Development of the Quality Indicators in Long Term Care Service

Lee, Tae Wha; Cho, Eunhee; Ko, Yu Kyung; Whang, Yunsun; Kim, Bok Nam; Lim, Eun Shil; Lee, Hye Sun

doi:10.11111/jkana.2012.18.1.106

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…As this study was a retrospective study using a small sample from a single long‐term care hospital, the results of this study cannot be generalised. However, the need for risk adjustment that considers the appropriate number of nurses required, as well as the importance of risk adjustment, has been suggested because the level of nursing workforce is highly associated with quality indicators related to patient safety . To establish a basis for the continuous evaluation of standardised indicators for the effective management of pressure ulcers, prospective research that uses large‐scale samples, and considers the appropriate level of professional workforce, is needed.…”

Section: Discussionmentioning

confidence: 99%

Developing risk‐adjusted quality indicators for pressure ulcers in long‐term care hospitals in the Republic of Korea

Lee

Kim

Dong

et al. 2019

International Wound Journal

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Pressure ulcers result in financial losses, including the cost of unnecessary medical expenses because of extended hospital stays, treatment, and examination. This was a retrospective, observational, methodological study to develop quality indicators related to pressure ulcer development and validate risk adjustment factors for pressure ulcer development. We performed a literature review to develop risk adjustment factors, and an expert group performed a content validity test. To validate risk adjustment factors for pressure ulcer development using electronic medical records, 127 patients admitted to a long‐term care hospital in South Korea from June to September 2015 were enrolled in the study. Pressure ulcer risk factors were peripheral vascular disease, end‐stage disease, past pressure ulcer history, high risk group for pressure ulcer development, fever, haemoglobin, and albumin (all P < 0.05); only albumin (odds ratio: 0.210, P < 0.001) was significantly associated with pressure ulcer development as an independent risk factor. Further research with a large sample size is needed for the validation of risk adjustment factors. Risk‐adjusted quality indicators for pressure ulcer development can be used to evaluate the quality of nursing care and compare outcomes after preventive pressure ulcer care activities or between long‐term care hospitals.

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Section: Discussionmentioning

confidence: 99%

Developing risk‐adjusted quality indicators for pressure ulcers in long‐term care hospitals in the Republic of Korea

Lee

Kim

Dong

et al. 2019

International Wound Journal

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“…There are potential explanations for the lack of a significant role for organizational factors in the ADL of older adults in LTCHs in this Another possible explanation is the lack of availability of nursing interventions for maintaining and improving ADL, such as bladder and bowel training, in Korean LTCHs (Kim, Chang, Oh, & Bae, 2003;Lee, Yoon, Kim, & Kim, 2008). HIRA conducted surveys of nursing department directors in 514 LTCHs, as well as staff including MDs, RNs, and NAs in 20 LTCHs, in order to explore the services and activities available for quality management in these institutions (Lee et al).…”

Section: Discussionmentioning

confidence: 99%

Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals

2011

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Purpose: This study was conducted to examine activities of daily living (ADL) of older adults admitted to Korean long-term care hospitals (LTCHs), and to explore the patient and organizational factors that have an impact on the ADL of this population. Methods: A secondary analysis of the Korean minimum data set (K-MDS) of patients (N= 14,369) and of the profiles of LTCHs (N= 358) from the Health Insurance Review and Assessment Service was done between January and July 2008. The outcome variable was ADL score 6 months after baseline assessment. Multi-level linear regression was employed to explore the patient and organizational factors that affected ADL scores. Results: Of the patients, 45.4% had a baseline ADL score of between 31 and 40, with a score of 40 indicating that the patient was entirely dependent for all items. None of the organizational characteristics were significantly associated with effects on the ADLs of older adults who had been in a LTHC for at least 6 months. However, patient characteristics, such as age, baseline ADL, frequency of physical therapy, urinary incontinence, fecal incontinence, pressure ulcers, and having a tube or catheter, were significantly associated with ADL 6 months after baseline. Conclusion: In order to maintain and improve the ADL of older adults in LTCHs, we should develop strategies to prevent urinary and fecal incontinence, pressure ulcers, unnecessary tubes or catheters, providing adequate physical therapy. Additional studies should include more detailed information regarding nursing staff, including RN hours for direct care, education level and turnover.

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“…There is no official or recognized definition of service capability in LTCFs, but existing research on service quality and its influencing factors can provide inspiration for clarifying this topic. A large body of tools are available to evaluate the service quality of LTCFs, including outcome measurement indicators developed by different research teams ( 23 , 24 ) or nationally unified scale tools ( 25 , 26 ). Some studies define service quality as a more comprehensive concept, covering environment, resource allocation and other factors ( 27 – 29 ).…”

Section: Introductionmentioning

confidence: 99%

Identifying the Service Capability of Long-Term Care Facilities in China: An e-Delphi Study

Wen

Chen

2022

Front. Public Health

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ObjectiveThis study develops a group of service capability indicators for long-term care facilities to assess their current conditions and makes it the first step toward the improvement of service capability in China.MethodsWe constructed an initial indicator framework based on the characteristics of long-term care services and a literature review. Potential indicators were collected, and a 2-round modified web-based Delphi process was conducted by a national multidisciplinary expert panel to construct a service capability evaluation index system. The accepted competencies of indicators were established with mean scores in all three scoring criteria (importance, feasibility, and sensitivity) ≥ 4.0, consensus rate reached 70.0%, and a coefficient of variation ≤ 0.25.ResultsA new indicator framework covering 2 dimensions of inputs and activities was developed in this study. The initial 35 indicators formed an indicator pool for the Delphi questionnaire. According to the final consensus of the expert panel, the Delphi consultation resulted in an index system comprised 31 tertiary indicators across six subdimensions (i) staffing; (ii) facilities and equipment; (iii) funding; (iv) medical inspection services; (v) health management services; (vi) institutional standard management.ConclusionThis study developed a set of indicators suitable for the long-term care system in China and is expected to be applied to measure and improve the service capability of long-term care facilities. In addition, these indicators can be used for comparisons between different LTCFs and provide an evidence basis for the further development of capability assessment tools.

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Development of the Quality Indicators in Long Term Care Service

Cited by 8 publications

References 11 publications

Developing risk‐adjusted quality indicators for pressure ulcers in long‐term care hospitals in the Republic of Korea

Developing risk‐adjusted quality indicators for pressure ulcers in long‐term care hospitals in the Republic of Korea

Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals

Identifying the Service Capability of Long-Term Care Facilities in China: An e-Delphi Study

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