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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



March 21, 2017 Webinar

National Partnership to Improve Dementia Care and QAPI MLN Connects® Call

March 21, 2017

12:30 p.m. - 2 p.m. CENTRAL TIME

To register or for more information, visit MLN Connects Event Registration.

During this call, learn about the Creating a Culture of Person-Directed Dementia Care project grant award. The Lake Superior Quality Innovation Network will share information about the new QAPI Written Plan How-To Guide that can assist long-term care providers with performance improvement efforts. Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI). A question and answer session follows the presentation.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico