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Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program

Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed th...

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Autores principales: Lekovitch, Cara, Toto, Pamela, Chew, Felicia, Bieber, Dawn, Leland, Natalie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681170/
http://dx.doi.org/10.1093/geroni/igab046.2102
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author Lekovitch, Cara
Toto, Pamela
Chew, Felicia
Bieber, Dawn
Leland, Natalie
author_facet Lekovitch, Cara
Toto, Pamela
Chew, Felicia
Bieber, Dawn
Leland, Natalie
author_sort Lekovitch, Cara
collection PubMed
description Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed this gap by examining facility characteristics of early and late adopters within a multi-site pragmatic clinical trial. Data were obtained from the Organizational Readiness to Change Assessment (ORCA), which was completed by expert trainers, and Nursing Home Compare. Early and late adoption was operationalized according to Roger’s Diffusion of Innovations. Sixty-percent of NHs (n=12) were late adopters and 40% (n=8) were early adopters. Between group differences (p<.01) were found in number of health inspection citations and context domain within the ORCA. These findings equip health systems with evidence on how to strategically target partners for initial quality improvement efforts prior to system-wide implementation.
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spelling pubmed-86811702021-12-17 Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program Lekovitch, Cara Toto, Pamela Chew, Felicia Bieber, Dawn Leland, Natalie Innov Aging Abstracts Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed this gap by examining facility characteristics of early and late adopters within a multi-site pragmatic clinical trial. Data were obtained from the Organizational Readiness to Change Assessment (ORCA), which was completed by expert trainers, and Nursing Home Compare. Early and late adoption was operationalized according to Roger’s Diffusion of Innovations. Sixty-percent of NHs (n=12) were late adopters and 40% (n=8) were early adopters. Between group differences (p<.01) were found in number of health inspection citations and context domain within the ORCA. These findings equip health systems with evidence on how to strategically target partners for initial quality improvement efforts prior to system-wide implementation. Oxford University Press 2021-12-17 /pmc/articles/PMC8681170/ http://dx.doi.org/10.1093/geroni/igab046.2102 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Lekovitch, Cara
Toto, Pamela
Chew, Felicia
Bieber, Dawn
Leland, Natalie
Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title_full Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title_fullStr Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title_full_unstemmed Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title_short Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
title_sort implementation in nursing homes: describing early and late adopters of an evidence-based dementia care program
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681170/
http://dx.doi.org/10.1093/geroni/igab046.2102
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