Funded Tennessee CMP Reinvestment Projects
Grantee Name: TN Edenizing Foundation d/b/a Tennessee Eden Alternative Coalition
Total Awarded Funding: $392,543.00
Project Goal: The goal is to support the continued reduction of antipsychotic use in Tennessee nursing homes to lower than the national average of 18.7% (2015Q1) and to help sustain that reduction.
Grantee Name: Florida Atlantic University
Funding Amount: $103,400.80
Project Overview : Implement The Decision Guide: Go to the Hospital or Stay Here? in Regional IV nursing facilities in order to assist nursing home residents and families make optimal decisions concerning hospitalization or treatment in the NH. For more information, please visit their website: www.decisionguide.org.
Grantee Name: Tennessee Technological University
Funded Amount: $165,950.97
Project Goal: To implement the Music and Memory program in six nursing homes in the Upper Cumberland region of Tennessee.
Grantee Name: Mountain City Care and Rehabilitation
Funding Amount: $31,000.00
Project Goal: The goal of this project is to offer Eden education to the remaining 90% of the nursing facility's Stakeholders that have not been trained in order to advance their "Holistic Caregiver" model.
Grantee Name: Saint Thomas Healthcare Foundation
Funding Amount: $101,212.00
Project Goal: To collaborate with four NHC Skilled Nursing Facilities to create a specific process to ensure that palliative care resident treatment directives are documented and implemented and to develop metrics that reveal a quality risk when there is a variance between residents' directives and patient care outcomes.
Grantee Name: Tennessee Health Management, Inc. - Memphis
Funding Amount: $493,550.87
Project Goal: The goal of the ARTS program is to improve the quality of life of the residents by improving or maintaining ADL function and enriching activities and social connections for 770 residents.
Grantee Name: Tennessee Health Management, Inc. - Jackson
Funding Amount: $471,215.29
Project Goal: The goal of the ARTS program is to improve the quality of life of the residents by improving or maintaining ADL function and enriching activities and social connections for 876 residents.
Parade of Programs Presentation - 7/2/2019 (Memphis and Jackson regions)
Grantee Name: Uplands Village
Funding Amount: $29,020.00
Project Goal: The goal of the project is to provide Certified Eden Associate Training to new staff, families and residents in order to establish and strengthen person-centered care and culture change principles. By March 29, 2019, 75% of direct and ancillary long-term care staff will be trained as Certified Eden Associates.
Grantee Name: Spring Gate Rehabilitation and Health Care Center
Funding Amount: $89,381.00
Project Goal: The goal of the WashSense project is to reduce Healthcare Associated Infections by installing a system that tracks infection patterns by providing analytical analysis and hot spotting. The monitors also provide guidance and demonstration for handwashing in resident rooms and other locations throughout the facility.
Grantee Name: Signature Healthcare of Putnam County
Funding Amount: $10,645.00
Project Goal: Increase Elder socialization, volunteer support, conduct Eden Alternative Warmth Surveys, and collaborate with local music instructors to create additional opportunities for inter-generational programming with the Elders.
Grantee Name: Ave Maria Home
Funding Amount: $60,356
Project Goal: Purchase four Mobil Flex Lite Engage systems to provide activities and rehabilitation for nursing home elders and train Ave Maria staff on using these systems with the elders.
Grantee Name: Maury Regional Medical Center/Post Acute Care Network
Funding Amount: $928,878.07
Project Summary: Reduce the incidence and burden of healthcare associated infections through education, management of antibiotic stewardship and deployment of a prototype virtual rapid response team using telemedicine. Thirteen skilled nursing facility members of Maury Regional Medical Center's Post-Acute Care Network will be the focus of interventions to reduce HAIs and ultimately, readmissions to the hospital. A clinical pharmacist will review/monitor antibiotics prescribed for residents on admission and communicate with providers regarding antibiotic management. Through virtual technology, SNFs may alert the rapid response team of patient concerns which will prompt a "virtual" assessment followed by appropriate protocol-driven therapy.
Grantee Name: LifeBio
Funding Amount: $103,656.97
Project Goal: The LifeBio project in the State of Tennessee is focused on demonstrating that knowing Elders deeply increases engagement and well-being. Working with our partner American Health Communities, the LifeBio Project will create Life Story Books for each participating resident, based on one-on-one interviews using journals and LifeBio’s online system. In addition, Snapshots, which are one page life story summaries, and Action Plans, customized activity and guides to an individual’s personal comforts, will be created and put into use. Intergenerational volunteers will be assisting with the project during the interview process, when books are presented, and while implementing Action Plans. Family members will also be invited to assist when possible. LifeBio will be providing volunteer training as well as dementia training for each nursing home, to educate staff on how best to address the behavioral and psychological symptoms of dementia (BPSD) using the power of individual life stories. Project measurements are focused on determining to what level LifeBio is able to improve comprehensive care planning, staffing concerns within long-term care, and the general well-being of residents. LifeBio and American Health Communities are very excited to showcase the lives of everyday extraordinary individuals in a meaningful and engaging way.
