The following are the key successes of the Regional Collaboratives for Quality Improvement project:

  • Improving Antibiotic Stewardship: NCIQIC strengthened facility antibiotic stewardship by more closely aligning antibiotic usage to the McGeer criteria; WCIRC reduced monthly antibiotics per resident by 51.3% and in doing so prevented at least nine cases of c. difficle and 17 cases of urinary tract infection.
  • Reducing Antipsychotic Medication Use: ECIC reduced doses of antipsychotic medications by 43%; SWICPI reduced rates of antipsychotic medication use by 42%; SIRC reduced rates of antipsychotic medications by 43%.
  • Reducing Challenging Behaviors: CCC reduced challenging behaviors by 2% and in-patient hospital visits for behavioral symptoms by 78.7%; as part of the Person-Centered Care project, SIRC reduced challenging behaviors by 10.9%.
  • Improving CNA Staffing: CCC reduced CNA turnover rate by 17%, saving $42,000; CINHIC reduced CNA turnover rate by 15%.
  • Reducing Falls: SIRC reduced falls by 29% across three facilities; CINHIC decreased falls with major injury by 50%; NCIQIC reduced the average number of residents who fell by 44%; NWIQIC reduced falls with major injury to 0; SWICPI reduced rates of falls with major injury by 62.6%; WCIRC reduced overall fall rate by 24% and falls with major injury by 74%.
  • Reducing Incontinence: NWIQIC reduced rates of incontinence by 22.2%.
  • Reducing HAI-related Hospitalizations: CCC reduced HAI hospitalizations by 38%.
  • Reducing Pneumonia: ECIC reduced pneumonia cases by 16%.
  • Reducing UTIs: NCIQIC reduced UTIs by 56.75%;SIRC reduced UTIs by 54%; QICNE reduced UTIs by 46%; SWICPI reduced UTIs by 38%; and CINHIC reduced UTIs by 24%.
  • Improving Need for Assistance with ADLs: CCC reduced rates of residents whose need for help with ADLS by 38.8%.  
  • Reducing Polypharmacy: QICNE decreased average monthly medications by 10.2%, increased the number of discontinued medications by 20.5%, and decreased the number of PRN medications by 14.3%; WCIRC reduced average monthly medications by 48.2%.
  • Improving Person-Centered Care: SIRC developed a Person-Centered Care Scorecard and improved person-centered care by 11%.
  • Over the course of the four years of the project, $3,062,301.06 in savings has been identified due to these projects' prevention of anticipated negative health outcomes.
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