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UPCOMING WORKSHOPS
Stop Playing Restorative Roulette!
How to Develop & Implement a Facility Restorative Nursing Program
Where: Aurora, Colorado
When: October 21, 2010
Click Here to Learn More!
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Our Products
QUALITY IMPROVEMENT FOR LONG TERM CARE MANUAL CTS#101
$159.00 plus $12 Shipping and Handling
Author: BJ Collard, RN, BSN, CPHQ, RAC-CT
Third edition now available! Off the press April, 2006
Click HERE to order online.
Click HERE to download a printable (pdf) order form.
Corporate Agreements available that allow a company to customize the 128 process forms/templates to their needs & preferences and make
available to all corporate facilities through their online network. Don't start from scratch. Use these templates.
Call BJ Collard at 303 426 9712 to discuss Corporate Agreements.
A proactive quality improvement program increases customer satisfaction, identifies improved ways of doing things, enhances best practice,
maintains systems that function as expected, fosters quality delivery of care and services and sustains quality and compliance over time.
This manual provides practical recommendations on how to develop or rejuvenate a program and guides staff to implement a successful,
comprehensive Quality Improvement System. A quality Improvement process/model is illustrated and each component explained and illustrated.
The manual includes sections on how to set priorities, utilize problem solving tools, perform root cause analysis, set up the committee structure &
process, involve direct care staff, collect data, display data, simplify QI minutes and streamline QI process documentation. CD provided.
NARRATIVE CHAPTER TOPICS - CHAPTER I:
- Overview
- Cost of Quality
- Industry Movements and Resources
- Mission Statement
- Customers
- Quality Improvement Steps - Process Steps and Model
- Data Collection/Sampling/Data Display
- Problem Solving Tools and Methods
- Structure /Organization
- Tracking, Documenting, Reporting
- Formal Audit/QI Process Oversight
- Where to Start
- Surveillance -Falls, Infections, Clinical Areas
- Survey Readiness, Ongoing Preparedness
- Utilizing Quality Indicators/Quality Measures
- Assisted Living
QI PROCESS FORMS* - CHAPTER II:
- Customers - tools for making decisions about what customers want and expect, council meeting/minutes audit, moments of truth identification, customer concerns tracking logs
- Quality control department logs - activity & results tracking, further investigation triggered documentation
- Root cause analysis forms - process guides, sentinel event investigation, root cause analysis
- Data collection and data display forms
- Sample selection methods
- Problem solving tools
- Structure/organization - organizational/facility plan, organizational charts, master yearly schedule, meeting agendas, departmental and facility calendars, documentation/reporting, tracking forms, meeting follow up forms
- Surveillance - complete set of tools for surveillance of falls, infections and key clinical area such as pressure ulcers, unplanned weight loss, medication errors, physical restraint usage
- Survey readiness tools - regulation guide by category, nursing monitoring/oversight tools; DON ongoing readiness review; facility survey notebook preparation guide; work sheets for Nurse aide training competency, registry verification, hospice & dialysis services, in-service and orientation records; staff preparedness questions; plan of correction worksheets and follow up forms
- Guide for analyzing QI/QM Triggers
- Forms specific to Assisted Living - indicator tracking log, guide/plan for yearly QI activities, committee agenda
* This list includes some of the 128 forms available in the manual. Corporate agreements allow a company to use each from
Template and change both the content and format of these forms to suite their needs.
CQI OBRA REGULATION TOOLS** - CHAPTER III - All of the OBRA regulations are set up as continuous quality Improvement (CQI) audit
tools that can be used to perform ongoing reviews and mock surveys. These tools also serve as a quick reference for staff on best practice
and regulation requirements. Administrators and DONS new to LTC find this manual invaluable for learning the regulations. These tools
serve as a map to clinical staff for reviewing the new requirements for pressure ulcer prevention and care, urinary incontinence, urinary
tract infections, Medical Director Requirements, unnecessary medications and pharmacy regulations. All of the clinical areas under the
quality of care tag numbers are included in the CQI tools. A new department head can use these tools to learn expectations for their
department. For example there are four CQI tools for the Dietary Department - dietary assessment, care planning and documentation,
dining/meal service and dietary department requirements. Additional tools to assist department heads are: Environmental, Safety and
Life Safety; Activities, Social Services, Nursing department programs; Restorative Nursing; Infection Control; OSHA; Orientation;
In-service; Abuse Prevention; Personnel Files; Resident Rights and Dignity. The Administrative CQI tool serves as a checklist for
administrative areas that need to be current and in place. There are a total of sixty-five CQI tools in the manual.
** The latest regulations and investigative protocols are included. as of the April, 2006 3rd. edition completion date. Ongoing updates to
regulations will be made available yearly as applicable.
QI/QM ANALYSIS TOOLS - CHAPTER III:
Each QI/QM is formatted to be an analysis working tool and includes the involved MDS items,
risk adjustments, exclusions, numerator, denominator and technical specifications. The tools guide the reviewer to conclude if the triggered
QI/QM was due to inaccurate MDS coding, deficient clinical practice or case mix. Use of these tools helps a facility to identify exactly
what their triggered QI/QM percentages mean and proactively address them. Chapter I addresses how to use these tools.
CQI ASSISTED LIVING TOOLS - CHAPTER III:
Regulations vary from state to state. This section includes 20 CQI tools specific to
assisted living.
A Practical guide for implementing a Total Quality Management (TQM) Program
CTS, INC 303 426 9712
Click HERE to download a printable (pdf) order form.
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