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Ohio KePRO
Rock Run Center, Suite 100
5700 Lombardo Center Drive
Seven Hills, Ohio 44131
Tel: 216.447.9604
Fax: 216.447.7925
www.ohiokepro.com
ATTN: Marketing & Communications Dept.
Rock Run Center, Suite 100
5700 Lombardo Center Drive
Seven Hills, Ohio 44131
Tel: 216.447.9604
Fax: 216.447.7925
www.ohiokepro.com
ATTN: Marketing & Communications Dept.
ATTN: MARKETING & COMMUNICATIONS
OHIO KEPRO
ROCK RUN CENTER
5700 LOMBARDO CENTER DRIVE STE 100
SEVEN HILLS OH 44131-9941
OHIO KEPRO
ROCK RUN CENTER
5700 LOMBARDO CENTER DRIVE STE 100
SEVEN HILLS OH 44131-9941
www.ohiokepro.com
Vol. 3 No. 1
January 2005
What is Ohio KePRO?
Ohio KePRO is the Medicare Quality
Improvement Organization (QIO) for Ohio.
The Center s for Medicare & Medicaid
Ser vices (CMS), an agency of the U.S.
Depar tment of Health and Human Ser vices
(HHS), contracts Ohio to ser ve Ohio's 1.8
million Medicare beneficiaries. Under this
contract, Ohio KePRO:
Improvement Organization (QIO) for Ohio.
The Center s for Medicare & Medicaid
Ser vices (CMS), an agency of the U.S.
Depar tment of Health and Human Ser vices
(HHS), contracts Ohio to ser ve Ohio's 1.8
million Medicare beneficiaries. Under this
contract, Ohio KePRO:
Ohio's Nursing Home Residents
Receive Higher Quality of Care
Today Than in 2002
Receive Higher Quality of Care
Today Than in 2002
New data released from the Centers for Medicare & Medicaid Ser vices (CMS)
indicate nursing homes in Ohio have improved the quality of care they provide to
indicate nursing homes in Ohio have improved the quality of care they provide to
residents based on several key measures, Ohio KePRO announced today.
Educates Medicare beneficiaries about
their rights under the Medicare program
and the preventive services that Medicare
covers. Medicare beneficiaries' rights
under Medicare include the following:
· The right to be admitted to the
hospital when medically necessar y.
· The right to stay in the hospital until
it is medically safe to leave.
· The right to receive quality medical care.
Performs clinical case reviews or
conducts a formal mediation for any
Medicare beneficiar y who questions the
quality of care he or she received.
Promotes the use of 1-800-MEDICARE
(1-800-633-4227) and www.medicare.gov
for finding a quality nur sing home or
home health agency.
Par tners with healthcare providers in
the hospital, outpatient, nur sing home,
and home health settings to improve
the quality of care provided to Ohio's
Medicare beneficiaries.
their rights under the Medicare program
and the preventive services that Medicare
covers. Medicare beneficiaries' rights
under Medicare include the following:
· The right to be admitted to the
hospital when medically necessar y.
· The right to stay in the hospital until
it is medically safe to leave.
· The right to receive quality medical care.
Performs clinical case reviews or
conducts a formal mediation for any
Medicare beneficiar y who questions the
quality of care he or she received.
Promotes the use of 1-800-MEDICARE
(1-800-633-4227) and www.medicare.gov
for finding a quality nur sing home or
home health agency.
Par tners with healthcare providers in
the hospital, outpatient, nur sing home,
and home health settings to improve
the quality of care provided to Ohio's
Medicare beneficiaries.
Ohio KePRO's ser vices are provided free
of charge to all Medicare beneficiaries,
including those enrolled in Medicare
Advantage plans.
of charge to all Medicare beneficiaries,
including those enrolled in Medicare
Advantage plans.
Share the news! Media outlets are
encouraged to share infor mation con-
tained in Ohio KePROmotion with their
readers, listeners, and viewers. All items
in this newsletter are accessible in PDF
and HTML formats at www.ohiokepro.com
under Media Publications. You can also
subscribe online a t
www.ohiokepro.com/publications/sub-
scribe.asp. For more information, please
visit Ohio KePRO's Web site at
www.ohiokepro.com.
encouraged to share infor mation con-
tained in Ohio KePROmotion with their
readers, listeners, and viewers. All items
in this newsletter are accessible in PDF
and HTML formats at www.ohiokepro.com
under Media Publications. You can also
subscribe online a t
www.ohiokepro.com/publications/sub-
scribe.asp. For more information, please
visit Ohio KePRO's Web site at
www.ohiokepro.com.
