Clinical Surveillance Resources

When it comes to resident care, your role is to see the bigger picture and to put systems in place that not only protect your residents but also promote their best possible function. Preventing and identifying medical errors and adverse events is imperative for facility leaders. Using the latest technologies to synthesize resident care outcome data -- in complement with implementing proper bedside and clinical decision-making protocols -- are part of a strong clinical surveillance system that bolsters quality assurance. Find out what you need to know and how your facility can take evidence-based steps to improve care. 

  • Cultivating Health Literacy to Improve Outcomes

    By Amy Stewart. RN, DNS-MT, QCP-MT, RAC-MT - August 14, 2017
    Health literacy has always been an essential component of successful transitions of care, particularly at the point of discharge to the community. Limited health literacy is associated with a greater number of hospitalizations, more frequent emergency room visits, and an increase in adverse health behaviors. 

    Older adults tend to be more at risk for adverse events because of challenges with health literacy, according to the Cumulative Index to Nursing and Allied Health Literature Nursing Guide.

    With the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) claims-based quality measure, Discharge to Community–Post Acute Care, which links successful discharge to payment, and the new publicly reported quality measure, Successful Discharge to the Community, ensuring residents’ health literacy is more important than ever for SNFs.

    Read more of AADNS curriculum development specialist Amy Stewart's article in Provider magazine.

    Read more
  • Q1 2017 Antipsychotic Medication Use Data Report From CMS (8/17)

    By CMS - August 09, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: CMS is tracking the progress of the National Partnership by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In 2011Q4, 23.9 percent of long-stay nursing home residents were receiving an antipsychotic medication; since then there has been a decrease of 34.1 percent to a national prevalence of 15.7 percent in 2017Q1. Success has varied by state and CMS region, with some states and regions having seen a reduction of greater than 35 percent.

    Read more
  • Mega-Rule Phase 2 Implementation: CMS Training Videos UPDATED (8/17)

    By CMS - August 03, 2017
    LTC Survey Process Videos: This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups. August 2017 update: CMS has added a Pharmacy Services training video.
    Read more
  • Medicare / Medicaid Reform of Requirements for LTC Facilities: CMS Final Rule UPDATED (7/17)

    By CMS - July 18, 2017

    In October 2016, CMS finalized improvements in care, safety, and consumer protections for long-term care facility residents. Revisions mark first major rewrite of the conditions of participation (CoP) for long-term care facilities since 1991. In July 2017, the agency published some corrections.

    Read more
  • Fiscal Year 2017 HHS OIG Work Plan UPDATED

    By CMS - July 18, 2017
    The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2017 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. Work planning is an ongoing and evolving process, and the Work Plan is updated throughout the year.
    Read more
  • Mega-Rule Appendix PP Survey Resources From CMS - Revised (7/17)

    By CMS - July 14, 2017
    CMS has released an Advance Copy of Appendix PP of the State Operations Manual with updated Interpretive Guidance for multiple F-tags, a list of revised F-tags by regulatory grouping, a crosswalk between old and new F-tags, and a survey-and-certification memo explaining upcoming changes, training opportunities, and enforcement issues.
    Read more
  • Diagnosing Schizophrenia: Don’t Work from Drug to Diagnosis

    By Caralyn Davis, Staff Writer - July 11, 2017
    The issue of obtaining diagnoses to meet exclusions for quality measures (QMs) came to a head this past February when the American Health Care Association, Leading Age, AMDA: The Society for Post-Acute and Long-Term Care Medicine, and six other professional/trade associations issued a joint statement on the diagnosis of new-onset schizophrenia in nursing homes. This statement came in response to concerns raised throughout long-term care that residents were receiving a new diagnosis of schizophrenia to justify the use of antipsychotic medications.
    Read more
  • Q&A: Does anyone have a fall assessment tool that they would like to share?

    By Deborah J. Kriegh RN DNS-CT, RAC-CT, WCC, CHPN, GRN - July 11, 2017
    Read more
  • Hand in Hand Now Available as Web-Based Training (7/17)

    By CMS - July 09, 2017
    Section 6121 of the Affordable Care Act of 2010 requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matters experts, created this training to address the need for nurse aides’ annual in-service training on these important topics.

    The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse.
    Read more
  • CMS Releases New Appendix PP Interpretive Guidance for Multiple Tags

    By Caralyn Davis, Staff Writer - June 30, 2017

    Nov. 28, 2017, marks the implementation of some significant changes in how the Centers for Medicare & Medicaid Services (CMS) expects nursing homes to operate—and in the survey process that state surveyors will use to assess those operations. CMS survey-and-certification memo S&C: 17-36-NH gives providers critical information about how to prepare for these changes that are required under Phase 2 of the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. This information includes an advance copy of 696 pages of revisions to the F-tags and the Interpretive Guidance in Appendix PP, “Guidance to Surveyors of Long-term Care Facilities,” of the State Operations Manual. Providers should note that the Appendix PP revisions include new subregulatory guidance for multiple F-tags, not just the Phase 2 regulatory changes.

    Here’s a summary of critical news—and what’s still to come:

    Read more
  • Study: More Errors When Meds Are Dispensed From Original Packaging (6/17)

    By AHRQ - June 26, 2017
    A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study.
    Read more
  • Investigation Still Finds Some Nursing Home Staff Misusing Social Media re: Residents (6/17)

    By ProPublica - June 26, 2017

    Nursing Home Workers Still Posting Nude and Vulgar Photos of Residents on Snapchat

    Federal and state officials have increased their focus on the problem, but ProPublica found 18 incidents in the last year in which employees at nursing homes and assisted living facilities posted unauthorized photos and videos of residents on social media platforms.

    Read more
  • Change Package: A Curated Collection of Great Ideas & Practices to Create Lasting Change - Revised (6/17)

    By National Nursing Home Quality Care Collaborative - June 26, 2017
    The National Nursing Home Quality Improvement Campaign has posted an updated version of the National Nursing Home Quality Care Collaborative’s Change Package: A Curated Collection of Great Ideas & Practices to Create Lasting Change in Your Nursing Home. 

    Version 2.2 includes change bundles to help nursing homes:

    • promote avoidance of antipsychotic medications in residents living with dementia,
    • promote resident mobility,
    • prevent healthcare-acquired infections,
    • prevent C. difficile infections, and
    • build capacity for QAPI success
    Read more
  • Maintaining the Quality of Your Coordination-of-Care Process

    By Emily Royalty-Bachelor, Staff Writer - June 14, 2017
    With Phase 2 of the Mega Rule to be implemented in November of this year, facility staff nationwide are preparing for all of the new regulations that are about to go into effect. Some may be scrambling to get their processes and procedures updated to reflect the coming changes. Others may have already implemented these changes and are now simply dotting their i’s and crossing their t’s.
    Read more
  • Preparing Your Facility for the Antibiotic Stewardship Program

    By Emily Royalty-Bachelor, Staff Writer - June 14, 2017
    Summer is here, which means it’s probably hard (detestable, even) to think about next winter’s cold and flu season. But we all know how quickly the seasons change, and the truth is, winter, and all of its corresponding germs, will be here before you know it—right in time for the implementation of the Antibiotic Stewardship Program (ASP).
    Read more
1 of 11 Next