On-Time Prevention of Pressure Ulcers

The purpose of the project "On-Time Quality Improvement in Long Term Care," a new quality improvement (QI) program for nursing homes developed by the Agency for Healthcare Research and Quality (AHRQ) with support from the California Health Care Foundation (CHCF), was to reengineer the nursing home's workflow processes around pressure ulcer (PrU) prevention and integrate health information technology (Health IT) into those processes. The goal was to partner with multidisciplinary teams in each nursing home to reduce redundant certified nursing assistant (CNA) documentation across disciplines, reduce paperwork, improve accuracy of information, and improve communication among multidisciplinary care teams. 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 PrUs.

Specific objectives were to:

  1. Partner with Quality Improvement Organizations (QIOs) and more than 20 nursing homes to implement an evidence-based practice quality change strategy developed in the "Real Time Optimal Care Plans for Nursing Home QI" grant (U18 HS13696) ("Real-Time") funded by AHRQ.
  2. Track the impact of this strategy on the rate of PrUs acquired by high-risk residents and on workflow in key operational processes: documentation, multidisciplinary team communication, and care planning.
Page last reviewed March 2009
Internet Citation: Purpose: On-Time Prevention of Pressure Ulcers. March 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcers/puqio1.html