Tuesday, October 1, 2013

The Quality Initiative – Continued Progress in 2013

AHCA continues to track progress on our Quality Initiative goals and is proud of and grateful for the hard work members across the country are doing to make improvements that are enriching lives.  As of the first quarter of 2013 (the most recently available data), AHCA members are outperforming national progress in reducing the off-label use of antipsychotic medications, and many members are making significant progress in both the hospital readmissions and antipsychotic goals.

Nationwide, skilled nursing centers have accomplished a 9.0% decrease in the off-label use of antipsychotics since the end of 2011. At the first quarter of 2013, AHCA member centers were using these medications at a rate of 21.3%, representing a 10.5% decrease from the end of 2011. Since the start of the initiative, 42.3% of AHCA members have met or exceeded our goal of a 15% reduction in antipsychotic use.  This means that 15,995 fewer individuals in AHCA member centers are receiving these medications.

Chart by AHCA
For hospital readmissions, nationwide, 17.7% of patients were sent back to the hospital within 30 days of their skilled nursing stay over the course of a year ending at the first quarter of 2013. This represents a 2.7% decrease from the baseline – a year ending at the fourth quarter of 2011. During that same period, AHCA member centers reduced their rehospitalization rate by 2.2%, to 17.9%. Over 2,000 member centers, or 30.9% of all AHCA members, have already achieved or surpassed the three-year goal of a 15% reduction in their hospital readmission rates since the launch of the AHCA Quality Initiative last year. This effort means that 22,309 hospital readmissions in AHCA member centers have been prevented.
Chart by AHCA
AHCA is analyzing the 2012 Staffing Survey, which will include reductions in nursing staff turnover, another goal of the Quality Initiative. The Association is also making progress on establishing a common set of customer satisfaction questions and reviewing customer satisfaction data submitted by AHCA members as part of the Quality Initiative Recognition Program.

Members have made significant progress since the launch of the Quality Initiative and AHCA commends you for your commitment to meeting these measurable targets. But we still have work to do. So, please continue to take the initiative and improve the lives of the individuals we serve!

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