Green ghosted shapes image
Publications

Enhancing Quality Improvement Adoption in US Nursing Homes

This report summarizes the research findings from the Institute for Healthcare Improvement's 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.

Highlights

  • Driver diagram representing the initial theory of change for factors that drive adoption of QI in nursing homes
  • Research findings: Existing Quality Assurance and Performance Improvement regulations and daily quality management; leadership and culture attributes; developing staff, building community, and emphasizing why QI matters; and health policy impact
  • Recommendations intended to serve as guidance to organizations seeking to work with nursing homes to improve quality

Johnson M, Renton M. Enhancing Quality Improvement Adoption in US Nursing Homes. Boston: Institute for Healthcare Improvement; 2023. (Available at ihi.org)

The COVID-19 pandemic exacerbated and illuminated quality failings in nursing homes, persistent equity issues, and the system- and policy-level factors that contribute to their endurance. To begin seeking ways to address these issues, the Institute for Healthcare Improvement (IHI) conducted a 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.

To inform the work, IHI conducted a literature scan focused on quality improvement in US nursing homes and the Quality Assurance and Performance Improvement (QAPI) program; 20+ expert interviews; and a site visit to one high-performing nursing home.

This report summarizes the research findings and presents some recommendations for organizations seeking to work with nursing homes to improve quality.

Share

Download Enhancing Quality Improvement Adoption in US Nursing Homes

Please provide your information to download Enhancing Quality Improvement Adoption in US Nursing Homes.                                                                         

* Required fields