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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Healthcare Research and Quality
Department of Health and Human Services
Rockville, MD 20850
Sharkey, M.B.A., and Sandra Hudak, M.S., RN
Health Management Strategies
Susan Horn, Ph.D.
International Severity Information Systems
of Improving Pressure Ulcer Prevention Practices in Nursing Homes
the On-Time QI Manual
Results to Date
Learn More About On-Time
Standardize CNA Documentation Data Elements and Redesign Workflow
Monitor CNA Documentation
Implement Process Improvements Using Nutrition and Weight Summary Reports
Implement Process Improvements Using the Pressure Ulcer Trigger Summary
Implement Process Improvements Using the Priority Report
Implement Process Improvements Using Red Area Report: Optional
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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
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.