At our QAPI meeting last month, our dietitian shared that she has noted a trend of unexplained weight loss in several residents on our transitional care unit during the last quarter. She has not noted this trend on our long-term care neighborhoods.
Because weight loss is a high risk problem for our residents, we decided to start a performance improvement project (PIP) on this weight loss trend. We formed a PIP team that includes the registered dietitian, nurse manager, nursing assistant, social worker, and physical therapist. They did a great job completing a root cause analysis and brought the results of that RCA to our QAPI meeting today.
Their root cause analysis found:
- About 20% of our residents on the transitional care unit do not eat breakfast.
- Most of those not eating breakfast have therapy appointments before 10 am
- Many residents on the TCU choose to “sleep in” as long as they can. Many are tired as they recuperate from surgery and/or as a side effect of pain medications.
- Many residents with early therapy appointments choose to skip breakfast and just go straight to therapy.
The team is meeting next week. I wonder—what ideas will they have for action steps?