On-Time Quality Improvement for Long-Term Care

The On-Time Quality Improvement program is designed to improve long-term care by turning daily documentation into useful information that enhances clinical care planning. The health information technology (Health IT) initiative is funded by the Agency for Healthcare Research and Quality (AHRQ), with support from the California Healthcare Foundation.


The Agency for Healthcare Research and Quality (AHRQ) has launched a program to help front-line nursing home staff reduce the occurrence of in-house pressure ulcers, providing residents with more efficient, effective, and patient-centered care. Pressure ulcers can pose particularly overwhelming challenges for long-term care professionals. The prevalence of pressure ulcers in individual facilities can range from 2.5 percent to 24 percent, depending on the facility. The On-Time Quality Improvement for Long-Term Care program is an innovative program designed to improve day-to-day practice in nursing homes, improve and redesign workflow, enrich work culture, and reduce pressure ulcers.

Getting Started

Video/Web Conferences

This streaming presentation provides testimonials from nursing home staff and administrators from different facilities who have worked with the On-Time program. It includes commentary on the advantages of implementation and the resulting quality improvement.

The following Web conference features presentations by experts and participating staff and a question and answer forum.

Program Materials and Tools

Your browser may support downloading the files from this page by using the links below. Right click on the link and then select "Save Target As" (Internet Explorer) or "Save Link As" (Firefox® or Netscape®).

The information below includes case studies, sample reports, flow sheet, and other support materials to help you implement and use the program. All of these tools can be printed and included in a personal binder.

More Information

If you are interested in learning more about "On-Time" and would like to talk with someone, please Email your contact information including the best time to be reached by phone. Send Email to: On-Time@ahrq.hhs.gov and write "request followup" in the subject line.

Page last reviewed April 2012
Internet Citation: On-Time Quality Improvement for Long-Term Care. April 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/ontime/qualityimprov/index.html