NHQINursing Home Quality Initiative
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Like the RHQDAPU and the NHQI, CMS intends to post the results once a statistically significant amount of data is collected.
BONRC has shared its knowledge with others in the NHQI Select Groups and has benefited from information gained from other facilities.
Abbreviations: AD = Alzheimer's disease, ADD = Assessment of Discomfort in Dementia, CFE = cognitive failure episode, CI = confidence interval, ICU = intensive care unit, MMSE = MiniMental State Examination, NHQI = Nursing Home Quality Initiative, NSAID = nonsteroidal anti-inflammatory drug, OR = odds ratio, QIO = quality improvement organization, STI = Serial Trial Intervention, VA = Department of Veterans Affairs, VHA = Veterans Health Administration.
In November 2002 for the national NHQI rollout, CMS placed advertisements in 71 newspapers across all 50 states and also promoted Nursing Home Compare in national television advertisements.
Among consumers, Nursing Home Compare's popularity increased greatly following the national rollout of the NHQI. Before the media campaign and launch of the quality measures, the Nursing Home Compare website received fewer than 100,000 visits per month, but in November 2002, Nursing Home Compare received about 400,000 visits (Office of Inspector General 2004).
On the provider side, a CMS-sponsored survey of nursing homes in the NHQI pilot states indicated that 88 percent of facilities had familiarity with Nursing Home Compare (KPMG Consulting 2003).
The NHQI is an important first step towards using quality measurement to help consumers and their families make better-informed decisions when selecting a nursing home.
The NHQI also recognizes that public information presents other market pressures to improve performance.
Whitlock: Each QIO is required to make NHQI training materials available to every Medicare/Medicaid participating home in its state.
By November of last year, when the NHQI was launched nationally, this facility's reported number for chronic pain was down to 6.6% of residents and, as of June 2003, it was down to 3.25%.
NHQI replaces the OBRA survey and certification process.
Hayden also emphasizes the benefits of being in an NHQI pilot state and working with a QIO: "Meeting with Delmarva gave us an outlet where we could brainstorm, and they've been very supportive.