Partnership for Achieving Quality Homecare

该项目将在家庭保健提供者之间发起一项全国伙伴关系，以改善对优先人群——接受家庭护理的老年人——的护理。目标是创建一个模型并建立一个基础结构，通过这个基础结构，协作组织可以1)确定并优先考虑改进的目标，2)获得方法、工具和材料，这些方法、工具和材料将使他们能够进行比他们单独能够进行的更复杂的、基于证据的质量改进活动。该合作伙伴关系最初将由美国各地的六家家庭健康机构组成，并将在四年内扩大到包括其他合作伙伴和/或其他实质性目标。一个学习协作模式，改编自

This project will launch a national partnership among home health care providers to improve care for a priority population - elderly home care recipients. The goal is to create a model and establish an infrastructure through which collaborating organizations can 1) identify and prioritize aims for improvement, and 2) gain access to methods, tools and materialns that will enable them to conduct more sophisticated, evidence-based quality improvement activities than they could individually. The partnership will initially be comprised of six home health agencies from across the U.S. and will expand to include additional partners and/or additional substantive targets over a four-year period. A learning collaborative model, adapted from the successful Breakthrough Series approach developed by the Institute for Healthcare improvement (IHI), will be created to serve as a central mechanism of the partnership. Through the learning collaborative, partnership members witl develop the skills to apply state of the art methods to implement evidence-based practices to improve overall quality of care and patient outcomes. Topics for collaborative improvement activities will be chosen, based on member need and the availability of an appropriate evidence base, from priority conditions - such as diabetes management, wound care, or pain management - among both home care and general patient populations. The development of a "tool kit" of materials and techniques will provide existing and prospective partnership members, as welt as other home health care organizations interested in quality improvement, with easily accessible resources for translating research findings into daily practice. The project will conclude with the dissemination of results and lessons learned at a national conference.