Best at Home Assuring Quality Long-Term Care in Home and Community-Based Settings (1996) / Chapter Skim
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4 FUTURE STUDY PLAN
4 FUTURE STUDY PLAN
Pages 43-52
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From page 43... ...
For both conceptual and practical reasons, this IOM committee concluded that a single study would suffice to look at quality and quality assurance issues in both home care and residential care settings. The committee also decided to keep the current broad focus on all users of home and community-based LTC, rather than focusing only on either the elderly or the disabled population.
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From page 44... ...
What key features define home care services and the consumers receiving them? What key features define residential care settings and the residents living there?
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From page 45... ...
To develop quality assurance and improvement strategies it is important to have a good understanding of the forces that enhance and impede quality. It is equally important to know if a factor has no impact on quality.
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From page 46... ...
Information from the work done to describe quality assurance and improvement programs would be evaluated within this conceptual framework to explore the appropriateness, effectiveness, and adequacy of these programs. Other issues to be explored include whether quality assurance and improvement strategies should vary when the care is provided in a home setting versus a residential care setting.
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From page 47... ...
The committee, drawing on its members' broad perspectives and expert opinions, will be able to develop consensus about and to enunciate the principles regarding how to achieve greater and more meaningful consumer involvement. In addition, depending on the eventual scope and size of the study, to get more input on this issue directly from consumers, the hill committee might use one or more standard IOM techniques, such as focus groups, site visits, or video interviews with consumers and their representatives, in addition to appointing a consumer advocate and a resident to the committee itself.
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From page 48... ...
Data sources: As stated earlier, several states and private accreditation organizations have begun to develop their own quality assurance and improvement programs and standards for home and community-based LTC. The committee, informed by its technical liaison panel, would examine the experience and data of these groups.
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From page 49... ...
Committee members will include: health professionals such as physicians and nurses with LTC experience; consumers of home care services or their representatives; residents of residential care facilities (including privately owned facilities) or their representatives; providers of home care services and operators of residential care facilities, ncluding those who operate nonprofit facilities; state officers with responsibility for regulating home care services and residential care facilities; individuals with LTC experience, including nonmedical home care services and legal issues; experts on the administration of drugs to older and disabled individuals receiving LTC services and on the enforcement of life-safety codes in LTC facilities; · officials of accreditation organizations; and experts in the field of health services research.
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From page 50... ...
Site visits will be conducted at the same time to give committee members further detailed, hands-on experience about the practical implementation and application of quality assurance and improvement strategies. Development of Recommendations and Products The intent of the more comprehensive study is to produce a set of products that will be scientifically sound and of practical value to a variety of audiences.
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From page 51... ...
This committee urges that more primary research and data collection be done in this critical area. However, the committee also believes that the larger committee will provide a valuable contribution by translating findings from other areas such as quality improvement in hospitals and other acute care settings and by synthesizing what information is already available in the area of home and community-based LTC.
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