Grantee Name: Tennessee Arts Commission
Funding Amount: $1,000,000.00
Project Summary: The Tennessee Arts Commission received a $1M dollar CMP funding award to implement the Music & Memory Tennessee program which will serve 147 nursing homes and over 2,205 residents throughout the state over the next three years starting February 1, 2019. Based on a national model, this program utilizes personalized music to enhance and improve quality of life for seniors by increasing engagement, socialization, and communication while decreasing agitation, falls, resistance to care, and reduced reliance on antipsychotic, anti-anxiety and anti-depressive medications. Nursing homes who are not currently Music & Memory certified in the State of Tennessee can participate in the program. Participating Tennessee nursing homes will receive certification training, equipment, and fee coverage for certification. Project partners include the TN Commission on Aging and Disability, TN Health Care Association, Alzheimer’s Association, Alzheimer’s Tennessee, Volunteer Tennessee, Music & Memory, Inc./Southeast Music & Memory, and the Country Music Hall of Fame and Museum. For more information, visit musicandmemorytn.org or contact Kim Johnson at email@example.com or 615-532-9797.
Grantee Name: University of Indianapolis Center for Aging & Community
Funding Amount: $495,732.64
Project Summary: The University of Indianapolis (UIndy) Center for Aging & Community (CAC) will work with the Tennessee Department of Health, Qsource, and agencies and nursing facilities around the state to develop a statewide system of Regional Healthcare Quality Improvement Collaboratives that bring together Tennessee nursing facilities for quality improvement in long term care. Five Regional Collaboratives will be developed across the state to provide easy access to all parts of Tennessee – all skilled nursing facilities are encouraged to participate. Regional Collaboratives will recruit member LTC facilities, facilitate development of facility QAPI plans, and facilitate two group process improvement projects (PIPs). An Advisory Group will be formed to develop and enhance state-level partnerships that will support the work of the Collaboratives. CAC will provide the overall support, structure, and technical assistance needed to create and sustain these Collaboratives. This project is based on similar efforts in Indiana that have had the following outcomes in quality improvement:
● Reduction of antipsychotic medications by 43%.
● Reduction of rates of falls by 30%.
● Reduction of hospitalizations by 38%.
● Reduction of rates of UTIs by an average of 43% across five Collaborative (24-57% reductions).
● Reduction in CNA turnover by 16%.
Interested lead agencies (AAAs, trade organizations, LTC facilities) and participating facilities are encouraged to contact Ellen Burton, Senior Project Director at firstname.lastname@example.org.
Grantee Name: Tennessee Department of Health, Healthcare Acquired Infections and Antimicrobial Resistance Program
Funding Amount: $21,125.00
Project Description: The Tennessee Department of Health, Healthcare Acquired Infections and Antimicrobial Resistance (HA/-AR) program has been awarded a Civil Monetary Penalties (CMP) grant. This grant will be used to distribute 500 copies of the National Quality Partners Playbook for Antibiotic Stewardship in Post-Acute and Long-Term Care to long term care facilities across Tennessee. The playbook is a tool to assist long term care facilities in meeting each of CDC’s core elements of antibiotic stewardship as outlined by the Centers for Medicare and Medicaid Services conditions of participation. It describes low and high intensity interventions for each of the seven core elements, potential barriers and solutions to implementation, and links to additional resources. The TDH HAI-AR group will be supplying facilities with this valuable resource free of charge. Each recipient facility must complete a survey describing their current stewardship activities. The results of this survey will help us give feedback on opportunities for improvement for antimicrobial stewardship programs statewide. Follow up will occur at 6 months and 12 months from receipt of the playbooks to see how facility programs are progressing.
