OnTime Quality Improvement for LongTerm Care

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On-Time Quality Improvement for Long-Term Care

• William Spector, Ph.D., Agency for Healthcare
  Research and Quality
• Web Conference
• June 12, 2007

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Postacute and Chronic Care Nursing Home
Residents with Pressure Ulcers, by Type of
Resident, 1999-2004
Source  Centers for Medicare Medicaid
Services, Minimum Data Set, 1999-2004. Denominator
All residents in Medicare or Medicaid certified
nursing and long-term care facilities.
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Step 2
Step 3
Step 1
Prevention Reports
Information Technology
Identify high-risk residents
Access timely information
Step 4
Standardized CNA Documentation
QI Team
Reduce redundancy Consolidate documentation
Front-line team members use reports in daily work
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Key Program Benefits

• Reduce Paperwork
• Consolidate current CNA documentation
• Standardize data elements and eliminate
  redundancy
• Gain Efficiencies
• Reduce time spent searching multiple sources for
  information
• Automated reports replace manual compilation of
  resident information
• Increase Morale
• Empower multidisciplinary teams with CNAs as
  important members
• Improve Quality
• Integrate reports into day-to-day workflow and
  clinical decisionmaking
• Increase early recognition of residents at high
  risk
• Timely communication among multidisciplinary team
  members
• QI Collaboration
• Receive technical assistance from quality
  improvement (QI) experts
• Collaborate with peers to share experiences and
  best practices

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• For CEU Registration
• http//www.delmarvafoundation.org/events/AHRQ/webC
  ast/CEUs/
• For On-Time Products and Information
• http//www.ahrq.gov/research/puwebcast/

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Acknowledgments

• This Web Conference was Made Possible by
• Agency for Healthcare Research and Quality
• Delmarva Foundation
• Moderator
• Cindy Dibiasi
• Panel/Presenters
• William Spector, Ph.D.
• AHRQ, Senior Social Scientist, Center for
  Delivery Organization and Markets, AHRQ
• Susan Horn, Ph.D.
• Senior Scientist, Institute for Clinical Outcomes
  Research
• Siobhan Sharkey, M.B.A.
• Managing Director, Health Management Strategies
• Robyn Stone, Dr.P.H.
• Executive Director, Institute for the Future of
  Aging Services and