M
any of the improvements are the result
of work nursing homes are undergoing
with Ohio KePRO, Medicare's Quality
Improvement Organization (QIO) in Ohio, as
par t of the national Nursing Home Quality
Initiative. Ohio KePRO contracts with CMS
to provide quality improvement resources to
nursing homes, home health agencies,
hospitals and physicians.
of work nursing homes are undergoing
with Ohio KePRO, Medicare's Quality
Improvement Organization (QIO) in Ohio, as
par t of the national Nursing Home Quality
Initiative. Ohio KePRO contracts with CMS
to provide quality improvement resources to
nursing homes, home health agencies,
hospitals and physicians.
"Nursing homes have been working hard
to improve their quality of care under the
national Nursing Home Quality Initiative for
over two years, and the recent data collected
by CMS show that their effor ts are paying
off, benefiting nursing home residents and
Ohio's taxpayers," said Alice Stollenwerk
Petrulis, MD, FACP medical director for Ohio ,
KePRO. "In the areas of pressure ulcers
and use of restraints, nursing homes working
with Ohio KePRO are showing greater
improvement than the national average,"
Dr. Petrulis added.
to improve their quality of care under the
national Nursing Home Quality Initiative for
over two years, and the recent data collected
by CMS show that their effor ts are paying
off, benefiting nursing home residents and
Ohio's taxpayers," said Alice Stollenwerk
Petrulis, MD, FACP medical director for Ohio ,
KePRO. "In the areas of pressure ulcers
and use of restraints, nursing homes working
with Ohio KePRO are showing greater
improvement than the national average,"
Dr. Petrulis added.
All nursing homes in Ohio have
received educational materials to
help improve their quality of care.
received educational materials to
help improve their quality of care.
Improvements have led to better quality of
life for nursing home residents in many ways.
Maria-Joseph, a 350-bed nursing facility in
Dayton, began a pain control program
following their medical director's attendance
at the Ohio QIO-sponsored pain seminar
and reduced the percentage of shor t-stay
residents with pain from 45% to 0%. Maria-
Joseph was featured nationally this month
in a case study in Eli's Long-Term Care
Repor t, citing the benefits of par ticipation
in the quality improvement initiative.
life for nursing home residents in many ways.
Maria-Joseph, a 350-bed nursing facility in
Dayton, began a pain control program
following their medical director's attendance
at the Ohio QIO-sponsored pain seminar
and reduced the percentage of shor t-stay
residents with pain from 45% to 0%. Maria-
Joseph was featured nationally this month
in a case study in Eli's Long-Term Care
Repor t, citing the benefits of par ticipation
in the quality improvement initiative.
Other successes include:
Mount Saint Joseph reduces chronic
care pain in residents by 85% and post-
acute pain by 77%:
care pain in residents by 85% and post-
acute pain by 77%:
Mount Saint Joseph, a 100-bed nonprofit
home in Euclid, Ohio, significantly improved
its scores on all targeted quality measures
through an intensive par tnership with Ohio
KePRO. The home's rate on Nursing Home
Compare for chronic care pain declined by
85%, and for post-acute pain by 77%.
Quality measure scores also improved by
35% for use of restraints, and by 9% for
incidence of pressure ulcers.
home in Euclid, Ohio, significantly improved
its scores on all targeted quality measures
through an intensive par tnership with Ohio
KePRO. The home's rate on Nursing Home
Compare for chronic care pain declined by
85%, and for post-acute pain by 77%.
Quality measure scores also improved by
35% for use of restraints, and by 9% for
incidence of pressure ulcers.
Mercy Saint Theresa Center reduces
post-acute pain in residents by 80% and
eliminates physical restraint use:
post-acute pain in residents by 80% and
eliminates physical restraint use:
Mercy Saint Theresa Center, a 100-bed
home in Cincinnati, Ohio, has reduced
post-acute pain by 80%, chronic-care pain
by 32%, and altogether eliminated the use
of physical restraints among its residents.
The home has also seen its rate for
pressure ulcers decline by 11% through a
pressure ulcer program, championed by a
staff wound specialist, which included
evaluation and use of treatment products.
home in Cincinnati, Ohio, has reduced
post-acute pain by 80%, chronic-care pain
by 32%, and altogether eliminated the use
of physical restraints among its residents.
The home has also seen its rate for
pressure ulcers decline by 11% through a
pressure ulcer program, championed by a
staff wound specialist, which included
evaluation and use of treatment products.
