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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



March 29 Webinar
Register today for the Nursing Home Quality Improvement Collaborative Learning Session III on March 29, 2018, from noon to 1 p.m. CT to learn about a physician's perspective on antibiotic stewardship in nursing homes, including acquiring buy-in, educating residents and family on appropriate antibiotic usage, and implementing strategies for continued practice of antibiotic stewardship in your facility. The presentation will be given by Michael P. Fischer, MD, MPH, TM, antibiotic stewardship expert with the Infectious Disease Control Unit at the Texas Department of State Health Services.
April 10-11 Virtual Conference

2018 TMF QIN Learning and Action Virtual Conference

Register today to attend the annual TMF Quality Innovation Network Quality Improvement Organization’s virtual conference. This year’s free event will be held April 10-11, from 8:45 a.m. to 12:30 p.m. CT, and will focus on patient and clinician engagement in quality improvement. Attendees from all health care settings are encouraged to attend to learn about strategies and solutions to implement to overcome a variety of challenges facing the health care community today. Attendees will have the opportunity to earn continuing education credits. Visit the event webpage to view the agenda and register.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico