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Nursing Home Improvement Feedback Tool (NHIFT)

Available to all nursing homes nationwide beginning in January 2006, NHIFT is a free, computer-based, process-of-care data collection tool that assists nursing homes in collecting data on critical care processes that should be occurring in your facility related to four clinical topics: depression, pain, physical restraints, and pressure ulcers. Using NHIFT, nursing home staff can guide care by identifying recommended processes and track adherence to the recommended care processes over time. In addition, nursing homes can compare performance to other nursing homes in the state and to nursing homes across the nation. Your NHIFT data are confidential and are intended for internal quality improvements. Data submission is secure and HIPAA-compliant.

How to use NHIFT

  1. Open a Web browser and go to www.MedQIC.org. Click on ‘Nursing Homes’ and then ‘NHIFT’ in the left navigation bar. You will see a link to the NHIFT application.
  2. Download the NHIFT computer application. Once you have finished downloading the application, double-click on the installation file and follow the auto-install instructions on your screen.
  3. Download the NHIFT User Guide. Once you install NHIFT, follow the instructions in the User Guide to create an account, register for QualityNet, and begin abstracting data.
  4. Using QualityNet, submit your data to view trend reports and compare your performance to your peers’ aggregate scores. (You may also view your nursing home’s scores at any time on your own PC workstation.)

What’s Next?

  • To improve your process measure scores, examine your care processes. You may want to implement quality improvement (QI) systems. For ideas and materials, visit www.MedQIC.org to access free tools.
  • Keep an open mind when looking at your scores; avoid the impulse to justify poor performance. Remember, the process measures reflect medical evidence and best practices. Use NHIFT as a teaching tool to help you improve your adherence to the recommended care processes and improve your residents’ care. Submit new data each month to track your nursing home’s progress over time.

 

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.