Grantee Name: Cookeville Regional Medical Center Charitable Foundation
Funded Amount: $138,022.00
Project Description: The Cookeville Regional Charitable Foundation is partnering with the Upper Cumberland Healthcare Preparedness Coalition for a Project aimed at standardizing and organizing regional environmental health knowledge, equipment, processes and measurement tools for nursing facilities in fourteen Upper Cumberland counties. The Project will provide regional nursing facility staff with CleanHealth environmental training (including process standards), Hygiena ATP monitor systems, and environmental health supplies. The Project will in-effect provide a base-line for infection control and environmental health knowledge and the necessary equipment to put that knowledge into practice. The Project will also include mechanisms and tools to measure environmental health improvement at each of the twenty-three participating nursing facilities. This project is expected to improve performance at nursing facilities with outlier measurements concerning infection-control, and lower the rate of HAI’s for the region as a whole.
Grantee Name: Qsource
Funding Amount: $152,610.12
Project Description: Qsource is partnering with select Tennessee nursing homes in a one-year collaborative to implement individualized pain management strategies and improve opioid safety. Qsource will provide in-person group training, one-on-one customized technical assistance, evidence-based tools and resources, and ongoing data analysis to participating nursing homes throughout the project. Training topics covered include: (1) Differentiating among sources of pain and how they respond to opioids; (2) Understanding the importance of specific indications when treating pain; (3) Applying opioid guidelines to nursing home residents; (4) Increasing accessibility of non-opioid pain treatments in nursing homes; (5) Communicating more effectively with residents and families about pain treatment; (6) Using this project to fulfill federal Quality Assurance Performance Improvement (QAPI) requirements. If your nursing home is interested in participating or would like more information, please contact Julie Clark at Julie.Clark@area-G.hcqis.org.
Grantee Name: Vanderbilt University Medical Center, Programs in Disaster Research and Training
Funding Amount: $957,959.20
Project Description: Vanderbilt University Medical Center has been awarded a 3 year grant by the Centers for Medicare and Medicaid Services through the CMP Reinvestment Program, Office of Patient Care Advocacy, to develop and deliver emergency preparedness training to the state’s approximately 300+ Long-Term Care and Skilled Nursing facilities. The training will be designed to assist facilities in developing a comprehensive emergency management program to meet and exceed CMS compliance requirements. A technical assistance (TA) program for assisting facilities with their emergency preparedness needs is included. This program and training curricula will encompass an all-hazards approach for designing facility specific emergency plans based on local hazard risk and gap analyses, coordination of community and regional resources, and engagement of community partnerships addressing potential internal and external emergencies. The program will also assist with development of facility emergency communications, as well as developing policies and procedures directed toward implementation of response protocols for addressing a number of potential facility emergencies to include emerging infectious diseases and alternative source power.
Grantee Name: Miami University Scripps Gerontology Center
Funded Amount: $116,396.00
Project Description: Miami University will collaborate with up to 25 Tennessee nursing facilities to implement an evidence-based tool called the Preferences for Activities and Leisure Cards, piloting with up to 20 residents per home, to assist NHs in communicating residents' important preferences for leisure and recreation to care partners, agency staff and volunteers and improve resident satisfaction.
Grantee Name: Walters State Community College
Funded Amount: $350,254.00
Project Description: WSCC, a public two-year comprehensive community college, working in conjunction with ten designated rural health counties proposes to train Certified Nursing Assistants using an evidence-based, online certification training program called "CARES® Online Dementia Training". The purpose of the training is to educate and empower nursing home staff with the techniques, tools and resources they need to help those residents who live with AD or other related dementias. In addition, family members of nursing home residents will receive “The Savvy Caregiver™” educational program which will help family members learn the basics of dementia and how they can effectively respond to changes in their loved ones behavior.
Grantee Name: Western Kentucky University Center for Applied Science in Health
Funded Amount: $503,803.00
Project Description: A lack of social engagement and physical activity may contribute to a continued decline in functional mobility, activities of daily living (ADLs), and an increase in fall risk in certified nursing facility (CNF) residents. Therefore, there is a significant need for easy-to-use and enjoyable CNF activities capable of increasing daily social engagement, improving functional health, and decreasing social isolation. Bingocize®, a strategic combination of exercise and the game of bingo, is an innovative, structured, and evidence-based program shown to increase older adults’ quality of life - an important Civil Money Penalty Grant (CMP) focus area. The Western Kentucky University Center for Applied Science in Health and Aging (CASHA) team’s primary goal for their project is to train CNF staff to implement the Bingocize® program in 40 CNF across Tennessee. Their secondary goal is to facilitate strong community partnerships between faculty and students at six Tennessee educational institutions and CNF staff. The 3-year project objectives are:
Objective 1: Two hundred eighty (280) CNF staff will demonstrate skill and knowledge to lead Bingocize® with CNF residents over the 3-year grant period;
Objective 2: Twelve (12) faculty and four hundred (400) students from six Tennessee universities will demonstrate skill and knowledge to lead Bingocize® while assisting CNF staff to implement Bingocize® programs over the 3-year grant period; and
Objective 3: One thousand eight hundred (1,800) CNF residents from forty (40) CNF will participate in Bingocize® and falls, ADLs, and social engagement will be evaluated over the 3-year grant period.
