Additional Topics
In addition to our implementation initiatives, the Moving Forward Coalition has done significant work in these four areas:
HIT Readiness Guide
Based on the Developing a Nursing Home Health Information Technology Guide Action Plan
The HITECH Act of 2009 incentivized acute care providers to adopt powerful health information technology to revolutionize patient care. However, nursing homes were not included.
Now, as CMS guides the health care system toward a more integrated and value-focused future, nursing homes desperately need that technology.
The Moving Forward Coalition and its partners built on work at Columbia University to develop and further test an HIT Readiness Guide for Nursing Homes. Our goal is to support further testing and implementation in more U.S. nursing homes.
Addressing GPPs: Tech Enabled GPP Collection Tool
Based on the Addressing Residents' Goals, Preferences & Priorities Action Plan
Nursing homes cannot collect residents’ goals, priorities, and preferences (or GPPs) in a vacuum. As residents move between sites of care or receive care from different providers, different care teams need to know what matters most to each older adult. Information about residents’ goals needs to be digital, interoperable, and universally accessible.
We have worked on developing the foundational tools, data standards, and cross-sector approaches to make goal-concordant care for all nursing home residents a reality.
Surveyor Training on Person Centered Care
Based on the Enhancing Surveyor Training Action Plan
As we empower nursing homes to address what matters most to nursing home residents, we also need to empower surveyors to identify when nursing homes are achieving that goal and help guide them toward more person-centered practices. In Michigan, we piloted a powerful one-day curriculum for training state surveyors on how to identify and encourage person-centered care within a quality improvement framework.
Small House Model
Based on the Financing Household Models and Physical Plant Improvements Action Plan
The COVID-19 pandemic highlighted the need for nursing homes to better promote safety, well-being, and privacy for each resident. Reducing room crowding and making spaces feel like home are high priorities to improve resident quality of life. The Moving Forward Coalition’s Small Household Model Task Force explored an alternative to the existing hospital-type nursing home: the small household model, which prioritizes small living units with private bedrooms and bathrooms and other residential features.
The Coalition conducted research on this model, and released their findings in a Coalition Conversation.