Nursing Homes Quality Improvement Activity (QIA)

Network Project Lead: Kou Kha-Moua

Quality care for ESRD patients within the nursing home is crucial for their quality of life. CMS has designated two goals specifically related to patients who dialyze in a nursing home. The overall outcome is focused on the reduction of harm and improvement of patient safety in regard to peritonitis, hemodialysis catheter infections, and the incidence of blood transfusion. The Network will collaborate and provide support for nursing home facilities, patients, and other stakeholders to meet these national goals and improve the quality of care for the patients we serve.

Webinars

• Reducing Hospitalizations and Emergency Room Visits and Infections in Nursing Home Patients for the ESRD Population

• On-Site Home Hemodialysis (HHD) in Skilled Nursing Facilities

  • Slides

  • Transcript

  • Post Test & Evaluation

Quality Improvement Resources

• Quality Improvement Videos

  • Quality Improvement in Healthcare (11:08 Minutes)

  • Root Cause Analysis - Process to Identify Areas for Quality Improvement

    • What is a Fishbone Diagram? (3:08 Minutes)

    • Root Cause Analysis: 5 Whys (4:44 Minutes)

  • PDSA Cycles - Process to Achieve Quality Improvement (6:21 Minutes)

Resources

• Nursing/Dialysis Transition of Care Toolkit

  • Communication Resources

    • Long-Term Care Facility COVID-19 Communication Form

    • Communication Strategies & Tips for Success

  • Promoting Home Dialysis

    • Why Should I Choose Home Dialysis (Brochure)

    • Why Should I Choose Home Dialysis (Poster)

References

• Gold JA, Rossen LM, Ahmad FB, et al. Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19 — United States, May–August 2020. MMWR Morb Mortal Wkly Rep 2020;69:1517–1521. DOI:http://dx.doi.org/10.15585/mmwr.mm6942e1

• Yerram P, Misra M. Home Dialysis in the Coronavirus Disease 2019 Era. Adv Chronic Kidney Dis. 2020;27(5):442-446. doi:10.1053/j.ackd.2020.07.001