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On-Time Quality Improvement for Long-Term Care. Siobhan Sharkey, M.B.A., Health Management Strategies Web Conference June 12, 2007. Characteristics of Successful Facilities. Strong Administrator and Director of Nursing support
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On-Time Quality Improvement for Long-Term Care Siobhan Sharkey, M.B.A., Health Management Strategies Web Conference June 12, 2007
Characteristics of Successful Facilities Strong Administrator and Director of Nursing support Willingness to establish a multidisciplinary team to focus on the program Commitment to quality improvement (QI) process and a history of successful QI efforts Dietician participation in team Core group of stable CNAs or lead CNAs Staff development time to support implementation and training
Approach: Overview Month 4-12 Month 1-3 Month 12-18 Facility-wide Implementation Review Progress & Assess Impact Workflow Redesign & Pilot Implementation • Establish facility implementation team Implement new CNA documentation Incorporate reports in daily work processes: - Dietary - MDS - Staff development - RNs - CNAs Review progress and refine processes • Redesign CNA documentation Pilot implementation of redesigned forms Month 1 Finalize IT Plan
What is Expected of a Participating Provider? Assign project point-person Create a multidisciplinary implementation team including CNAs Replace current CNA documentation forms with facility-specific “On-Time” standardized documentation tools Participate in regular conference calls: facility-specific and multi-facility team meetings Commit to full-facility implementation: CNA documentation forms and workflow redesign Technology solution for data capture and reports Participate in pre- and post-implementation feedback to assess impact
Strategies to Address Barriers View program as an accelerator of culture change, QI and health information technology (IT) adoption Partner with staff development and Dietary – Strong team members Dedicate project management resources Provide technical assistance to project leads and promote CNA peer-to-peer training Promote collaborative learning across facilities