The Missouri Quality Initiative (MOQI) is a Centers for Medicaid and Medicare (CMS) Innovations Center and Medicare-Medicaid Coordination Office sponsored Initiative to reduce avoidable hospitalizations of nursing home residents and improve quality of care for long-stay residents nationwide. In 2012, the MOQI team recruited 16 nursing homes in the St. Louis regional area to participate and they implemented the Initiative intervention successfully (Phase 1). These 16 nursing homes and 24 others are now implementing a second intervention (Phase 2) also targeting caring for long-stay nursing home residents who need additional care in the nursing home for short-term management of acute conditions to avoid hospitalization.
Key components of the Phase 1 intervention successfully implemented in the 16 nursing homes include advanced practice registered nurses (APRNs) working full-time within each home with an interdisciplinary MOQI intervention team to support each APRN and nursing home in the initiative. Other key components include implementing INTERACT (Interventions to Reduce Acute Care Transfers) processes and tools, an emphasis on end-of-life care, and health information technology. Important results are now available in several publicly available articles and now in videos; we will share these on this website as well. As Phase 2 of the MOQI Initiative is conducted through 2020, we will share results in the literature, at national presentations, and this website to help nursing homes use what we have learned to improve care and reduce the adverse effects of avoidable hospitalizations of their long-stay residents.