Release of Additional Toolkits to Ensure Safety and Quality in Nursing Homes

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

On Valentine’s Day, CMS issued QSO-20-11-NH with same title as the title of this blog.


As you can see from the summary, these toolkits address high-quality sleep for residents with dementia as well as education and interventions to prevent common infections by improving ADL care.

Both of these toolkits will be available for free by February 28, 2020 on the Civil Money Penalty Reinvestment Program website.  The toolkits are not there today, as of this writing.  Here’s what there now regarding the toolkits:

Developing a Restful Environment Action Manual (DREAM) Toolkit

As many as 70% of adults with dementia experience sleep disturbances, which are associated with various negative health outcomes. High quality sleep is necessary for optimal cognitive and physical functioning, especially for residents who already experience cognitive decline due to dementia. The DREAM Toolkit provides educational material and practical tools for nursing home staff to help all residents living with dementia improve sleep quality. Nursing homes can choose from a variety of strategies in the DREAM Toolkit to help improve quality of life and quality of care, especially for residents living with dementia.

The DREAM Toolkit consists of the following components:

1) Implementation Guide

2) Handbook

3) Sleep Matters Video:

4) Pocket Guide for Clinical Teams

5) Sleep Environment Improvement Tool

6) Resident Preferences Tool

Head to Toe Infection Prevention (H2T) Toolkit

Infections comprise a large share of adverse events in nursing homes. The Head to Toe Infection Prevention Toolkit contains educational materials and practical tools to support the clinical team in providing person-centered care that helps prevent and control common infections like pneumonia, skin infections, and urinary tract infections. The Toolkit aims to educate licensed nurses and nurse aides on infection prevention practices and provide tools that can be integrated into their daily work.

The H2T Toolkit consists of the following components:

1) Implementation Guide

2) Infection Prevention Handbook

3) Staff Presentation

4) Resource for Residents and Loved Ones

5) Observation Guide

6) Customizing Care Tool

7) Suspected Infection Investigation Tool

Mark your calendars for at least February 28, 2020 to obtain these toolkits.  Once you’re on the CMPRP website (hyperlink in 3rd paragraph of this blog), scroll down the web page to the Downloads area.  These latest toolkits will be found along with the three existing toolkits (check those out if you have seen/used them yet).