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. 

  • Q4 2016 Antipsychotic Medication Use Data Report From CMS (5/17)

    By CMS - May 18, 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 33.2 percent to a national prevalence of 16 percent in 2016Q4. Success has varied by state and CMS region, with many states and regions having seen a reduction of greater than 30 percent.

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  • Free CEUs available for online C. diff and Antimicrobial Stewardship Training (4/17)

    By National Nursing Home Quality Improvement Campaign - April 27, 2017
    Six free on-line nursing home training sessions on important concepts and practices that promote team communication, antibiotic stewardship, and C. difficile prevention are now available. 
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  • Emergency Preparedness Testing and Training Requirements: CMS S&C Memo (3/17)

    By CMS - March 28, 2017
    Information to Assist Providers and Suppliers in Meeting the New Training and Testing Requirements of the Emergency Preparedness Requirements for Medicare & Medicaid Participating Providers and Suppliers Final Rule
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  • Strategic Innovation Engine Wants Your Innovative Practices (3/17)

    By CMS - March 26, 2017
    Do you have an innovation that is improving health care quality and safety in your practice?  We would like to hear from youThe SIE has simplified and streamlined the submission process to gather innovative practices. These practices will be evaluated for their effectiveness in advancing CMS’ goals of better care, healthier people, and smarter spending. Selected innovative practices will be widely disseminated via various channels throughout the CMS quality community.
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  • Appendix PP / State Operations Manual Mega-Rule Official Update REVISED & S&C Memos (3/17)

    By CMS - March 09, 2017
    Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities 

    CMS has replaced the first transmittal it issued to correct some errors; 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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  • Person-centered Care in Nursing Homes: Study (3/17)

    By Journal of Aging Science - March 08, 2017
    This study demonstrates the effectiveness of a person-directed care model in multiple long term care facilities. Over a period of five years a selection of data from Signature HealthCare communities was taken to demonstrate the efficacy of a person-directed care model in a nursing home setting on specific metrics to include occupancy rates, return to hospital percentages, finance (EBITDA), and Centers for Medicare and Medicaid Services (CMS) 5-star ratings.
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  • Resident Satisfaction Ratings: How Happy Are Your Residents to Call Your Facility Home?

    By Emily Royalty-Bachelor, Staff Writer - March 07, 2017

    The federally mandated Five-Star rating is, undoubtedly, the nationwide benchmark for measuring the quality of a long-term care facility.


    But there’s another metric—one that is often ignored but is in many ways just as important for providing key insights into the facility’s strengths and areas needing improvement: the resident satisfaction rating.


    And though the Centers for Medicare & Medicaid Services (CMS) doesn’t presently require facilities to gather this information, that may soon change.


    CMS is currently in the testing phase to introduce a resident satisfaction metric to the MDS.


    Amy Franklin, RN, DNS-MT, RAC-MT, QCP-MT, and AADNS curriculum development specialist, says that we may see this new metric go into effect as soon as fiscal year 2020—and it’s a good idea to start preparing now.

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  • Q&A: What notifications are necessary when a long-time physician retires and is replaced by a new physician?

    By Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT - March 07, 2017
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  • Q&A: What is the best way to calculate the percentage of medication errors for the month?

    By Kathy Hurst. RN GN-BC, MSN, JD, Esq. - March 07, 2017
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  • Q&A: Could someone please share a form for documenting pressure ulcers?

    By Helen Baker, MSN, ADON - March 07, 2017
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  • How Staff Can Encourage Resident Mobility: Quick Tips (2/17)

    By Lake Superior Quality Innovation Networ - February 24, 2017
    One-page tip sheet for promoting resident mobility.
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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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  • 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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