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Is Variation in Resident-Centered Care and Quality Performance Related to Health System Factors in Veterans Health Administration Nursing Homes?

Sullivan, Jennifer L. ; Engle, Ryann L. ; Tyler, Denise ; Afable, Melissa K. ; Gormley, Katelyn ; Shwartz, Michael ; Adjognon, Omonyêlé ; Parker, Victoria A.

Inquiry (Chicago), 2018-01, Vol.55, p.46958018787031-46958018787031 [Periódico revisado por pares]

Los Angeles, CA: SAGE Publications

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Título:
Is Variation in Resident-Centered Care and Quality Performance Related to Health System Factors in Veterans Health Administration Nursing Homes?
Autor: Sullivan, Jennifer L. ; Engle, Ryann L. ; Tyler, Denise ; Afable, Melissa K. ; Gormley, Katelyn ; Shwartz, Michael ; Adjognon, Omonyêlé ; Parker, Victoria A.
Assuntos: Awards ; Community centers ; Content analysis ; Corporate culture ; Data analysis ; Data collection ; Data quality ; Delivery of Health Care - organization & administration ; Delivery of Health Care - standards ; Health care policy ; Hospital administration ; Humans ; Infrastructure ; Interviews ; Leadership ; Management ; Middle management ; Mixed methods research ; Nursing homes ; Nursing Homes - organization & administration ; Organizational Culture ; Paradigms ; Patient-Centered Care - organization & administration ; Patient-Centered Care - standards ; Qualitative research ; Quality of care ; Quality of Health Care - organization & administration ; Quality of Health Care - standards ; Quality of life ; Site selection ; Special Collection: Nursing Home Performance ; Teamwork ; Training ; United States ; United States Department of Veterans Affairs ; Veterans ; Veterans Health
É parte de: Inquiry (Chicago), 2018-01, Vol.55, p.46958018787031-46958018787031
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: The purpose of this research was to explore and compare common health system factors for 5 Community Living Centers (ie Veterans Health Administration nursing homes) with high performance on both resident-centered care and clinical quality and for 5 Community Living Centers (CLC) with low performance on both resident-centered care and quality. In particular, we were interested in “how” and “why” some Community Living Centers were able to deliver high levels of resident-centered care and high quality of care, whereas others did not demonstrate this ability. Sites were identified based on their rankings on a composite quality measure calculated from 28 Minimum Data Set version 2.0 quality indicators and a resident-centered care summary score calculated from 6 domains of the Artifacts of Culture Change Tool. Data were from fiscal years 2009-2012. We selected high- and low-performing sites on quality and resident-centered care and conducted 12 in-person site visits in 2014-2015. We used systematic content analysis to code interview transcripts for a priori and emergent health system factor domains. We then assessed variations in these domains across high and low performers using cross-site summaries and matrixes. Our final sample included 108 staff members at 10 Veterans Health Administration CLCs. Staff members included senior leaders, middle managers, and frontline employees. Of the health system factors identified, high and low performers varied in 5 domains, including leadership support, organizational culture, teamwork and communication, resident-centered care recognition and awards, and resident-centered care training. Organizations must recognize that making improvements in the factors identified in this article will require dedicated resources from leaders and support from staff throughout the organization.
Editor: Los Angeles, CA: SAGE Publications
Idioma: Inglês

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Is Variation in Resident-Centered Care and Quality Performance Related to Health System Factors in Veterans Health Administration Nursing Homes?

Sullivan, Jennifer L. ; Engle, Ryann L. ; Tyler, Denise ; Afable, Melissa K. ; Gormley, Katelyn ; Shwartz, Michael ; Adjognon, Omonyêlé ; Parker, Victoria A.

Los Angeles, CA: SAGE Publications

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