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

作者：Gillespie Suzanne M^*; Olsan Tobie; Liebel Dianne; Cai Xueya; Stewart Reginald; Katz Paul R; Karuza Jurgis

来源：Journal of the American Medical Directors Association, 2016, 17(2): 136-141.

DOI：10.1016/j.jamda.2015.08.014

• Nursing homes
• quality improvement learning collaborative
• quality assurance and performance
• improvement

Objectives: 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. Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

• 出版日期2016-2-1