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In Progress
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In Progress
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Full Active
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What is Participation?

Long-Term Care Provider

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Provider
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Registration

Yes, our organization is committed to excellence and wants to participate in the National Nursing Home Quality Improvement Campaign (How To Participate).

To register with the Campaign, please complete the following registration form. You will want to familiarize yourself with the Campaign Goals prior to selecting your initial goals.

Medicare/Medicaid Provider Number:

This is a six digit number. Enter N/A if you are not
a Medicare/Medicaid certified nursing home.

Not sure if your organization is already registered?

Don't know your nursing home's Medicare provider number?

Search CMS Nursing Home Compare database

LANE Support and Pilot Participation

My organization is interested in being involved in pilot projects.

My organization would like to share my goal selection with my state LANE.

What is a LANE?
Find Local Support

Please note, only goal selection and goal-specific activity levels will be shared. Your organization's data/goal-specific outcomes will not be released.

Campaign Communications

Send me a monthly reminder to enter my goal data.

Subscribe me to the monthly NNHQI Campaign newsletter and periodic announcements.

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AQAF, your Quality Improvement Organization (QIO), is part of atomAlliance

Qsource, your Quality Improvement Organization (QIO), is part of atomAlliance

IQH, your Quality Improvement Organization (QIO), is part of atomAlliance

Qsource, your Quality Improvement Organization (QIO), is part of atomAlliance

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I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our organization. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Questions?
AQAF Alabama Contact:
Beth Green, Beth.Greene@area-g.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

Questions?
Qsource Indiana Contacts:
Marcia Landon, Marcia.Landon@area-g.hcqis.org
Teresa Sargent, Teresa.Sargent@area-g.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

Questions?
Qsource Kentucky Contacts:
Janet Pollock, jpollock@qsource.org
Scott Gibson, Scott.Gibson@area-g.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

Questions?
IQH Mississippi Contacts:
Mae McDaniel, Mae.McDaniel@area-g.hcqis.org
Mary Helen Conner, Mary.Conner@area-g.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

Questions?
Qsource Tennessee Contacts:
Beth Hercher, Beth.Hercher@area-g.hcqis.org
Sarah Potter, Sarah.Potter@area-g.hcqis.org
Julie Clark, Julie.Clark@area-g.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Data share functionality is provided as a service to Campaign participants. The availability of this service does not constitute an endorsement of the third party.

Questions?
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

text

I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Data share functionality is provided as a service to Campaign participants. The availability of this service does not constitute an endorsement of the third party.

Questions?
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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First Name

Last Name

Questions?
For help with QuILTSS, including the schedule of QuILTSS submissions, contact QuI.LTSS@tn.gov

For help with the Consistent Assignment goal, Tracking Tool and website data entry, contact the NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Questions?
Qualidigm: Florence Johnson, FJohnson@qualidigm.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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I confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Questions?
Qualidigm: Florence Johnson, FJohnson@qualidigm.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

text

I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Data share functionality is provided as a service to Campaign participants. The availability of this service does not constitute an endorsement of the third party.

Questions?
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

text

I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Data share functionality is provided as a service to Campaign participants. The availability of this service does not constitute an endorsement of the third party.

Questions?
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

text

I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Questions?
Telligen: Sheryl Marshall, Sheryl.Marshall@area-d.hcqis.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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I confirm that I have read and agree to the confidentiality policy.

I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Questions?
WA: Jeff West, jeffwe@qualishealth.org
ID: Brent Schneider, Brents@qualishealth.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

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I also confirm that I am duly authorized to grant this permission on behalf of our community. Permission may be revoked at any time by removing the check from the checkbox above.

First Name

Last Name

Data share functionality is provided as a service to Campaign participants. The availability of this service does not constitute an endorsement of the third party.

Questions?
Bethany of the Northwest: Cyd Bishop, cydb@bethanynw.org
NNHQI Campaign Help Desk: Help@nhQualityCampaign.org

Please check carefully for accuracy. If everything appears correct, click the SUBMIT button at the bottom of the page to complete your registration. Otherwise, click the EDIT links to change the information you entered.

My Profile edit

Provider Number:

Organization Name:

Provider Type:

Street Address:

City, State, Zip:

Website:

Telephone:

Fax:

Contact Information edit

Key Contact

Name:

Title:

Email:

2nd Contact

Name:

Title:

Email:

Account Options edit

My organization is interested in being involved in pilot projects.

My organization would like to share my goal selection with my state LANE.

Send me a monthly reminder to enter my goal data.

Subscribe me to the monthly NNHQI Campaign newsletter and periodic announcements.

Select Goals edit

Organizational Goals

Consistent Assignment

Hospitalizations

Person-Centered Care

Staff Stability

Clinical Outcome Goals

Infections

Dementia Care & Psychotrophic Medications

Mobility

Pain

Pressure Ulcers