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. 

  • Hand in Hand Training Course Update (9/18)

    By CMS - September 14, 2018
    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.
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  • Do you report C difficile data to NHSN? (9/18)

    By NNHQIC - September 06, 2018
    CMS, the CDC, and the Quality Innovation Network Quality Improvement Organizations encourage nursing homes to continue to track and report C. difficile data to NHSN. These data inform national work on patient safety and are valuable for individual nursing home quality improvement projects, including C. difficile prevention and antibiotic stewardship.
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  • New Dementia Care and Psychotropic Med Tracking Tool: NNHQIC Seeks Pilot Testers (9/18)

    By NNHQIC - September 06, 2018

    The National Nursing Home Quality Improvement Campaign (NNHQIC) seeks pilot testers for a new Dementia Care and Psychotropic Medication Tracking Tool. This Excel-based tool will track information for individuals living with dementia AND any resident for whom psychotropic medications are prescribed.  It will support and prompt individualized care, document key processes, and provide information to identify opportunities and drive improvement. Interested organizations please send a message to to request additional information on participating in the pilot test.

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  • Antibiotic Stewardship: Fluoroquinolones and Black Box Warning Update (9/18)

    By CDC - September 06, 2018

    The U.S. Food and Drug Administration (FDA) Recently Strengthened its Black Box Warning About Fluoroquinolone Use

    Appropriate fluoroquinolone prescribing is important for patient safety. A recent study published in Clinical Infectious Diseases reports that fluoroquinolones are commonly prescribed for conditions when antibiotics are not needed at all, or when fluoroquinolones are not the recommended first-line therapy.

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  • SNF Uses AHRQ Toolkit to Boost Residents' Health Literacy Skills

    By AHRQ - August 22, 2018

    Occupational therapists (OTs) at Greenwich Woods Rehabilitation and Health Care Center improved their ability to assess and implement health literacy interventions for patients by 36 percent after a 6-week workshop that featured AHRQ’s Health Literacy Universal Precautions Toolkit. The workshop was administered to OTs, OT assistants, and other therapy and rehabilitation staff at the 217-bed skilled nursing facility in Greenwich, Connecticut.

    Improving OTs’ ability to provide information that patients can readily understand and use in their daily lives is an important aspect of their overall rehabilitation, according to Virginia Koenig, who has a clinical doctorate in occupational therapy. Dr. Koenig is an academic fieldwork coordinator at Touro College, New York, and developed and administered the intervention at Greenwich Woods. 

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  • ACIP 2018 - 2019 Flu Vaccine Recommendations UPDATED (8/18)

    By CDC - August 20, 2018

    Update: ACIP Recommendations for the Use of Quadrivalent Live Attenuated Influenza Vaccine (LAIV4) — United States, 2018–19 Influenza Season
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  • Sept. 18 Opioid Dementia Care Call: Register Now

    By CMS - August 20, 2018

    During this call, gain insight on opioid use in the post-acute and long-term care setting. Also, learn about the impact of opioid use on persons living with dementia. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

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  • Trauma-Informed Care Provider Training Resources (8/18)

    By Wisconsin Department of Health - August 07, 2018
    The Wisconsin Department of Health has a Trauma Informed Care portal, including some training resources for providers.
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  • Trauma-Informed Care in Nursing Homes Recorded Webinar (8/18)

    By HealthInsight - August 07, 2018
    With trauma-informed care requirements coming up next year for SNFs/NFs, the QIN-QIO HealthInsight offers a recorded webinar on this subject.
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  • LTCSP Survey Pathways: Critical Element Pathways & Facility Task Pathways - UPDATED (8/18)

    By CMS - August 06, 2018

    New Survey process preparation materials, aka Long-term Care Survey Pathways, updated in August 2018.

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  • Nursing Home Compare Claims-based Measures Technical Specifications Updated (8/18)

    By CMS - August 02, 2018
    This update contains the specifications for the Number of Hospitalizations per 1,000 Long-Stay Resident Days measure, including details on the numerator and denominator for the measure, exclusions, and the measure calculation methodology. The technical specifications will be updated with details on the risk-adjustment model prior to this measure being posted on Nursing Home Compare in October 2018. This update adds MDS variables to the risk-adjustment models of the short-stay, claims-based quality measure and updates the coefficients for each variable, based on data from October 1, 2016 to September 30, 2017.
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  • Pre-Admission Screening Tool

    By AADNS - July 11, 2018
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  • Before Residents Arrive: Keys to a Good Pre-Admission Assessment

    By Caralyn Davis, Staff Writer - July 10, 2018

    While strong admission assessments are needed to ensure that the interdisciplinary team (IDT) creates a timely baseline care plan, directors of nursing services (DNSs) may want to beef up their pre-admission assessments to improve their IDT’s ability to provide person-centered care that addresses quality-of-care and quality-of-life needs right out of the gate, especially for skilled short-stay patients, suggests Kristin Bernard Breese, BSN, RN, CPC, RAC-MT, owner of Post-Acute Clinical Advisors LLC in North Granby, CT.

    “Historically, many SNFs looked at potential admissions strictly from a financial perspective,” notes Breese. “However, the Reform of Requirements for Long-term Care Facilities increased surveyors’ focus on incorporating the resident’s voice—their personal and cultural preferences—into care goals, as well as improving quality of care and quality of life.”

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  • Trauma-Informed Care Infographic (7/18)

    By CDC - July 09, 2018
    The CDC is working with SAMHSA’s National Center for Trauma-Informed Care (NCTIC) to integrate a trauma-informed approach to public health emergencies. The infographic they developed for the approach may be useful in understanding trauma-informed care.
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  • CMS QSO (Survey) Memo: Updated Legionella Risk Reduction Requirements (7/18)

    By CMS - July 08, 2018

    Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)

    ***Revised 07.06.2018 to Clarify Expectations for Providers, Accrediting Organizations, and Surveyors*** ***Revised 06.09.2017 to Clarify Provider Types Affected*** 

    • Legionella Infections: The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least 50 years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems in buildings with large or complex water systems including hospitals and long-term care facilities. Transmission can occur via aerosols from devices such as showerheads, cooling towers, hot tubs, and decorative fountains. 

    • Facility Requirements to Prevent Legionella Infections: 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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