St. Johnsville Rehabilitation and Nursing Center
St. Johnsville Rehabilitation and Nursing Center remains active in IPRO sponsored Quality Improvement (QI) activities, has utilized the IPRO generated pressure ulcer and falls tracking tools, developed an aggressive pain management program and has adopted a systems wide team approach to ongoing QI activities. This facility has shown improvement in the clinical quality measures (Q204-Q406) as follows:
High- Risk Pressure Ulcers (47% improvement)
Chronic Pain (Has consistently remained at 0%)
Physical Restraints (50% improvement)
Depression/Mood Worsening (58% improvement)
Lisa Volk, Administrator, notes, the focus of the interdisciplinary team at St. Johnsville is to improve the quality of life for the residents they serve. Ms. Volk also comments that the tools and guidance provided by IPRO's NHQI team has helped the St. Johnsville team succeed with their QI efforts.
St. Johnsville attributes their high-risk pressure ulcer QI rates to the interaction of the skin team consisting of interdisciplinary staff members who are committed to the ongoing assessment and treatment of pressure ulcers based on quality practices. The team is active in weekly pressure area skin rounds whereby consistent assessment, evaluation, intervention, and treatment of wounds is coordinated.
In addition, St. Johnsville attributes the reduction of the number of residents who are physically restrained with a team approach to assessing and reviewing monthly QI/QM data and developing creative strategies to reduce overall percentages. Use of the IPRO generated falls tracking tool has assisted the team with assessing and evaluating fall trends; and the implementation of timely QI intervention.
As for the chronic pain quality measure, to accurately capture residents' pain frequency and intensity levels, St. Johnsville QI teams focus their efforts on assuring accurate pain assessment and MDS coding. This is done through the provision of educational sessions, resources, and materials, which give staff the tools necessary to accurately and efficiently recognize the verbal and non-verbal signs of residents who are/are not experiencing pain.
Their ongoing team approach to quality improvement has resulted in IPRO naming St. Johnsville Rehabilitation and Nursing Center as a recipient of the IPRO 2007 "Quality Award." The Quality Award recognizes their dedication to QI, their ongoing collaboration with IPRO, the excellent results achieved through an organization-wide commitment to continuous quality improvement, and their willingness to share barriers, challenges, quality practices and materials with IPRO and other nursing homes in New York State.
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