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Signature HealthCARE and Trilogy Health Services are strengthening staff training and monitoring for specialized nursing home care, including wound treatment, infection prevention, behavioral health and IV medications. Leaders described certifications, dashboards and regular case reviews; the source does not provide comparative outcome data showing how much these efforts have changed resident outcomes.
Signature HealthCARE and Trilogy Health Services are expanding staff training and clinical monitoring across specialized nursing home programs as residents arrive with more complex medical and behavioral needs, according to a report by Skilled Nursing News. The operators described work involving wound care, infection prevention, behavioral health, antipsychotic use and IV medications, with regular reviews intended to identify problems and trends.
Trilogy gathers weekly information on unplanned hospitalizations, antipsychotic use, infections, abnormal laboratory results and critical lab reports, said Rhonda Dempsey, the company’s senior vice president and chief nursing officer. Its medical director reviews the reports, and trends can be brought to monthly Quality Assurance and Performance Improvement (QAPI) meetings, where staff examine possible causes and develop focused projects.
For wound care, Dempsey said Trilogy has added a wound care certified nurse at every campus and uses a dashboard to monitor services across facilities. The company also has a wound care formulary, a standardized list of approved products. Signature sends two nurses from each facility through wound care certification training, funded through $1 million in grant funding. Chief Nursing Officer Barbara Revelette said Signature certified 150 nurses in wound care over the past two years.
Both operators described steps to standardize infection prevention, including staff training and monitoring infection trends. Signature uses return demonstrations, in which a staff member performs a task while a trainer observes. Trilogy sets companywide infection targets and reviews facilities that miss them, Dempsey said. Revelette also said Signature nurses are administering and monitoring more IV medications, which require staff time and resources even as reimbursement rates for such services may rise.
Training for Higher Acuity Care
The programs reflect the operational demands of caring for residents with multiple health conditions, higher acuity and behavioral challenges. More specialized services require staff with appropriate training and enough time to carry them out. Revelette said leaders must weigh the quality of care against staffing needs and costs, including for complex processes such as IV medication administration.
Routine reviews may help operators identify recurring issues across facilities and direct training or improvement work. But the report describes the operators’ processes and investments; it does not establish that the programs have reduced infections, hospitalizations, medication use or other adverse outcomes.
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How Operators Review Care
Trilogy uses weekly clinical summaries to flag events for medical director review, with broader patterns discussed through its monthly QAPI meetings. Dempsey said these meetings can lead to targeted projects. One effort involved seeking Joint Commission accreditation for the company’s assisted living properties, a voluntary evaluation that includes site surveys and interviews with staff and patients.
In assisted living, Trilogy also worked with pharmacy partners to review medications at admission, assess diagnoses and educate clinicians about reducing unnecessary antipsychotic use, Dempsey said. She noted that residents may see multiple doctors in the community, which can complicate medication decisions. These initiatives sit alongside the operators’ nursing home training and monitoring programs, but the source does not give a timeline for each program’s launch.
“If you’re acquiring and spreading internally, we do a drill down. We set targets company wide, and then monitor what is happening.”
— Rhonda Dempsey, senior vice president and chief nursing officer at Trilogy Health Services
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Outcomes Still Need Measurement
The source does not report before-and-after results for the training and monitoring programs, such as changes in infections, wounds, hospital transfers or antipsychotic use. It also does not specify how consistently each program is applied across all facilities or provide a comparison with other operators. The reported investments and procedures therefore show what the companies say they are doing, but not the size of any effect on resident outcomes.
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Operators Continue Clinical Reviews
Trilogy’s weekly summaries and monthly QAPI meetings are expected to continue surfacing cases and trends for review, while its infection monitoring flags facilities that miss company targets. Signature’s account points to ongoing certification and onboarding work. The report does not identify a forthcoming deadline or new milestone for either operator; further evidence about the programs’ results would be needed to assess their impact.
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Key Questions
Which specialized care areas are the operators addressing?
The report describes wound care, infection prevention, behavioral health, antipsychotic use and IV medications, among other clinical needs.
How does Trilogy monitor clinical issues?
Trilogy compiles weekly information on hospitalizations, medication use, infections and lab reports. Its medical director reviews the summary, and emerging patterns may go to monthly QAPI meetings.
How many nurses has Signature certified in wound care?
Signature’s chief nursing officer said the company certified 150 nurses over the previous two years. The company also sends two nurses from each facility through certification training supported by grant funding.
Have these programs been shown to improve outcomes?
The report describes training, monitoring and review processes but provides no comparative outcome data showing whether they reduced infections, hospitalizations, wounds or medication use.
Source: rss
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