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Related Experiment Videos

Developing a quality measurement tool and reporting format for long- term care.

Elizabeth D Moxey1, John P O'Connor, Elizabeth White

  • 1Office of Health Policy and Clinical Outcomes, Thomas Jefferson University, 1015 Walnut Street, Suite 115, Philadelphia, PA 19107-5099, USA. elizabeth.moxey@mail.tju.edu

The Joint Commission Journal on Quality Improvement
|April 11, 2002
PubMed
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Developing a resident-centered quality measurement tool for long term care (LTC) facilities is crucial for continuous quality improvement. This tool assesses organizational, clinical, environmental, and social domains, enabling consistent evaluation and trend analysis.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Gerontology

Background:

  • Quality measurement in long term care (LTC) faces challenges including undefined quality metrics, multiple measurement domains, varied perspectives, and regulatory focus on poor performance.
  • Existing research has not fully resolved measurement issues, yet LTC facilities need current methods for quality improvement initiatives.
  • A project aimed to create a comprehensive, resident-centered quality assessment tool for a network of LTC facilities to support continuous improvement.

Purpose of the Study:

  • To identify key domains for quality measurement in LTC.
  • To select and adapt validated instruments for each quality domain.
  • To pilot test a data collection process and develop an operational quality profiling report format.

Main Methods:

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  • An expert panel and review of LTC research literature were used to develop the measurement tool.
  • The tool was structured around four quality domains: organizational, clinical, environmental, and social.
  • A pilot study was conducted in two nursing facilities to test the data collection process.

Main Results:

  • The pilot study confirmed that the data collection process is operational within resource and budget limitations.
  • The developed quality assessment tool provides a consistent framework for evaluating diverse LTC institutions.
  • The tool facilitates detailed focus on resident-perceived quality of care.

Conclusions:

  • The operational quality assessment tool allows for consistent institutional views and detailed resident-centered quality evaluation.
  • It enables the tracking of quality trends over time and comparison with external benchmarks.
  • This approach supports continuous quality improvement efforts in long term care settings.