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Nursing Home Interventions Funded by Penalties Improve Quality of Care, Reduce Staff Turnover

Long-Term Living

Long-Term Living
08/23/2009

A study recently released by the UNC Institute on Aging has identified three workplace interventions that are improving quality of care and reducing staff turnover in North Carolina's nursing homes, according to researchers.

The study, conducted in North Carolina nursing homes between 2004 and 2007, examined the impact of the following three programs funded by civil monetary penalties, or funds collected from nursing homes for deficiencies in care:

- The WIN A STEP UP program, which upgrades nursing assistants' skills, increases their job commitment, and provides rewards and recognition;

· Quality Improvement Collaboratives, in which groups of nursing homes work together with the statewide Quality Improvement Organization to improve specific quality indicators such as reducing pressure sores or the use of restraints; and

· Culture Change Initiatives, in which nursing homes change their structures or routines to make their environments more "homelike."

The study found nursing homes that implemented the interventions saw these improvements:

· Facilities using the WIN A STEP UP program saw a decrease in pressure sores among their residents and had lower turnover of direct care workers;

· Homes participating in Quality Improvement Collaboratives exhibited a reduction in incontinence and the use of restraints; and

· Facilities implementing Culture Change Initiatives experienced a reduction in the use of restraints.

"The study shows North Carolina's unique partnerships between the state, the university and nursing homes are effectively leveraging federal funds to improve the lives of those who live in as well as those who work in nursing homes," researchers said.

Click here to view the full article at Long-Term Living.




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