Goals of the Advancing Excellence Campaign

Campaign Goals	Clinical Resources	Contact Us
Events Calendar	Operational Resources	Local Sponsors (LANE)
Success Stories & News	Go to national site to enroll in campaign	Participating Nursing Homes

Goals

The overall goal of the Advancing Excellence campaign is to improve the quality of life for nursing home residents and staff. During this two-year effort, participating nursing homes pledge to work on at least three of the following areas (at least one clinical goal and one operational).

Choose your Advancing Excellence goals based on your organization's needs. Select topics that make sense for your nursing home and that will create a substantial positive impact. Once you have chosen your organization's goal topics, you may not change them during the campaign. If you need help choosing among the campaign goals, please contact the local campaign leadership.

Download a printer-friendly PDF of this page to share with other members of your organization.

Clinical Goals

Goal	Measure	National Target	Your Target	Notes
1. Nursing home residents receive appropriate care to prevent and minimize pressure ulcers.	Percent of longer-stay, high-risk residents with pressure ulcers	Under 10%	Participants are not required to set a target rate. However, experience has shown that organizations with specific numerical goals are much more likely to succeed in making substantive changes. (See the target-setting goal, below.)	Washington State sponsors are devoting extra resources to develop tools related to this topic.
2. Nursing home residents are independent to the best of their ability and rarely experience daily physical restraints.	Percent of longer-stay residents who are physically restrained	5% or lower
3. Nursing home residents who live in a nursing home longer than 90 days infrequently experience moderate or severe pain.	Percent of longer-stay residents with moderate to severe pain	4% or lower		Washington State sponsors are devoting extra resources to develop tools related to this topic.
4. People who come to nursing homes after staying in the hospital only sometimes experience moderate to severe pain.	Percent of short-stay residents with moderate to severe pain	15% or lower		Washington State sponsors are devoting extra resources to develop tools related to this topic.

Data Collection & Reporting

The campaign does not require additional data collection or reporting related to these four clinical measures, since the MDS data that all Medicare- and Medicaid-certified nursing homes are already obliged to publicly report will meet the needs of the Advancing Excellence campaign. (The Centers for Medicare & Medicaid Services publishes the data at the Nursing Home Compare website.)

Operational Goals

Goal	Measure	National Target	Notes
5. Most nursing homes will set individualized targets for clinical quality improvement.	Percent of nursing homes that use the STAR website to set annual targets for reducing pressure ulcers, daily use of physical restraints, and improving pain management for short- and long-stay residents	90%	Consider using the STAR website to record your targets and track progress for Goals 1-4, above. If your nursing home is already using the STAR website, consider selecting Goal 5 as an "extra" so that the campaign can recognize your work.
6. Nearly all nursing homes assess resident and family experience of care and incorporate this information into their quality improvement activities.	Percent of nursing homes that measure resident and/or family satisfaction with the quality of care (at least annually), and incorporate the findings into quality improvement activities	80%
7. Most nursing homes measure staff turnover and develop action plans as appropriate to improve staff retention.	Percent of nursing homes that measure and reduce workforce turnover of RNs, LPNs, and CNAs	80% of nursing homes measuring turnover; in these organizations, reduce turnover by 15%	Washington State sponsors are devoting extra resources to develop tools related to this topic.
8. To maximize quality as well as resident and staff relationships, the majority of nursing homes will employ consistent assignment for their CNA staff.	Percent of nursing homes that adopt “consistent assignment” policies (CNAs are assigned to the same residents at least 85% of their shifts)	33% of nursing homes will have consistent assignment of CNAs	Washington State sponsors are devoting extra resources to develop tools related to this topic.

Data Collection & Reporting

Data for Goal 5 will be collected via the STAR website. Participants may choose whether or not to publicly report their STAR targets.

Participants who choose Goals 6 - 8 will need to collect and report the relevant data. Results will be aggregated and reported as nationwide or statewide totals. Data must be submitted at the national campaign website: start by logging in, then click the "My Goals" link on the left menu. On the "Summary of Selected Goals" page, click the link for the appropriate goal then enter the requested information. To save your data, click "Submit."

For Goal 6, participants will report which survey tool they are using as well as the month and year it is used. You will need to enter this information twice (once in each year of the campaign).

For Goal 7, participants will report turnover rates once per campaign year; a spreadsheet created by the national campaign organizers may be used to help track these numbers.

For Goal 8, participants will report whether they are using consistent assignment in part or all of their facility, and when they began doing so. You are only required to enter this data once during the campaign, but may update your information if your status changes.

Supporting Washington's efforts in the nationwide Advancing Excellence campaign