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The transition to continuous quality improvement: a home care model
1Community Health Accreditation Program, National League for Nursing, New York, NY.
Journal of Nursing Care Quality
|January 1, 1994
Summary
Home care managers can improve quality by using a transitional model focusing on structure, process, and outcomes. This approach helps identify and address organizational weaknesses for better business practices.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Organizational Development
Background:
- Home care organizations faced significant challenges in the 1990s.
- Rapid changes made strategic decision-making difficult.
- Quality improvement (QI) offered a path to organizational strength.
Purpose of the Study:
- To present a transitional model for quality improvement in home care.
- To adapt QI principles to the unique structures of home care organizations.
- To integrate customer service trends into business practices.
Main Methods:
- Development of a transitional QI model.
- Inclusion of structure, process, and outcome variables.
- Adaptation of existing committee structures for QI.
Main Results:
- A framework for implementing QI in home care was proposed.
- The model incorporated mandated licensure and certification committee structures.
- Customer service trends were identified as key performance indicators.
Conclusions:
- The transitional model provides a structured approach to QI in home care.
- Leveraging existing structures can facilitate QI implementation.
- Focusing on customer service enhances business practice and organizational effectiveness.