Sea View Hospital Rehabilitation Center & Home

NHQI 8th SOW Success

Sitting from left to right Maria L. McGuire RNC, Dir., Care Mgt., Patrick O'Toole Pharm. D., Dir., Pharmacy, Linda Duane RD, Dir., Food Services, Maria Pablo, MD, Medical Director Standing Charlene McCrae CNA, Joan Landi RN, MDS Coordinator, Grace Tuban, RN, Asst. Dir. of Nursing, Infection Control Coordinator, Marian McNamara,RN Associate Director of Nursing, Wound Care Nurse, Michele Getz, LPN, Care Planning Coordinator, Nancy Endozo RN, Asso. Dir. of Nursing Staff Development, Mona Elias MAPT, Dir. of Rehab and Carole Morgan RN, Director of Nursing

Sea View Hospital Rehabilitation Center & Home has earned "Recognition of Achievement" for their quality improvement progress throughout the Centers for Medicare & Medicaid Services (CMS) Nursing Home Quality Initiative (NHQI) 8th Scope of Work (SOW).

As part of an Identified Participant Group (IPG) of Nursing Homes working with IPRO, Sea View has demonstrated true collaboration and accomplishment throughout their quality improvement journey. According to Violet Huie, Administrator the dedicated and hard working staff at Sea View strive to provide quality care and quality of life to the residents living in the facility. The organization-wide commitment to quality improvement, and sharing successful practices has helped Sea View meet their goals as follows:

Restraints Sea View's efforts to eliminate the percent of residents who were physically restrained has resulted in a 62% relative improvement from Quarter 2 of 2004 to the most recent, Quarter 1 of 2007. To achieve this improvement Sea View visited and collaborated with several long-term care facilities with successful restraint reduction programs, formed teams consisting of diverse interdisciplinary staffs, adopted quality practices, revised policies and procedures, performed aggressive literature review, and conducted educational programs that included the sit-for-in-service's model whereby staff were restrained for the duration of the education session.

Chronic Care Pain Reducing the percent of residents who had moderate to severe pain was also a focus at Sea View. The inclusion and participation by all levels of staff, initiation of non-pharmacological methods to alleviate pain, revision of pain assessment protocols and tools helped Sea View achieve a 52% relative improvement from Quarter 2 of 2004 to Quarter 1 of 2007. From the improvement noted, it is evident that Sea View is well on the way to attaining their goal of optimizing pain relief, sustaining/improving residents' level of functioning, and enhancing residents' quality of life.

High Risk Pressure Ulcers Looking to reduce the percent of residents with pressure sores, Sea View's interdisciplinary team took action. Attaining the goal incorporated on-going education, revising current practice, implementing weekly wound rounds, adopting a gold standard risk assessment protocol, enhancing the wound product formulary, and purchasing specialized support surfaces. Sea View's intervention is going in the right direction as they have shown a 14% relative improvement from Quarter 2 of 2004 to Quarter 1 of 2007 for high risk residents with pressure sores.

Depression Sea View recognized the interdisciplinary team approach was essential for reducing the percent of residents who have become depressed or anxious. The quality improvement interventions included enhanced education, adoption of the IPRO generated Mood Scale Score worksheet and the Cornell Depression scale, enhanced screening protocols, and policy revisions. Through on-going quality intervention, Sea View has noted a 20% improvement from Quarter 2 of 2004 to Quarter 1 of 2007 in residents who have become depressed or anxious.