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Pioneering a Nursing Home Quality Improvement Learning Collaborative: A Case Study of Method and Lessons Learned

Suzanne M Gillespie¹, Tobie Olsan², Dianne Liebel²

¹Division of Geriatrics and Aging, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Journal of the American Medical Directors Association

|October 1, 2015

Abstract

Objectives:

To describe the development of a nursing home (NH) quality improvement learning collaborative (QILC) that provides Lean Six Sigma (LSS) training and infrastructure support for quality assurance performance improvement change efforts.

Design:

Case report.

Setting/Participants:

Twenty-seven NHs located in the Greater Rochester, NY area.

Intervention:

The learning collaborative approach in which interprofessional teams from different NHs work together to improve common clinical and organizational processes by sharing experiences and evidence-based practices to achieve measurable changes in resident outcomes and system efficiencies.

Measurements:

NH participation, curriculum design, LSS projects.

Results:

Over 6 years, 27 NHs from urban and rural settings joined the QILC as organizational members and sponsored 47 interprofessional teams to learn LSS techniques and tools, and to implement quality improvement projects.

Conclusions:

NHs, in both urban and rural settings, can benefit from participation in QILCs and are able to learn and apply LSS tools in their team-based quality improvement efforts.

Keywords:

Nursing homes quality assurance and performance improvement quality improvement learning collaborative

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