Author: IPRO

Conducting a Root Cause Analysis (RCA) is an important step to identifying areas of opportunity for improvement, to reduce avoidable hospital utilization, medication errors, or other issues.
This compendium includes evidence-based and best practice tools to help you get started. After completing the RCA process with your team, we recommend exploring the IPRO QIN-QIO Guide to Improving Care Transitions and other resources on the IPRO QIN-QIO Resource Library (https://qi-library.ipro.org).

Document with links for resources for evidence-based resources for non-medication interventions. Includes:
▪ Use of Non-medication Interventions
for residents with expressions due to
cognitive and structural changes have
been demonstrated to be beneficial.
▪ Use of these resources can be
used on orientation, with annual competencies, and individual
resident-centered care planning.

This guideline provides recommendations for clinicians providing pain care, including those prescribing opioids, for outpatients aged ≥18 years. It updates the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016 (MMWR Recomm Rep 2016;65[No. RR-1]:1–49) and includes recommendations for managing acute (duration of <1 month), subacute (duration of 1–3 months), and chronic (duration of >3 months) pain.

The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.

The guideline addresses the following four areas:

1) determining whether or not to initiate opioids for pain,

2) selecting opioids and determining opioid dosages,

3) deciding duration of initial opioid prescription and conducting follow-up, and

4) assessing risk and addressing potential harms of opioid use.

CDC developed the guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework. Recommendations are based on systematic reviews of the scientific evidence and reflect considerations of benefits and harms, patient and clinician values and preferences, and resource allocation.

CDC obtained input from the Board of Scientific Counselors of the National Center for Injury Prevention and Control (a federally chartered advisory committee), the public, and peer reviewers.

CDC recommends that persons with pain receive appropriate pain treatment, with careful consideration of the benefits and risks of all treatment options in the context of the patient’s circumstances.

‘Patient, Family, and Care Partner Advisor PFCA’ toolkit outlines best practices within healthcare ecosystems. This toolkit can serve as a guide for individuals and organizations looking to incorporate patient-centered approaches into their decision-making processes and for PFCA’s direct involvement.

This is a video taking the audience through one quality measure, in this case High Risk Pressure Ulcers, and tying the guidance from the RAI Manual to the specific quality measure specifications to accurately code and honestly reflect the nursing home population.

This is an Excel trending report that provides the opportunity to trend multiple data points with focused trending graphs instantly available to either print on standard letter-sized paper or save as individual PDFs for electronic sharing.

 

The Monthly Pressure Ulcer Tracking Form was developed to assist facilities track their pressure ulcers on a monthly basis with the ability to carry over unhealed/unresolved pressure ulcers unto a new monthly tracking form. It maintains an active list of all current pressure ulcers in real time to assist with the investigation, treatment and provide an important piece in the development of a targeted pressure ulcer prevention program. (See instructions below on how to download the tracking form.)

Complete this form to receive a link to download a zipped folder of the Pressure Ulcer Tracking Resources to include the Excel tracking form as well as a PDF instructional guide that explains the use of the tool: https://forms.office.com/r/369PSU6V4m

For questions on the Monthly Pressure Ulcer Tracking Form and Guide, please contact Dave Johnson (djohnson@ipro.org) or IPRONursingHomeTeam@IPRO.org.

A link to the most current State Operations Manual (SOM) for Long Term Care Facilities.

The infection and antibiotic tracking form was developed to assist facilities track both their infections and antibiotic use on a monthly basis. It maintains an active list of all infections and antibiotic use in real time. (See instructions below on how to download the tracking form.)

Complete this form to receive a link to download the Infection and Antibiotic Tracking Tool.

This form is used to gather information and facilitate a discussion for process improvement measures to address readmissions that occur within 1-7 days or 2 or more readmissions within 30 days.

This process map can serve as a visual illustration of the steps in addressing Emergency Room transfers. This tool may also be used for training and quality improvement using checks [√} to ensure steps are taken. This document is not part of the Medical Record and is for quality improvement purposes only.