Page 10 - Report to the Community - 2015-2017
P. 10

LONG TERM CARE QUALITY IMPROVEMENT
                                                                                                                                        The Gold STAMP Program to Reduce Pressure Ulcers


                                                                                                                                        A coalition of organizations, the Empire Quality      Target Audience includes administrators; direct
                                                                                                                                        Partners, EQP including NYSHFA, convened in New       care staff including RNs, LPNs, PHNs, CWONs,
                                                                                                                                        York State to provide resources and education across   MDs, PAs, NPs, nutritionists, PTs, health care educators,
                                                                                                                                        the continuum of care to improve the assessment,      and hospice staff working in hospitals, nursing homes,
                                                                                                                                        management and prevention of pressure ulcers.         long term care programs, and home care.  The FQC

                                                                                                                                                                                              secured funding for the Gold STAMP program from the
                                                                                                                                        The goals of the Gold STAMP                           New York State Health Foundation for 2011-2013, in
                                                                                                                                        Program are to:                                       addition funding has been provided by the New York
                                                                                                                                                                                              State Department of Health under the Medicaid Re-
                                                                                                                                        •    Provide and promote the use of                   design Team and continued into 2017. This program
                                                                                                                                           information, education and standardized            established cross setting collaboratives involving 40
              FQC’s Customer Satifsfaction project was successful in all                                                                   practices for pressure ulcer assessment,           health care organizations that resulted in the percent-
                                                                                                                                           management and prevention across the               age of high-risk residents with pressure ulcers in long
              35 participating nursing homes. Benefiting 3737 residents
                                                                                                                                           continuum of care.                                 stay residents declining from 8% to 6.1% in 21 months.
              and 1563 family members.                                                                                                                                                        The impact on all residents was a decrease from 13%

                                                                                                                                        •    Promote collaboration and communication          to 7.2%.  This decrease in incidence of pressure ulcers
                                                                                                                                           within and throughout the continuum of             has sustained into 2017. The FQC has continued to
                                                                                                                                           care and other key stakeholders related to         support this effort and provided webinars and updates
                                                                                                                                           pressure ulcer assessment, management              to the website resource materials throughout 2017.
                                                                                                                                           and prevention.
              Customer Satisfaction Survey Project                                                                                                                                            Sustainable Resources:

                                                                                                                                        •    Provide strategic direction and support
                                                                                                                                                                                              Website resources for Gold STAMP:
              The New York State Department of Health contracted    the results of the first year survey into their Quality                for pressure ulcer performance
                                                                                                                                                                                              www.goldstamp.org
              with the FQC to implement improvements for nursing    Improvement Performance Improvement Processes                          improvement.
              home residents in response to customer satisfaction   allowing facilities to respond and measure their efforts
              survey results. The FQC partnered with the National   to address resident and family input.  The project was              •    Promote and expand engagement of
              Research Corporation to implement the My InnerView    successful in the 35 participating nursing homes.                      hospitals, nursing homes and home care
              customer satisfaction tool for 3737 residents and 1563   Participating facilities’ outcomes included overall suc-            agencies in Gold STAMP principles.
              family members in 35 nursing homes. Outcomes from     cess with increasing overall satisfaction as well as family
              the surveys were the driving forces for the quality initia-  and resident willingness to recommend the facility.          •    Promote and expand engagement of

              tives steps taken. The project used a written survey,    Additionally, the pilot group indicated that the proj-              physicians and other advanced practice
              in-person interviews, resident survey assistance, and   ect supported the development of improved problem                    clinicians/professionals in Gold STAMP
              family surveys, so that those who may have commu-     solving, root cause analysis and effective use of Perfor-
              nication challenges could still have a voice.  The pilot   mance Improvement Project (PIP) teams. The FQC
              spanned two years (2016 and 2017) providing the res-  has submitted a new proposal to the New York State
              idents and families the opportunity to provide anony-  Department of Health to support a three year
              mous input to their facility caregivers.  With the support   expansion of this pilot in 2018.
              of content expert coaches, the facilities integrated



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