Courtney Krier, Director, Quality & Quality Award Tim Case, Administrator, Quality Award Program Tom Boyes, Altercare of Ohio

Transcription

1 Courtney Krier, Director, Quality & Quality Award Tim Case, Administrator, Quality Award Program Tom Boyes, Altercare of Ohio 1. Discuss the AHCA/NCAL National Quality Award program criteria 2. Identify how the Quality Award program helps an organization prepare for CMS impending Quality Assurance/Performance Improvement (QAPI) 3. Discuss the resources available to assist providers in starting the Quality Award journey 1

2 Launched in 1996 Approx. 9,000 applications and 3,500 awards Criteria based on the Baldrige Performance Excellence Program The mission of the AHCA/NCAL National Quality Award program is to promote and support the application of continuous quality improvement in AHCA/NCAL member organizations 2

3 Framework for Performance Excellence Organizational Profile Leadership Strategic Planning Customer Focus Measurement, Analysis and Knowledge Management Workforce Focus Operations Focus Results Organizations must achieve the award at each level to continue to the next level 1. Bronze Commitment to Quality (5 pages) 2. Silver Achievement in Quality (20 pages) 3. Gold Excellence in Quality (55 pages) 3

4 Gold: : 18 Silver: 315 Bronze:

5 5-page application that addresses 20 questions (criteria) Criteria are straight-forward questions Many can be addressed in 2-3 sentences There are no trick questions Responses to the criteria are evaluated on a simple met/not met basis; Examiners do not use a list of right answers All applicants receive a feedback report identifying which criteria were met and not met (and the reasons why) 5

6 The Bronze Application is most importantly a statement of priorities Key = Most Important You may have a clear picture of what s most important (key), but others in the center may not This comprehensive understanding creates an unwavering focus on key performance requirements and results 6

7 20 page application Overall concept across 7 categories A team of 3-4 Examiners review each application Examiners determine applicants ability to meet criteria and established scoring guidelines Applicants receive feedback in each section of the criteria 7

8 Silver award recipients show that they have established effective systems and are achieving results at a level where they are most likely to keep moving forward on their quality journey, rather than sliding back Not about perfection!!! The Silver award builds on the foundation and priorities established in Bronze Applicants design and implement basic systems necessary for continuous quality improvement and overall quality These fundamental systems will be expanded into greater detail in addressing the gold criteria 8

9 55-page application Responsive to full Baldrige Criteria; builds upon Silver criteria Examiners determine applicants ability to meet criteria and established scoring guidelines (same as Silver) 9

10 Applicants are expected to meet a higher scoring threshold than Silver Applicants in consideration for the Award receive a Site Visit by a team of Examiners Applicants receive feedback in each section of the criteria Recipients are recognized as some of the best performers in long term care 10

11 The Gold criteria requires fully developed systems that involve cycle of learning for improvement and full integration of all components in the center These systems work toward recognized and broadly understood objectives and goals of quality These systems drive understood, measured and improving levels of performance 11

12 AHCA/NCAL National Quality Award Program QAPI Continuous Quality Improvement Feedback, Data Systems and Monitoring Performance Improvement Projects Quality of Life Quality of Care Systematic Analysis & Systemic Action Design & Scope Governance & Leadership 12

13 QAPI Element Design and Scope Governance and Leadership Feedback, Data Systems and Monitoring Performance Improvement Projects Systematic Analysis and Systemic Action Baldrige Framework Organizational Profile Category 1 Leadership Category 2 Strategic Planning Category 3 Customer Focus Category 4 Measurement, Analysis & Knowledge Management Category 5 Workforce Focus Category 6 Operations Focus Category 7 Results The Quality Award directly aligns with the QAPI principles The Quality Award can assist your organization in preparing for QAPI regulations The Quality Award program is an infrastructure that allows you to assess your organizations strengths and opportunities Baldrige criteria takes a systems based approach to performance improvement Requires strong approaches, continuous learning and appropriate deployment and integration 13

14 Bronze, Silver and Gold application packets are available on the Quality Award website (qa.ahcancal.org) Application packets contain program information and criteria Important to read through the application packet in full 14

15 Member of AHCA/NCAL No substandard quality of care or immediate jeopardy on any surveys within the last three years ( ) or leading up to award notification in 2014 Applicants with multi-levels of care apply for the entire organization or a distinct part of the organization, but must be consistent Participate in an educational program Deadline: November 14, 2013 at 8 pm EST Not mandatory Benefits: Overall application fee is reduced by $200; and Regular communications from Quality Award staff 15

16 But first Mark your calendar with the application deadlines Bronze & Gold: January 30, 2014 Silver: February 27, 2014 And review the technical requirements! 16

17 YouTube-based A video for each criteria Designed for team use Includes a viewing guide Addresses 7 key management topics Faculty for each session includes a nationally-recognized authority on the subject and a long term care provider who has extensive success in apply the subject in a facility Includes a viewing guide 17

18 Quality Award: qa.ahcancal.org Baldrige: LTC Trend Tracker: Tim Case: Courtney Krier: Urvi Shah: General Contact: 18

19 Survey History Your Member Resource Resident Characteristics Staffing Information Cost Report and Medicare Utilization CMS Five Star Rating Multi-Center Registration is done by the corporate office Individual Contact your owner or administrator 19

20 Nursing Home Compare Advancing Excellence Satisfaction vendor (i.e. My Innerview, Pinnacle, etc.) LTC Trend Tracker Corporate Data State Association Q & A 20