Quality assurance and performance improvement in nursing homes: using evidence-based protocols to observe nursing care processes in real time.
The Quality Assurance and Performance Improvement Initiative, a component of the Affordable Care Act (2010), is a new approach to quality improvement for US nursing homes. The article describes components of the Quality Assurance and Performance Improvement Initiative, the unique contributions of registered nurses to its implementation, and data collection strategies using direct observation and evidence-based measures and protocols in a Quality Assurance and Performance Improvement program.
Patient Care Services, VA San Diego Healthcare System, San Diego, CA, USA. mary.dellefield@va.gov
Mary Ellen
ME
Dellefield
Ann
A
Kelly
John F
JF
Schnelle
D055318:Evidence-Based Nursing; D005851:Geriatric Nursing / Q000592:standards*; D006801:Humans; D009723:Nurse-Patient Relations; D009735:Nursing Homes / Q000592:standards*; D009740:Nursing Staff / Q000592:standards*; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000379:methods*; D014481:United States