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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - Purpose
Transfer Risk Reports (high- and medium-risk residents) provide a weekly snapshot of residents … • What are the most common risk factors among high-risk residents? … • How often is polypharmacy seen in residents at risk for transfer? … This threshold represents about 20 percent of
nursing home residents. … of residents transferred to the ED, number of residents with more than one ED
visit in the last 30 days
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Toolkit to Educate and Engage Residents and Family Members helps nursing homes encourage an open and … respectful dialogue between nurses and prescribing clinicians and residents and family members and helps … residents and family members participate in their care. … understand how omissions of care are defined in a way that is meaningful to stakeholders, including residents
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preventiveservices.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/index.html
January 01, 2023 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … payer for these long-stay patients is Medicaid programs; costs are also often borne by nursing home residents … While some measures are relevant to both short- and long-stay nursing home residents, others are specific … When selecting measures of nursing home quality, keep in mind that for residents, especially long-stay … residents, the nursing home is their home as well as a place for them to get care.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story6_rochester-regional.pdf
June 01, 2016 - McGrail to create the training, based on the SHARE
Approach curriculum, for the hospital residents as … Karmally conducted a debrief on the training and provided
residents with feedback cards. … Training for Residents
At Rochester General Hospital, Dr. … Karmally
carried out three separate shared-decisionmaking
trainings for residents. … Deshommes, preceptors in the residents’
continuity clinics.
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preventiveservices.ahrq.gov/nursing-home/materials/prevention/vaccine-records.html
July 01, 2022 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … nursing home staff to track and trend COVID-19 vaccine administration data, including boosters, for both residents
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preventiveservices.ahrq.gov/topics/falls.html
Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … between 700,000 and 1,000,000 people in the United States fall in the hospital, and about 1.3 million residents … On-Time Falls Prevention
These tools help nursing homes with electronic medical records identify residents
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
March 01, 2017 - This includes all residents, whether or not they have a catheter. … collected at the same time each day. 0
Urine Cultures: Number of urine cultures collected, for all residents … first day of the month: (e.g., 10/1/2015)
Date CAUTIs
(# of new events) Resident Catheter Days
(# of residents … w/catheters) Resident Days
(# of residents) Urine Cultures
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
January 29, 2015 - Weekly huddle to review residents at risk with CNA staff
2. … Weekly huddle to review residents at risk with CNA staff
2. 2.Weekly nutrition-at-risk meetings … Internal review to monitor residents with pressure ulcers, confirm
awareness of nutritional status of … priority residents
6. … Weekly huddle to review residents at risk with CNA staff
2.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - Long-term care residents Yes No
B. Short-term care residents Yes No
C. … Do you develop a care plan for residents at risk for hospital transfers? … Standing daily weight orders for residents with CHF? Yes No
ii. … Standing rescue orders for residents with COPD? Yes No
iv. … knowledge of residents’ health and risks.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … with recent changes in risks
Profile risks for each resident in report
Prioritize residents for possible … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the … Prioritize residents who may need changes to care plans.
Engage in discussions about care changes.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - Exclusions
• Residents no longer being treated at the facility, which includes residents with discharge … ; residents display either on high
or medium risk, never both … Use Hospital Admit details only for residents linked to a facility transfer. … and when there is an associated
13 # Residents Count the total number of unique residents with Intake … Use Hospital Admit details only for residents linked to a facility transfer.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … 2014
On-Time Overview
6
6
Common Elements of On-Time
EMR used to develop reports that identify residents … with recent changes in risks
Profile risks for each resident in report
Prioritize residents for possible … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … 2017
On-Time Overview
6
6
Common Elements of On-Time
EMR used to develop reports that identify residents … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the … Prioritize residents who may need care plan changes.
Discuss care plan changes.
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preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Weekly huddle to review residents at risk with CNA staff
2. … Weekly huddle to review residents at risk with CNA staff
2. … Internal review to monitor residents with pressure ulcers, confirm awareness of nutritional status of … priority residents
6. … Weekly huddle to review residents at risk with CNA staff
2.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - with >1 ulcer will appear multiple times)
Can be filtered to display residents at the unit and facility … with at least one pressure ulcer
Denominator: Number of all current residents
% of Residents With New … Pressure Ulcers
Numerator: Number of current residents with a pressure ulcer that developed during the … With More Than One IHA Pressure Ulcer
Number of Residents With More Than One POA Pressure Ulcer … Were these residents identified as at risk for delayed healing of their pressure ulcers?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - We don’t consider this for all residents with pressure ulcers. … We usually focus on residents with changes in care plans. … √
Use of nutritional supplements for residents with pressure ulcers? … ’ clinical status and residents’ care plan interventions for CNA followup. … These residents with pressure ulcers have very significant nutritional needs.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - We don’t consider
this for all residents with pressure ulcers. … We usually focus on residents with
changes in care plans. … √
Use of nutritional supplements for
residents with pressure ulcers? … ’ clinical status
and residents’ care plan interventions
for CNA followup. … These residents with
pressure ulcers have very significant nutritional needs.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - of large central
metropolitan areas received worse care than residents of large fringe
metropolitan … ♦ For one-third of quality measures, residents of micropolitan and noncore
areas received worse care … than residents of large fringe metropolitan areas … ♦ For a little less than 20% of quality measures, medium and small
metropolitan residents received … worse care than residents of large fringe
metropolitan areas.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptx
December 01, 2014 - meeting either one of the criteria are categorized as medium risk; residents meeting both criteria are … True
False
Residents who have not been weighed during the report week cannot display on the High-Risk … with the specified trigger for the week displayed as a percentage of the total number of residents on … True
False
Residents must meet at least two triggers during the report week to display on the report. … same residents who display on the Nutrition Medium-Risk Report.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.pptx
March 13, 2017 - Catheter-Associated Urinary Tract Infection (CAUTI)
Criteria for defining CAUTI in long-term care residents … Catheter-Associated Urinary Tract Infection (CAUTI)
Criteria for defining CAUTI in long-term care residents … Catheter-Associated Urinary Tract Infection (CAUTI)
Criteria for defining CAUTI in long-term care residents … Catheter-Associated Urinary Tract Infection (CAUTI)
Criteria for defining CAUTI in long-term care residents … ml)
Print 2-sided, makes 4 pocket cards per page
2
*Constitutional Criteria for Long-Term Care Residents