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Table 1 Recommended Approaches to Quality Improvement in the Nursing Home Setting

From: Approaches to quality improvement in nursing homes: Lessons learned from the six-state pilot of CMS's Nursing Home Quality Initiative

Approaches

 

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Form partnerships with nursing home stakeholders

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Establish relationship with State Survey Agency (SSA)

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Promote the use of quality measures in quality improvement

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Engage physicians and medical directors in quality improvement

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Teach principles of quality improvement to all nursing home staff, including direct care staff

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Serve as a facilitator in bringing nursing homes together to share successful strategies and practical tips on implementing change

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Provide one-on-one assistance to nursing homes

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Convert the regulatory compliance culture to a quality improvement culture

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Address high rates of staff turnover and position vacancies in nursing homes