Continuous Quality Improvement for Nutritional Care Services in Nursing Homes: The Importance of Direct Observation

2006 ◽  
Vol 7 (1) ◽  
pp. 61-62 ◽  
Author(s):  
Sandra F. Simmons
BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026679 ◽  
Author(s):  
Praveena Gunaratnam ◽  
Gill Schierhout ◽  
Jenny Brands ◽  
Lisa Maher ◽  
Ross Bailie ◽  
...  

ObjectivesTo examine barriers and facilitators to sustaining a sexual health continuous quality improvement (CQI) programme in clinics serving remote Aboriginal communities in Australia.DesignQualitative study.SettingPrimary health care services serving remote Aboriginal communities in the Northern Territory, Australia.ParticipantsSeven of the 11 regional sexual health coordinators responsible for supporting the Northern Territory Government Remote Sexual Health Program.MethodsSemi-structured in-depth interviews conducted in person or by telephone; data were analysed using an inductive and deductive thematic approach.ResultsDespite uniform availability of CQI tools and activities, sexual health CQI implementation varied across the Northern Territory. Participant narratives identified five factors enhancing the uptake and sustainability of sexual health CQI. At clinic level, these included adaptation of existing CQI tools for use in specific clinic contexts and risk environments (eg, a syphilis outbreak), local ownership of CQI processes and management support for CQI. At a regional level, factors included the positive framing of CQI as a tool to identify and act on areas for improvement, and regional facilitation of clinic level CQI activities. Three barriers were identified, including the significant workload associated with acute and chronic care in Aboriginal primary care services, high staff turnover and lack of Aboriginal staff. Considerations affecting the future sustainability of sexual health CQI included the need to reduce the burden on clinics from multiple CQI programmes, the contribution of regional sexual health coordinators and support structures, and access to and use of high-quality information systems.ConclusionsThis study contributes to the growing evidence on how CQI approaches may improve sexual health in remote Australian Aboriginal communities. Enhancing sustainability of sexual health CQI in this context will require ongoing regional facilitation, efforts to build local ownership of CQI processes and management of competing demands on health service staff.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Lyssa Daud ◽  
◽  
Faizal Amin Nur Yunus ◽  
Mohd Bekri Rahim ◽  
Mohd. Zulfadli Rozali ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Alberto Migliore ◽  
John Butterworth ◽  
Jeannine Pavlak ◽  
Michael Patrick ◽  
Stephen Aalto

BACKGROUND: Supporting employment consultants in their work with job seekers is critical for increasing the employment outcomes of people with disabilities. OBJECTIVE: To better understand how to leverage data for supporting employment consultants, including what metrics to track, what to do with the data, and what can be improved. METHODS: A panel of three directors of employment programs addressed these questions as part of the Association of People Supporting Employment First (APSE) 2020 conference. RESULTS: Most employment service providers collect data for billing and compliance reporting. Innovative providers leverage data for quality improvement. CONCLUSIONS: Tracking metrics designed specifically for monitoring the implementation of effective employment supports is key for leveraging data for continuous quality improvement and thus improving job seekers’ employment outcomes.


Urology ◽  
2021 ◽  
Author(s):  
Franklin Gaylis ◽  
Ryan Nasseri ◽  
Amirali Salmasi ◽  
Christopher Anderson ◽  
Sarah Mohedin ◽  
...  

2020 ◽  
Vol 34 (1) ◽  
pp. 49-55
Author(s):  
Laura J. Kennedy ◽  
Nathan G. A. Taylor ◽  
Taylor Nicholson ◽  
Emily Jago ◽  
Brenda L. MacDonald ◽  
...  

Healthcare organizations engage in continuous quality improvement to improve performance and value-for-performance, but the pathway to change is often rooted in challenging the way things are “normally” done. In an effort to propel system-wide change to support healthy eating, Nova Scotia Health developed and implemented a healthy eating policy as a benchmark to create a food environment supportive of health. This article describes the healthy eating policy and its role as a benchmark in the quality improvement process. The policy, rooted in health promotion, sets a standard for healthy eating and applies to stakeholders both inside and outside of health. We explain how the policy offers nutrition but also cultural benchmarks around healthy eating, bringing practitioners throughout Nova Scotia Health together and sustaining collaborative efforts to improve upon the status quo.


1995 ◽  
Vol 112 (5) ◽  
pp. P111-P111
Author(s):  
Carl A. Patow

Educational objectives: To understand the principles of continuous quality improvement and to use these principles to enhance patient satisfaction through increased efficiency and improved quality of care.


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