AHCA Reveals New and Updated Quality Metrics
AHCA continues to put forth solutions and quality metrics to guide Long Term Care towards measurable quality improvement. In their first launch of Quality Metric goals AHCA sought to improve or reduce re-hospitalizations, staff turnover, customer satisfaction and off-label antipsychotic use. AHCA and its members in a coordinated effort with CMS contributed to only “19.2% of long-stay nursing home residents…receiving an antipsychotic medication in the third quarter of 2014, compared with 23.9% in the fourth quarter of 2011 — a net decrease of 19.4%.”
AHCA plans to expand on the antipsychotic goal by encouraging late comers to strive for the 15% reduction and those who met the goal to maintain. Below are specific details shared by AHCA on the Quality Metrics and the goals presented to CMS for the next 3 years.
Improve Organizational Success by:
1. Increasing staff stability by decreasing turnover among nursing staff by 15 percent or achieve and maintain a turnover rate of 40 percent or less by March 2018;
2. At least 25 percent of members measuring and reporting long-stay resident and family satisfaction and/or short-stay satisfaction using the Core-Q survey;
3. Reducing the number of unintended health care outcomes by March 2018;
Improve Short-Stay/Post-Acute Care by:
4. Safely reducing the number of hospital readmissions within 30 days during a skilled nursing center stay by an additional 15 percent or achieve and maintain a low rate of 10 percent by March 2018;
5. Improving discharge back to the community by 10 percent or achieve and maintain a high rate of at least 70 percent by March 2018;
6. At least 25 percent of members adopting and using the mobility and self-care sections of the CARE tool and report functional outcome measures using LTC Trend TrackerSM;
Improve Long-Term/Dementia Care by:
7. Safely reducing the off-label use of antipsychotics in long-stay nursing center residents by an additional 10 percent by December 2015 and 15 percent by December 2016;
8. Safely reducing hospitalizations among long-stay residents by 15 percent or achieve and maintain a low rate of 10 percent or less by March 2018.
AHCA will use CMS data and measures to track progress of the goals. Members can view their progress using AHCA’s LTC Trend TrackerSM, a web-based, data collection and benchmarking tool.
Visit qualityinitiative.ahcancal.org for more information about the AHCA Quality Initiative.