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Table 2 Recommended Approaches to Engaging Physicians and Medical Directors in Quality Improvement

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

Approaches implemented by nursing home providers

 

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Identify a physician champion in the nursing home that could involve other physicians in improving the systems of care that physicians impact directly

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Implement pre-printed fax-back forms to physicians that include all fields of information required by physician, relevant to various clinical topics (e.g., pain), to enhance communication between physician and nursing home staff

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Involve local hospice to provide training on pain management to physicians and nursing home staff

Approaches implemented by QIO staff

 

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Offer training session to medical directors on the role of the medical director in nursing home quality improvement

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Write column in monthly newsletter to providers on the role of the medical director and attending physicians in nursing home quality

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Offer coaching to nursing home staff on how to give physicians the information they need to make a decision

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Partner with the local chapter of the American Medical Directors Association (AMDA) to advocate for involvement in quality improvement among medical directors and physicians