Page 92 - Life Happens in the Kitchen

Page 86
ASSURE YOUR ONGOING SUCCESS
Continuous Quality Improvement Program
Continue with the Process Indicators of a traditional CQI program, regularly monitoring and recording food temperatures at point-of-service, refrigerator/freezer/ dishwasher temps and meal/fluid intakes as appropriate or according to your policy.
Continue with the traditional CQI program, monitoring the CMS Quality Indicators/ Measures regarding:
7.1 Residents who lose too much weight 7.2 Prevalence of tube feeding
7.3 Prevalence of dehydration
12.1 High risk residents with pressure ulcers 12.2 Low risk residents with pressure ulcers
Expand your monitoring of clinical outcomes to include some indicators of the success of your dining innovations, including:
laxative use –– expect a decline;
supplement use –– expect a decline;
fortified food use –– expect a decline; physician-ordered nourishments –– expect a decline.
Enhance your monitoring of quality of life indicators. Consider monitoring the number of residents who exercise their refrigerator rights, or the number of residents who now eat more than the usual three meals a day. Of course, continue with the traditional monitors of resident and family satisfaction with the dining experience in your home.
Porch Swing SeriesTM Culture Change Workbooks ©2004-2005 Action Pact, Inc