Enhancing Quality Improvement Adoption in US Nursing Homes

The COVID-19 pandemic exacerbated and illuminated quality failings in nursing homes, persistent equity issues, and the system- and policy-level factors that contribute to their endurance. To begin seeking ways to address these issues, the Institute for Healthcare Improvement (IHI) conducted a 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.

To inform the work, IHI conducted a literature scan focused on quality improvement in US nursing homes and the Quality Assurance and Performance Improvement (QAPI) program; 20+ expert interviews; and a site visit to one high-performing nursing home.

This report summarizes the research findings and presents some recommendations for organizations seeking to work with nursing homes to improve quality.

IPRO QIN-QIO Opioid Utilization Dashboard

The IPRO QIN-QIO Opioid Utilization Dashboard is an interactive tool in Tableau that shows geographic comparisons at the state and county levels of de-identified Medicare Part D opioid prescriptions filled within11 states and the District of Columbia in the IPRO QIN-QIO network. We also provide information on the concomitant use of benzodiazepines and opioids. Our goal is to support your efforts, as an organization or a community partner, in improving opioid prescribing practices.

Click here for a Video tutorial on how to use the dashboard

For questions or additional information about this Dashboard, please email Anne Myrka, RPh, MAT, amyrka@ipro.org .

Appropriate Use of Immediate-Release vs. Extended Release Opioids

According to the Centers for Disease Control and Prevention (CDC) Clinical Practice Guideline for Prescribing Opioids for Pain, 2022, when initiating opioid therapy clinicians should prescribe immediate-release (IR) opioids instead of extended-release and long-acting (ER/LA) opioids, which are slower acting medications with a longer duration of pain relieving action.

This guide provides definitions for opioid naïve and tolerant, identifies key differences between IR and ER/LA opioids, guides transitioning from IR to ER/LA, offers treatment pearls including opioid tapering algorithms, patient education and opioid disposal, provides comprehensive tables for commonly used IR and ER/LA opioids, and includes a morphine milligram equivalent conversion table.

LINKS Portfolio: Falls Prevention

Knowledge Sharers education materials and guidance to help spread awareness about health topics relevant to your community members and support population health.

Falls Prevention: What You Need to Know

Help spread awareness about falls and what patients/community members can do to prevent them with this fact sheet.

https://drive.google.com/file/d/1VcNKowdTNedIMkH4QhbhOafENoJsLJt7/view?usp=drive_link

Falls Prevention Presentation

This PowerPoint presentation is about falls prevention and can be adapted to fit the needs of your specific audience or community.

https://docs.google.com/presentation/d/1LGNfeZstiEO5Pk38CYIQCg1hvXcF4uk8/edit?usp=drive_link&ouid=103685187999998386862&rtpof=true&sd=true

LINKS Portfolio: Immunization

The IPRO QIN-QIO has prepared educational materials to help spread awareness about health topics relevant to your community members and to support population health.

The following educational materials are intended to be adopted/adapted and shared to increase awareness about immunizations and enhance the health of your community:

Immunization Issue Brief

Help spread awareness about the importance of vaccines to protect against vaccine-preventable diseases and promote healthy communities.

Adult Immunization Presentation

This PowerPoint presentation is about immunization and why it matters. The presentation slides can be adapted to fit the needs of your specific audience or community.

Handout Adult Immunization Card

This resource can be provided to consumers/patients to record and track their immunizations.

Handout: COVID-19 Updated Vaccine What You Need to Know Flyer

This handout can be provided to patients/consumers who want to know more about the COVID-19 vaccine.

Handout: Influenza Vaccine What You Need to Know Flyer

This handout can be provided to patients/consumers who want to know more about the influenza vaccine.

Handout Pneumococcal Vaccine What You Need to Know Flyer

This handout can be provided to patients/consumers who want to know more about the pneumococcal vaccine.