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. 

  • March 21 National Partnership to Improve Dementia Care and QAPI Call: Register Now

    By CMS - February 24, 2017
     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.
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  • Stroke Studies in the News

    By Medline Plus - February 24, 2017

    Two studies: (1) After Stroke, 'Blue' Light May Help Beat the Blues and (2) For Stroke Survivors, Exercise Is Good for the Brain: Review.


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  • Appendix PP / State Operations Manual Mega-Rule Official Update & S&C Memos (2/17)

    By CMS - February 23, 2017
    Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities 

    The regulation text is effective November 28, 2016; the Interpretive Guidance has not been updated. Interpretive guidance will be revised at a later date. The current F-Tags have been revised to include the requirements and regulation text as is presented in the final rule.

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  • Q3 2016 Antipsychotic Medication Use Data Report From CMS (2/17)

    By CMS - February 13, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: 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 32.4 percent to a national prevalence of 16.1 percent in 2016Q3. Success has varied by state and CMS region, with some states and regions having seen a reduction of greater than 30 percent.

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  • Distinguishing Differences among Delirium, Depression, and Dementia (2/17)

    By Cheat sheet developed/posted by the Lake Superior Quality Innovation Network - February 13, 2017
    Cheat sheet developed/posted by the Lake Superior Quality Innovation Network.
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  • How to Improve Resident Sleep

    By Jessica Kunkler, MA - February 08, 2017

    We have all heard that the average person needs eight hours of sleep per night, which improves mood, eating, and almost everything else during the light of day. This eight-hour rule includes elders, stresses Linda Shell, DNP, RN, MA, principal of in Lakeville, Minnesota. Sleep is key to promoting residents’ wellness and best function, especially for residents with behavioral dementia.


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  • Medication Errors and Their Profound Impacts on the Long-Term Care Resident

    By Sophie A. Campbell, MSN, RN, CRRN, RAC-CT, CNDLTC - February 08, 2017
    Medication errors in long-term care facilities result in needless suffering and preventable costs. American researchers have estimated that for every dollar spent on drugs in nursing facilities, $1.33 in healthcare resources is consumed in the treatment of drug-related problems. Ferrah, Lovell, and Ibrahim (2016), in their discussion of the scale of preventable harm inflicted by medication errors on nursing home residents, state that adverse drug events (ADEs) reported for nursing home residents have an estimated incidence rate of 1.2–7.3 per 100 resident months, with an estimated annual cost of $7.6 billion nationally. Residents are especially vulnerable to ADEs because of their multiple comorbidities and complex drug regimens as well as the higher potential for drug interactions due to age-related physiological changes. These age-related changes, in turn, increase the difficulty of attributing symptoms to adverse drug reactions.
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  • Winter is Here: Keep Your Residents Safe

    By Caralyn Davis, Staff Writer - January 18, 2017
    Snow, ice, freezing temperatures—winter ushers in a host of weather conditions that can impact the frail elderly. Some of the issues that directors of nursing services (DNSs) should consider during the winter months include the following:
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  • Common Viruses Can Be Deadly in LTC (1/17)

    By HealthDay - January 17, 2017
    RSV and human metapneumovirus need to be taken as seriously as influenza, per study author
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  • Hypertension Clinical Practice Guideline (1/17)

    By American College of Physicians / American Academy of Family Physicians - January 17, 2017
    Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline From the American College of Physicians and the American Academy of Family Physicians
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  • Avoidable Hospitalizations Sharply Down in LTC, Says CMS (1/17)

    By CMS - January 17, 2017
    In 2010, the rate of potentially avoidable hospitalizations for dually-eligible beneficiaries in long term care facilities was 227 per 1,000 beneficiaries; by 2015 the rate had decreased to 157 per 1,000.[1]This decrease in potentially avoidable hospitalizations happened nationwide, with improvement in all 50 states. The reduced rate of potentially avoidable hospitalizations means that dually-eligible long-term care facility residents avoided 133,000 hospitalizations over the past five years.
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  • Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents – New Payment Model (1/17)

    By CMS - January 09, 2017
     Learn about a new payment model for nursing facilities and practitioners to incent early identification of changes in condition, treatment of specific conditions in a nursing facility without a hospital transfer, and improved care planning. 
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  • Antipsychotic Drugs / Alzheimer's Patients: New Study

    By HealthDay - December 28, 2016

    Antipsychotic Drugs May Up Risk of Early Death in Alzheimer's Patients. Increased odds were nearly doubled if two antipsychotic medications were taken, study says

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  • INTERACT Hospitalization Tracking Tools for 2017 and Bridging 2016 - 2017

    By INTERACT - December 28, 2016
    The INTERACT 2017 Tracking Tool has been loaded onto the INTERACT website. 
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  • Adverse Drug Events: Study Highlights Problem Drug Classes (12/16)

    By Office of Disease Prevention and Health Promotion - December 23, 2016

    A new study by the Centers for Disease Control and Prevention published in the Journal of the American Medical Association (JAMA) shows that in 2013 and 2014, anticoagulants, diabetes agents, and opioid analgesics were among the most commonly implicated drug classes in emergency department (ED) visits for adverse drug events. The study also found that an estimated 1 in 250 Americans went to an ED for an adverse drug event each year in 2013 and 2014, with more than a quarter of those visits requiring hospitalization. For Americans age 65 years or older, the numbers were even higher – nearly 1 in 100 – and most frequently involved anticoagulants or diabetes agents.

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