Abstract
Objectives
To describe an innovative Canadian and US community of practice that employs empirical
evidence based on risk-adjusted indicators to guide collaborative initiatives to improve
the quality of care in nursing homes.
Design
Ongoing study of quality of care related to pain management in nursing home residents
using clinical assessment records.
Setting
and Participants: Nursing home residents in 14 organizations in Canada and the United
States between 2014 and 2017. The most recent analytic samples for quality indicator
calculation involve 11,123 unique residents in 68 homes associated with 12 different
long-term care organizations.
Measures
Assessment data on pain and associated risk adjusters were obtained from the RAI/MDS
2.0 and MDS 3.0 assessments in Canadian and US nursing homes, respectively.
Results
The Seniors Quality Leap Initiative has been functioning as an active community of
practice for almost a decade with the aim of demonstrating leadership in the use of
collaborative approaches to drive evidence-informed improvements in the quality of
long-term care. Initiatives with a specific emphasis on improving care related to
pain resulted in notable improvements in quality of clinical care in specific homes
as well as within the network as a whole.
Conclusions and Implications
The Seniors Quality Leap Initiative demonstrates that a partnership between organizations
in 2 countries can foment quality transitions through a shared commitment to identifying
needs; employing flexible, but practical initiatives; and evaluating the impact of
those initiatives through a transparent reporting mechanism.
Keywords
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Article info
Publication history
Published online: September 10, 2020
Footnotes
Funding to support the SQLI collaborative is based on member contributions as well as a grant from the Centre for Aging and Brain Health Innovation. The sponsor had no role in the design, methods, subject recruitment, data collection and analysis, and preparation of this manuscript.
The authors declare no conflicts of interest.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