Grantee Name: The King's Daughters and Sons Home
Funding Amount: $55,187.00
Project Description: The goal of the project is to purchase three IN2L (Its Never 2 Late) Mobil Flex Engage systems, which will be used to assist in reducing use of antipsychotics and enhance the restorative care program to reduce hospitalizations over the course of three years. The iN2L program is an integrative, person-centered digital technology program with activity, restorative care and therapy programs, with over 4,000 applications designed to engage residents with a wide range of physical and cognitive abilities.
Grantee Name: Ageucate, LLC
Funding Amount: $147,419.00
Project Description: Compassionate Touch® (CT) is an evidence-informed approach combining skilled touch techniques and specialized communication shown to help prevent behavioral expression in people with dementia and reduce job stress in care-partners. The purpose is to equip nursing home staff with practical skilled touch techniques, integrate these techniques into care processes, and track selected quality measures. This project supports the effort to minimize the use of antipsychotic medications for dementia-related behaviors by providing a non-pharmacological tool.
Grantee Name: American Health Communities a.k.a. Tennessee Health Managment, Inc.
Funding Amount: $457,839.26
Project Description: The It's Never 2 Late program will be used to assist in reducing use of antipsychotics and enhance the activities, restorative and therapy programs over the course of three years. The iN2L program is an integrative, person-centered digital technology program with activity, restorative care and therapy programs with over 4,000 applications designed to engage residents with a wide range of physical and cognitive abilities.
Grantee Name: The Bureau of TennCare & The QuILTSS Institute
Funding Amount: $1,000,000.00
Project Description: The proposed competency-based training courses will provide 2,500 CNA's from 50 dually certified nursing homes with specialized training in core competency areas, expanding the skill set of nursing home staff across the state of Tennessee. Training will be provided on Communication, Person-Centered Practices, Evaluation and Observation, Professionalism and Ethics, as well as, dementia-specialized training called Arm in Arm. The cohort of 50 nursing homes will be equally distributed among the West Middle and East Tennessee regions. This is a two-year project.
Grantee Name: Second Wind Dreams, Inc.
Funding Amount: $812,835.24
Project Description: The proposed Virtual Dementia Tour (VDT) and Dementia Aware Competency Evaluation (DACE®) program will give nursing home staff the opportunity to experience what dementia is like through individualized, experiential learning. VDT will provide healthcare staff the ability to look at the individual living with dementia, identify with them, and respond accordingly based on their increased understanding of the Dementia experience. DACE will result in healthcare providers receiving feedback about how to provide person-centered care, resulting in increased empathetic, sensitive treatment of residents.
Grantee Name: Tennessee Department of Health, Vaccine-Preventable Diseases and Immunization Program
Funding Amount: $379,141
Project Description: Through this project, the Tennessee Department of Health, Vaccine-Preventable Diseases and Immunization program will engage up to 20 Tennessee nursing homes with flu immunization coverage healthcare effectiveness data information set (HEDIS) rates falling below Healthy People 2020 (HP2020) goals to complete a needs assessment survey. Survey results will be used to provide individualized technical assistance to address barriers to successful immunization of staff and residents. Nursing homes will also receive training in the use of the Tennessee Immunization Information System (TennIIS) so they can query the immunization status of residents and staff, as well as report administered vaccines into the system. This project will directly benefit nursing home residents, as well as the staff who care for them, and will assist enrolled facilities in achieving HP2020 goals.
The overall program objective is to increase facility 2020-2021 flu and pneumococcal HEDIS measures by 20 percent above 2018-2019 rates or above HP2020 goals (whichever is greater) and to successfully enroll 50 percent of the partnering nursing homes as TennIIS users by September 30, 2021.
Grantee Name: Vanderbilt University Medical Center
Funding Amount: $593,300
Project Description: Through this project, the Vanderbilt University Medical Center will engage 18 nursing homes in rural and distressed communities. Residents, family members, clinicians and staff in each participating facility will learn effective communication skills, and how to conduct conversations that will elicit the individual preferences of each resident. In addition, residents, family members and staff will be trained on advanced care planning and physician orders for life sustaining treatment. The project interventions will directly impact the quality of life of residents, morale of the staff, and delivery of the right care at the right time for the right residents based on their preferences.