scholarly journals Whole Team, Whole Person High-Involvement Quality Improvement Training for VA Community Living Center Leaders

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 70-71
Author(s):  
A Lynn Snow ◽  
Valerie Clark ◽  
Shibei Zhao ◽  
Ryann Engle ◽  
Corilyn Ott ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Real Time ◽  
Average Rate ◽  
Injury Rate ◽  
Care Quality ◽  
Learning Collaborative ◽  
Regular Group ◽  
Term Care ◽  
Centered Care ◽  
Challenging Environment

Abstract Long-term care is a challenging environment for quality improvement due to the high resident acuity, wide variation in resident needs, and wide variation in types and backgrounds of the large staff across three daily shifts. We report results from a learning collaborative undertaken to improve care quality and staff quality improvement skills in the VA CLCs through development of high functioning relationally coordinated teams operating in accord with person-centered care principles. The collaborative included 27 CLCs. Over 9 months leadership teams completed action assignments supported by 5 workshops and regular group coaching calls. Evaluation included fidelity monitoring (attendance, mid- and final progress reports), satisfaction questionnaires, and review of the VA quality measures (CLC Compare). Pre-post participant evaluations revealed a significant increase in positive responses to the question “to what extent do you think applying these new skills/knowledge will improve quality in your CLC?” and positive responses trending toward significance in ratings of abilities to apply new skills. Open-ended survey comments were positive and indicated change in understanding and practice: “utilizing the daily huddle to facilitate real time communication afforded the team a proactive approach to providing care and reducing acute exacerbations. We are able to avert, evaluate as a real time team and make it happen in the now not as a look back.”; “definitely unified front-line staff and CLC leadership.” Some changes were achieved in CLC Compare quality scores (e.g., falls with major injury rate had a 9.6 reduction (average rate = 3.39 pre, 3.07 post)).

scholarly journals STAFF-CENTERED CASE CONFERENCE FOR STAFF WELL-BEING AND CARE QUALITY IMPROVEMENT IN LONG-TERM CARE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 411-411
Author(s):  
N Yamamoto-Mitani ◽  
Y Saito ◽  
M Takaoka ◽  
A Igarashi
Keyword(s):  
Quality Improvement ◽  
Long Term Care ◽  
Well Being ◽  
Care Quality ◽  
Case Conference ◽  
Term Care

Reliability of the PEONIES approach to consumer-centered to long-term care quality assurance/quality improvement

2009 ◽  
Vol 2 (1) ◽  
pp. e11
Author(s):  
Sarita L. Karon ◽  
Barbara Bowers ◽  
Kay Hutchison ◽  
Donna Kopp ◽  
Kim Nolet ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Long Term Care ◽  
Care Quality ◽  
Term Care

Comparing Electronic and Face-to-Face Communication in the Success of a Long-Term Care Quality Improvement Collaborative

2013 ◽  
Vol 2 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Priscilla A. Arling ◽  
Edward J. Miech ◽  
Greg W. Arling
Keyword(s):  
Quality Improvement ◽  
Electronic Communication ◽  
Care Quality ◽  
Term Care ◽  
Face To Face ◽  
Geographically Dispersed ◽  
Prevention Project ◽  
Measures Of Effectiveness ◽  
Work Done

Researchers have long debated the effectiveness of electronic communication for getting work done in organizations, with many arguing that face-to-face interaction is key to high quality work and desired outcomes. Yet in healthcare quality improvement (QI) collaboratives, membership is frequently comprised of individuals from different, geographically dispersed organizations. This study examines the relationship between electronic and face-to-face interaction and the outcomes of a specific QI collaborative, the Empira Fall Prevention project in Minnesota. Outside of regularly scheduled meetings, the level of electronic communication reported by participants was associated with better outcomes in terms of reducing the percentage of new falls in facilities, along with other measures of effectiveness. In-person communication outside of meetings was related to subjective measures of success. The findings suggest ways in which collaboratives and members can leverage different modes of communication to maximize the benefits derived from participation.

Patient-Centered, Integrated Health Care Quality Measures Could Improve Health Literacy, Language Access, and Cultural Competence

2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Literacy ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Care Quality ◽  
National Committee ◽  
Patient Centered ◽  
Organizational System ◽  
Language Access

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.

PRELIMINARY ASSESSMENT OF GPS' KNOWLEDGE AND ATTITUDE ABOUT PERSON CENTRED CARE

2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
General Practice ◽  
Patient Empowerment ◽  
Patient Relationship ◽  
Preliminary Assessment ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Term Care ◽  
Family Doctors ◽  
Person Centered Care ◽  
Centered Care

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.

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