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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



June 26 Webinar

Identifying Solutions and Generating Results: A Look Behind & Ahead at Health Care Quality Improvement

Register today to attend this TMF Quality Innovation Network webinar on Wednesday, June 26, from noon – 1 p.m. CT to learn what health care facilities and organizations participating in the TMF Quality Innovation Network projects have accomplished and what opportunities facilities and organizations - like yours - can expect to take part in beginning August 2019 as part of the new Centers for Medicare & Medicaid Services' (CMS) Quality Improvement Organization initiatives.

Jennifer Markley, division director for the TMF Quality Innovation Network, will present. Don't miss this opportunity to celebrate what we have achieved together and to be the first to hear about the exciting and free health care quality improvement opportunities that can benefit your team, organization and patients.

Save the Date: Aug. 12-13 LTC Conference

2019 HHS Quality in Long-Term Care Conference

Save the date for a two-day, free conference on providing quality long-term care (LTC), hosted by the Texas Health and Human Services Commission and The University of Texas at Austin School of Nursing. Nationally and internationally recognized speakers will present evidence-based best practices, current health care trends and cutting-edge advances in LTC, aging and disabilities. The event will be held at the Sheraton Georgetown (Texas) Hotel & Conference Center. Registration will open May 1. Seating will be limited. For more information, email the HHS Quality Monitoring Program.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico