Delaware success stories

DE Success StoriesQuality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. 

We encourage you to read the success stories, contact us for more information, and also let us know if you have a Quality Insights' success story to share.

Accurate Coding Helps Kutz Home Reduce Restraints

8/26/2014
Learn how Milton and Hattie Kutz Home reduced the number of residents identified as using restraints by 50% from September 2011 to November 2011.
 
In an effort to reduce the facility’s use of physician restraints, staff members at the Milton and Hattie Kutz Home participated in a national project sponsored by the Centers for Medicare & Medicaid Services as well as a state project by Quality Insights of Delaware. As a first step, Quality Insights’ project coordinator reviewed the statewide physical restraint rates with the Kutz Home’s director of nursing.
 
Additionally, Quality Insights’ project coordinator encouraged the Kutz Home team to participate in learning sessions that taught participants to track data and understand common MDS coding errors to improve reporting accuracy for the physical restraint quality measure.
 
With this information in hand, the Kutz Home’s director of nursing realized that they had been coding some restraints incorrectly, especially geri-chairs. The nursing home had been coding its use of geri-chairs as a restraint, but geri-chairs do not meet the definition of a restraint if a resident has no voluntary or involuntary movement.
 
As soon as the Kutz Home began coding its physical restraints correctly, its rates dropped significantly. When the Kutz Home began tracking restraints in September 2011, there were 16 residents identified as using restraints. By November, 2011, Kutz Home had cut that number in half.