The On-Time Quality Improvement program is a practical approach to quality improvement (QI) in long-term care, embedding QI strategies and best practices into health information technology. This manual is an introduction to the On-Time QI approach. It provides an overview of the tools and process improvements and describes the implementation process. Target users are stakeholders interested in nursing home QI, nursing home leaders responsible for deciding QI priorities, and nursing home personnel responsible for quality improvement.
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Prepared for:
Agency for
Healthcare Research and Quality
U.S.
Department of Health and Human Services
540 Gaither
Road
Rockville, MD 20850
Prepared by:
Siobhan
Sharkey, M.B.A., and Sandra Hudak, M.S., RN
Health Management Strategies
Susan Horn, Ph.D.
International Severity Information Systems
Contents
Introduction
Challenges
of Improving Pressure Ulcer Prevention Practices in Nursing Homes
Purpose of
the On-Time QI Manual
References
On-Time
Overview
On-Time
Results to Date
On-Time
Guiding Principles
On-Time
Tools
On-Time
Implementation Process
Where To
Learn More About On-Time
Resources
Getting
Started
Readiness
for On-Time
Resources
Needed
On-Time Work
Plan
On-Time
Implementation
Step 1:
Standardize CNA Documentation Data Elements and Redesign Workflow
Step 2:
Monitor CNA Documentation
Step 3:
Implement Process Improvements Using Nutrition and Weight Summary Reports
Step 4:
Implement Process Improvements Using the Pressure Ulcer Trigger Summary
Report
Step 5:
Implement Process Improvements Using the Priority Report
Step 6:
Implement Process Improvements Using Red Area Report: Optional
Step 7:
Monitor Impact
On-Time Tools (Word® File,
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This document is in the public domain and may be used and
reprinted without special permission. Citation of the source is appreciated.
The information in this On-Time Quality Improvement
Manual for Long-Term Care Facilities manual is intended to help long-term
care facilities adopt and implement the On-Time Quality Improvement program. It
is intended as a reference and not as a substitute for professional judgment.
The findings and conclusions are those of the authors, who are responsible for
its content, and do not necessarily represent the views of AHRQ. No statement
in this manual should be construed as an official position of AHRQ or the U.S.
Department of Health and Human Services. In addition, AHRQ or U.S. Department
of Health and Human Services endorsement of any derivative products may not be
stated or implied. None of the investigators has any affiliations or financial
involvement that conflicts with the material presented in this manual.
AHRQ Publication No. 11-0028-EF
Current as of January 2011
Internet Citation:
Sharkey S, Hudak S, Horn, S. On-Time Quality Improvement Manual for Long-Term Care Facilities. AHRQ Publication No. 11-0028-EF, January 2011. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/research/ltc/ontimeqimanual/
540 Gaither Road Rockville, MD 20850 