This report summarizes the lessons learned from the My Home Life Programme examining ‘what works’ in the promotion of ‘voice, choice and control’ for older people who live in care homes.
Older people have identified the importance of having control over how they lead their lives and the care that they receive. This is also echoed in government policy across all four nations of the UK.
However, there remains a lack of real understanding of what this looks like in care homes and how to make it happen.
Through working in partnership with care homes across the UK, the report:
• offers examples of good practice in supporting ‘voice, choice and control’ for older people;
• highlights the vital role of leadership in helping to creating a culture that enables older people to experience ‘voice, choice and control’; and
• describes some of the obstacles to supporting voice, choice and control and how stronger partnership-working between care homes, the community and the wider health and social care system can make a difference.
http://www.jrf.org.uk/sites/files/jrf/care-home-quality-of-life-full.pdf
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Showing posts with label quality of care. Show all posts
Showing posts with label quality of care. Show all posts
Wednesday, October 31, 2012
Wednesday, June 01, 2011
Quality management by result-oriented indicators: Towards benchmarking in residential care for older people, Policy Brief, June, 2011
Policy Briefs are a publication series providing a synthesis of topics of research and policy advice from researchers at the European Centre for Social Welfare Policy and Research.
The project ‘Quality Management by Result-oriented Indicators – Towards Benchmarking in Residential Care for Older People’ had the following objectives:
• To collect, sift and validate result-oriented quality indicators at the personal care home organizational level, based on experiences in selected member states. Apart from the quality of (nursing) care, a special focus was given to resident‘quality of life’. Economic performance, leadership issues and the social context complemented the domains used to frame indicators that serve to define, measure and assess overall quality in care homes.
• To investigate and gain experience in methods on how to work with and train care home managers to work with result-oriented indicators and deal with challenges.
This Policy Brief provides information about the project team’s approaches and project results. The project results were discussed with more than 130 experts from different fields (providers, regulators, policy-making, client organisations, etc.) during the Final Conference in Brussels from 3-4 November 2010. Highlights from the discussion are presented in the second part of this Policy Brief.
http://www.euro.centre.org/data/1306242771_99752.pdf
The project ‘Quality Management by Result-oriented Indicators – Towards Benchmarking in Residential Care for Older People’ had the following objectives:
• To collect, sift and validate result-oriented quality indicators at the personal care home organizational level, based on experiences in selected member states. Apart from the quality of (nursing) care, a special focus was given to resident‘quality of life’. Economic performance, leadership issues and the social context complemented the domains used to frame indicators that serve to define, measure and assess overall quality in care homes.
• To investigate and gain experience in methods on how to work with and train care home managers to work with result-oriented indicators and deal with challenges.
This Policy Brief provides information about the project team’s approaches and project results. The project results were discussed with more than 130 experts from different fields (providers, regulators, policy-making, client organisations, etc.) during the Final Conference in Brussels from 3-4 November 2010. Highlights from the discussion are presented in the second part of this Policy Brief.
http://www.euro.centre.org/data/1306242771_99752.pdf
Tuesday, October 19, 2010
Measuring the Quality of Long-Term Care
At at least 70% of the over 65s will require some long-term care (LTC) services during their lives, and pojections suggest that over the next twenty years the total cost of LTC will rise by 110%. Ensuring the quality of the long term care services and learning from current experience will continue to be of great importance.
The current issue of Eurohealth (v. 16(2), 2010 published by LSE Health, London School of Economics and Political Science, examines approaches to measuring quality in seven countries:
US: Vincent Mor discusses the advancement of public reporting of provider performance as a means of introducing quality based competition.
Germany: Andreas Büscher describes Germany's program of publishing overall quality scores for LTC facilities for the general public, and in order to develop expert standards and quality indicators.
Finland: Harriet Finne-Soveri and colleagues review nine years experience using the US originated Resident Assessment Instrument benchmarking system.
Austria: Birgit Trukeschitz describes the introduction, not only of a national quality certificate for care homes, but also a tool to be used in respect of quality of home-based care provided by nursing staff.
England: Juliette Malley takes a critical look at the impact of quality measures, and their usefulness as independent, reliable measures of quality.
The current issue of Eurohealth (v. 16(2), 2010 published by LSE Health, London School of Economics and Political Science, examines approaches to measuring quality in seven countries:
US: Vincent Mor discusses the advancement of public reporting of provider performance as a means of introducing quality based competition.
Germany: Andreas Büscher describes Germany's program of publishing overall quality scores for LTC facilities for the general public, and in order to develop expert standards and quality indicators.
Finland: Harriet Finne-Soveri and colleagues review nine years experience using the US originated Resident Assessment Instrument benchmarking system.
