2020 AHCA/NCAL Quality Initiative Recognition Program

About The Program

The Quality Initiative is a national e ort through AHCA/NCAL that builds upon the existing work of the long term and post-acute care profession by setting specific, measurable targets to further improve quality of care in America's skilled nursing centers and assisted living communities.

The Quality Initiative Recognition Program honors AHCA/NCAL member skilled nursing care centers and assisted living communities that achieve a number of these goals.

All necessary data submissions for the 2020 Quality Initiative Recognition Program must be submitted by November 21, 2019 through LTC Trend Tracker. Quality Initiative Recognition Program achievers will be notified later this year and will be recognized at the AHCA/NCAL Quality Summit in Grapevine, Texas, March 9-11, 2020.

Includes an image of a gold laurel leaf and text, "AHCA and NCAL Quality Initiative Recognition Program,"


Skilled Nursing Care Centers:

Skilled nursing care member centers must achieve at least one of the following AHCA Quality Initiative goals:

Hospitalization: Safely reduce long-stay and short-stay hospitalizations by at least 10% since Q1 2017, or maintain a rate of 10% or less.

Customer Satisfaction: Improve long-stay or short-stay satisfaction by 10% since Q1 2017, or achieve a rate of greater than 90%.

Antipsychotics: Safely reduce the o -label use of antipsychotics by at least 10% since Q1 2017, or maintain a rate of 8% or less among long-stay residents and 1% or less among short-stay patients.

Functional Outcomes: Improve short-stay functional improvement or long-stay worsening mobility by 15% - or maintain greater than 75% on short-stay functional improvement or maintain less than 12% on long-stay worsening mobility.

*Note: Due to data availability, AHCA will not be measuring the current Quality Initiative Functional Outcomes goal for the 2020 Recognition Program and will instead be utilizing Nursing Home Compares short-stay functional improvement and long-stay worsening mobility measures

To participate in the program, skilled nursing care centers must submit customer satisfaction data in LTC Trend Tracker by November 21, 2019. All other data is automatically uploaded by LTC Trend Tracker.

Assisted Living Communities:

Assisted living member communities must achieve at least one of the following NCAL Quality Initiative goals

Staff Stability: direct care staff turnover is 50% or less

Customer Satisfaction: 90% or more of residents and/or family members are satisfied with their experience

Hospital Readmissions: readmissions within 30 days of hospital discharges are 20% or less

Antipsychotics: off -label use of antipsychotics is 15% of residents or less

To participate in the program, assisted living member communities must submit their data on each goal in LTC Trend Tracker by November 21, 2019.

Achiever Structure

Tier 1: Recipients that achieve 1 goal:

Tier 2: Recipients that achieve 2 goals:

 Tier 3: Recipients that achieve 3 goals:

 Tier 4: Recipients that achieve 4 goals:

Additional Resources

 Members are encouraged to check their data on LTC Trend Tracker to see where they stand on each Quality Initiative goal. This information can also be found in the "Your Top-Line" quarterly publication, which can be downloaded from LTC Trend Tracker. Additional resources for achieving Quality Initiative goals are available on each of the Quality Initiative websites for skilled nursing centers and assisted living communities. Customer satisfaction vendors can upload CoreQ data to LTC Trend Tracker on behalf of members. A list of vendors able to upload can be found at this link

Page Footer: Logo of "The Quality Initiative" with Links to Quality Initiative Recognition Program and LTC Trend Tracker and email addresses that are no longer in use or require registration.