The National Nursing Home Quality Improvement (NNHQI) Campaign

The National Nursing Home Quality Improvement (NNHQI) Campaign exists to provide long term care providers, consumers and their advocates, and quality improvement professionals with free, easy access to evidence-based and model-practice resources to support continuous quality improvement. 

The Campaign promotes focus on individuals’ preferences, staff empowerment, and involving all staff, consumers and leadership in creating a culture of continuous quality improvement.

These webpages provide resources designed to support data-driven quality improvement including:

  • Resources to support each step of your quality improvement project on nine priority goals: 
    • Consistent Assignment: Consistent assignment has been shown to strengthen relationships between caregivers and both residents and their family members.
    • Hospitalizations: Many changes in condition can be managed safely without transfer, avoiding the trauma and risks associated with hospitalization.
    • Person-centered Care: Person-centered care promotes choice, purpose and meaning in daily life.
    • Staff Stability: A stable staff allows the nursing home to benefit from experience and knowledge that staff gain over time, increasing the overall competence and confidence of staff, while building strong bonds between residents and caregivers.
    • Dementia Care & Psychotropic Medications: Individualizing care for persons living with dementia supports their highest practicable mental, physical and psychosocial well-being.
    • Infections: Working on this goal will allow a nursing home to implement strategies that reduce the incidence and spread of C. difficile, as well as other infections, among residents in the nursing home.
    • Mobility: Enhancing and maintaining mobility as a part of daily care helps to maintain a person’s function as well as physical and psychological well-being.
    • Pain: Less than adequate pain management can affect residents’ daily activities and quality of life, cause depression, sleeplessness, restlessness, decline in appetite and unintentional weight loss.
    • Pressure Ulcers: A systematic approach to assessing and addressing resident's risk and skin can reduce the incidence and severity of pressure ulcers, thus avoiding pain, infection and other complications, and increasing residents' quality of life.
  • Quality Measure (QMs) trend graphs to support both individual nursing homes and states in identifying priority areas for improvement.
  • Tracking Tools that allow both individual and aggregate views of data, including both process and outcomes measures.
  • Participating providers access interactive data displays that produce on-demand downloadable reports to monitor their project(s)