Pioneering a Nursing Home Quality Improvement Learning Collaborative: A Case Study of Method and Lessons Learned

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• 作者：Suzanne M. Gillespie ; MD ; RD^a ; ^{suzanne_gillespie@urmc.rochester.edu" class="auth_mail" title="E-mail the corresponding author} ; Tobie Olsan ; RN ; PhD^b ; Dianne Liebel ; RN ; PhD^b ; Xueya Cai ; PhD^c ; Reginald Stewart ; MQM^b ; Paul R. Katz ; MD^d ; Jurgis Karuza ; PhD^a
• 关键词：Nursing homes ; quality improvement learning collaborative ; quality assurance and performance improvement
• 刊名：Journal of the American Medical Directors Association
• 出版年：2016
• 出版时间：1 February 2016
• 年：2016
• 卷：17
• 期：2
• 页码：136-141
• 全文大小：386 K

文摘

To describe the development of a nursing home (NH) quality improvement learning collaborative (QILC) that provides Lean Six Sigma (LSS) training and infrastructure support for quality assurance performance improvement change efforts.

Design

Case report.

Setting/Participants

Twenty-seven NHs located in the Greater Rochester, NY area.

Intervention

The learning collaborative approach in which interprofessional teams from different NHs work together to improve common clinical and organizational processes by sharing experiences and evidence-based practices to achieve measurable changes in resident outcomes and system efficiencies.

Measurements

NH participation, curriculum design, LSS projects.

Results

Over 6 years, 27 NHs from urban and rural settings joined the QILC as organizational members and sponsored 47 interprofessional teams to learn LSS techniques and tools, and to implement quality improvement projects.

Conclusions

NHs, in both urban and rural settings, can benefit from participation in QILCs and are able to learn and apply LSS tools in their team-based quality improvement efforts.