Trinity Community dramatically reduces
incidence of pain, pressure ulcers, and
physical restraint use in its resident
population:
incidence of pain, pressure ulcers, and
physical restraint use in its resident
population:
Trinity Community, a 106-bed home in
Beavercreek, Ohio, significantly improved
its scores for all targeted quality measures.
Success has been comprehensive in scope
and impact, as pain has declined by 67%
for chronic care residents, and by 28% for
post-acute residents. In addition, pressure
Beavercreek, Ohio, significantly improved
its scores for all targeted quality measures.
Success has been comprehensive in scope
and impact, as pain has declined by 67%
for chronic care residents, and by 28% for
post-acute residents. In addition, pressure
Continued
Ohio's Nursing Home Residents... (cont.)
ulcer rate has declined by 64%, and use of physical restraints has
declined by 55%.
declined by 55%.
Bradley Bay improves post-acute pain scores by 80%:
Baseline data were taken from the measurement period ending June
30, 2002. In comparison, the most recent data available through
the measurement period ending June 30, 2004 show significant
improvements in several areas assessed by CMS.
30, 2002. In comparison, the most recent data available through
the measurement period ending June 30, 2004 show significant
improvements in several areas assessed by CMS.
Bradley Bay, a 126-bed home in Bay Village, Ohio, improved its
Nursing Home Compare scores in post-acute pain by 80%. A
notable outcome from its effor ts included a new protocol for appro-
priate medication orders to significantly reduce the use of PRN
medication and increase resident comfor t within the first 14 days
of their stay. Bradley Bay's effor ts have spread to three sister
homes that have begun implementing this new policy and its tools.
Nursing Home Compare scores in post-acute pain by 80%. A
notable outcome from its effor ts included a new protocol for appro-
priate medication orders to significantly reduce the use of PRN
medication and increase resident comfor t within the first 14 days
of their stay. Bradley Bay's effor ts have spread to three sister
homes that have begun implementing this new policy and its tools.
Improvements have led to better quality of life for
nursing home residents in many ways.
nursing home residents in many ways.
In Ohio, statewide improvement exceeded the national average in
the targeted areas of use of restraints with long-stay residents. In
addition, Ohio's improvement exceeded the national average in the
areas of delirium and walking improvement for shor t-stay residents.
the targeted areas of use of restraints with long-stay residents. In
addition, Ohio's improvement exceeded the national average in the
areas of delirium and walking improvement for shor t-stay residents.
Royal Oaks Nursing and Rehab Center improves quality measure
scores for pain in chronic care population:
scores for pain in chronic care population:
Royal Oak Nursing and Rehab Center, a 99-bed home in Middleburg
Heights, Ohio, improved quality measure scores for pain in the
chronic care population by 61%. Pain awareness meetings and
information-gathering sessions for the entire staff led to the devel-
opment of a new pain assessment policy that has spread to its
nine sister homes for implementation. Royal Oak's restraint use
has also declined by 45% through QIO inter ventions and activities.
Heights, Ohio, improved quality measure scores for pain in the
chronic care population by 61%. Pain awareness meetings and
information-gathering sessions for the entire staff led to the devel-
opment of a new pain assessment policy that has spread to its
nine sister homes for implementation. Royal Oak's restraint use
has also declined by 45% through QIO inter ventions and activities.
Eliza Jennings Home dramatically reduces resident pain and
incidence of pressure ulcer s:
incidence of pressure ulcer s:
Eliza Jennings Home, a 150-bed home in Cleveland, Ohio, dramati-
cally improved quality measure scores for pain and pressure ulcers
in their residents. Success has been comprehensive in scope and
impact, as pain has declined by 78% for chronic care residents,
and by 71% for post-acute residents. In addition, pressure ulcer
rate has declined by 84%, while use of physical restraints remains
at zero.
cally improved quality measure scores for pain and pressure ulcers
in their residents. Success has been comprehensive in scope and
impact, as pain has declined by 78% for chronic care residents,
and by 71% for post-acute residents. In addition, pressure ulcer
rate has declined by 84%, while use of physical restraints remains
at zero.
