Governance













State Network News
August 2006, Issue 59
Front Page: HOD Chair's Message
Message from Executive Director, Lorraine Tarnove
Taking Steps to Engage Futures Participants
State Chapter Resources at Your Fingertips
Revised State Chapter Handbook is Online
A Partnership that Works
Advocating Your Cause in the State Legislature
CMS Announces Payment Increase for Skilled Nursing Facilities
Upcoming Chapter Meetings
Printable Version of This Issue

Quality Initiative Launches September 29th - State Leaders Invited

AMDA has participated in an informal group known as the Sioux Falls Group for some ten years. The group met first in Sioux Falls at the invitation of Judy Ryan, then CEO of the Good Samaritan Society, to create dialogue among long term care stakeholders. Since then, the group has met twice a year in Washington, DC. The topic of quality improvement has emerged regardless of the particular issue at hand. Last spring, the group met with CMS Administrator Mark McClellan (who recently resigned his position effective October 2006) to enjoin CMS in a quality initiative involving all the national groups and setting quantifiable goals. The goals are based on CMS QI data collected over the last several years under the QIO program. Paul McGann, MD of CMS has been reporting on this project to the Sioux Falls Group for several years. McGann's willingness to enter into an open dialogue with the members of Sioux Falls Group ended in the development of the Advancing Excellence in America's Nursing Homes campaign.

The 18 month campaign will kick off with a one-day program on September 29, 2006 at the National Academy of Sciences. As a founding member of the sponsoring coalition, AMDA's Board of Directors and state chapter presidents were invited.

Working with Local Area Network (LANES), national organizations and their local affiliates will provide tools and support for quality initiative activities, as well as recruiting nursing facilities. The facilities will enroll voluntarily. The website www.nhqualitycampaign.org will link facilities to the various participating organizations and the tools and assistance available. AMDA believes medical directors can be very influential activists in this initiative. Using AMDA's various process based clinical practice guidelines, medical directors can take a leadership role to help nursing facilities:

  • Identify the goals they wish to pursue
  • Develop process-based approaches to addressing the issue
  • Educate other team members about the clinical aspect of issue to be addressed e.g., offer inservices for nursing on assessing pain or treating pressure ulcers
  • Define roles for each care team member's participation
  • Monitor care and help to analyze data
  • Involve consumers; help them understand quality initiatives and measures

AMDA will be developing additional guidance for the use of existing materials. Log onto www.amda.com for more details and begin talking with your nursing facility administrator about joining the campaign and selecting

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