scholarly journals Baseline Quality-of-Care Data From a Quality-Improvement Program Implemented by a Network of Diabetes Outpatient Clinics

Diabetes Care ◽  
2008 ◽  
Vol 31 (11) ◽  
pp. 2166-2168 ◽  
Author(s):  
M. C.E. Rossi ◽  
A. Nicolucci ◽  
A. Arcangeli ◽  
A. Cimino ◽  
G. De Bigontina ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Quality Improvement Program ◽  
Outpatient Clinics ◽  
Improvement Program

scholarly journals A Preliminary Qualitative Evaluation of the Virginia Gold Quality Improvement Program

2015 ◽  
Author(s):  
Gerald Craver ◽  
Amy Burkett
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Focus Groups ◽  
Working Conditions ◽  
Qualitative Evaluation ◽  
Quality Improvement Program ◽  
High Turnover ◽  
Improvement Program ◽  
Term Care

Certified nursing assistants (CNAs) perform an important role in the long-term care system because they provide the majority of paid care to nursing facility residents. Unfortunately, annual CNA turnover often exceeds 100 percent nationally. Many factors account for this, including stressful working conditions, low pay, and limited benefits. The end result of high turnover is compromised continuity of care for residents, which often leads to poor quality and substandard care. In an effort to improve quality of care and staffing, the Virginia Department of Medical Assistance Services in 2009 implemented a pilot program, known as the Virginia Gold Quality Improvement Program, which provided funding to five nursing facilities to develop projects that improved working conditions for CNAs. This study presents the results of an evaluation performed on the program toward the end of its first year using 10 CNA and resident focus groups. Eight themes emerged from the focus groups, suggesting that both quality of care and working conditions improved in the pilot facilities after the program was implemented. However, these findings are preliminary and additional research is needed to more fully understand how the program influenced conditions in the pilot facilities.

Safety, Quality, and the National Surgical Quality Improvement Program

2006 ◽  
Vol 72 (11) ◽  
pp. 994-998 ◽  
Author(s):  
Shukri F. Khuri
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Conceptual Framework ◽  
Systems Of Care ◽  
Adverse Outcomes ◽  
Quality Improvement Program ◽  
Institute Of Medicine ◽  
Improvement Program ◽  
Surgical Quality

The Institute of Medicine 1999 publication, To Err is Human, focused attention on preventable provider errors in surgery, and prompted numerous new national initiatives to improve patient safety. It is uncertain whether these initiatives have actually improved patient safety, mainly because of the lack of a quantitative metric for the assessment of patient safety in surgery. A 15-year experience with the National Surgical Quality Improvement Program, which originated in the Veteran's Administration in 1991 and was recently made available to the private sector, prompts the surgical community to place patient safety in surgery within a much larger conceptual framework than that of the Institute of Medicine report, and provides a quantitative metric for the assessment of patient safety initiatives. This conceptual framework defines patient safety in surgery as safety from all adverse outcomes (not only preventable errors and sentinel events); regards safety as an integral part of quality of surgical care; recognizes that adverse outcomes, and hence patient safety, are primarily determined by quality of systems of care; and uses comparative risk-adjusted outcome data as a metric for the identification of system problems and for the assessment and improvement of patient safety from adverse outcomes.

scholarly journals An Evaluation of Virginia Gold: A Medicaid Program to Improve Nursing Facility Quality of Care

2014 ◽  
Author(s):  
Gerald Craver ◽  
Amy Burkett ◽  
Karen Kimsey
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Facility Management ◽  
Care Quality ◽  
Quality Improvement Intervention ◽  
Nursing Facilities ◽  
Nursing Assistant ◽  
Improvement Program ◽  
Nursing Facility

A qualitative case study design employing focus groups was used to evaluate certified nursing assistant (CNA) (n = 26) and resident (n = 30) perceptions of the Virginia Gold Quality Improvement Program, a Medicaid funded 2-year quality improvement intervention piloted in five nursing facilities. As part of the program, the nursing facilities implemented quality improvement projects to develop supportive work environments in an effort to reduce CNA turnover and improve quality of care. Overall, the focus group participants viewed Virginia Gold positively and reported that CNA turnover decreased, while care quality improved during the program. These findings are supported by a previous Virginia Gold evaluation as well as by the results from a quantitative analysis of nursing facility CNA turnover and quality of care data and interviews with selected nursing facility management staff (n = 7) 1-year following the program’s culmination. A key finding from the management interviews is that the quality improvement projects became self-sustaining over time allowing all five nursing facilities to continue the projects without state funding.

Effects of a statewide physician-led quality-improvement program on the quality of cardiac care

2006 ◽  
Vol 151 (5) ◽  
pp. 1033-1042 ◽  
Author(s):  
J. Richard Goss ◽  
Charles Maynard ◽  
Gabriel S. Aldea ◽  
Miriam Marcus-Smith ◽  
Richard W. Whitten ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Program ◽  
Cardiac Care ◽  
Improvement Program
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