Dr. Petrulis noted that 149 of the state's 996 nursing homes are
working intensively with Ohio KePRO to improve their measures for
pain management, pressure ulcers, and use of restraints. Intensive
work includes hands-on training with quality exper ts, instruction in
best practices, and sharing in-depth resources. Additionally, all
nursing homes in Ohio have received educational materials to help
improve their quality of care.
working intensively with Ohio KePRO to improve their measures for
pain management, pressure ulcers, and use of restraints. Intensive
work includes hands-on training with quality exper ts, instruction in
best practices, and sharing in-depth resources. Additionally, all
nursing homes in Ohio have received educational materials to help
improve their quality of care.
"We commend the nursing homes for their success, and we thank
our many par tners including the Ohio Academy of Nursing Homes,
Ohio Depar tment of Health, Association of Philanthropic Homes,
Housing and Ser vices for the Aging, Ohio Health Care Association,
Ohio Pain Initiative, Ohio Hospital Association, and the Ohio
Depar tment of Jobs and Family Ser vices for their suppor t of the
Nursing Home Quality Initiative," added Dr. Petrulis. "And we recog-
nize that there is more work to be done."
our many par tners including the Ohio Academy of Nursing Homes,
Ohio Depar tment of Health, Association of Philanthropic Homes,
Housing and Ser vices for the Aging, Ohio Health Care Association,
Ohio Pain Initiative, Ohio Hospital Association, and the Ohio
Depar tment of Jobs and Family Ser vices for their suppor t of the
Nursing Home Quality Initiative," added Dr. Petrulis. "And we recog-
nize that there is more work to be done."
CMS recently released a comprehensive plan to accelerate the pace
of quality improvement in nursing homes around the countr y. One
component of this plan is a more coordinated approach to linking
the work of state Sur vey Agencies and QIOs. In Ohio, Ohio KePRO
has been working with the Ohio Depar tment of Health Bureau of
Long-Term Care Quality to develop ways to make each other more
successful in their shared mission to improve nursing home quality.
of quality improvement in nursing homes around the countr y. One
component of this plan is a more coordinated approach to linking
the work of state Sur vey Agencies and QIOs. In Ohio, Ohio KePRO
has been working with the Ohio Depar tment of Health Bureau of
Long-Term Care Quality to develop ways to make each other more
successful in their shared mission to improve nursing home quality.
The national Nursing Home Quality Initiative was launched in 2002
by CMS, an agency of the U.S. Depar tment of Health and Human
Ser vices, to improve the quality of nursing home care across the
nation. The program is par t of a national Quality Initiative that also
focuses on improving the quality of care delivered by home health
agencies and hospitals.
by CMS, an agency of the U.S. Depar tment of Health and Human
Ser vices, to improve the quality of nursing home care across the
nation. The program is par t of a national Quality Initiative that also
focuses on improving the quality of care delivered by home health
agencies and hospitals.
Seniors, caregivers and others can find valuable information about
nursing homes by visiting www.medicare.gov and clicking on Nursing
Home Compare. The site also provides tips for making informed
decisions about health care. People without Internet access may
call 1-800-MEDICARE (1-800-633-4227) for assistance.
nursing homes by visiting www.medicare.gov and clicking on Nursing
Home Compare. The site also provides tips for making informed
decisions about health care. People without Internet access may
call 1-800-MEDICARE (1-800-633-4227) for assistance.
Executive Editor : Suzana C. Iveljic, MBA
Editor : Daniel B. Moss, BSBA
e-mail: dmoss@ohqio.sdps.org
T H E J A N U A RY E D I T I O N O F O H I O Ke P RO M O T I O N H A S A R R I V E D !
Your News Source for Health & Rights Information for Ohio's Medicare Beneficiaries
Your News Source for Health & Rights Information for Ohio's Medicare Beneficiaries
Rock Run Center, Suite 100
5700 Lombardo Center Drive
Seven Hills, OH 44131-2545
Tel: 216.447.9604
Fax: 216.447.7925
5700 Lombardo Center Drive
Seven Hills, OH 44131-2545
Tel: 216.447.9604
Fax: 216.447.7925
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Publication No. 4123-OH-009-1/2005. This material was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the
Centers for Medicare & Medicaid Ser vices (CMS), an agency of the U. S. Depar tment of Health and Human Ser vices. The contents presented do not necessarily
reflect CMS policy. For more information, please call 1-800-MEDICARE (1-800-633-4227), or visit the CMS Web site at www.medicare.gov.
Centers for Medicare & Medicaid Ser vices (CMS), an agency of the U. S. Depar tment of Health and Human Ser vices. The contents presented do not necessarily
reflect CMS policy. For more information, please call 1-800-MEDICARE (1-800-633-4227), or visit the CMS Web site at www.medicare.gov.