On-Time Prevention of Pressure Ulcers

Partnering With Quality Improvement Organizations

Final Report

December 31, 2007

This report describes the results of the project "On-Time Quality Improvement in Long Term Care," which was designed to reengineer the nursing home's workflow processes around pressure ulcer prevention and integrate health information technology into those processes. The project was designed to bridge the gap between staff knowledge and staff practice, to facilitate good and consistent preventive care practices, and to target resources to those at high risk of developing pressure ulcers.

Project Director/Principal Investigator: Susan D. Horn, Ph.D.
Contract No: AHRQ-05-0020

Contents

Executive Summary
Purpose
Scope
   Background and Context
   Settings
   Participants
Methods
   Study Design
   Data Collection and Sources
   Key Components of On-Time
   Measures
   Limitations
Results
   Implementation Progress
   Levels of Facility Implementation
   Detailed Review of Data
Discussion: Lessons Learned
   Implementation Process
   Organizational Obstacles
   Training
   Technology Implementation and Support
   Partnering with QIOs
Conclusion
Implications for the Future
List of Publications and Products