TMF QIN Nursing Home Quality Improvement Spotlight on….

International Infection Prevention Week: Oct. 15-21

During International Infection Prevention Week – help break the chain of infection by educating health care professionals, administrators, legislators and consumers about the importance of preventing infections and improving outcomes. Click on the following links for more information and resources about promoting infection prevention in long-term care.

Infection Prevention and You in Long-Term Care
APIC: Infection Prevention in Long-Term Care Fact Sheet (PDF)
CDC: Hand Hygiene in Health Care Settings
CDC: Infection Prevention Tools for Long-Term Care

Conversations with Carmen

Conversations with Carmen

October 20, 2017:  Improving the Dining Experience for Residents – Honoring Choice, Exceeding Regulations
Guest Presenter:  Suzanne Quiring, RD, CDM, SuzyQ Menu Concepts

Want to provide a great dining experience, preferences and choice – and be in compliance with new CMS requirements? Learn how to work within budget & time restrictions, tackle cold food, high food waste, endless food preference lists issues and how to move away from tray and pre-plate service to self-determined meal delivery that honors resident choice while saving money. Photos, real examples and many ideas will be shared to help communities implement practical culture change ideas with the confidence of the literature, best practices and federal requirements to back them up.

For more details, including times and full registration, please visit

TMF QIN Nursing Home Quality Improvement Spotlight on….

Reducing Incontinence

Urinary incontinence can cause a variety of issues in older adults. Tools are available for identifying and improving incontinence such as assessment techniques and established care plans. Click on the following links to learn more.

Sample Care Plan: Urinary Incontinence (PDF)
Urinary Incontinence Assessment in Older Adults (PDF)
Low-Risk Residents Who Lose Control of Their Bowel or Bladder (Long Stay) Root Cause Analysis Tool (Excel)

Pioneer Network’s Hot Topic: Culture Change in Action

Webinar Series:  Sharing Power – Creating Choice

Pioneer Network stands ready to help! In our final webinar series of 2017, join expert guides as they share with you tips, techniques, tools and a dose of inspiration, to help you grow leaders in your organization.

See the dates and topics below.  OR Click here to learn more about the Sharing Power – Creating Choice Series


October 19, 2017: Stuck in the Middle – Creating a Supervisor Training Experience for Mid-Level Staff
Guides: Elizabeth Schave-Bemis, VP Marketing, Promotions & Assisted Living Operations, United Methodist Home and Faith Wajdowicz, VP of Clinical Services, United Methodist Home

  • Define what is meant by a relationship-centered mission.
  • Discuss the challenges faced by mid-level staff.
  • Learn how to create a training module to support the educational needs of mid-level staff.


November 16, 2017: Effective Nurse Leadership: Leading Change with Enthusiasm
Guide: Kelly Papa, MSN, RN, Corporate Director of Learning Masonicare University

  • Discuss the skills needed to lead transformation when bringing culture change to your organization. 
  • List the steps required to facilitate change.
  • List methods used when creating a culture which is adaptable to change.


December 14, 2017: Leaders Can Influence Care: Successful Pain Management for Elders Living with Dementia
Guide: Jeannine Forrest, PhD

  • Discuss how the way you lead can influence clinical outcomes for residents.
  • Define the impact of poorly controlled pain on individual residents and organizational outcomes.
  • List ways that leaders can support better outcomes.

TMF QIN Spotlight On…

Reducing Inappropriate Use of Antipsychotic Medications – Alternatives

There are multiple ideas and suggestions for reducing antipsychotic medication use through alternative strategies. It is suggested that use of alternatives be carefully monitored with frequent reassessment. Click on the following links to learn more.


Checklist: Activities that may help improve nighttime sleep for residents with dementia (PDF)

Antipsychotic Alternatives (PDF)

Non-Pharmacological Approaches to Address Behaviors

Pioneer Network Hot Topics Webinar Series

Pioneer Network Hot Topics Webinar Series

June 15, 2017: The Care Plan Meeting in a Resident-Directed World(Part II)
July 20, 2017: Before and After the Care Plan Meeting
August 17, 2017: A Process for Care Planning for Resident Choice

Beginning in May, join us for the At the Table Webinar series where expert guides will explore with you Person-Centered Care Planning. Over the course of this four webinar series, you will gain an understanding of the new CMS conditions of participation, define processes and best practices, explore options for making the most of the meeting, and learn how to bring the care plan to life and balance risk for residents and your community. You can purchase the webinars individually for $59, or contact Pioneer Network Director of Education, Joan Devine to purchase the 4 Webinar Bundle at a discounted rate of $200.

2017 Pioneer Network Annual Conference

2017 Pioneer Network Annual Conference

July 30-August 2, 2017:  Person-Directed Care is Happening – Be a Part of It: Be the Future!
Location:  Rosemont, IL

Pioneer Network hosts an annual conference to showcase innovative thought and best practices in the long-term care culture change movement – as well as providing an opportunity for people interested in many aspects of culture change to network and inspire each other. Past conferences have been attended by more than a thousand people from across the United States and other nations who care deeply about changing the culture of aging. As always, we strive to make this event meaningful for people who are just starting on the culture change journey to build a sense of home and community for our Elders -as well as those who have been actively engaged in this mission for some time. Register Today

Conversations with Carmen

Conversations with Carmen

  • April 14, 2017:  From Annoyances to Conflict: How Much is Miscommunication Costing Your Organization?
  • Guest Presenter:  Ray Rusin, Quality Training Associates; Certified Workplace Conflict Mediator, retired RI Survey Agency Director

Day-to-day petty annoyances are experienced by each of us and are a fact of life. Without a strategic focus on recognizing and dealing with natural annoyances early, many grow into costly conflict events negatively impacting residents’ quality of care and quality of life.  We will discuss how ordinary annoyances interrupt the smooth operation of any organization, how to best prepare team members for coping with annoyances and ways to wisely handle any resulting conflicts. Find out what conflict may be costing your organization.


