title: Development of a quality assurance program in a medical model adult day health care center.
abstract: Staff of the Minneapolis VA Medical Center's Adult Day Health Care Center (ADHC), which provides primary medical care to elderly veterans, used a decentralized approach to develop a quality assurance (QA) program that reviews all aspects of care, provides substantive data, and remains flexible to ADHC needs. Staff participated in four one-hour sessions designed to educate them about QA and provide the necessary skills and information for developing and implementing their own QA program. Staff collectively identified important aspects of care, developed indicators, and assigned thresholds. ADHC's QA program has been successfully developed with only a minimum amount of staff and consultative time. Due to its collaborative nature, ADHC's program continues to enjoy high staff support.
authors.affiliation: Geriatric Research, Education, and Clinical Center, Minneapolis VA Medical Center, Minnesota 55417.
authors.forename: H N
authors.initials: HN
authors.lastname: Richards
authors.forename: K
authors.initials: K
authors.lastname: Hepburn
mesh_terms: D000554:Ambulatory Care Facilities; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010347:Patient Care Planning; D011785:Quality Assurance, Health Care; D014481:United States; D014493:United States Department of Veterans Affairs