Partnership for Achieving Quality Homecare

该项目将在家庭保健提供者之间发起一个全国伙伴关系，以改善对优先人口-老年家庭护理接受者-的护理。目标是创建一个模型并建立一个基础设施，通过该基础设施，合作组织可以1）确定并优先考虑改进目标，2）获得方法，工具和材料，使他们能够进行比单独更复杂，基于证据的质量改进活动。该伙伴关系最初将由来自美国各地的六个家庭健康机构组成，并将在四年内扩大到包括更多的合作伙伴和/或更多的实质性目标。一种学习合作模式，改编自 由医疗保健改进研究所（IHI）开发的成功的突破系列方法将被创建，作为伙伴关系的中心机制。通过学习协作，伙伴关系成员将发展应用最先进方法的技能，以实施循证实践，提高护理和患者结局的整体质量。合作改善活动的主题将根据成员的需求和适当证据库的可用性，从家庭护理和普通患者人群的优先条件中选择-如糖尿病管理，伤口护理或疼痛管理。材料和技术“工具包”的开发将提供 现有和潜在的伙伴关系成员，以及其他对质量改进感兴趣的家庭保健组织，拥有易于获得的资源，将研究结果转化为日常实践。该项目最后将在一次全国会议上传播成果和经验教训。

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.