Enhancing Quality Improvement Adoption in US Nursing Homes

Resource Location: https://drive.google.com/file/d/1IZxg_mEEO4NSClLGEV_IJx79NzGrtUF7/view?usp=drive_link

The COVID-19 pandemic exacerbated and illuminated quality failings in nursing homes, persistent equity issues, and the system- and policy-level factors that contribute to their endurance. To begin seeking ways to address these issues, the Institute for Healthcare Improvement (IHI) conducted a 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.

To inform the work, IHI conducted a literature scan focused on quality improvement in US nursing homes and the Quality Assurance and Performance Improvement (QAPI) program; 20+ expert interviews; and a site visit to one high-performing nursing home.

This report summarizes the research findings and presents some recommendations for organizations seeking to work with nursing homes to improve quality.