The Texas Quality Matters website was developed by the Center for Policy and Innovation (CPI) at the Texas Department of Aging and Disability Services (DADS). This website will direct you to a variety of resources and initiatives. Texas Quality Matters will be our way to provide information to you.
Nursing home staff are invited to attend one of three free, full-day educational events focused on reducing the use of antipsychotic medications in nursing homes. The events are titled "Get on Board the TRAIN (Texas: Reducing Antipsychotics in Nursing Homes)."
Events are planned for:
Additional dates and locations will be announced when they are available.
The events are sponsored by the Texas Department of Aging and Disability Services (DADS) and the TMF Health Quality Institute, in collaboration with Texas Advancing Excellence in America's Nursing Homes and Texas Partnership to Improve Dementia Care.
Â For more information, call 1-866-439-5863 or send email to Cayce.Brewster@hcqis.org.
Texas nursing homes are invited to take a short survey about their current use of antipsychotic drugs to help establish a baseline measure of antipsychotic use across the state. The survey is being conducted by the Texas Department of Aging and Disability Services (DADS) and the TMF Quality Innovation Network Quality Improvement Organization.
This survey is anonymous, and will not be used to single out any specific facility's practices. The survey is available through Sept. 18, 2014, at https://www.surveymonkey.com/s/CLMYMM3.
If you choose to participate in this survey, we ask that you also complete a follow-up survey to be conducted in September 2015.
In April 2014, the mandatory requirements for reporting communicable diseases were updated to include Carbapenem Resistant Enterobacteriaceae (CRE) and Multi-drug Resistant Acinetobacter (MDRA). While there are many species of Enterobacteriaceae, only CRE-Ecoli and CRE — Klebsiella are on the list of notifiable conditions. The full list of notifiable conditions is available on the Texas Department of State Health Services (DSHS) website.
Any lab finding of CRE-Ecoli, CRE-Klebsiella or MDRA must be reported immediately regardless of the site of infection, even with colonization or surveillance cultures. Reports should be submitted immediately to the local health department or to DSHS using the facility’s standard reporting form or DSHS’s EPI 2 form. Consultation with the local health department or reporting jurisdiction is necessary to identify the best method for reporting notifiable conditions after hours, during holidays or on weekends.
Each facility should have policies in place to ensure appropriate infection prevention precautions are initiated once a case of CRE or MDRA is identified, even if infection control staff is not on-site. In addition, the facility should ask the laboratory to save the isolates for 3 months to allow for identification of any related cases through DNA fingerprinting.
For more information, contact your local health department or
Jessica Ross, CIC
Infectious Disease Control Unit
Texas Department of State Health Services
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Updated: September 11, 2014