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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



July 25 Office Hours

Let's Talk QPP: MIPS for Clinicians in Long-term Care Settings

Register today for this webinar on Wednesday, July 25, 2018, from noon to 1 p.m. CT. Clinicians who work with skilled nursing facilities, long-term care, assisted living and other similar facilities are encouraged to attend this Office Hours event to learn the best reporting strategies for the 2018 performance period of the Merit-based Incentive Payment System (MIPS).

Aug. 2 Webinar
Understanding and Addressing Depression in a Nursing Home Setting

Register today for this webinar on Thursday, Aug. 2, 2018, noon to 1 p.m. CT. Karen Orsi, BA, with the Oklahoma Mental Health and Aging Coalition and Jacqueline Millspaugh, M.Ed., LPC, with the Oklahoma Department of Mental Health and Substance Abuse Services will discuss how to improve care for older adults by addressing depression in nursing homes. Topics will include symptoms of depression, how to identify red flags for the varied levels of care that might be needed and helpful screening tools. They will also review developmental expectations for Late Adulthood, key factors for successful adjustment and how to create an environment that offers opportunities for both prevention and intervention.
2018 Geriatric Symposium

Geriatric Symposium – Texas Taking the Next Step

Register today for this Aug. 13-14 event at the Sheraton Austin Georgetown Hotel and Conference Center in Georgetown, Texas. Texas Health and Human Services has collaborated with The University of Texas at Austin School of Nursing to host this two-day event, which includes a variety of presentations for professionals and families who interact with older adults. There is no cost to attend.

July 26 - Nov. 7 Webinars

Long-Term Care Facilities Invited To Join Antibiotic Stewardship Program

Register today for a one-hour informational webinar, beginning July 26 and ending Nov. 7, 2018, to learn about the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Antibiotic Use. This national, 12-month project begins in December 2018, and will provide long-term care facilities with resources to prevent harms linked to antibiotics, including antibiotic use guidelines, coaching from experts, online education, improvement tools and patient education materials.

Aug. - Dec. 2018 CNA Trainings

CNA Advanced Training Academy

Register today for one of these upcoming Certified Nurse Aide (CAN) trainings from Texas Health and Human Services. These no-cost, two-day trainings will take place beginning in August 2018 in various cities in Texas, and will cover comprehensive training topics such as communication, stress and burnout, understanding geriatric residents and standard competencies. Trainings extend to December 2018. For a full list of cities, click the registration link.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico