Benchmarking implementation of a computerized system for long-term care.
The purpose of this study was to apply a benchmarking methodology to identify the most effective approaches used by long-term care facilities in implementing new computerized resident assessment instrument/minimum data set (RAI/MDS) systems and to develop implementation protocols based on these "best practices." Site visits were conducted with 3 long-term care facilities, selected on the basis of a national search. Facility directors, directors of nursing, information system managers, and frontline staff at each facility were targeted, and questionnaires were developed for each to assess factors viewed as important to successful implementation. A convergence was found in recommended action steps reported across sites to facilitate introduction and implementation of new RAI/MDS software. An example of how benchmarking results were used to develop an implementation plan is provided. Benchmarking provided a useful methodology for identifying best practices to guide implementation planing for adoption of a new computerized RAI/MDS system in the current trial. The benchmarking steps described are replicable and can be used to guide implementation of other new systems in the nursing home setting.
Ossip-Klein
Deborah J
DJ
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 704, Rochester, NY 14642, USA. deborah_ossipklein@urmc.rochester.edu
Karuza
Jurgis
J
Tweet
Arthur
A
Howard
John
J
Obermiller-Powers
Marcia
M
Howard
Lois
L
Katz
Paul
P
Griffin-Roth
Sandy
S
Swift
Marianne
M
D019985:Benchmarking / Q000379:methods*; D006302:Health Services Research; D006787:Hospitals, Veterans / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration / Q000592:standards*; D008134:Long-Term Care / Q000458:organization & administration*; D009518:New York; D009735:Nursing Homes / Q000458:organization & administration*; D016730:Program Development; D014481:United States; D014493:United States Department of Veterans Affairs