Greater Rochester Nursing Home Quality Consortium

Democrat and Chronicle Speaking Out Essay on Nursing Home Quality
by Tobie Olsan


Several of our consortium member homes are busy this spring Designing a Model QAPI Program. Results from the CMS QAPI Self Assessment that a number of homes completed last year indicated that many aspects of QAPI are already in place, but there are other elements that are in various stages of development.

The idea of the spring training is to pool our collective ideas and expertise and focus together on getting “QAPI Ready” to meet the new Affordable Care Act QAPI regulations.  In the past we have used the Lean Six Sigma (LSS) method, and the Define, Measure, Analyze, Improve and Control (DMAIC) steps to improve processes. This spring member homes are learning a slightly different approach called Design for Six Sigma (DFSS) to design and implement a model QAPI program.

A groundbreaking collaborative of regional nursing homes and other health care organizations to implement Quality Improvement team training, share ideas, and develop solutions to problems to improve resident care and service delivery.

To Learn more about our collaborative please view the following video:

Improving Quality through Collaborative Learning

Established September 25, 2009, the GRNHQC overcomes the geographic isolation of rural and under-served nursing homes by providing a forum to exchange ideas and strategies to make quality and value improvements in resident care.

We are excited to announce that federal funding for GRNHQC was renewed for three more years (2012-2015). Our grant is entitled The Meliora Project: Advancing Quality in Long Term Care.  Meliora, Latin for ever better, is a fitting tribute to our learning collaborative of long term care professionals committed to quality and performance improvement. Our grant supports:

  1. educating interdisciplinary teams to use Lean Six Sigma methods.
  2. enabling consortium’s member homes to collaborate in developing federally mandated Quality Assurance Performance Improvement (QAPI) programs and to more widely disseminate the materials they develop to non-member homes. A key component  of the Affordable Care Act requires that all 16,000 nursing homes across the country have QAPI programs in place to qualify for Medicare funding.
  3. offering graduate nurse traineeships for students interested in pursuing education as nurse practitioners  certified in  geriatrics.

For additional information or to express interest in participating in the Greater Rochester Nursing Home Quality Consortium, please contact:

Tobie Olsan, PhD, RN
Project Director
Phone (585) 275-5828

Supported by a Comprehensive Geriatric Education Program grant (#D62HP15056) and an American Recovery and Reinvestment Act grant (#1D76HP20640-01-00) from the Health Research and Services Administration (HRSA) awarded to the University of Rochester School of Nursing.