Building Prevention into Every Day Practice
Framework for Successful Clinical Outcomes
Over seven weeks in October and November 2016, PHCA featured 13 elements of the Building Prevention Into Every Day Practice: Framework for Successful Clinical Outcomes. The framework is based on the collaborative work of PHCA, AHCA and long-term care industry providers and operators. The series of blog posts provided an overview of the elements, key takeaways, probing questions to discuss with the teams in your organization and tips and tools to support members to Build Prevention into Every Day Practice.
The entire framework outlined key elements that are critical to successful clinical and organizational outcomes. These elements reflect common denominators that cross multiple care situations. Therefore, instead of being yet another initiative or single focused project to achieve just one outcome, it is a way of acting, thinking and being that will benefit multiple areas across an organization. Each element is addressed in detail throughout the framework
In October 2016 CMS released a QAPI News Brief that focused on Potentially Preventable Adverse Events. The update referred back to the 2014 Office of the Inspector General Report and reviewed the categories of potentially preventable adverse events. The key takeaway was—Preventable harm was most often a result of substandard treatment, inadequate resident monitoring, failure or delay in treatment, and inadequate resident assessment and care planning—DHHS, OIG, 2014.
Success in achieving positive resident/patient outcomes is even more critical now than ever before. The link between quality and payment in long term and post-acute care is growing stronger, as evidenced by the SNF Value Based Purchasing Program (VBP), Improving Post-Acute Care Transformation (IMPACT) Act, SNF Quality Reporting Program (QRP) and more.
In addition, regulatory activity is intensifying through focused surveys on adverse events, dementia care and MDS. The Five-Star Rating system and Nursing Home Compare continue to evolve to broaden public reporting and transparency. Most importantly, consumers expect and deserve high quality care.
Here are the 13 Elements of High Quality Care:
- Element 1: Organizational Foundation—Culture of Safety
- Element 2: The “Rights” in Prevention of Adverse Events
- Element 3: Driving Organizational Outcomes Through Systems
- Element 4: Team-Based Care
- Element 5: Principles of Person-Centered Care
- Element 6: Consistent Use of Evidence-Based Practice
- Element 7: “First of All, Do No Harm” Thinking Built Into Practice
- Element 8: Clinical Foundation: Diagnostic Quality
- Element 9: Cause Identification
- Element 10: Clinical Assessment
- Element 11: Effective Monitoring
- Element 12: Timely Provision of Necessary Care
- Element 13: Individualized Care Approaches Reflected in Care Planning
If you have questions or need additional information, contact Dawn Murr-Davidson, PHCA Director of Quality Initiatives.