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Forming a Strategic Alliance: The Use of Collaboration Theory to Evaluate and Improve Nurses’ Safe Medication Administration in Massachusetts’ Nursing Homes
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| Presenter(s):
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| Teresa Anderson, University of Massachusetts, terri.anderson@umassmed.edu
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| Rebecca Gajda Woodland, University of Massachusetts, Amherst, rebecca.gajda@educ.umass.edu
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| Michael Hutton, , mshutton2001@yahoo.com
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| Carol Silveira, Massachusetts Board of Registration in Nursing, carol.silveira@.state.ma.us
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| Abstract:
The Massachusetts Board of Registration in Nursing engaged the University of Massachusetts Amherst and Worcester to develop and evaluate the MA Patient Safety Initiative, funded by the National Council of State Boards of Nursing. The Initiative’s unique feature is our use of Gajda’s evidenced-based collaboration evaluation and improvement framework (Gajda, 2004; Gajda & Koliba, 2007) to organize, evaluate, and develop a strategic alliance of state and federal regulators and other state agencies and professional organizations relevant to nursing home care The use of the evaluation framework has led to an unprecedented statewide assessment of barriers to medication error reporting and patient safety culture in MA nursing homes As a result of our on-going evaluation and development of collaboration, the MA Patient Safety Initiative will produce a non-punitive, education-oriented and nursing home based curriculum for practice resolution of certain types of medication administration errors.
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Arizona's Quest for Quality: Improving Prevention Services Through Evaluation and Capacity Building
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| Presenter(s):
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| Holly Lewis, Arizona State University, htlewis@asu.edu
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| Aimee Sitzler, Arizona State University, aimeesitzler@gmail.com
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| Abstract:
Funding agencies including local, state and federal organizations are putting increased pressure on prevention providers to demonstrate quality and effectiveness through evaluation and the implementation of evidence-based programs. As a result, providers all over the country are conducting needs assessments, building their capacity for offering prevention services and measuring the outcomes of their programs. This paper examines Arizona’s approach to conducting a statewide assessment of behavioral health programs and describes the comprehensive process employed to increase prevention quality and help providers meet federal evidence-based guidelines. Evaluators share barriers encountered during the evaluation process as well as methods that proved successful, and explain ways to incorporate cultural competence in each aspect of evaluation.
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Evaluation Learning Cycle: Applying Evaluation Lessons to Multi-year Long-Term Care Training and Organizational Development Initiatives
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| Presenter(s):
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| Marcia Mayfield, Paraprofessional Healthcare Institute (PHI), mmayfield@phinational.org
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| Malika Gujrati, Paraprofessional Healthcare Institute (PHI), mgujrati@phinational.org
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| Ines Escandon, Paraprofessional Healthcare Institute (PHI), iescandon@phinational.org
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| Abstract:
PHI works with eldercare and disability services providers to improve the quality of jobs and the quality of care in home and residential settings. PHI’s learning cycle mirrors a continuous quality improvement cycle, with each step corresponding to a role for evaluation: plan (assessing strengths, challenges, and baseline status); implement (process evaluation); study (outcome evaluation) and act (helping to interpret lessons and outcomes in a way that informs program improvement). Two multi-year projects with long-term care nursing homes and home health agencies illustrate the value of evaluation at each step, with emphasis on the use of process and outcome data during staged implementation to inform both program design and evaluation design modifications. The initiatives provided employers with training in supervision and coaching skills, peer mentoring, and communications, as well as technical assistance in strategies to institutionalize behavior change that is critical to advance the quality of care.
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