National Learning Collaborative Webinar Series on Using the MDS 3.0 as an Engine for High Quality Individualized Care

JOIN US! Series Three: Individualizing Care: A Performance Improvement Approach to Reducing Anti-Psychotic Medications

CMS has announced an initiative to reduce use of anti-psychotic medications by 15% by December 31, 2012. Individualizing care is the best "non-pharmacologic intervention" to prevent "environmentally-induced" agitation. In this webinar series, nursing home teams describe how to operationalize quality of life, and how to use performance improvement processes to do so. Next year, CMS will roll out QAPI - Quality Assurance Performance Improvement, with the expectation that nursing homes engage in performance improvement projects. Hear how colleagues are using these projects to improve the quality of life and care for their residents.

Webinar Series: $99 per sessionfor the the full series ($297) or $129 per session if purchased separately.

PART SEVEN: Tuesday, June 19, 2012 at 2 PM EST

MDS and Quality of Life: Operationalizing Customary Routines
Lead Presenter: Karen Schoeneman, Technical Advisor, CMS Division of Nursing Homes

Now that you ask residents about their preferences under the Customary Routines section of the MDS, what do you do with this information? And when surveyors interview residents about whether they are able to maintain their morning and evening routines, what will they say? How do your caregiving staff know about each residents' routines and "actively assist" them in fulfilling their choices? While everyone agrees with Quality of Life in theory, making it a reality for each person requires transformation from institutional to individual routines. In this webinar, we will explore how to bring these standards to life in daily practice. Karen Schoeneman, who has led efforts related to Quality of Life and the survey process at CMS for over 20 years, will discuss what is intended by the Quality of Life requirements and how surveyors assess whether the requirements are met. She will discuss the role of the MDS in promoting residents' Quality of Life and the role of Quality of Life considerations in the MDS assessment and care planning process. Staff from St. Camillus Health Center in Whitinsville, MA will explain how they support residents to maintain their morning and evening routines, and routines for eating and bathing, and the benefits to residents of doing so. Hear from members of the care team about how they work together and how their work flows when they provide care according to the residents' routines.

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PART EIGHT: Thursday, July 19, 2012 at 2:00 PM ET

MDS and QAPI: A High Involvement Approach
Lead presenters: Alice Bonner, DIrector, Division of Nursing Homes, CMS, Kelly O'Neill and Marilyn Reierson, Stratis Health, National Demonstration Project for Quality Assurance Performance Improvement, and teams of nursing home staff

New Quality Assurance Performance Improvement (QAPI) requirements being developed by CMS will foster high engagement of staff closest to the resident in performance improvement activities. Learn from the QAPI national demonstration project leads about the new QAPI requirements being developed by CMS and tested at 17 nursing homes in four states. Hear an MDS coordinator talk about the interplay between MDS and QAPI and hear from nursing home teams how they used performance improvement projects (PIP) to foster staff engagement in individualizing care. One team increased CNA and resident involvement in care planning. Another brought individualized music to residents through iPods. Another brought the management team morning meeting out to staff closest to the resident. Now "Everyone Stands Up Together" a couple of mornings a week so that staff engage in on-the-spot problem solving that catches problems early and addresses them immediately. These teams provide a blueprint for the type of involvement in individualizing care that will help homes reduce anti-psychotic medications.

Download Facilitator's Guide
Download Five Elements of QAPI Handout
Download Music Assessment Sheet
Download Getting Better Handout
Download ADvancing Care Newsletter

August 5th Session from 9:00 - 3:00
In-person National Learning Collaborative at Pioneer Network's 2012 National Conference

A Blue-print to Reduce Use of Anti-psychotic Medications
by Integrating Quality of Life and Quality of Care
Syzygy - Quality of Life, QAPI, and the MDS

Syzygy is a word from astronomy that refers to the alignment of three celestial bodies. Three CMS initiatives have thrust individualized care to the forefront. MDS 3.0 requires conversations with residents about their customary routines. Quality of Life surveyor guidance spells out that homes are to actively assist residents in maintaining these routines and in resident interviews, surveyors ask about these routines. The CMS plan to reduce use of anti-psychotic medications relies on individualized approaches to reduce and prevent residents' agitation. This day-long session provides a how-to for reducing anti-psychotic medications as a performance improvement initiative. LEARN MORE

It's Not Too Late! Series One and Two are still available as archive recordings and make a good foundation for Series Three.
Series One: Organizational Practices Presenters describe how they use key organizational practices – consistent assignment, CNA participation in care planning, daily huddles, and "ground-up quality improvement" – to know their residents, communicate with each other, and problem-solve to catch problems early, maximize opportunities, and perform at their best. These organizational practices, the foundation for high performance, are described in depth in Pioneer Network's first webinar series on Organizational Practices. Part One: Aligning Daily Documentation and Communication Part Two: Organizational Systems Part Three: QI and MDS LEARN MORE and RESOURCES, Series One	Series Two: Clinical Applications Hear from practitioners about how to use an interdisciplinary approach to assessment and care planning for individualizing care and achieving better outcomes. Interdisciplinary teams from nursing homes will describe how they have improved care outcomes for their residents by using key elements of MDS and Quality Indicator Survey (QIS) resident interview questions to assess residents' needs, determine their preferences, and plan their care. They explain how residents respond better when care is organized in a way that honors their customary routines. They prevent declines by promoting well-being. The shift from "risk prevention" institutionally-driven practices to "health promotion" individualized practices yields better results for residents, staff, and their organizations. Part Four: Promoting Mobility, Reducing Falls, and Eliminating Alarms Through Individualized Care Part Five: Individualized Dining: New Practice Standards Part Six: Smooth Transitions in Care: Getting New Residents Off to a Good Start LEARN MORE and RESOURCES, Series Two
PURCHASE either or both complete series