Austria: Birgit Trukeschitz describes the introduction, not only of a national quality certificate for care homes, but also a tool to be used in respect of quality of home-based care provided by nursing staff.
England: Juliette Malley takes a critical look at the impact of quality measures, and their usefulness as independent, reliable measures of quality.
Thursday, October 08, 2009
American Healthcare Association 2009 Quality Report: A Comprehensive Report on the Quality of Care in America's Nursing and Rehabilitation Facilities
The goal of this report is to provide an objective and representative overview of the state of nursing and rehabilitative care in America by highlighting key quality trends, improvements and areas that require more attention in the future.
The report relies primarily on available government data and findings from leading researchers in long term care. Evidence exists that quality initiatives such as Quality First have improved quality of care and quality of life for residents and patients in key areas such as reducing use
of restraints and improvements in wound care.
The report presents a wide range of strategies designed to improve staff satisfaction among long-term care workers, including direct-care staff, in nursing homes. Strategies including everything from maintaining a timely performance-review schedule to keeping the nursing home facility clean and clutter-free, and many the role of respect in the workplace.
Finally, the authors suggest that nursing home leaders create a comfortable, home-like environment for their workers; praise and publicly recognize their hardest-working staff members, particularly those who go above and beyond their job descriptions; and be as transparent as possible, sharing any relevant evaluative, clinical, and financial data with their staff.
http://www.ahcancal.org/research_data/quality/Documents/2009AnnualQualityReport.pdf
The report relies primarily on available government data and findings from leading researchers in long term care. Evidence exists that quality initiatives such as Quality First have improved quality of care and quality of life for residents and patients in key areas such as reducing use
of restraints and improvements in wound care.
The report presents a wide range of strategies designed to improve staff satisfaction among long-term care workers, including direct-care staff, in nursing homes. Strategies including everything from maintaining a timely performance-review schedule to keeping the nursing home facility clean and clutter-free, and many the role of respect in the workplace.
Finally, the authors suggest that nursing home leaders create a comfortable, home-like environment for their workers; praise and publicly recognize their hardest-working staff members, particularly those who go above and beyond their job descriptions; and be as transparent as possible, sharing any relevant evaluative, clinical, and financial data with their staff.
http://www.ahcancal.org/research_data/quality/Documents/2009AnnualQualityReport.pdf
Thursday, October 16, 2008
Improving the Quality of Health Care for Older Adults
From the Rand Corporation, this Research Highlight summarizes results of ACOVE-2 and describes a recent revision of the quality measures, known as ACOVE-3.
The Assessing Care of Vulnerable Elders (ACOVE) indicators were the first set of health care quality indicators developed specifically for the elderly.
Vulnerable elders receive on average only half of recommended care; for conditions that affect primarily the elderly, they receive appropriate care—care indicated by ACOVE—less than one-third of the time.
According to ACOVE, patients who received better care are more likely to be alive three years later than those who received poorer care.
Interventions based on the ACOVE indicators improved the care physicians provided to vulnerable elders for several selected conditions.
In 2007, the ACOVE indicators were updated to include more health conditions and
to give greater consideration to the appropriateness of care for patients with advanced dementia or an otherwise poor prognosis.
http://www.rand.org/pubs/research_briefs/2008/RAND_RB9320.pdf
The Assessing Care of Vulnerable Elders (ACOVE) indicators were the first set of health care quality indicators developed specifically for the elderly.
Vulnerable elders receive on average only half of recommended care; for conditions that affect primarily the elderly, they receive appropriate care—care indicated by ACOVE—less than one-third of the time.
According to ACOVE, patients who received better care are more likely to be alive three years later than those who received poorer care.
Interventions based on the ACOVE indicators improved the care physicians provided to vulnerable elders for several selected conditions.
In 2007, the ACOVE indicators were updated to include more health conditions and
to give greater consideration to the appropriateness of care for patients with advanced dementia or an otherwise poor prognosis.
http://www.rand.org/pubs/research_briefs/2008/RAND_RB9320.pdf
Tuesday, February 26, 2008
Improving the Quality of Health Care for Older Adults
This research brief summarizes the results of Assessing Care of Vulnerable Elderly (ACOVE)-2, which measured the quality of care delivered to a group of older adults, and describes a recent revision of the quality measures, known as ACOVE-3.
In 2007, the ACOVE indicators were updated to include more health conditions and to give greater consideration to the appropriateness of care for patients with advanced dementia or an otherwise poor prognosis.
http://www.rand.org/pubs/research_briefs/2008/RAND_RB9320.pdf
In 2007, the ACOVE indicators were updated to include more health conditions and to give greater consideration to the appropriateness of care for patients with advanced dementia or an otherwise poor prognosis.
http://www.rand.org/pubs/research_briefs/2008/RAND_RB9320.pdf
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