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Applying performance measures to long-term care

R P Fitzgerald1, B N Shiverick, D Zimmerman

  • 1American Health Care Association, Washington, DC 20005-4014, USA.

The Joint Commission Journal on Quality Improvement
|July 1, 1996
PubMed
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Implementing quantitative care measurements in nursing facilities significantly improved resident outcomes and nursing processes. This quality improvement initiative was easily integrated into existing practices for long-term care enhancement.

Area of Science:

  • Healthcare Quality Improvement
  • Long-Term Care Management
  • Nursing Practice Research

Background:

  • Nine Mississippi nursing facilities joined the American Health Care Association's Quality Indicator Index and Education (QUIIX-Ed) project.
  • The project aimed to use quantitative performance measurements for continuous quality improvement in long-term care settings.
  • Data collection involved 15 clinical care measures based on standardized resident assessments, starting in March 1995.

Purpose of the Study:

  • To assess the impact of quality indicator information on nursing facility performance.
  • To evaluate the integration of quantitative data into existing quality improvement practices.
  • To demonstrate how performance measurement can drive improvements in resident care.

Main Methods:

Related Experiment Videos

  • Utilized Minimum Data Set resident assessments to evaluate quality indicators.
  • Provided comparison reports for facilities to benchmark performance against peers.
  • Focused on incorporating data into existing nursing and quality improvement processes, rather than standardizing the process itself.

    • Main Results:

    • Monthly updates of quality indicator scores were aggregated into a central database.
    • Benchmarking statistics, including medians, percentiles, and rankings, were generated for each facility.
    • Case studies on bedfast residents and restraint use exemplified the process of identifying issues, intervening, and evaluating outcomes.

    Conclusions:

    • Introducing quantitative care measurements significantly impacted resident outcomes and the nursing process.
    • These measurements were readily incorporated into existing nursing practices and facility improvement efforts.
    • The project demonstrated the effectiveness of data-driven quality improvement in long-term care.