A Quality Improvement System to Manage Feeding Assistance Care in Assisted-Living

2018 ◽  
Vol 19 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Sandra F. Simmons ◽  
Chris S. Coelho ◽  
Andrew Sandler ◽  
John F. Schnelle
Keyword(s):  
Quality Improvement ◽  
Assisted Living ◽  
Feeding Assistance

Are Assisted Living Memory Care Residents Meeting Hydration and Nutritional Requirements? A Quality Improvement Project

2019 ◽  
Vol 20 (3) ◽  
pp. B15
Author(s):  
Phyllis Gaspar ◽  
P. Gaspar ◽  
S. Finsaas ◽  
M. Holmes ◽  
K.T. Brugge
Keyword(s):  
Quality Improvement ◽  
Assisted Living ◽  
Quality Improvement Project ◽  
Nutritional Requirements ◽  
Improvement Project ◽  
Memory Care

scholarly journals GETTING TO YES . . . I WILL RESPOND: CHALLENGES AND SUCCESSES SURVEYING AGING SERVICES PROVIDERS TO PRODUCE QUALITY DATA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S582-S582
Author(s):  
Lauren Harris-Kojetin
Keyword(s):  
Quality Improvement ◽  
Assisted Living ◽  
Academic Research ◽  
Response Rates ◽  
Lessons Learned ◽  
Research Network ◽  
Research Quality ◽  
Quality Data ◽  
Quality Improvement Initiative ◽  
Aging Services

Abstract Voluntary surveys of aging services providers are important data sources for research, quality improvement, and program evaluation efforts to inform evidence-based decision making. Ideally, provider surveys—a type of establishment survey—offer valuable information on providers and services users. However, decreasing survey response rates in recent years raise data quality concerns. This symposium highlights challenges leading to lower response rates (e.g., time constraints, skepticism, confidentiality concerns, getting to the correct respondent); specific data collection techniques tested, what did and did not work, and lessons learned. Although the surveys focus on long-term services and supports (LTSS) providers (e.g., assisted living) and services users (e.g., residents), the session is generalizable to other establishment surveys. Presenters bring extensive survey experience and diverse organizational perspectives—academic research center, national provider association, federal statistical agency, and research contractor. Over the years, the presenters have used their research network to share challenges and lessons learned with each other, which addresses the GSA conference theme, “Strength in Age: Harnessing the Power of Networks.” The first presentation describes test results of a state survey protocol to obtain sampled resident information from assisted living providers. The second presentation examines approaches to increase provider participation in a quality improvement initiative. The third presentation discusses efforts to address response challenges in an on-going national survey of providers in two LTSS sectors. The session allows time for and facilitates interaction with audience members to share their insights and lessons learned.

Preventing falls in assisted living: Results of a quality improvement pilot study

2017 ◽  
Vol 38 (3) ◽  
pp. 185-191 ◽  
Author(s):  
Sheryl Zimmerman ◽  
Angela Greene ◽  
Philip D. Sloane ◽  
Madeline Mitchell ◽  
Carol Giuliani ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Pilot Study ◽  
Assisted Living

scholarly journals QUALITY IMPROVEMENT IN ASSISTED LIVING THROUGH A NURSING EDUCATION—COMMUNITY PARTNERSHIP MODEL

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 133-133
Author(s):  
D White ◽  
J Cartwright ◽  
A Marcus ◽  
M Burt
Keyword(s):  
Quality Improvement ◽  
Nursing Education ◽  
Assisted Living ◽  
Community Partnership ◽  
Partnership Model ◽  
Education Community

scholarly journals Implementing Large-Scale Data-Driven Quality Improvement in Assisted Living

2021 ◽  
Author(s):  
Edmond Ramly ◽  
Reid Parks ◽  
Theresa Fishler ◽  
James H. Ford ◽  
David Zimmerman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Assisted Living ◽  
Large Scale ◽  
Data Driven ◽  
Large Scale Data ◽  
Scale Data

scholarly journals TOOLS FOR QUALITY IMPROVEMENT IN ASSISTED LIVING

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 720-720
Author(s):  
S. Zimmerman ◽  
L. Cohen ◽  
T. Washington ◽  
K. Ward ◽  
P. Giorgio
Keyword(s):  
Quality Improvement ◽  
Assisted Living

scholarly journals Using Phenomenological Hermeneutics to Understand the Experiences of Managers Working with Quality Improvement Strategies in an Assisted Living Facility

Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 87
Author(s):  
Singh ◽  
Wiese ◽  
Sillerud
Keyword(s):  
Quality Improvement ◽  
Assisted Living ◽  
Structured Interview ◽  
Assisted Living Facilities ◽  
Assisted Living Facility ◽  
Phenomenological Hermeneutics ◽  
Team Members ◽  
Centered Care ◽  
Feedback Strategies ◽  
Communication Methods

This qualitative research project aimed to gain an understanding of the experiences of managers who participated in the implementation of quality improvement projects in an assisted living facility. This study employed hermeneutic phenomenology as a research methodology, whereby managers working in an assisted living facility were invited to participate in a 60–75 min semi-structured interview. Six managers participated in the interviews. Five themes were developed from data analysis: (1) Quality improvement (QI) and resident-centered care go hand-in-hand; (2) Constant on-going commitment to continuous improvement is needed to implement QI; (3) Learning to communicate with team-members and residents/caregivers is important to implement QI; (4) Feedback is essential for the implementation of QI initiatives; and (5) Implementing new QI initiatives can be challenging. The managers emphasized the need for leadership commitment, the usage of standardized communication methods, and feedback strategies to ensure the success of QI initiatives. Additionally, the managers indicated that QI is directly related to resident-centered care and that efforts should be made to collect feedback from residents to further improve processes. Additionally, challenges surrounding the implementation of QI have been described. Since there is a scarcity of research on the implementation of QI methods in assisted living facilities, this study can provide practical tips to leaders and administrators.

scholarly journals Antibiotic Prescribing in 4 Assisted-Living Communities: Incidence and Potential for Improvement

2014 ◽  
Vol 35 (S3) ◽  
pp. S62-S68 ◽  
Author(s):  
Philip D. Sloane ◽  
Sheryl Zimmerman ◽  
David Reed ◽  
Anna Song Beeber ◽  
Latarsha Chisholm ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Online Education ◽  
Assisted Living ◽  
Inappropriate Prescribing ◽  
Antibiotic Use ◽  
Quality Improvement Intervention ◽  
Antibiotic Prescribing ◽  
Systemic Antibiotic ◽  
Long Time ◽  
Time Periods

Objective.To describe the prevalence, characteristics, and appropriateness of systemic antibiotic use in assisted living (AL) and to conduct a preliminary quality improvement intervention trial to reduce inappropriate prescribing.Design.Pre-post study, with a 13-month intervention period.Setting.Four AL communities.Participants.All prescribers, all AL staff who communicate with prescribers, and all patients who had an infection during the baseline and intervention periods.Intervention.A standardized form for AL staff, an online education course and 5 practice briefs for prescribers, and monthly quality improvement meetings with AL staff.Measurements.Monthly inventory of all systemic antibiotic prescriptions; interviews with the prescriber, AL staff member, closest family member, and patient (when capable) regarding 85 antibiotic prescribing episodes (30 baseline, 55 intervention), with data review by an expert panel to determine prescribing appropriateness.Results.The mean number of systemic antibiotic prescriptions was 3.44 per 1,000 resident-days at baseline and 3.37 during the intervention, a nonsignificant change (P = .30). Few prescribers participated in online training. AL staff use of the standardized form gradually increased during the program. The proportion of prescriptions rated as probably inappropriate was 26% at baseline and 15% during the intervention, a nonsignificant trend (P = .25). Drug selection was largely appropriate during both time periods.Conclusions.AL antibiotic prescribing rates appear to be approximately one-half those seen in nursing homes, with up to a quarter being potentially inappropriate. Interventions to improve prescribing must reach all physicians and staff and most likely will require long time periods to have the optimal effect.

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