For Nursing Homes
Advancing Excellence in America’s Nursing Homes Campaign is the
first voluntary, national effort to help nursing homes measurably to improve
care. The Campaign was launched in the fall, 2006, supported by all three
provider associations, NCCNHR, CMS (both the Survey and Certification and the
Quality Improvement Organization Offices), along with a broad
spectrum of professional and other stakeholder groups. The purpose of
the Campaign was to help nursing homes improve clinical outcomes, enhance
quality of life for residents, and lead to a stronger, happier and more stable
work force. A well designed website with a rich array of goal related
resources ensured that every nursing home could have easy access to free,
evidence-based practical materials to help with their quality improvement
The Campaign also helped establish a coalition of nursing home
stakeholders within every state, also called
LANEs (Local Area Networks for
Excellence), whose purpose is to provide
leadership and guidance for the Campaign at the local level. Each LANE has a
convener who is available to talk with you about the Campaign. The LANE
convener for each state can be found on the Campaign’s website.
In 2006, the Campaign Steering Committee selected a total of eight goals, 4
clinical and 4 organizational. Technical assistance materials and other
resources to help nursing achieve results on the goals were posted on the
website. Webinars were held on each goal and made available to nursing homes
in the Campaign has made a difference in quality:
- By 2009, with two full years of data available, Campaign
participants selecting a goal such as reducing pressure ulcers among high
risk residents improved faster than nursing homes that did not participate
or Campaign participants that did not select that goal.
- Almost half of all nursing homes in the nation participated in the
Phase 1 Campaign.
- The Campaign met two of its goals. Nationally, the use of daily
restraints was reduced to 5%, with 30% of nursing homes at 0% and
another quarter below 3% and symptoms of pain in the long-stay resident were
reduced were reduced to 5%.
As a result of the success of Phase I, the Campaign continued its
quality improvement efforts. – On October 22, 2009, a new phase of the campaign
was launched that featured an improved website, and new and revised goals that
included staff satisfaction and advance care planning. On November 1, 2012, new and revised goals were rolled out.
Participating in the Campaign has tangible benefits:
- Improvements in staff retention and maintaining staff stability saves
money, improves efficiency and contributes to better relationships between
residents and their caregivers.
- Providing measurably better care actually costs less. For example it
can cost as much as $19,000 to treat a single stage 4 pressure ulcer.
- Happier, more satisfied residents will recommend your nursing home to
- In states considering Pay-for-Performance reimbursement methodologies,
homes in the campaign are way ahead of the game.
Some nursing homes have said they are already doing quality improvement or
are involved in other quality initiatives, such as Quality First and hence have
no need to join Advancing Excellence Campaign. Actually the Campaign not only is
complementary to your efforts it enhances their effectiveness since it provides
state of the art training materials, helps you get to some of the root causes of
problems and, with a minimal amount of data entry, gives you graphs with which
to track your progress. CMS will be describing Advancing Excellence on its NH
Compare website in order to make consumers aware of the campaign. Joining the
Campaign and being a part of a national effort that is focused on the sharing of
To learn more about the Campaign, click
To join the Campaign, click
To view available resources, click