Let the Quality Improvement Cycle be your Guide…
through the tabs to view resources for each goal. The tabs
represent each step of the quality improvement cycle.
Started provides an overview of the complete quality improvement
the training webinar and access the handouts here
Nursing home residents are at increased risk of infections for many
reasons. As more people enter nursing homes following hospital stays, nursing
homes are providing more hands-on, complex medical care to residents, such as
wound care and maintenance of indwelling devices, which can lead to increased
exposure to bacteria and infection. The shared living environment of a nursing
home can allow the spread of easily transmissible viral infections which cause
respiratory or gastrointestinal infections among both staff and residents.
Gastrointestinal infections from Clostridium difficile (C. diff) are a
major problem in US healthcare facilities. Although at one time most of these
infections occurred in hospitals, now over 75% of C. diff infections are first
identified outside of the hospital setting. Nursing homes are among the most
common places where C. diff infections can happen.
Although reducing C. diff infections occurring among residents in a
nursing home has been selected as the first focus area for performance
improvement within the infection prevention goal, working on this goal will
allow a nursing home to implement strategies which also reduce spread of other
does preventing and reducing C. diff benefit residents?
- Residents have lower risk of illness and serious
complications related to infections from C. diff.
- Residents live in an environment with decreased
transmission of C. diff.
- Residents have fewer hospitalizations resulting from C.
- Residents are able to freely participate in activities
within the nursing home or in the larger community.
- Residents and families gain knowledge about prevention of
C. diff and other infections.
- Residents may have reduced exposure to unnecessary
antibiotics as part of C. diff prevention efforts.
does preventing and reducing C. diff benefit staff?
- Staff members are more skilled and confident in care
delivery related to early identification and management of infections.
- Staff are knowledgeable about evidence-based care
practices for reducing spread of C. diff and other infections.
- Staff are able to provide continuous support to the
resident and family member affected by C. diff. and other infections.
does preventing and reducing C. diff benefit nursing homes?
- Nursing homes promote a culture of safety and infection
prevention for residents, family members, and staff.
- Nursing homes decrease spending on isolation supplies
(gowns/gloves), and environmental services that are utilized during
management of C. diff cases.
- Nursing homes save time and money by reducing the
hospitalizations and readmissions related to C. diff and other
- Nursing homes will meet the national Partnership for
Patients efforts and Quality Assurance Performance Improvement (QAPI)
requirements by performing surveillance, analyzing data and implementing
interventions to reduce C. diff events.