Description & Schedule of the Teaching Nursing Home (TNH) Program Deliverables 2004-2005
 
The Teaching Nursing Home program creates forums, initiatives, and core resources for identification and eventual resolution of complex long-term care issues.
The program promotes research and training directed at best practices in long-term care and their adoption by communities and involved health-care providers.
Click on a link in the table below to download a zip of the deliverable or scroll below the table to see the files in each deliverable.

August 1 DELIVERABLE A1

 

September 1 DELIVERABLE B1, B2

 

October 1
DELIVERABLE C1, C2,
C3

November 1
DELIVERABLE D1, D2

December 1
DELIVERABLE E1, E2, E3

January 1, 2004
DELIVERABLE F1, F2

February 1
DELIVERABLE G1, G2

March 1
DELIVERABLE H1, H2
April 1
DELIVERABLE I1, I2
May 1
DELIVERABLE J1, J2
June 1
DELIVERABLE K1, K2

 Ruiz, Smith,

Report on a formal quality-improvement (QI) process for GeriU, supporting effective use of e-learning content and services by Florida LTC vendors, including plans on participating with stakeholders, and data collection with users, focusing on improved usability and utility.

 Ruiz, Smith, Polivka-West Wilkes, Hyer, Kohlmaier

Report on e-learning features and internet services and communication tools to support LTC education and research activities of TNH and its consortium members, including needs analysis, requirements development, design,and participatory review and testing processes.

Report on joining with AHCA, QIO (Florida Medical Quality Assurance, Inc.), and FHCA to formulate approaches to improve consumer access to information on QI in Florida’s nursing homes and other long-term care venues; will involve sharing or creation of manuals or Web site.

Rodriguez, Mintzer, Hernandez, Roos

Report on focus groups of experts and practitioners examining different frameworks for categorizing falls and the risks and benefits that might emerge from changing the reporting process based on the new categorization of falls.

Report on a possible formal subclassification of falls and a listing of distinguishing features and appropriate responses and evaluations, based on a literature review (e.g., VA and Vanderbilt studies) of falls and a review of relevant support technology, protective equipment, medication risks, etc.

Report on the participation with AHCA in statewide education on falls management for nursing home residents.

Report on the derivation, through the falls advisory group process, of a standard of practice and educational support materials to promulgate best practices related to documentation of: falls, falls-related injury, identification of risk, and implementation of fall precautions; also the ways in which one might address the balancing of fall prevention and precautions versus autonomy and quality of life (e.g., some patients may be willing to take the risk).

 

Report on various options developed in concert with AHCA, DOEA, and CMS for data sharing and analysis for quality improvement use by TNH, FPECA, and other LTC stakeholder organizations.


Report on plans and process of upgrading GeriU functions and features, including implementation of updated Learning Management System, implementation of LISTSERV e-mail distribution management tool, and application of SCORM 2004 learning object standards.

Report on  research and analysis of current data on long-term care facility dining issues and solutions; plans for development and implementation of a facility dining model, with central Florida-based Pioneer facilities as partners.

Report on a conceptual dining model and a draft request for proposal (RFP) to solicit applications for pilot research sites for implementing the conceptual model.

 

Williams, Molinari, Mintzer, Polivka, Hyer, Roos

Report on the development of a curriculum (on depression in persons with dementia) for LPNs in two stages: Stage 1: competency-based learning objectives and related online learning objects and a set of corresponding assessments; Stage 2: curriculum with instructional activities for competency-based training in management of depression in dementia.

Report on the development, in concert with AHCA, DOEA, and CMS, of a listing of specific data whose analysis and benchmarking could benefit long-term care QI and provide commentary on the risks and benefits and limitation of a new process for disclosure and sharing of such data among various organizations and the public.

Report on competency-based falls prevention and post-falls management protocols and related educational materials for GeriU, based on recommendations of the falls advisory group and results of work on Deliverables C1, C2, C3, and D1.

Report on meetings held to inform potential nursing homes about the “dining at home” project and answer questions; the development of criteria for selection of a model facility and advisory board review and selection; the selected
site(s) for pilot study; data system to monitor the impact of the dining at home program; baseline data before implementation of program.

