Great PlainsQuality CareCollaborative - NE
Milestones
Recognizingyourhome’sachievementstowardQuality:QAPIinAction
Nursing homeswillberecognized for thisMilestoneoncetheyhavecompleted the NationalNursing HomeQualityCareCollaborativeparticipation agreement,attended a Pre-WorkWebinar,returned acompletedPre-WorkPacket,and knowtheir current quality measurecompositescore.
Nursing homeswillberecognized for thisMilestone oncetheyhavereached theCopperMilestoneandchosena qualityimprovementproject,begun thefirst PDSAcycle,startedworking ona storyboardorpossiblesuccessstory, attendedtwoeducationalofferings,and knowtheir currentquality measurecompositescore.
Nursing homeswillberecognizedforthisMilestone oncetheyhavereached theCopperand BronzeMilestonesandattended a totalof fiveeducationalofferings,shared a storyboardor successstory,completedthe firstPDSA worksheet,and knowtheircurrent quality measurecompositescore.
Nursing homeswillberecognized for thisMilestone oncetheyhavereached theCopper,Bronze,and SilverMilestonesandattended atotalof eighteducationalofferings,completed asecondQAPIat aGlance:Self-Assessmenttool, shareda second storyboardor successstory,completed thesecond PDSAworksheet,andknowtheircurrentqualitymeasurecompositescore.
Nursing homeswillberecognized for thisMilestone oncetheyhavereached theCopper,Bronze,Silver,and GoldMilestonesandattended atotalof12educationalofferings,attained a qualitymeasurecompositescoreof6.0or better,shared a thirdstoryboardorsuccessstory,completed thethird PDSAworksheet,and know theircurrent qualitymeasurecompositescore.
StepstoGreatPlainsQualityMilestones
Usethischecklisttotrackyourprogressasyoumovethroughtheprogram. Thisisforyourownrecords.
Copper – 1st Level
SignedParticipation AgreementforcollaborativeNotes:
Formedafacilityprojectteam
Notes:
CompletedPre-WorkAssessments (QAPI Facility Self-Assessment & Education Needs Assessment)/AttendedPre-Work Webinar
Notes:
KnowyourQualityMeasuresCompositeScore
Notes:
Other Comments/Notes:
Send completed pre-work assessments to or via fax at (402) 476-1335. You will receive a confirmation email as well your Copper Milestone Achievement Certificate.
StepstoGreatPlainsQualityMilestones
Usethischecklisttotrackyourprogressasyoumovethroughtheprogram. Thisisforyourownrecords.
Bronze – 2nd Level
Chosen aqualityimprovement projectandbeganaPDSAcycleNotes:
Startedstoryboardand/orasuccessstory
Notes:
KnowyourcurrentQualityMeasuresCompositeScore
Notes:
AttendedtwoGreatPlainsQINeducationalofferings (live or recorded)
1.
2.
Other Comments/Notes:
NEXT STEP: please record your facility’s accomplishment in the “Bronze” checklist, which will be automatically shared with Krystal Hays at the Great Plains QIN.
StepstoGreatPlainsQualityMilestones
Usethischecklisttotrackyourprogressasyoumovethroughtheprogram. Thisisforyourownrecords.
Silver – 3rd Level
Completed and submitted the first PDSA worksheetNotes:
Shared first success story
Notes:
KnowyourcurrentQualityMeasuresCompositeScore
Notes:
Attendedthreemore GreatPlainsQINeducationalofferings (live or recorded)(foratotalof5)
3.
4.
5.
Other Notes/Comments:
NEXT STEP: please record your facility’s accomplishment in the “Silver” checklist, which will be automatically shared with Krystal Hays at the Great Plains QIN.
StepstoGreatPlainsQualityMilestones
Usethischecklisttotrackyourprogressasyoumovethroughtheprogram. Thisisforyourownrecords.
Gold – 4th Level
Repeated the QAPI Facility Self-Assessment ToolNotes:
Completed and submitted a second PDSA worksheet
Notes:
Shared a second success story
Notes:
KnowyourcurrentQualityMeasuresCompositeScore
Notes:
Attendedthreemore GreatPlainsQINeducationalofferings (live or recorded)(foratotalof8)
6.
7.
8.
Other Notes/Comments:
NEXT STEP: please record your facility’s accomplishment in the “Gold” checklist, which will be automatically shared with Krystal Hays at the Great Plains QIN.
StepstoGreatPlainsQualityMilestones
Usethischecklisttotrackyourprogressasyoumovethroughtheprogram. Thisisforyourownrecords.
Platinum – 5th Level
Completed andsubmitted athirdPDSAworksheetNotes:
Sharedathird successstoryand/orstoryboard ataface-to-facelearningsessionand/orpresentonacall or webinar
Notes:
QualityMeasure CompositeScorehasreachedascoreof6or lowerduringthecollaborativecycle
Notes:
Attendedfourmore GreatPlainsQINeducationalofferings(foratotalof 12)
9.
10.
11.
12.
Other Notes/Comments:
NEXT STEP: please record your facility’s accomplishment in the “Platinum” checklist, which will be automatically shared with Krystal Hays at the Great Plains QIN.
CONGRATULATIONS! You have completed all five levels and
achieved the Platinum Milestone.
Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.