Journal Article

Statewide Strategy to Improve Quality of Care in Nursing Facilities

Marilyn J. Rantz, Amy Vogelsmeier, Pam Manion, De Minner, Betty Markway, Vicki Conn, Myra A. Aud and David R. Mehr

in The Gerontologist

Published on behalf of The Gerontological Society of America

Volume 43, issue 2, pages 248-258
Published in print April 2003 | ISSN: 0016-9013
Published online April 2003 | e-ISSN: 1758-5341 | DOI: https://dx.doi.org/10.1093/geront/43.2.248
Statewide Strategy to Improve Quality of Care in Nursing Facilities

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  • Geriatric Medicine
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Purpose:We describe the development of a statewide strategy to improve resident outcomes in nursing facilities, and we present some evaluative data from this strategy.Design and Methods:Key components of the strategy include (a) a partnership between the state agency responsible for the nursing home survey and certification and the school of nursing in an academic health sciences center; and (b) on-site clinical expert technical assistance and support to facilities throughout the state.Results:The partnership has resulted in state agency staff having information from analyses about resident needs and outcomes in the state and facilities having access to the quarterly electronic “Show-Me Quality Indicator Report.” On-site clinical expert technical assistance is now used widely across the state, with 569 site visits conducted in 286 different facilities to help them interpret their quality indicator (QI) reports and implement quality improvement programs; statewide improvements in QI scores have been measured in several key QIs.Implications:Other states should consider building partnerships with schools of nursing in an academic health sciences center. Programs using on-site clinical consultation can facilitate improving quality of care in nursing facilities.

Keywords: Quality indicators; Nursing homes; Quality improvement; Minimum Data Set

Journal Article.  8781 words.  Illustrated.

Subjects: Geriatric Medicine ; Biological Sciences ; Psychology ; Gerontology and Ageing

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