Capacity and readiness for quality improvement among home and community-based service providers

被引:5
作者
Abrahamson, Kathleen [1 ]
Myers, Jaclyn [1 ]
Arling, Greg [1 ]
Davila, Heather [2 ]
Mueller, Christine [2 ]
Abery, Brian [2 ]
Cai, Yun [1 ]
机构
[1] Purdue Univ, Sch Nursing, 502 North Univ St, W Lafayette, IN 47907 USA
[2] Univ Minnesota Twin Cities, Minneapolis, MN USA
关键词
Home and community-based services; organizational readiness; quality; quality improvement; state policy;
D O I
10.1080/01621424.2016.1264343
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The objective of this study was to explore home and community-based service (HCBS) providers' perspectives of organizational readiness for quality improvement (QI). Data were obtained from a survey of participants (N = 56) in a state-sponsored HCBS QI initiative. Quality improvement challenges included lack of time and resources, staff apprehension or resistance, resistance from consumers and families, and project sustainability. Support from leadership was viewed as an important factor in participating organizations' decision to engage in QI. Internal resources available to support QI varied widely between participating organizations, with differences observed between smaller and larger agencies, as well as between provider types and populations served.
引用
收藏
页码:182 / 196
页数:15
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