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Quality Assurance and Performance Improvement in Nursing Homes: Using Evidence-Based Protocols to Observe Nursing Care Processes in Real Time

Dellefield, Mary Ellen PhD, RN; Kelly, Ann MSN, PMHCNS-BC, RN; Schnelle, John F. PhD

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e31826b090b
Articles
Abstract

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.

Author Information

Patient Care Services, VA San Diego Healthcare System, San Diego, California (Dr Dellefield and Ms Kelly); and Vanderbilt Center for Quality Aging, Vanderbilt University, Nashville, Tennessee (Dr Schnelle).

Correspondence: Mary Ellen Dellefield, PhD, RN, Patient Care Services, VA San Diego Healthcare System, San Diego, CA (mary.dellefield@va.gov).

This study is based in part on work supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research & Development, Health Services Research & Development (CD2-06-015) and Nursing Research Initiative (05-146).

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US Government.

The authors declare no conflict of interest.

Accepted for publication: July 23, 2012

Published online before print: August 17, 2012

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved