 Although clinical trials have identified interventions that reduce adverse outcomes such as falls in nursing home NH residents, attempts to translate those interventions into practice using current standard of care quality improvement QI programs1, 2 have not led to expected improvements.3, 4 Barriers encountered in previous studies point directly to a need for effective nursing management practices NMPs.1, 3, 5 Many studies now show that relationship-oriented NMPs such as open communication, participation in decision-making, teamwork, and leadership result in better resident outcomes.5-10 Our recent case-studies described how NMPs work in day-to-day practice, and identified new NMPs associated with better NH care. We found that staff at all levels engaged in these NMPs, albeit erratically, suggesting that NHs have substantial untapped capacity to provide better resident care.11-15 Thus a new intervention that fosters systematic use of NMPs may provide a foundation for more effective QI programs. 