Web Conference: On-Time Quality Improvement for Long-term Care

Slide Presentation

On June 12, 2007, William Spector made a presentation in a Web conference on "On-Time Quality Improvement for Long-Term Care." This is the text version of Dr. Spector's slide presentation.

Slide 1

Postacute and Chronic Care Nursing Home Residents with Pressure Ulcers, by Type of Resident, 1999-2004

Image: There is a line graph in the center of the slide. The horizontal axis shows years 1999, 2000, 2001, 2002, 2003 and 2004. The vertical axis shows percent of postacute and chronic care nursing home residents with pressure ulcers by type of resident. The numbers on the axis go from 0 to 25. There is a trend line that shows a slight decline in the number of postacute care pressure ulcers from 22.4 in 1999 to 21.2 in 2004. There is a trend line that shows a slight decline in high-risk chronic care pressure ulcers from 14.3 in 1999 to 13.5 in 2004. There is a trend line that shows no decline in low risk chronic care pressure ulcers from 1999 at 2.8 to 2.7 in 2004.

Source: Centers for Medicare and Medicaid Services, Minimum Data Set, 1999-2004
Denominator: All residents in Medicare or Medicaid certified nursing and long-term care facilities

Slide 2

This slide illustrates the four key elements of the On-Time Quality Improvement for Long-Term Care program.

  • Step 1: Reduce redundancy and consolidate documentation. There is an image of a standardized CNA documentation form with the words "Standardized CNA Documentation" under the image.
  • Step 2: Access Timely Information. There is an arrow to a graphic of a digital pen and a graphic of a computer work station with the words "Information Technology" underneath the graphic.
  • Step 3: Identify high-risk residents. There is an arrow to a graphic of a man and a woman looking at a computer workstation with the words "Prevention Reports" underneath the graphic.
  • Step 4: Front-line team members use reports in daily work. There is an arrow to a graphic of 3 people sitting around a table talking with the words "QI Team" underneath the graphic.

Slide 3

Key Program Elements

  • Reduce Paperwork
    • Consolidate current CNA documentation
    • Standardize data elements and eliminate redundancy
  • Gain Efficiencies
    • Reduce time spent searching multiple sources for information
    • Automated reports replace manual compilation of resident information
  • Increase Morale
    • Empower multidisciplinary teams with CNAs as important members
  • Improve Quality
    • Integrate reports into day-to-day workflow and clinical decisionmaking
    • Increase early recognition of residents at high risk
    • Timely communication among multidisciplinary team members
  • QI Collaboration
    • Receive technical assistance from quality improvement (QI) experts
    • Collaborate with peers to share experiences and best practices
Page last reviewed June 2007
Internet Citation: Web Conference: On-Time Quality Improvement for Long-term Care: Slide Presentation. June 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/ontime/puwebcast/spectortxt.html