Medicaid Quality Improvement and Hospitalization Avoidance (MQIHA)

Infection Control and Resiliency in Nursing Facilities

This program is temporarily on hiatus until January 2021. For more information, contact us at:

The COVID-19 global pandemic is impacting nursing facility staff and residents in unprecedented ways. Join your colleagues in facilities and hospitals around New Mexico for this unique program based on real cases and situations. LEARN techniques to manage self-care and increase resiliency during this crisis, COLLABORATE on ways to improve the medical and emotional care of nursing facility residents affected by the pandemic and SHARE best practices and receive support from peers, physicians, and mental health experts.

Target Audience

Open to all but aimed at NF nursing/medical directors, direct care medical staff, and social workers.

Program Description

The primary objective of the Medicaid Quality Improvement and Hospitalization Avoidance (MQIHA) TeleECHO Program is to increase the quality of services by facility-based long-term care providers and reduce avoidable hospital admissions.

Our project is aligned with the CMS Value Based Purchasing requirements with a goal of helping nursing facilities reduce unplanned hospital readmissions. We hope to achieve this by establishing a systematic, evidence-based approach to clinical mentorship using the ECHO model that can be scaled. Our goal is to have involvement from all nursing facilities in the state of New Mexico by 2023.

In light of the COVID19 pandemic, we will also use this platform to focus on the timely issues of nursing facility resident and staff well-being and resiliency. The MQIHA tele-ECHO is a sustainable source of support for best practices and optimization of health for the duration of the COVID pandemic.

Through this program, we hope to provide the opportunity for nursing facility teams in both rural and urban areas to share best practices in processes and procedures, receive ongoing and timely professional development, and implement collaborative problem-solving methods to help solve complex issues and questions regarding quality and value of care in New Mexico's nursing facilities.

Our community advisory board, which oversees development of the collaborative curriculum, is composed of stakeholders from all aspects of long-term care, including facility directors, MCO advisors, direct patient care providers, and patient advocates.

By sharing knowledge and expertise across the state in this collaborative ECHO model, we ultimately hope to improve the health and safety of all New Mexico nursing facility residents.

Eva Angeli, MD, FACP
MQIHA Co-Medical Director
Assistant Professor in the Division of Hospital Medicine
Academic Hospitalist at the University of New Mexico

Krystle D. Apodaca, DNP, FHM
MQIHA Co-Medical Director
Assistant Professor in the Division of Hospital Medicine
Academic Nurse Practitioner Hospitalist at the University of New Mexico

Cynthia Olivas, MSN
Nurse Manager, Specialty Care

Vanessa Tanner
ECHO Institute, Quality Improvement Manager

Marisa Marquez, BS
ECHO Institute, Program Coordinator