8 Goals for Quality Care
The Advancing Excellence in America's Nursing Homes Campaign lists eight goals for nursing home improvement, four each on clinical and procedural measures. Participation is voluntary and facilities that enroll in the program must identify at least three goals for improvement.
Clinical goals include:
Goal 1: Reducing pressure ulcers. Sometimes called "bed sores," these preventable examples of skin breakdown can deepen into deadly wounds. In 2006, 13% of nursing home residents had pressure sores. The campaign aims to lower this to 10% by September 2008, preventing 50,000 additional residents from developing this condition.
Goal 2: Reducing the daily use of physical restraints. Strapping residents into chairs or beds was once regarded as necessary for resident safety, but research has proven that doing so increases the likelihood of injury and other serious problems. On average, 6.5% of facility residents were bound by restraints in 2006. The campaign's goal is to reduce this to below 5%, affecting at least 30,000 residents.
Goals 3 and 4: Improving the management of pain. At the start of the campaign, the national average for lack of pain management of long-stay nursing home residents was 5%. The campaign seeks to lower that rate to 4% in 2008. In short-stay hospitals, the national average was 22%. Facilities that volunteer will help reduce tìrat rate to 15% overall by September 2008.
Organizational goals are:
Goal 5: Setting individualized targets for clinical quality improvement. Nursing homes that regularly set quality improvement targets are more likely to improve the quality of their care. …