Organizational change and quality improvement in nursing homes: approaching success.

Organizational change and quality improvement in nursing homes: approaching success. Research Abstract Details 

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Organizational change and quality improvement in nursing homes: approaching success. Abstract Text:

Jules Rosen,Vikas Mittal,Howard Degenholtz,Nicholas Castle,Benoit Mulsant,Yong Joo Rhee,Shelley Hulland,David Nace,Fred Rubin,

Nursing home residents' quality of life (QoL) is directly related to the quality improvement (QI) processes mandated by federal law. This article describes a 3-year longitudinal study of QI process innovations in two nursing homes and highlights details of a successful 6-month initiative. The initial QI initiatives were based on the principles of staff empowerment, enhanced ability through training, and financial incentives. After 18 months without measurable success, the QI process was modified to include real-time feedback. Two not-for-profit nursing homes participated in this study to explore the effect of organizational change in nursing homes on residents' quality of care and QoL and staff members' job satisfaction. At 6-month intervals, residents and staff participated in structured assessments of residents' QoL and quality of care and staff members' job satisfaction. When the QI process was modified to include real-time feedback, there was a significant reduction in the rate of new pressure ulcers, stage 2 or greater (p < .05), in one of the facilities that had struggled with this problem for more than 18 months. By examining QI processes in nursing homes, the researchers were able to identify some of the obstacles to improving quality of care and QoL. Only when the element of real-time feedback was introduced, in combination with enhanced staff abilities and financial incentives, were substantial improvements seen in key clinical outcomes.

Organizational change and quality improvement in nursing homes: approaching success. Publishing Authors By Initials

J Rosen,V Mittal,H Degenholtz,N Castle,B Mulsant,YJ Rhee,S Hulland,D Nace,F Rubin,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

PUBMED ID PMID:

MEDLINE DATE: 2005 Nov-Dec

Organizational change and quality improvement in nursing homes: approaching success. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal for healthcare quality : official publicat

VOLUME: 27

Page Numbers: 6-14, 21, 44

Journal Abbreviation:

ISSN: 1062-2551

DAY: 3

MONTH: 12

YEAR: 2007

Organizational change and quality improvement in nursing homes: approaching success. Information

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LANGUAGE: eng

NlmUniqueID: 9202994

Organizational change and quality improvement in nursing homes: approaching success. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: organization & administration

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Grant and Affiliation Information for Organizational change and quality improvement in nursing homes: approaching success.

AFFILIATION: University of Pittsburgh, PA, USA.

Country: United States

AGENCY: United States NIMH

GRANT: MH52247

ACRONYM: MH

MEDLINETA: J Healthc Qual

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