A System for Managing Staff and Quality of Dementia Care in Assisted Living Facilities

Journal of the American Geriatrics Society
Sandra F SimmonsJohn F Schnelle

Abstract

To describe a staff management and quality improvement system implemented in an assisted-living facility (ALF) that provides dementia care. Prospective quality improvement project over 13 consecutive months. One ALF that provides dementia care services. ALF residents with dementia (N=57). A staff management and quality improvement system was implemented for 3 aspects of daily care: morning and evening activity of daily living (ADL) care, nutritional care, and activity engagement. Supervisory staff monitored the quality of daily care processes of all residents and direct care staff using standardized observations. Observational data were summarized into quality measures for each of the 3 daily care areas and ranged from 0% to 100%, with a higher score indicative of better quality. These quality measures were shared with direct care staff in weekly huddles at which feedback was provided about areas in need of improvement. The management team also reviewed the data weekly to discuss strategies for improvement. The quality measures in each of the 3 areas improved or remained consistently high over the 13 study months: morning and evening ADL care (83-96%), quality nutritional of care during meals (74-95%), activity engagement (69-9...Continue Reading

References

Sep 21, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sandra F SimmonsJohn F Schnelle
Sep 27, 2003·Journal of the American Geriatrics Society·Sandra F SimmonsJohn F Schnelle
Jul 24, 2004·Journal of the American Geriatrics Society·John F SchnelleSandra F Simmons
Oct 9, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sandra F Simmons, John F Schnelle
Jun 28, 2005·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Sheryl ZimmermanCory K Chen
Nov 11, 2006·Journal of the American Medical Directors Association·John F SchnelleSandra F Simmons
Dec 17, 2008·The Gerontologist·Rosalie A KaneRobert L Kane
Jul 22, 2008·Journal of the American Geriatrics Society·Sandra F SimmonsJohn F Schnelle
May 14, 2009·The Gerontologist·John F SchnelleSandra F Simmons
Oct 8, 2009·Journal of the American Medical Directors Association·John F SchnelleSandra F Simmons
Apr 29, 2010·The Journal of Nutrition, Health & Aging·S F SimmonsE Keeler
Jul 2, 2011·The Gerontologist·Sandra F SimmonsJohn F Schnelle
Jul 17, 2012·Journal of the American Medical Directors Association·Debra SalibaJoshua Chodosh
Jan 9, 2013·Journal of the American Medical Directors Association·John F SchnelleSandra F Simmons
Jul 23, 2013·Journal of the American Geriatrics Society·Sheryl ZimmermanPhilip D Sloane
Sep 28, 2013·Translational Behavioral Medicine·Sandra F SimmonsJohn F Schnelle
Sep 1, 2013·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Sandra F SimmonsJohn F Schnelle
Jul 29, 2015·Data in Brief·Roberto A BarreroMatthew I Bellgard
Oct 28, 2015·Journal of the American Geriatrics Society·Sandra F SimmonsJohn F Schnelle
Feb 7, 2018·Journal of the American Medical Directors Association·Sandra F SimmonsJohn F Schnelle

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Citations

Feb 10, 2021·Journal of General Internal Medicine·Camilla B PimentelChristine W Hartmann

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