Division of Geriatrics and Aging, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY.
School of Nursing, University of Rochester, Rochester, NY.
J Am Med Dir Assoc. 2016 Feb;17(2):136-41. doi: 10.1016/j.jamda.2015.08.014. Epub 2015 Sep 26.
To describe the development of a nursing home (NH) quality improvement learning collaborative (QILC) that provides Lean Six Sigma (LSS) training and infrastructure support for quality assurance performance improvement change efforts.
Case report.
SETTING/PARTICIPANTS: Twenty-seven NHs located in the Greater Rochester, NY area.
The learning collaborative approach in which interprofessional teams from different NHs work together to improve common clinical and organizational processes by sharing experiences and evidence-based practices to achieve measurable changes in resident outcomes and system efficiencies.
NH participation, curriculum design, LSS projects.
Over 6 years, 27 NHs from urban and rural settings joined the QILC as organizational members and sponsored 47 interprofessional teams to learn LSS techniques and tools, and to implement quality improvement projects.
NHs, in both urban and rural settings, can benefit from participation in QILCs and are able to learn and apply LSS tools in their team-based quality improvement efforts.
描述一个养老院（NH）质量改进学习协作（QILC）的发展，该协作提供精益六西格玛（LSS）培训和基础设施支持，以推动质量保证绩效改进的变革。
案例报告。
地点/参与者：位于纽约州罗彻斯特大都市区的 27 家 NH。
学习协作方法，来自不同 NH 的跨专业团队共同合作，通过分享经验和基于证据的实践，改善共同的临床和组织流程，以实现居民结果和系统效率的可衡量变化。
NH 参与度、课程设计、LSS 项目。
在 6 年多的时间里，来自城市和农村地区的 27 家 NH 作为组织成员加入了 QILC，并赞助了 47 个跨专业团队，以学习 LSS 技术和工具，并实施质量改进项目。
城市和农村地区的 NH 都可以从 QILC 的参与中受益，并能够在他们的团队质量改进工作中学习和应用 LSS 工具。
