title: A continuous quality improvement pilot study: impact on nutritional care quality.
abstract: OBJECTIVE
  All long-term care facilities are supposed to engage in quality improvement activities in an effort to improve care quality. The purpose of this pilot study was to teach long-term care staff how to conduct continuous quality improvement (CQI) related to nutritional care.
  
  
  METHODS
  Research staff conducted CQI training in one 48-bed pilot site with designated staff members. Supervisory staff were taught a standardized direct observational protocol, which was implemented weekly by both facility and research staff, to monitor defined nutritional care processes under the control of direct care staff. In addition, direct care staff received feedback on a weekly basis about care process implementation.
  
  
  RESULTS
  Following initial training and 12 weeks of CQI implementation, there were improvements in all 5 nutritional care processes related to the adequacy and quality of daily feeding assistance care provision according to both facility and research staff data. Weekly CQI implementation required approximately 1 hour of supervisory staff time and less than 15 minutes of direct care staff time to receive feedback.
  
  
  CONCLUSIONS
  Both initial training and weekly CQI implementation were effective and required less than 2 hours of total staff time per week. Long-term care staff in this pilot site were able to improve nutritional care quality using a standardized direct observational protocol to guide CQI activities.
authors.affiliation: University of California, Los Angeles, School of Medicine, Department of Geriatrics, Borun Center for Gerontological Research, Los Angeles, CA 91335, USA. ssimmons@ucla.edu <ssimmons@ucla.edu>
authors.forename: Sandra F
authors.initials: SF
authors.lastname: Simmons
authors.forename: John F
authors.initials: JF
authors.lastname: Schnelle
mesh_terms: D002140:California; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D009735:Nursing Homes; D009751:Nutritional Requirements; D010865:Pilot Projects; D011787:Quality of Health Care; D017749:Total Quality Management