当前位置： SCI文献检索 > BMC HEALTH SERVICES RESEARCH期刊下所有文献 > "We've got the home care data, what do we do with it?": understanding data use in decision making and quality improvement.

"We've got the home care data, what do we do with it?": understanding data use in decision making and quality improvement.

Abstract：

BACKGROUND:In the past decade the provision of home care services in Canada has doubled; with this increase there has been a growing interest in improving quality and safety. National-level data are captured in the Home Care Reporting System (HCRS), using the interRAI-HC tools. Data in the HCRS provide decision-makers and administrators with actionable evidence to inform quality and safety improvement initiatives. The objective of this study was to determine how providers and administrators were using these data, and if there were any opportunities to enhance their use. METHODS:We collaborated with the Canadian Patient Safety Institute to conduct this qualitative study. To understand data use in home care, we recruited participants in management and/or data analysis roles from home care organizations across Canada. We conducted three individual interviews and three focus group interviews with a total of eleven participants from five Canadian provinces. Individual and focus group interviews were audio recorded, transcribed, and analysed using a combination of emergent coding and thematic analysis. RESULTS:Several participants provided powerful examples of how interRAI data have been used to guide patient safety and quality improvement initiatives; however, all participants recognized challenges in using these data. Leveraging interRAI data in the complex home care environment is limited by several factors: the general "newness" of these data in many jurisdictions; the sheer volume of data; limited capacity and resources to interpret and analyse the data; and connectivity issues in rural areas. Participants recognized and appreciated the training that has been provided, and made several recommendations for additional training. CONCLUSIONS:Mandated clinical datasets, such as the suite of interRAI tools, have the potential to improve quality and inform decision-making. However, in order to utilize these data, home care agencies require additional education, personnel and supports. Additional training and resources for these organizations could improve the use of available data by home care agencies, as well as outcomes for individuals receiving home care services.

journal_name

BMC Health Serv Res

journal_title

BMC health services research

authors

Elliott J,Gordon A,Tong CE,Stolee P

doi

10.1186/s12913-020-5018-9

subject

Has Abstract

pub_date

2020-03-25 00:00:00

pages

251

issue

issn

1472-6963

pii

10.1186/s12913-020-5018-9

journal_volume

pub_type

杂志文章

在线工具

"We've got the home care data, what do we do with it?": understanding data use in decision making and quality improvement.