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Thresholds for minimum data set quality indicators developed and applied in icelandic nursing homes
Ingibjörg Hjaltadóttir1, Ingalill Rahm Hallberg, Anna Kristensson Ekwall
1Department of Health Sciences, Lund University, Lund, Sweden. ingihj@landspitali.is
Journal of Nursing Care Quality
|February 14, 2012
Summary
This study established quality benchmarks for Icelandic nursing homes using a modified Delphi method. While incontinence and nutrition care show strengths, areas like depression, medication, and activity require improvement for better patient outcomes.
Area of Science:
- Gerontology
- Healthcare Quality
- Public Health
Background:
- Assessing and improving the quality of care in nursing homes is crucial for elderly populations.
- Minimum Data Set (MDS) quality indicators provide a framework for standardized care evaluation.
- Establishing evidence-based thresholds is essential for meaningful quality assessment.
Purpose of the Study:
- To determine consensus-based thresholds for Minimum Data Set (MDS) quality indicators specific to Icelandic nursing homes.
- To apply these thresholds to 2009 quality outcome data for Icelandic nursing homes.
- To identify areas of strength and areas needing improvement in nursing home care.
Main Methods:
- A modified Delphi method was employed to achieve expert consensus on quality indicator thresholds.
- The established thresholds were applied retrospectively to 2009 quality data from Icelandic nursing homes.
- Data analysis focused on identifying performance against the defined quality benchmarks.
Main Results:
- Specific thresholds for MDS quality indicators were successfully determined for Icelandic nursing homes.
- Analysis revealed that Icelandic nursing homes performed well in incontinence and nutritional care.
- Areas identified for improvement include care practices related to depression, medication management, and resident activity levels.
Conclusions:
- The developed thresholds serve as valuable tools for assessing and planning nursing home services in Iceland.
- The findings highlight specific domains where care quality is high and where targeted interventions are necessary.
- Continuous quality monitoring and improvement initiatives are recommended for Icelandic nursing homes, particularly in the identified areas.
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