care reporting process.
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See Webinar Slide Deck
Long-term Care NHSN Reporting – Webinar (4/10/2023)
Mountain-Pacific Infection Preventionist Lori Chikoyak share resources and answer questions about the National Healthcare Safety Network long-term care reporting process.
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See Webinar Slide Deck
See COVID-19 and Flu Reporting Spreadsheet
Reducing Avoidable Emergency Department Visits and Hospitalization Toolkit
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Patient Readmission Interview Tool
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Skilled Nursing Facility Best Practices
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COPD Booklet
A practical guide to living with Chronic Obstructive Pulmonary Disease
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Transitions of Care Toolkit
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How to Refer – Reference Partner Cards
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Reduce the Risk of Hospital Readmission Flyer
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COPD Zone Tool
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Heart Disease Zone Tool
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Herramienta de manejo de la salud cardiovascular
Ver herramienta
Living with Heart Failure Booklet
A Guide to Keeping a Strong and Steady Beat
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Resident Information Booklet
Go to the hospital or stay here?
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See Two-page Tear-off
How to Help Our COPD Patients Stay Healthy – Webinar (3/1/2019)
See Webinar – 58 min
Skilled Nursing Facility (SNF) Transfer Checklist
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Selfie Tips for Person-Centered Care Brochure
This colorful, tri-fold brochure offers many tips about how to know each nursing home resident and care for the individual.
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5/25/17 – Long-Term Care Communication Module – Webinar
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TIC Talk Series
On November 18, 2020, Mountain-Pacific Quality Health kicked off a 10-part trauma-informed care (TIC) talk series for nursing homes. Each one-hour webinar will have a specific area of focus and expert speakers.
- 11/18/20 – Nursing Home TIC Talk: The Big Picture
- 12/2/20 – Nursing Home TIC Talk: Quality Improvement Efforts, Montana Mental Health Nursing Care Center
- 12/16/20 – Nursing Home TIC Talk: Impact of Loneliness & Isolation in Nursing Homes
- 12/30/20 – Nursing Home TIC Talk: Dementia
- 1/13/21 – Nursing Home TIC Talk: Delirium
- 1/27/21 – Nursing Home TIC Talk: Behavioral Emergencies
- 2/10/21 – Nursing Home TIC Talk: Managing Behavioral Emergencies
- 2/24/21 – Nursing Home TIC Talk: Nursing Home TIC Talk: Psychopharmacology
- 3/10/21 – Nursing Home TIC Talk: Cognitive Behavioral Therapy
- 3/24/21 – Nursing Home TIC Talk: Bring it Home with Family and Caregivers
Trauma Informed-Care in Nursing Homes – Webinar (7/24/2018)
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Top 10 Resources & Tools for Vaccine Administration
Emphasizing resident safety in nursing facilities, this compilation streamlines decision-making and
processes to reduce hospitalizations and improve coordination of vaccines.
All-Star Vaccine Basketball flyer
Let’s team up to tackle Team Germ head-on! This basketball-themed flyer highlights COVID-19, influenza and pneumonia vaccinations, including important information from the Centers for Disease Control and Prevention (CDC).
Mountain Pacific and Viven Health Education Program
Mountain Pacific has partnered with Viven Health, to provide innovative, virtual learning programs to complement our current infection prevention practices. Two programs have been designed with simple objectives: prevent sepsis and increase vaccination rates. We want to help change the trajectory of infection in your facilities with a fun and interactive online experience.
Vaccination Education Program Welcome Letter
Vaccination Education Program Flyer
Don’t Wait Until It’s Too Late – Vaccinate Flyer
This flyer highlights the COVID-19 vaccine, influenza vaccine, respiratory syncytial virus (RSV) vaccine and pneumococcal vaccine with who should get them and why.
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Mobile Vaccine Clinic Guide
This guide provides information, a suggested timeline and resources on setting up a mobile vaccine clinic to help with providing vaccinations on-site in the facility.
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Flu Vaccination Flyers
These flyers showcase information on the importance of vaccinating against influenza.
Vaccine Consent and Eligibility Forms
To streamline the process of gaining consent for nursing home residents to receive vaccines, the team at Mountain-Pacific Quality Health, in partnership with Pharm406, has created a standing vaccination consent form and a corresponding vaccine eligibility form. The standing consent form allows for the resident (or legal representative) to fill out one form a year indicating which vaccine(s) will be accepted as the resident is eligible, and which will be declined.
The eligibility form has been set-up to be used in tandem, allowing for multiple vaccinations to be administered at one time using a single form.