For more information and registration, please see the event details here.

Nursing Home Quality Improvement Spotlight On…

Reducing Antipsychotic Medication Use – Additional Resources

Multiple resources are available to educate staff about reducing antipsychotic medication use. Click on the following links for more information:

Nursing Home Quality Improvement Spotlight On…

Reducing Inappropriate Use of Antipsychotic Medications – Full Assessment

To address the ongoing challenge of reducing inappropriate antipsychotic medications, staff on all shifts should fully assess and learn as much as possible about a resident, including interviewing the resident, family and friends. These steps assist staff in understanding the different behaviors a resident may exhibit. To learn more about assessing a resident’s goals and needs, click on the following links.

Nursing Home Quality Improvement Spotlight On…

Reducing Inappropriate Use of Antipsychotic Medications – Communication

Understanding dementia residents who are unable to communicate on the same level as others can aid in the reduction of inappropriate antipsychotic use. However, meeting their needs can become challenging if their behaviors are not understood. Click on the following links to learn more.

Montessori for Aging and Dementia

Montessori for Aging and Dementia

  • May 18-19, 2017:  Montessori for Aging and Dementia
  • Location:  The Montessori Training Center of St. Louis, St. Louis

Montessori for Aging and Dementia is an innovative approach to dementia care that can be adopted for individuals or groups as a philosophy of care. The goal of the Montessori program is to support people living with dementia by creating a prepared environment, filled with cues and memory supports, that enables individuals to care for themselves, others, their community, and their choices so that they may live as independently as possible. This two-day program focuses on the Montessori for Aging and Dementia program criteria as established by the AMI. Participants will receive handouts, a copy of the book I Care: A Handbook for Care Partners of People with Dementia and a certificate of completion from AMI.


Please see the brochure and registraion for more information.

Nursing Home Quality Improvement Spotlight On…

Reducing Antipsychotic Medication Use 

Engaging residents in their care and providing treatment alternatives assists in reducing the unnecessary use of antipsychotics. Click on the following links to learn more about reducing the use of antipsychotic medications.

Nursing Home Quality Improvement Spotlight On…

Staff Stability

Creating a quality-driven environment within a nursing home requires staff stability. Establishing processes, setting expectations and supporting staff are important aspects of this concept. Click on the following links to learn more about enhancing staff stability.


MC5 2017 Annual Conference

SAVE THE DATE :  MC5 2017 Annual Conference

  • May 2-4, 2017:  Branching Out with Culture Change

Save the Date for the upcoming MC5 conference. Learn how to implement person-centered care while following the new regulations with Carmen Bowman, assess your risks and learn management strategies from Ray Miller, and understand the personal part of person-centered care with Karen Stobbe…along with a variety of other intensive speakers from around the adult-care continuum. This is one conference you don’t want to miss!! We will send out more information as it becomes available.

Nursing Home Quality Improvement Spotlight On…


Communication is one of the key factors necessary for improving resident safety and overall care within a nursing home. Strong communication builds relationships between staff and residents. Click on the links below to learn more.

Music Therapy in Mental Health Treatment

Music Therapy in Mental Health Treatment

  • January 27, 2017:  “Let’s Express Ourselves”: An Overview of Music Therapy in Mental Health Treatment
  • Location: CenterPointe Hospital Gym, St. Charles
  • Presenters:  Teresa Stamey, MT-BC and Catherine Decker, MA, MT-BC

Music is a powerful, non-threatening tool that can be used to help individuals of all ages who struggle with mental health issues. It can be used to explore personal feelings and therapeutic issues such as self-esteem or personal insight. It can help make positive changes in mood and emotional states. It can also give individuals a sense of control over life through successful experiences. During our time together we will explore music and the therapeutic benefits it has on the human spirit.


For more information, please see the event site here. Online registration is also available here.

Conversations with Carmen

Conversations with Carmen

  • February 10, 2017:  The New CMS Dementia Care-Focused Survey:  Create a Proactive, Preventive Culture – Part 2
  • Guest Host:  Megan Mannan, Action Pact Consultant

This CMS survey ascertains a community’s compliance with Care and Services for a Resident with Dementia, Unnecessary Drugs, Assessment and Care Planning. Become familiar with the survey, surveyor worksheets and how both have been integrated into the survey process. Most importantly, ensure you know best practices both recognized by CMS and the culture change movement. Learn to view “behaviors” as communication; recognize dementia-related communications; be individual-centered, not institution-centered as CMS requires; offer meaningful engagement by all staff all day to reduce antipsychotics. It’s time to create a proactive, preventive, individualized, resident -focused dementia care culture.


Please see the Action Pact event for more information including registration.

Nursing Home Quality Improvement Spotlight On…

Leadership in Long-Term Care

A leader’s actions can shape the culture of an organization. Strategy 1 of the National Nursing Home Quality Care Collaborative’s “Change Package” stresses the expectation for excellence in leadership, strong mission and values, and an accepting non-punitive culture. Click on the following links to learn more.