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. 

  • 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.
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  • 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.

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  • 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
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  • 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.
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  • 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).
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  • Emergency Preparedness / Appendix Z, State Operations Manual Update (6/17)

    By CMS - June 12, 2017

    Appendix Z, Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures: Interpretive Guidelines. The Centers for Medicare & Medicaid Services (CMS) is releasing a new Appendix Z of the State Operations Manual (SOM), which contains the interpretive guidelines and survey procedures for the Emergency Preparedness Final Rule.

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  • Emergency Preparedness FAQs Revised (6/17)

    By CMS - June 12, 2017
    CMS has revised two sets of FAQs for the emergency preparedness rule. Some revised FAQs apply to all providers and some relate directly to specific provider, including nursing homes.
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  • Requirement to Reduce Legionella Risk in Water System: CMS S&C Memo (6/17)

    By CMS - June 05, 2017
    Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD): Facilities must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of legionella and other opportunistic pathogens in water.
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  • 1 in 4 Nursing Home Residents Has Antibiotic-Resistant Bacteria: Study (6/17)

    By HealthDay News - June 05, 2017
    More infection-prevention education and policies are needed, study findings suggest
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  • Clostridium difficile Diagnosis, Prevention, and Treatment (5/17)

    By AHRQ - May 30, 2017
    AHRQ Publications Summarize Evidence on the Diagnosis, Prevention and Treatment of Clostridium difficile.
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  • Want to Learn More About CAAs? Try This CMS Course (5/17)

    By CMS - May 26, 2017
    CMS has made available to providers a web-based training course on the care area assessments (CAAs) used for state RAI coordinator training.
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  • Catheter-associated UTIs in Nursing Homes: AHRQ CUSP Program Success (5/17)

    By AHRQ - May 26, 2017

    Rates of catheter-associated urinary tract infections (CAUTIs) dropped by 54 percent across more than 400 long-term care facilities that participated in a patient safety project funded by the Agency for Healthcare Research and Quality (AHRQ), according to a study published in JAMA Internal Medicine. The project adapted AHRQ's Comprehensive Unit-based Safety Program (CUSP) for use in long-term care facilities. Data from nursing homes in 38 states were included in the new analysis.

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  • 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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