Table 1

Recommended Approaches to Quality Improvement in the Nursing Home Setting


Form partnerships with nursing home stakeholders

Establish relationship with State Survey Agency (SSA)

Promote the use of quality measures in quality improvement

Engage physicians and medical directors in quality improvement

Teach principles of quality improvement to all nursing home staff, including direct care staff

Serve as a facilitator in bringing nursing homes together to share successful strategies and practical tips on implementing change

Provide one-on-one assistance to nursing homes

Convert the regulatory compliance culture to a quality improvement culture

Address high rates of staff turnover and position vacancies in nursing homes

Kissam et al. BMC Geriatrics 2003 3:2   doi:10.1186/1471-2318-3-2

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