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Nursing Home Quality Improvement


An estimated 1.4 million Americans live in nursing homes on any given day and approximately 1 in 5, or 22 percent, suffers harm during their stay. Because nearly 60 percent of these incidents are deemed preventable, TMF Health Quality Institute has partnered with the Arkansas Foundation for Medical Care, Primaris in Missouri and the Quality Improvement Professional Research Organization, Inc. in Puerto Rico to form the TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO), under contract with Centers for Medicare & Medicaid Services, to develop a strategy to guide local, state and national efforts in improving the quality of care in nursing homes and skilled-nursing facilities throughout Arkansas, Missouri, Oklahoma, Puerto Rico and Texas.

A Collaborative Approach

The TMF QIN-QIO is recruiting long-term care communities and other providers to improve nursing home performance through enhanced consumer engagement, strengthened survey processes and standards, creation of strategic partnerships and the advancement of quality through innovation.

Goals for this five-year project ending 2019 include:

  • Achieve a score of six or better on the National Nursing Home Quality Composite Measure Score
  • Increase mobility of long-stay residents
  • Decrease antipsychotic medication use
  • Decrease healthcare-associated infections and other healthcare-acquired conditions
  • Decrease potentially avoidable hospitalizations

Benefits of Participation

Long-term care communities work directly with TMF QIN-QIO experts to achieve improvements at the systems-level and develop strategies to implement Quality Assessment and Performance Improvement principles, processes and resources. Additionally, participating sites have access to best practices and lessons learned to guide them in achieving measurable improvements by 2019.

Download this fact sheet (PDF) and view the following videos to learn more about the benefits of participating in the Nursing Home Quality Improvement project.

Join the Nursing Home Quality Improvement Network

Nursing home staff are encouraged to sign up for the Nursing Home Quality Improvement website to access the latest quality improvement tools and resources as well as information about upcoming educational events. Click here to create a free account and follow the prompts.

Quick Links

Download these resources to learn more about the Nursing Home Quality Improvement Network.

View resources for patients and families.

Contact Us

Nursing Home Quality Improvement
Fax: 512-334-1787



Jan. 24 Webinar

Register today for the All Cause Harm Prevention in Nursing Homes Applying Strategies from the New CMS Change Package webinar on Thursday, Jan. 24, 2019, from 2 - 3 p.m. CT. As part of the Centers for Medicare & Medicaid Services' (CMS) focus on raising awareness of nursing home safety and to support safer nursing home care across the nation, CMS and the Quality Innovation Network National Coordinating Center released a Change Package to prevent all-cause harm in nursing homes. The Change Package is a compendium of successful practices of high-performing nursing homes, illustrating how they prevent harm while honoring each resident’s rights and preferences. This webinar provides information about the development of the Change Package and how you can use it to improve the quality of life and quality of care for those living in nursing homes and other long-term care settings. The Change Package is available here.

Feb. 12 MSAG Webinar

Medication Safety Affinity Group: Diabetes Medications and Older Adults: A Focus on Safety

Register today to attend this webinar, hosted by the TMF Quality Innovation Network on Tuesday, Feb. 12, from 11 a.m. to noon CT. Health care providers in Arkansas, Missouri, Oklahoma, Puerto Rico and Texas are invited to join us for an open discussion centered around safety with diabetes medications. We will discuss concerns with both oral medications and insulin in the elderly population. This meeting is an opportunity to share your ideas and recent barriers you have experienced. Hennie Garza, MSPharm, RPh, project director, pharmacist with TMF Health Quality Institute will be the featured speaker.

Feb. 19 Webinar

Register today for this webinar on Tuesday, Feb. 19, 2019, 2 - 3 p.m. CT, about using data to identify disparity populations and inequity trends. Participants will receive the basic information needed to use data and identify disparity populations and inequity trends through an S.M.A.R.T. (Specific, Measurable, Achievable, Relevant, Time-bound) initiative. You will review S.M.A.R.T. principles as they pertain to changing and sustaining the culture to impact inequity trends, eliminate disparities and work with community to decrease readmissions.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico