Department of Public Health - Acute Communicable Disease Control

About the Program:

The TNT program is an all-inclusive, financially supported collaboration between the Los Angeles County Department of Public Health (LAC DPH) and LAC Skilled Nursing Facilities (SNFs) with the overall goal of improving safety and care for residents, staff, and visitors. This program aims to empower SNF staff to initiate and maintain quality improvement projects within their facilities, leading to high quality care for their residents and family satisfaction. LA County SNFs will be trained in a variety of areas within quality assurance and performance improvement (QAPI) and infection prevention and control (IPC). SNFs will be led through the foundations of QAPI and IPC, then bridged into developing their own sustainable QAPI and IPC projects.

All LAC SNFs (including Pasadena) are eligible to participate in the TNT Program.

Enrollment is now closed. Please click here to see the list of SNFs registered to participate in the TNT program.

Enrollment Requirements:

Complete and submit the Facility Commitment Form. In the form, designate staff, up to 3 individuals, to participate in the program. Form must have been submitted no later than June 21st, 2022.

All designated staff must complete the Participant Commitment Form that they receive via email after the Facility Form is submitted.

Learning Objectives:

Identify, analyze, and list gaps in facility IPC practices.

Develop and implement a sustainable QAPI project based on identified IPC gaps.

Empower a variety of facility staff to participate in QAPI projects.

Benefits of Participation: (Upon completion of the program).

Improve and expand your resident culture of safety.

Improve facility-wide hand hygiene adherence rates.

Improve environmental services (EVS) adherence rates.

Decrease healthcare-associated infections (HAIs).

Certificate of successful completion for the facility.

Financial support of $16,000 for the facility upon successful completion of the program.

Fluorescent marker kit (e.g., Glo-germ gel).

Continuing education units (CEUs).

For licensed Designated Participants (e.g., RNs, LVNs, MDs).

Certificates of Completion.

For non-licensed Designated Participants.

Participation Expectations:

Signed Facility and Participant Commitment Forms.

Attendance of at least 80% of total live Didactic sessions held remotely (at least 18 out of 23 sessions).

Attendance of one Small Group session per month.

Active participation and engagement in Didactic sessions and Small group discussions held remotely.

Proof of final project completion.

Recommended attendance of weekly Office Hour held remotely.

Schedule:

Unit 1
Quality Improvement and QAPI Foundations → Unit 2
IPC Foundations, Hand Hygiene, QAPI project → Unit 3
IPC Foundations,
Additional QAPI project

07/06/22 - 08/26/22 10/05/22 - 11/23/22 01/04/23 - 02/24/23

Please click here to see the detailed schedule.

Frequently Asked Questions:

Click here for the TNT Program FAQ

Past Events: TNT Program Weekly Sessions

The TNT Program hosts weekly Didactic sessions in a variety of areas within quality assurance and performance improvement and infection prevention and control for Skilled Nursing Facilities in Los Angeles County that have enrolled to participate in the program.

The materials for these sessions are available below for all interested parties who would like to review them. However, ONLY designated participants from enrolled facilities are eligible to receive Certificates of Completion or Continuing Education Units (CEUs) after successful completion of the post-session evaluation quiz. All individuals who are not Designated Participants from already enrolled facilities are not eligible to complete the Quiz and will not receive Certificates of Completion or CEUs, but are welcome to review all the information provided below. The recordings, slides, post-session evaluation quiz and other information can be found in the list below.

The recordings, slides, post-session evaluation Quiz and other information can be found in the list below.

Unit 1: Past Sessions

Week 8

Session #8: Step-by-Step QAPI PIP

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 8 Questions and Answers

Week 7

Session #7: Continuing your QAPI Journey

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 7 Questions and Answers

Week 6

Session #6: Data Quality and Best Practices

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 6 Questions and Answers

Week 5

Session #5: Systemic Action (continued). Using a Quality Improvement Framework

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 5 Questions and Answers

Week 4

Session #4: Leadership, Systematic Analysis, and Systemic Action

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 4 Questions and Answers

Week 3

Session #3: QI and QAPI in Your Facility

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 3 Questions and Answers

Week 2

Session #2: Quality Improvement (QI) and Quality Assurance and Performance Improvement (QAPI) Foundations

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 1

Session #1: Transforming Nursing Home Care Together (TNT) Program - Introduction

Access to Recording TNT Training Slides Post-session Evaluation Quiz

Week 1 Questions and Answers

Resources

Tools:

A3 Project Template

HSAG Process Measure Tracker and Trend Chart

COVID-19 Vaccine Tracker Template (for Residents)

COVID-19 Vaccine Tracker Template (for Staff)

Measure Development Form

SNF Quality Dashboard

Webex Tutorial for TNT Participants

Website Resources:

Agency for Healthcare Research and Quality (AHRQ)

Nursing Home Survey on Patient Safety Culture: https://www.ahrq.gov/sops/surveys/nursing-home/index.html

NHSN Resources (from Session 6: Data Quality and Best Practices)

MDRO/CDI Events: https://www.cdc.gov/nhsn/ltc/cdiff-mrsa/index.html

UTIs: https://www.cdc.gov/nhsn/ltc/uti/index.html

HCP and Resident Flu Vaccination: https://www.cdc.gov/nhsn/ltc/vaccination/index.html

Prevention Process Measures: https://www.cdc.gov/nhsn/ltc/process-measures/index.html

Contact information:

For questions, please contact our team via TNTEducation@ph.lacounty.gov email address.

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