Taking Action
The Coalition is excited to share nine Action Plans for nursing home quality improvement! Each is an opportunity to improve the quality of life and work of nursing home residents and staff. 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.
Over the next year, we will focus on accomplishing as many of these plans as possible. 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.
Our Action Plans
2023 – 2024: Test & Promote
We’re so glad you’re reading our nine Action Plans! Each Action Plan describes a particular challenge facing nursing homes today, explains why it is important to resident quality of life, defines focused goals for the Coalition, and provides a step-by-step path to achieve them over the coming year. At the same time, we know there is more work to do to identify costs and funding opportunities, regulatory barriers, and specific partnerships. We’re excited to do all of that and much more in Year 2!
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.Â
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.
Join a Conversation
Over the next couple of months, we will dedicate time to discuss each Action Plan.
Open to anyone, these virtual sessions are a chance to speak to those working to promote meaningful change and/or learn the latest about our work.
Your participation informs our work so please join us! All events are free. If you miss one of our Coalition Conversations, check our new YouTube channel for a recording.
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.
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.
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.
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.
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.