Quality Initiative Goals Continues to Accelerate

Progress is being made across the nation on the Quality Initiative goals.  The most dramatic change can be seen in the reduction of off-label usage of antipsychotic drugs, where the average rate for American Health Care Association (AHCA) members has decreased by 19.1% as of the first quarter of 2014 (the most recent data available). This outpaces the results nationwide, which show a 17.1% decrease for all nursing centers. As of this reporting period, over half (52.7%) of AHCA member centers had met the quality initiative goal of a 15% reduction by the end of 2013.    

The Centers for Medicare and Medicaid Services (CMS), AHCA and partners has announced new goals (http://www.ahcancal.org/News/news_releases/Pages/Skilled-Nursing-Care-Centers-Reach-Milestone-in-Reducing-Antipsychotic-Use-in-Residents-with-Dementia.aspx) for 2015 and 2016 to further decrease the use of antipsychotics in skilled nursing centers nationwide on September 19.  This would result in a total reduction of antipsychotic use by 30% over a five-year effort as part of CMS’ Partnership to Improve Dementia Care in Nursing Homes (Partnership) and AHCA’s Quality Initiative.

On 30-day hospital readmissions, through the first quarter of 2014 we have seen a 14.2% decrease in the average rate for AHCA member centers, with just over half (50.8%) already meeting the 15% reduction target expected by March of 2015. This closely parallels the rate of improvement across all centers nationally, which stands at a 14.3% reduction for this same reporting period.

Providers are encouraged to actively “take the initiative” and in the process change the lives of the residents that are served.   New ideas or guidance can be found on the Quality Initiative Resource Center website