Access part one: Vaccine Standing Consent Form
Access part two: Vaccine Eligibility Form
Adult Vaccination Schedule Resources
- State-specific calendars with a table of the recommended adult vaccination schedule
- Alaska | View poster | Ver cartel
- Hawaii | View poster | Ver cartel
- Montana | View poster | Ver cartel
- Wyoming | View poster | Ver cartel
- Customizable two-sided appointment card template with a table of the recommended adult vaccination schedule
Montana Immunization Information System User Role Training
This webinar provides a walk-through of the Montana Immunization Information System (imMTrax).
January 26, 2023: Access the recording | Access the slides
Wyoming Immunization Information System Training
This webinar shows how to make use of the Wyoming Immunization Registry (WyIR) to register and track vaccination records across the state. The accompanying PowerPoint slides detail how to use different processes within the program.
January 24, 2023: Access the recording
- WyIR Patient Search/Add slides: Access the slides
- WyIR Vaccine Reporting Requirements slides: Access the slides
- WyIR Managing Patient Ownership and Status slides: Access the slides
- WyIR Patient Vaccination Records slides: Access the slides
- WyIR Reports Series slides: Access the slides
- WyIR Site Information, Registry and Quality Reports slides: Access the slides
- WyIR Reports Series Vaccination Reports slides: Access the slides
- WyIR Accepting Public/Adding Private Vaccines slides: Access the slides
- WyIR Office Hours Recap and Summary slides: Access the slides
State of Alaska Immunization Program Update
This webinar details vaccination efforts and resources in the state of Alaska. It covers standards for adult immunization, the VacTrAK Immunization Information System, several vaccine updates, the Docket immunization records app and the Alaska Vaccine Assessment Program.
January 19, 2023: Access the recording | Access the slides
Influenza and RSV Guide for Nursing Homes
This guide aims help compare and provide resources for influenza, RSV and COVID-19.
Diabetes and Adult Vaccines
This guide aims to reduce morbidity and mortality from vaccine-preventable diseases in people with diabetes. This resource includes information regarding the importance of vaccines for people with diabetes, a quick-guide to what vaccines you may need and where to get vaccinated.
Standing Order for Administering Pneumococcal Vaccines (Adult)
This guide aims to reduce morbidity and mortality from pneumococcal disease by vaccinating all individuals ≥19 years of age who meet the criteria established by the Centers for Disease Control and Prevention (CDC)’s Advisory Committee on Immunization Practices (ACIP). Includes policy, procedural, dosage and injection site information. Mobile access to the tool is available within the guide.
Long-Term Care Vaccination Tracking Tool – Influenza and COVID-19
This tool supports nursing homes in tracking vaccine administration, hospitalizations and positive tests for residents and staff. Updated June 2023
Nursing Home COVID-19 Tracking Dashboard
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Creating a Successful Influenza Vaccine Program for Health Care Personnel (10/26/2016)
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Quality Assurance and Performance Improvement (QAPI) Resource
This resource flyer has a compilation of links to QAPI tools and resources from the Centers for Medicare & Medicaid Services (CMS), Mountain Pacific and other partners. The tools and resources include an explanation of QAPI and root cause analysis (RCA) guides and worksheets.
Malnutrition and Morbid Obesity Diagnosis Tool
This tool is set up for completion by a registered dietitian (RD) to evaluate LTC residents for malnutrition and morbid obesity. Once the evaluation is complete, the tool includes a provider section for diagnosis.
Quality Measure Tip Sheets for Long-Term Care Facilities
Tools feature quality measure overviews, tips and coding requirements by topic.
- Activities for Daily Living
- Antipsychotic Medication
- Bowel and Bladder Incontinence
- Depression
- Falls
- Indwelling Catheter
- Pressure Ulcers
- Urinary Tract Infection
- Weight Loss
Great 8 WebEx: Patient-Driven Payment Model, Quality and Value: How to Succeed in 2019 and Beyond – Webinar
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What to Expect with Healthcare Transformation – Webinar (1/26/2017)
Policymakers and health care experts are promoting new and emerging models of health care delivery to achieve the “Triple Aim” of better health, better care and smarter spending. Making the needed improvements in our fragmented health system will require a transformation of patient care delivery. And improving patient care is critical to achieve better outcomes. To ease the transition, Dr. Paul Mulhausen, chief medical officer at Telligen, and Sandy Swallow, senior quality improvement advisor at Telligen, will provide an overview of the recently implemented CMS Quality Payment Program (QPP). Join this webinar to learn about Alternative Payment Models (APMs) and the Merit-Based Incentive Program (MIPS), which are key elements of the Medicare Part B QPP. This webinar is directed to all health care providers.
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