NDHCRI serves as the Local Area Network for Excellence (LANE) for the Advancing Excellence in America’s Nursing Homes Campaign. (The LANE is the statewide organization that helps participating nursing homes achieve campaign goals, and provides resources to actively engage nursing home staff and consumers in campaign activities.) As part of the 9SOW patient safety responsibilities, NDHCRI is assisting nursing homes reduce the rates of and use of physical restraints and reduce pressure ulcers. These responsibilities align with goals included in the campaign's eight goals.
The campaign's eight goals are as follows:
Goal 1 - Staff Turnover: Nursing homes will take steps to minimize staff turnover in order to maintain a stable workforce to care for residents.
Goal 2 - Consistent Assignment: Being regularly cared for by the same caregiver is essential to quality of care and quality of life. To maximize quality, as well as resident and staff relationships, the majority of nursing homes will employ “consistent assignment” of CNAs.
Goal 3 - Restraints: Nursing home residents are independent to the best of their ability and rarely experience daily physical restraints.
Goal 4 - Pressure Ulcers: Nursing home residents receive appropriate care to prevent and appropriately treat pressure ulcers when they develop.
Goal 5 - Pain: Nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain. Objectives for long stay and short stay are slightly different.
- Goal 5A: Long stay (longer than 90 days) nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain.
- GOAL 5B: People who come from a hospital to a nursing homes for a short stay will receive appropriate care to prevent and minimize episodes of moderate or severe pain.
Goal 6 - Advance Care Planning: Following admission and prior to completing or updating the plan of care, all nursing home residents will have the opportunity to discuss their goals for care including their preferences for advance care planning with an appropriate member of the healthcare team. Those preferences should be recorded in their medical record and used in the development of their plan of care.
Goal 7 - Resident/Family Satisfaction: Nursing home staff will assess resident and family experience of care and incorporate this information into their quality improvement activities.
Goal 8 - Staff Satisfaction: Nursing home administrators will assess staff satisfaction with their work environment at least annually and upon separation and incorporate this information into their quality improvement activities.
For detailed information about the campaign in North Dakota, please access Standing Up for Quality. If you would like assistance registering for the campaign, please complete the registration form and submit as instructed.
For more information about North Dakota's participation in the campaign, please feel free to contact Debbie Hoover, dhoover@ndqio.sdps.org.
To register to participate in the campaign unassisted or make changes to your goals, please visit the Advancing Excellence in Nursing Homes website: www.nhqualitycampaign.org.
