Quality Monitoring Program (QMP)

The Health and Human Services Commission (HHSC) Quality Monitoring Program (QMP) helps detect conditions in Texas nursing homes that could be detrimental to the health, safety and welfare of residents. It is not a regulatory program and quality monitors do not cite deficient practices.

Rather, monitors focus on nursing homes that have a history of resident care deficiencies, or that have been identified as having a higher-than-average risk of being cited for significant deficiencies in future surveys conducted by the HHSC Regulatory Services.

During these visits, the quality monitors — nurses, pharmacists and dietitians — may:

  • Recommend changes to policies or procedures
  • Conduct staff or in-service training
  • Offer technical assistance
  • Educate staff about evidence-based best practices

CDC Recommendations for Tuberculin Skin Testing During Nationwide Shortage of APLISOL®
The manufacturer of APLISOL® notified the Centers for Disease Control and Prevention that they expect a nationwide shortage of the 5 ml tests beginning June 2019, and of the 1 ml tests by November 2019. APLISOL® is one of two PPD tuberculin antigens licensed by the Food and Drug Administration for performing tuberculin skin tests. This handout (PDF) outlines the CDC recommendations for continued TB testing during the shortage, as well as information about the state and federal requirements for preventing the transmission of TB in nursing facilities.

Featured Best Practice: Appropriate Use of Antipsychotic Medications

According to the Centers for Medicare and Medicaid Services, Texas nursing homes prescribe antipsychotic medications too often to residents who exhibit behaviors that are seen as "negative." This overuse can lead to a host of problems for residents, including death.

One way in which HHSC is hoping to reverse this trend is through the Music & Memory Program, which launched in May 2015. The goal of the program is to help residents reconnect with the world through specific, music-triggered memories. Family members and nursing home staff will create personal playlists for use on digital music players, such as iPods.

View All Best Practices

The Center for Excellence in Long-Term Care

The Center for Excellence in Long-Term Care is a partnership between the Texas Health and Human Services Commission and The University of Texas at Austin School of Nursing. This web-based educational platform delivers best practices to nurses and other professionals who work with older adults and people with disabilities. Content is available for nurses at all levels of licensure, as well as administrators, nurse aides and physicians.

Learn more about the Center for Excellence in Long-Term Care (PDF) and visit the Center’s website at http://www.utlongtermcarenurse.com/. Registration is free, and new content will be added over time.


Questions or Concerns?

Learn More about Related Topics


The Nursing Facility Quality Review assesses how satisfied people who live in Medicaid-certified nursing homes are with their quality of care and quality of life.


The Texas Minimum Data Set collects standardized demographic and clinical information that describes the overall condition of nursing home residents.


The Quality Reporting System lets users find information about nursing homes and other long-term care providers, including survey and complaint results.


Nursing Home Culture Change promotes and supports nursing home providers as they transform from a traditional system-directed culture to one that is person-centered.


A Preadmission Screening and Resident Review is performed for all people seeking admission to a Medicaid-certified nursing facility.