Development of the Quality Indicators in Long Term Care Service

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

doi:10.11111/jkana.2012.18.1.106

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Lee, Cho, Ko, Whang, Kim, Lim, and Lee: Development of the Quality Indicators in Long Term Care Service

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2012; 18(1): 106-117.

Published online: 31 March 2012

DOI: https://doi.org/10.11111/jkana.2012.18.1.106

Development of the Quality Indicators in Long Term Care Service

Tae Wha Lee¹, Eunhee Cho², Yu Kyung Ko³, Yunsun Whang⁴, Bok Nam Kim⁵, Eun Shil Lim⁶, Hye Sun Lee⁷

¹Professor, Nursing Policy Research Institute, Yonsei University College of Nursing, Korea.

²Assistant Professor and Researcher, Nursing Policy Research Institute, Yonsei University College of Nursing, Korea.

³Assistant Professor, Department of Nursing Science, College of Medicine, Konyang University, Korea.

⁴Doctoral Candidate, Graduate School of Yonsei University, Seoul, Korea.

⁵Full-time Lecturer, Daegu Health College, Department of Nursing, Daegu, Korea.

⁶Full-time Lecturer, Daegu Health College, Department of Nursing, Daegu, Korea.

⁷Doctoral Candidate, Graduate School of Yonsei University, Seoul, Korea.

Correspondence: Ko, Yu Kyung. Department of Nursing Science, College of Medical Science, Konyang University, 685 Gasuwon-dong, Seo-Gu, Daejeon 302-718, Korea. Tel: 82-42-600-6436, Fax: 82-42-545-5326, yukyko@konyang.ac.kr

Received 18 January 2012 Revised 22 February 2012 Accepted 19 March 2012

Abstract

Purpose

This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea.

Methods

The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity.

Results

The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators.

Conclusion

This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

Keywords: Long term care service, Quality indicators

Figures and Tables

Table 1

Content Validity of Preliminary Indicators (N=12)

Table 2

Characteristics of Nursing Home and Home Care Clients

^*multiple responses, missing data excluded

Table 3

Prevalence Rate for Quality Indicators in Facility-level and Home Care-level

PF: Physical Function, PS: Psycho-Social, HPM: Healthcare Problem Management, SM: Safety Management, N: Numerator

DN: Denominator, P: Prevalence, R: Ranking

Table 4

Description of Quality Indicators for Long-term Care Service

^*Bathing in home care is additional item. ^†except during sleep

References

1. Arling G, Kane RL, Lewis T, Mueller C. Future development of nursing home quality indicators. Gerontologist. 2005. 45(2):147–156. http://dx.doi.org/10.1093/geront/45.2.147.

2. Bravo G, De WP, Dubois M, Charpentier M. Correlates of care quality in long-term care facilities: A multilevel analysis. J Gerontol B Psychol Sci Soc Sci. 1999. 54(3):180–188. http://dx.doi.org/10.1093/geronb/54B.3.P180.

3. Bostick JE, Rantz MJ, Flesner MK, Riggs CJ. Systematic review of studies of staffing and quality in nursing homes. J Am Med Dir Assoc. 2006. 7(6):366–376. http://dx.doi.org/10.1016/j.jamda.2006.01.024.

4. Cho HS. Development of quality management index in Korean nursing homes. 2005. Seoul: Korea University;Unpublished doctoral dissertation.

5. Chung J. Development of nursing service quality indicators in nursing homes. 2005. Seoul: Yonsei University;Unpublished master's thesis.

6. Donabedian A. The quality of care how can it be assessed? JAMA. 1988. 260(12):1743–1748. http://dx.doi.org/10.1001/jama.260.12.1743.

7. Lee JY, Yoon JY, Kim AR, Kim CM. Evaluation report of application of health insurance values in elderly long term care hospital: An operation study. 2008. Seoul: Health Insurance Review & Assessment Service.

8. Hirdes JP, Fries BE, Morris JN, Ikegami N, Zimmerman D, Dalby DM, et al. Home care quality indicators (HCQIs) based on the MDS-HC. Gerontologist. 2004. 44(5):665–679. http://dx.doi.org/10.1093/geront/44.5.665.

9. Jones RN, Hirdes JP, Poss JW, Kelly M, Berg K, Fries BE, et al. Adjustment of nursing home quality indicators. BMC Health Serv Res. 2010. 10(96):1–8. http://dx.doi.org/10.1186/1472-6963-10-96.

10. Lee YK. Evaluation report and review of long term care service. Health Welf Issue Focus. 2011. 92:1–8.

11. Mueller C, Karon SL. ANA nurse sensitive quality indicators for long-term care facilities. J Nurs Care Qual. 2004. 19(1):39–47. http://dx.doi.org/10.1097/00001786-200401000-00009.

12. Seo YJ, et al. National Health Insurance Corporation. Future strategies for advancement of health care insurance. Technical Research Report. 2010. Seoul:

13. Rantz MJ, Hicks L, Grando V, Petroski GF, Madsen RW, Mehr DR, Conn V, Zwygart-Staffacher M, Scott J, Flesner M, Bostick J, Porter R, Maas M. Nursing home quality, cost, staffing and staff mix. Gerontologist. 2004. 44(1):24–37. http://dx.doi.org/10.1093/geront/44.1.24.

14. Rantz MJ, Hicks L, Petroski GF, Madsen RW, Mehr DR, Zwygart-Staffacher M, et al. Stability and sensitivity of nursing home quality indicators. J Gerontol A Biol Sci Med Sci. 2004. 59(1):79–82. http://dx.doi.org/10.1093/gerona/59.1.M79.

15. Thomson R, Taber S, Lally J, Kazandjian V. UK Quality Indicator Project (UK QIP) and the UK independent health care sector: A new development. Int J Qual Health Care. 2004. 16(1):51–56. http://dx.doi.org/10.1093/intqhc/mzh011.

16. Wagner C, Klein Ikkink K, van der Wal G, Spreeuwenberg P, de Bakker DH, Groenewegen PP. Quality management systems and clinical outcomes in Dutch nursing homes. Health Policy. 2006. 75(2):230–240. http://dx.doi.org/10.1016/j.healthpol.2005.03.010.

17. Zimmerman DR. Improving nursing home quality of care through outcomes data: the MDS quality indicators. Int J Geriatr Psychiatry. 2003. 18(3):250–257. http://dx.doi.org/10.1002/gps.820.

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