None listed
Conditions
Brief summary
This study seeks to identify how providers of hospital level residential aged care can improve their performance in keeping residetns free from harm. This will be achieved by gaining an understanding of good outcomes for residents and what measures these outcomes, then using selected quality indicators to measure the quality of basic care provided to indivdual residents. The study will establish if benchmarking quality indicator data alone or whether additional quality improvement activities support increases the number of days residents are free from harm or and adverse event. Finally this information will be utilised to develop a balanced score card for success.
Interventions
Three monthly benchmarking information for selected quality indicators provided at month six then three monthly to month 15 to both arms of the study. In addition quality improvment activites interventions were provided to the intervention arm including: one individual site visit by an advanced practice gerontological nurse to explain the benchmarking; how the results could be used to improve resident outcomes and provide support with the intervention; a best practice quality tool kit for the prevention harm; voiced over power point education sessions of best practice in the prevention of harm that could be used at any time by facility staff and two quality forums by telephone conferencing. the intervention was implemented after six months of data collection over a three month period. The resources provided were designed to be able to be used by the hospital over the final 6 months of the study as well
Sponsors
Study design
Eligibility
Inclusion criteria
All RAC providers that were listed as a’ hospital’ from the Northland, Waitemata, Auckland, Counties Manukau, Waikato, and the Bay of Plenty District Health Boards on the Ministry of Health certification list, June 2008 and held an Age Related Residential Care Service Provider Agreement with their local District Health Board and provided continuing hopsital level care.
Exclusion criteria
Continuing care Hospitals operated by District Health Boards were excluded as they have additional funding streams and different case mix.