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The Quality Initiative

The Quality Initiative is an effort that builds upon existing work the long term and post-acute care field is doing by setting specific, measurable targets to further improve quality of care in America’s skilled nursing centers and assisted living communities. NCAL members are encouraged to reach defined, concrete goals over the next three years, in four core areas.
1. Safely Reduce Hospital Readmissions
By March 2015, individual communities will safely reduce hospital readmissions by 15 percent.  Individual communities that have less than 5 percent of residents with hospital readmissions will maintain hospital readmissions below 5 percent.
2. Increase Staff Stability
Each year, until March 2015, maintain nursing staff turnover rates below 30 percent.
3. Increase Customer Satisfaction
By March 2015, maintain the number of customers who would recommend the community to others at or above 90 percent.  Communities with customer satisfaction below 90 percent should improve to 90 percent by March 2015
4. Safely Reduce the Off-Label Use of Antipsychotics
By December 2013, safely reduce off-label use of antipsychotics by 15 percent.  Communities that have less than 5 percent of off-label use maintain rates at or below 5 percent.  All communities will implement use of at least one tool aimed at reducing off-label use of antipsychotics by December 2013.