Long-term Care PSO Services

CPS LTC Safety Improvement ProgramNew!  Fall and Medication Improvement Programs

CPS is now welcoming participants into a new, more specific PSO program. LTC providers struggle to reduce the number of injuries from falls and from adverse medication events. To help its participants address those issues, CPS has developed a new and simplified participation structure. It allows providers to focus on specific issues within the PSO structure, so that they can still obtain the benefit of federal confidentiality protection while helping CPS develop better solutions, all with minimal onboarding and data entry requirements. The onboarding process is described here.

New participants in the program simply need to sign an agreement to participate, develop simple policies that reflect their participation, and send their data. CPS provides templates for the policies as well as educational materials for staff. Then, the participants will send CPS some information for each fall with injury and adverse medication event related to the high-risk medications – it should take about five minutes per event. CPS will aggregate and analyze the information, identifying trends and causes, and will work in conjunction with Primaris and other LTC organizations to use the information to drive improvement in the LTC community.

Participants will also gain access to tools to help with root cause analysis and identifying conditions that may point to medication issues.  

For a description of the data to be collected, click here.

Providing Support and Federal Confidentiality Protection for Your QAPI work

State and federal protections for your quality and resident safety work have gaps that may limit a facility’s ability to fully implement the anticipated Quality Assurance and Performance Improvement standards in a confidential environment.  A Patient Safety Organization (PSO) such as the Center for Patient Safety offers more global protection for interdisciplinary and inter-organizational work across the continuum of care.

Download our LTC PSO Brochure

Find out more about all of services the Center for Patient Safety offers for Long-term Care

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Benefits of working with CPS:

The CPS is a leader in PSO services for hospitals, EMS providers and now long-term care.  We offer a data system customized for long-term care data collection and offer you opportunities to participate in learning and collaboration to improve safety for your organization.

In addition, as a participant with CPS, you will receive:

  • Access to a comprehensive toolkit to support your PSO work
  • Guidance on developing your facility’s policies for working with the PSO and assistance with setting up your own Patient (Resident) Safety Evaluation System
  • Ability to access facility-specific reports for analysis and comparison
  • Resources to assess your culture of safety and tools to improve it
  • Opportunities to collaborate with other long-term care providers AND OTHER PROVIDERS ON THE CARE CONTINUUM in a protected environment

Contact us for more information.

What Can Your Facility Protect?
  • Resident-safety events and related materials reported to the CPS
  • Work product of your Quality Assurance Committee, regardless of its composition.  Contributions from non-licensed staff have full protection.
  • Any deliberations and analysis directed to the ongoing improvement in the safety and quality of care for residents, whether or not it is part of the QA committee’s direct work
  • Internal studies of falls, medication events or other types of errors
  • Studies that identify areas that need performance improvement work
  • Collaborative safety efforts with other providers:  attending physicians, referring hospitals, EMS

Fees for PSO participation

Our fees are reasonable.

Attention Missouri-licensed long-term care facilities:  You may participate at no charge under a grant from the Missouri Foundation for Health (MFH).

Where do I begin?

Participation with the CPS PSO begins with a contract. The contract establishes your relationship with the PSO, expectations, and your agency’s intent to report medical error data to the PSO. Our staff will assist you with understanding the contract and begin your initial education on PSOs and what you need to know to work with us.

Contact us for more information!

Court Cases Addressing PSO Protections

Read about the multiple court cases upholding PSO protections and find out what is necessary to ensure your protections are maintained.

Want more information?

Contact anyone on our PSO Team:

Kathy Wire, JD, MBA, CPHRM, Project Manager, [email protected]
Lee Varner, BS EMS, EMT-P, Project Manager, EMS Services, [email protected]
Eunice Halverson, MA, Patient Safety Specialist, [email protected]
Tina Hilmas, RN, BSN, Project Manager, [email protected] 
Alex Christgen, BSBA, Project/Operations Manager and Analyst, [email protected]
Michael Handler, MD, MMM, FACPE, Medical Director
Amy Vogelsmeier, PhD, RN, GCNS-BC, Patient Safety Researcher/Analyst


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A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.