Data for Improvement and Clinical Excellence: a report of an interrupted time series trial of feedback in home care

Implementation Science : IS
Kimberly FraserJohn J Miklavcic

Abstract

There is substantial evidence about the effectiveness of audit with feedback, but none that we know have been conducted in home care settings. The primary purpose of the Data for Improvement and Clinical Excellence - Home Care (DICE-HC) project was to evaluate the effects of an audit and feedback delivered to care providers on home care client outcomes. The objective of this paper is to report the effects of feedback on four specific quality indicators: pain, falls, delirium, and hospital visits. A 10-month audit with feedback intervention study was conducted with care providers in seven home care offices in Alberta, Canada, which involved delivery of four quarterly feedback reports consisting of data derived from the Resident Assessment Instrument - Home Care (RAI-HC). The primary evaluation employed an interrupted time series design using segmented regression analysis to assess the effects of feedback reporting on the four quality indicators: pain, falls, delirium, and hospitalization. Changes in level and trend of the quality indicators were measured before, during, and after the implementation of feedback reports. Pressure ulcer reporting was analyzed as a comparator condition not included in the feedback report. Care provi...Continue Reading

References

Apr 21, 2006·The Cochrane Database of Systematic Reviews·G JamtvedtA D Oxman
May 16, 2008·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Kimberly D Fraser, Carole Estabrooks
Jun 6, 2009·The Journal of Nutrition·Judith M M MeijersRuud J G Halfens
Sep 16, 2010·Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care·Kimberly D FraserVicki Strang
Nov 26, 2010·Medical Education·Avraham N Kluger, Dina Van Dijk
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman

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Citations

May 31, 2019·Professional Case Management·Kimberly FraserNeelam Saleem Punjani
Aug 7, 2021·Journal of the American Geriatrics Society·Kanaka D ShettyCheryl L Damberg

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Software Mentioned

RAI
Continuing Care Desktop
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STATA

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