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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 Information

Contact Us
Nursing Home Quality Improvement
Fax: 512-334-1787

State Contacts

Julie Kettlewell
Arkansas State Program Director

Carol Keyes
Quality Specialist

Judy Carte
Program Manager

Pam Guyer
Program Manager

Peggy Neale-Lewis
Program Manager

Alexis Roam
Program Manager

Gayla Middlestead
Oklahoma State Program Director

Puerto Rico
Giovanna Fox
Puerto Rico Program Director

Luz Vadi
Program Lead

Susan Purcell
Director, Quality Improvement

Cayce Brewster
Project Resource Consultant

May 9 - 11 TMF QIN-QIO LAN Conference

2017 LAN Conference Logo

TMF QIN-QIO Annual Learning and Action Network Conference

Claim your continuing education (CE) credits for attending the TMF Quality Innovation Network Quality Improvement Organization's (QIN-QIO) free, virtual conference, held on May 9-11. Visit the conference event page for more information. Attendees have until May 25, 2017, to claim their CEs.

May-July 2017 ANE Training Academy Sessions

Register Now for Free ANE Training Academy Sessions

Nursing facility providers can now sign up to learn how to screen for, identify and prevent abuse, neglect and/or exploitation (ANE). The two-day ANE Training Academy sessions are free and continuing education hours will be provided. More information, locations and dates can be found on the registration site.

Each two-day course is open to all nursing facility staff, most especially those providing direct care to facility residents.

Email questions to

Aug. 7-8 Texas Taking the Next Step Geriatric Symposium

Save the date for this free, two-day event to learn how to better understand and care for older adults with dementia. Continuing education credits will be offered; seating will be limited. For more information, visit or email

2017 Texas Taking the Next Step
Geriatric Symposium

Crowne Plaza Austin

6121 N. Interstate 35

Austin, Texas


Day 1 - Advancing Nursing in Long-Term Care

For RNs and LVNs who work in long-term care or with the geriatric population


Day 2 - Dementia in Long-Term Care and Community Settings
For all health care disciplines, family members, loved ones, guardians and friends 

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico