title: Capacity and readiness for quality improvement among home and community-based service providers.
abstract: The objective of this study was to explore home and community-based service (HCBS) providers' perspectives of organizational readiness for quality improvement (QI). Data were obtained from a survey of participants (N = 56) in a state-sponsored HCBS QI initiative. Quality improvement challenges included lack of time and resources, staff apprehension or resistance, resistance from consumers and families, and project sustainability. Support from leadership was viewed as an important factor in participating organizations' decision to engage in QI. Internal resources available to support QI varied widely between participating organizations, with differences observed between smaller and larger agencies, as well as between provider types and populations served.
authors.affiliation: a Purdue University School of Nursing , West Lafayette , Indiana , USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Abrahamson
authors.affiliation: a Purdue University School of Nursing , West Lafayette , Indiana , USA.
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Myers
authors.affiliation: a Purdue University School of Nursing , West Lafayette , Indiana , USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Arling
authors.affiliation: b University of Minnesota Twin Cities , Minneapolis , Minnesota , USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Davila
authors.affiliation: b University of Minnesota Twin Cities , Minneapolis , Minnesota , USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Mueller
authors.affiliation: b University of Minnesota Twin Cities , Minneapolis , Minnesota , USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Abery
authors.affiliation: a Purdue University School of Nursing , West Lafayette , Indiana , USA.
authors.forename: Yun
authors.initials: Y
authors.lastname: Cai
mesh_terms: D003153:Community Health Services / Q000639:trends; D004059:Diffusion of Innovation; D006282:Health Personnel / Q000523:psychology* / Q000639:trends; D018574:Home Care Agencies; D006801:Humans; D062069:Inventions; D015279:Organizational Culture; D058996:Quality Improvement; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: Home and community-based services; organizational readiness; quality; quality improvement; state policy