scholarly journals Learning and improving in long-term care internationally: the International Prevalence Measurement of Care Quality (LPZ)

2021 ◽  
Vol 15 ◽  
Author(s):  
Irma H. J. Everink ◽  
Adam L. Gordon ◽  
Suzanne Rijcken ◽  
Selvedina Osmancevic ◽  
Jos M. G. A. Schols

Long-term care (LTC) for older adults is an essential part of how health and social care systems respond to population ageing. Different long-term care systems in different countries have taken differing approaches to quality assurance, ranging from inspection-based regulatory systems to data and reporting-based regulatory systems. The significant variability in the ability of long-term care facilities to respond to the COVID-19 pandemic has led to increased recognition of the role of standardized data in informing structured approaches to quality assurance. The International Prevalence Measurement of Care Quality (in Dutch: Landelijke Prevalentiemeting Zorgkwaliteit – LPZ) was developed to guide continuous quality improvement in long-term care facilities. This special article describes the LPZ tool, developed to provide input for the learning and improvement cycle of multidisciplinary teams in the LTC sector and to help improve care quality.

Author(s):  
Larry W. Chambers ◽  
Pat Caulfield ◽  
Mark Magenheim ◽  
E. Ann Mohide ◽  
Vince Rudnick ◽  
...  

ABSTRACTQuality assurance packages for common health problems are being developed for use in long term care settings. Each package includes a criteria map outlining explicit process and outcome criteria, a reviewer's manual and data summary forms. The packages were developed for use by direct care providers in long term care facilities. Established criteria are applied to records on resident care in order to identify areas which require remedial actions. A feasibility study to assess the use of the packages in eleven nursing homes is reported.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Z Katreniakova ◽  
M Levyova ◽  
M Giertl ◽  
I Nagyova

Abstract Issue/problem In Slovak Republic (SR) old-age dependency will rise rapidly in the near future and will more than double in the next 15 years. This profound demographic changes will require restructuring of health and social care systems with more people working in the long-term care (LTC) sector and most likely a higher level of public spending to cover the growing LTC needs. Description of the problem Providing LTC in Slovakia has many problem areas. It is governed by several acts and regulations, which are not always linked and sometimes do not cover the situation entirely. There is not coordinated and integrated LTC model implemented and the distribution of the roles between the health and social care systems is lacking. Results Since 2017 a policy dialog between the key stakeholders - the Ministry of Health of the SR; the Ministry of Labour, Social Affairs and Family of the SR; and civic societies led by the Association for the Patients’ Rights Protection has been in place with aim to improve the current LTC Strategy Proposal. Online survey was carried out in May - June 2018, which brought deeper insights into the needs regarding demand and supply, and uncovered the main limitations of the current LTC system, e.g. insufficient capacity of LTC beds or a malfunctioning information system. This was followed by six workshops for professional and lay public, organised between February and March 2019 with aim to collect further evidence on regional level. Lessons The LTC Strategy Proposal development is one of 12 pilot projects within the national project - Promoting partnership and dialogue on participatory public policy making in SR. The initiative takes into account the needs and demands of LTC target groups and will serve as a starting point for further action in this area. [Grant Support: APVV-15-0719]. Key messages In Slovakia, a complex solution of long-term care issues is essential. Developing the LTC Strategy Proposal through participatory approach is an important starting point for future action.


2020 ◽  
pp. 413-424
Author(s):  
Adam L. Gordon ◽  
Phillipa A. Logan

‘Stroke care in the community and long-term care facilities’ explores the ‘good common-sense’ approach to care in these situations. The technical aspects of stroke rehabilitation and maintenance of function in the community are discussed as well as the influence of many jurisdiction- and healthcare system-specific issues. Working to patient-centred treatment goals in non-clinical settings requires adaptability and improvisational skills and the ability to accommodate often imperfect management plans. Ethical dilemmas, the limitations of real-world settings, challenges of multidisciplinary teams, negotiating boundaries of rehabilitation, and models of care are explored. All of these require stroke-specific training and experiential learning to establish the community-specific competencies required to deliver high-quality specialist care. Simplicity is in the eye of the beholder and is often only witnessed when care is delivered by highly specialized teams who understand the very demanding nuances of providing care within such settings.


2009 ◽  
Vol 2 (1) ◽  
pp. e11
Author(s):  
Sarita L. Karon ◽  
Barbara Bowers ◽  
Kay Hutchison ◽  
Donna Kopp ◽  
Kim Nolet ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 721-721
Author(s):  
Lori Smetanka

Abstract The presentation will provide perspective on the current state of care quality in long-term care facilities and the legislative discussions and actions of the 116th Congress.


Author(s):  
Roberto Dandi ◽  
Georgia Casanova ◽  
Roberto Lillini ◽  
Massimo Volpe ◽  
Antonio Giulio De Belvis ◽  
...  

2020 ◽  
Vol 41 (8) ◽  
pp. 943-945
Author(s):  
Le K. N. Nguyen ◽  
Itamar Megiddo ◽  
Susan Howick

AbstractResidents living in long-term care facilities (LTCFs) are at high risk of contracting healthcare-associated infections (HAIs). The unique operational and cultural characteristics of LTCFs and the currently evolving models of healthcare delivery in Scotland create great challenges for infection prevention and control (IPC). Existing literature that discusses the challenges of infection control in LTCFs focuses on operational factors within a facility and does not explore the challenges associated with higher levels of management and the lack of evidence to support IPC practices in this setting.1-7 Here, we provide a broader view of challenges faced by LTCFs in the context of the current health and social care models in Scotland. Many of these challenges are also faced in the rest of the United Kingdom and internationally.


1999 ◽  
Vol 54B (3) ◽  
pp. P180-P188 ◽  
Author(s):  
G. Bravo ◽  
P. D. Wals ◽  
M.-F. Dubois ◽  
M. Charpentier

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