Department of Health Policy & Management, Graduate School of Public Health, University of Pittsburgh, PA 15261, USA.
Gerontologist. 2011 Oct;51(5):714-22. doi: 10.1093/geront/gnr038. Epub 2011 May 24.
This study describes the creation and use of a web-based resource, designed to help nursing homes implement quality improvements through changes in staffing characteristics.
Information on staffing characteristics (i.e., staffing levels, turnover, stability, and use of agency staff), facility characteristics (e.g., ownership, size), and quality (i.e., quality measures [QMs]) coming from 2,946 nursing homes were utilized in a simulation analysis. The simulation was used to predict changes in each of 11 QMs, based on changes in staffing characteristics for individual nursing homes using the web-tool.
The website was visited 2,347 times in the first 6 months after it became operational. Evidence would suggest that it was useful in informing nursing home management of the importance of staffing and facilitating staffing changes; moreover, active users of the website showed improvements in quality, with an average of 5 of the 11 QMs improving by more than 1%.
The web-based resource may be a feasible low-cost model that can be replicated, to provide further information for other areas of quality improvement in nursing homes.
本研究描述了一个基于网络的资源的创建和使用，旨在通过改变人员配备特征帮助养老院进行质量改进。
来自 2946 家养老院的人员配备特征（即人员配备水平、人员流动率、稳定性和代理人员的使用）、设施特征（如所有权、规模）和质量（即质量措施[QMs]）信息被用于模拟分析。该模拟使用网络工具，根据个别养老院人员配备特征的变化，预测 11 项 QM 中的每一项的变化。
该网站在投入运营后的头 6 个月内被访问了 2347 次。有证据表明，它有助于养老院管理人员了解人员配备的重要性并促进人员配备的变化；此外，网站的活跃用户的质量有所提高，11 项 QM 中有 5 项平均提高了 1%以上。
基于网络的资源可能是一种可行的低成本模式，可以复制，为养老院其他质量改进领域提供更多信息。
