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Taking Action

Welcome! As you may know, 2024 is a big year for us. We are currently focusing on testing and promoting as many of our nine Action Plans as possible. This page highlights our latest events and nine Action Plans.

Bookmark this page as throughout the year, we will continue to hold discussions with national policymakers, pilot test high-impact quality improvement approaches, and strengthen models for state-based teams and local leaders.

Meaningful quality improvement is possible, together! Whether working with us or taking any of the ideas from below to inspire change in your community, no effort is too small to make nursing homes a place where people’s lives are nurtured. Keep scrolling to learn more!

Join a Conversation

Open to anyone, Coalition Conversations are virtual events where participants can learn more about our work, ways to get involved, and gain insight into what others are doing to promote meaningful change.

Your participation informs our work and creates a community of change makers so please join us! All events are East Coast time zone and are free.

If you miss one of our Coalition Conversations, check our new YouTube channel for a recording.

Our work spans a range of issues and needs. These sessions focus on making complex issues surrounding reform and quality improvement easier to understand.
Listening to a wide range of perspectives is a huge part of our work. We are excited to hear from you about our work. 



Each of our seven committees has an Action Plan guiding their work. Stay up to date on the latest in testing, promotion and other opportunities to get involved.
Curious about what’s next for the Coalition? Join Alice and other Coalition leaders as they share the latest.

Our Action Plans

Each of our nine Action Plans describes a particular challenge facing nursing homes today. Click on each plan to understand why the recommended initiative is important to a resident’s quality of life and the step-by-step path we’re on to achieve each goal over the coming year.

Each Action Plan below describes:

  • A particular challenge facing nursing homes today
  • Explains why it is important to resident quality of life
  • Defines focused goals for the Coalition
  • Provides a step-by-step path to achieve them over the coming year

We know there is, in many cases, more work to do to identify costs and funding opportunities, regulatory barriers, and specific partnerships. We’re excited to do all of this and much more as we move into our second year.

Develop and/or adapt a data-supported, tech-enabled process for collecting goals, preferences and priorities (GPPs), documenting them in a care plan, and measuring the degree to which the care provided meets them.

Assemble and test a guide for nursing home teams to establish and sustain an engaging and inclusive resident council.

Work with individual states and the Centers for Medicare & Medicaid Services (CMS) to expand and fully finance the inclusion of workforce compensation metrics in state quality incentive payment programs.

Work with workforce training and development leaders to design and pilot a standardized CNA career pathway reflecting the federal Registered Apprenticeship program framework.

To conduct a state demonstration project to pilot test and evaluate an enhanced surveyor training approach to resident-directed living.

Work with at least one state survey agency to develop a data-driven, two-day targeted recertification survey that will help agencies improve overall capacity, focus on nursing homes with a history of quality challenges or non-compliance, and respond to resident needs and specific complaints more promptly.

Design and pilot a nationally applicable blueprint for ownership transparency that makes meaningful data available and accessible.

Develop an interactive guide to help nursing home providers navigate evolving data and payment requirements, expectations, and digital capabilities, while building a case for federal incentives for nursing home health IT adoption.

Promote policies in one or more states and with one or more federal agencies to introduce incentives for and investment in nursing home physical plant improvements and conversion to household models.

This document combines all nine plans into one place for easy printing, reading and sharing. (86 pages)

Over the past year, the Coalition has spoken with roughly 90 residents across 14 states to provide input on our action planning. Residents have shared their observations and experiences of nursing home life and care, as well as concrete recommendations for quality improvement. 

This document is an update on what input committees received, how it has fit into our action planning, and how we’ll engage residents in Year 2 of our work.

Please consider joining us in this team effort to make every nursing home a community in which lives are nurtured, residents are empowered and where people want to work. Sign up for our newsletter to stay on top of the latest.

Committee #1 – Person-Centered Care
Committee #2 – Workforce
Committee #3 – Transparency & Accountability
Committee #4 – Financing System
Committee #5 – Quality Assurance
Committee #6 – Quality Measurement & Improvement
Committee #7 – Health Information Technology
Committee #1 – Person-Centered Care
Committee #2 – Workforce
Committee #3 – Transparency & Accountability
Committee #4 – Financing System
Committee #5 – Quality Assurance
Committee #6 – Quality Measurement & Improvement
Committee #7 – Health Information Technology

Phase 3: Action Plan Development (December 2022 – April 2023)

With input from our Steering Committee and a diverse representation of voices from those who attended feedback sessions in December, committees are now actively developing their Action Plans.

We anticipate these plans will be completed by April/May 2023 at which time we likely will be hosting review sessions.

Share your feedback
Our work spans a lot of issues and needs. Our Education Sessions are to present a range of issues tied into reform – and hopefully help make the complex issues easier to understand.

Our work spans a lot of issues and needs. Our Education Sessions are to present a range of issues tied into reform – and hopefully help make the complex issues easier to understand.

IMG: Blue background with text Informational Session - A conversation with our Chair to define the type of event

New to the Coalition? Curious about what’s on the next horizon? These big picture sessions are about the latest in and around the Coalition.

IMG: Pink background with text Committee Update Session to define the type of event

Each of our seven committees has an Action Plan guiding their work. These sessions are a good way for you to stay abreast of specific committee work, ask questions, and find ways to get involved.

Yellow background with text Feedback Session to define the type of event

Our work is based on listening to a wide range of interests – from providers to advocates, and legislators. Whether a focus group or group discussion, our goal is to get participants to do the talking so we can learn from you.

Share Your Ideas!

If you have ideas or general feedback, this is a great place to share your thoughts.
We read everything we receive.

Share this page with your colleagues, friends, and family.
With more of us leaning in to create positive forward momentum,
we will reach our goals together.

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