Sadowsky, Hyer, Mintzer, Ruiz, TNH Steering Committee

Report on nursing workforce development model(s) that give strong support to new nursing assistant trainees and opportunity for minority poor persons to continue in a training program, pursuing a meaningful nursing career track leading to LPN status.

   

Report on a specific blended-learning (computer-based curriculum as well as support for certified preceptored training) curriculum with instructional activities for LPNs and other professionals on specific quality-of-care issues and quality-of-life concerns.

 

Polivka-West, Roos, Hernandez, Wilkes

Report on a statewide quality summit addressing the priority for QI, how QI is being done, and how it can be improved and issues of data acquisition and sharing related to QI.

 

Report on plans to create, based on the practice and support materials emerging, a regional expert team or possibly an online consultation and coordination process for data gathering, QI, and other aspects of reporting, managing, and reducing falls and related injuries.

 

Hyer, Mintzer, Kelly, Whitehouse, Polivka, Polivka-West, Roos, TNH Steeting Committee

Report on implementation and related activities supporting the development and creation of a “dining at home” model program that includes: a) development of student and faith community volunteer training materials to support eplication of the model throughout the state, leading to production of GeriU Web-based training; b) development of a
model of staff/family education sessions and materials for replication of the model to staff and family; c) pilot data collection efforts including documentation of the data collection processes and the proposed database structure.

Report on a strength, weaknesses, opportunities or threats (SWOT) analysis focused on whether Florida could and should adopt QI goals and strategy based on use of MDS data and a best-practices and QI consultation approach, as reported by Rantz et al. for the state of Missouri.

 

Cheung, Roos,

Report on final evaluation of the TNH pilot project for the fiscal year ending June 30, 2005, with a list of activities under consideration for the next fiscal year (2005-2006).

 

List of names and educational history of each trainee participating in the Teaching Nursing Home pilot project during 2004-2005.


Deliverable A1 August 1, 2004 - Report on a Formal Quality-Improvement (QI) Process for GeriU Usability and Utility.

Deliverable B1 September 1, 2004 - Report on E-Learning Features and Internet Services and Communication Tools to Support LTC Education and Research Activities.

Deliverable B2 September 1, 2004 - Report on Approaches to Improve Access to Information on QI in Florida’s LTC Venues.

Deliverable C2 October 1, 2004 - Report on a Possible Formal Subclassification of Falls.

Deliverable C3 October 1, 2004 - Report on the Participation with AHCA in Statewide Education on Falls Management for Nursing Home Residents.

Deliverable D1 November 1, 2004 - Report On Derivation Of A Standard Of Practice And Educational Support Materials On Documentation Of Falls, Falls-Related Injury, Identification Of Risk, And Fall Precautions .

Deliverable D2 November 1, 2004 - Report On Various Options Developed In Concert With AHCA, DOEA, And CMS For Data Sharing And Analysis For Quality Improvement Use By TNH, FPECA, And Other LTC Stakeholder Organizations.

Deliverable E1 December 1, 2004 - Report on the Upgrading of GeriU Functions and Features.

Deliverable E2 December 1, 2004 - Research and Analysis of Current Data on Long-Term Care Facility Dining Issues and Solutions.

Deliverable E3 December 1, 2004 - Report on a Conceptual Dining Model and a Draft RFP for Pilot Research Sites for the Model.

Deliverable F2 January 1, 2005 - Report On The Development, In Concert With AHCA, DOEA, And CMS, Of A Listing Of Specific Data Whose Analysis And Benchmarking Could Benefit Long-Term Care QI And Provide Commentary On The Risks And Benefits And Limitation Of A New Process For Disclosure And Sharing Of Such Data Among Various Organizations And The Public.

Deliverable G2 February 1, 2005 - Report on Meetings Held to Inform Potential Nursing Homes about the “Dining At Home” Project and Answer Questions; the Development of Criteria for Selection of a Model Facility and Advisory Board Review and Selection; the Selected Sites for Pilot Study; Data System to Monitor the Impact of the Dining at Home Program; Baseline Data before Implementation of Program.

Deliverable I1 April 1, 2005 - Report on a Statewide Quality Summit Addressing QI.

Deliverable J1 May 1, 2005 - Implementation and Related Activities Supporting the Development and Creation of a "Dining At Home" Model.