Nursing Home Resources

All Cause Harm Prevention in Nursing Homes: Change Package to Prevent Harm

This Change Package aims to serve as a key resource for anyone interested in improving the quality of life and quality of care for those living in nursing homes. This All Cause Harm Prevention Change Package is focused on the successful practices of high-performing nursing homes. It was developed from a series of site visits to nursing homes across the country and the themes that emerged regarding how they approached prevention of harm while honoring each resident’s rights and preferences and how they carried out their work. The practices in the Change Package reflect how the nursing home leaders and direct care staff at these sites shared and described their efforts to prevent, detect, and mitigate harm.

Nursing Home Training Sessions

These six sessions provide nursing home leaders with a set of training materials that they can use to enhance understanding of important concepts and practices that promote antibiotic stewardship and C. difficile prevention, and communication strategies and tools to promote quality and safety. The content for each session was developed as a set of bite-sized” sections to keep the information, concise, brief, actionable, and customizable. The Quality Innovation Network National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS), developed these sessions with support from the Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality. 

Facility Assessment Tool

This assessment provides nursing home leaders with an optional tool to help them determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Nursing homes can use this assessment to make decisions about direct care staff needs, as well as their capabilities to provide services to the residents in the facility. This tool can help nursing homes comply with federal regulations to complete a facility assessment. The Quality Innovation Network National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS), developed the tool.

National Nursing Home Quality Care Collaborative Change Package v2.2 (updated 2017)

This Change Package is intended to support overall nursing home quality and performance improvement and focuses on the systems that impact quality such as: staffing, operations, communication, leadership, compliance, clinical models, promoting resident quality of life, and specific, clinical outcomes It was developed from a series of site visits to nursing homes across the country in 2012 and the themes that emerged regarding how they approached quality and carried out their work. The practices in the change package reflect how the nursing homes leaders and direct care staff at these sites shared and described their efforts. The change package is a menu of strategies, change concepts, and specific actionable items that any nursing home can choose from to begin testing for purposes of improving residents’ quality of life and care.

The National Nursing Home Quality Improvement (NNHQI) Campaign

The Campaign offers evidence-based and model-practice resources to support continuous quality improvement. Easy-to-use Excel tracking tools and interactive online graphing features allow homes to track their progress. Learn more.