Background Existing literature on online reviews of healthcare providers generally portrays online reviews as a useful way to disseminate information on quality. However, it remains unknown whether online reviews for assisted living (AL) communities reflect AL care quality. This study examined the association between AL online review ratings and residents’ home time, a patient-centered outcome. […]
Quality Improvement
Patient Safety Culture in Assisted Living: Staff Perceptions and Association with State Regulations
Patient Safety Culture in Assisted Living: Staff Perceptions and Association with State Regulations
ObjectivesTo examine perceptions of patient safety culture (PSC) among assisted living (AL) administrators and direct care workers (DCWs), and their associations with state regulations. DesignWe conducted a survey using the PSC instrument developed by the Agency for Healthcare Research & Quality. Secondary data on ALs and residents were derived from the Medicare Master Beneficiary Summary […]
Survey Deficiencies as Quality Indicators in Oregon Assisted Living Communities
Survey Deficiencies as Quality Indicators in Oregon Assisted Living Communities
Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but have not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations […]
Promoting Quality of Life and Safety in Assisted Living: A Survey of State Monitoring and Enforcement Agents
Promoting Quality of Life and Safety in Assisted Living: A Survey of State Monitoring and Enforcement Agents
Our goal was to learn about monitoring and enforcement of state assisted living (AL) regulations. Using survey responses provided in 2019 from administrative agents across 48 states, we described state agency structures, accounted for operational processes concerning monitoring and enforcement, and documented data collecting and public reporting efforts. In half of the states, oversight of […]
Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel
Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel
Importance: Assisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care. Objective: To identify consensus […]
Ensuring Assisted Living Provides the Assistance Residents Need
Ensuring Assisted Living Provides the Assistance Residents Need
No abstract available.
Pilot Testing of the Promoting Positive Care Interactions Intervention in Assisted Living
Pilot Testing of the Promoting Positive Care Interactions Intervention in Assisted Living
The current study aimed to test the feasibility and preliminary efficacy of the Promoting Positive Care Interactions (PPCI) intervention designed to establish positive care interactions between staff and residents in assisted living (AL) using an online approach. PPCI was implemented in one AL community using a single group pre-/posttest design; 17 care staff were recruited […]
The Impact of FFC-AL-EIT-D in Assisted Living during the COVID-19 Pandemic
The Impact of FFC-AL-EIT-D in Assisted Living during the COVID-19 Pandemic
The purpose of this study was to test the preliminary effectiveness and feasibility of implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle in Assisted Living Communities with Residents with Dementia (FFC-AL-EIT-D) during the pandemic. This was a single group pre-post study design including 51 communities in a single state. The […]
Developing a Toolkit to Improve Resident and Family Engagement in the Safety of Assisted Living: Engage – A Stakeholder-Engaged Research Protocol
Developing a Toolkit to Improve Resident and Family Engagement in the Safety of Assisted Living: Engage – A Stakeholder-Engaged Research Protocol
Assisted living (AL) communities are experiencing rising levels of resident acuity, challenging efforts to balance person-centered care—which prioritizes personhood, autonomy, and relationship-based care practices—with efforts to keep residents safe. Safety is a broad-scale problem in AL that encompasses care concerns (e.g., abuse/neglect, medication errors, inadequate staffing, and infection management) as well as resident issues (e.g., […]
The Ethics in Long-Term Care Model: Everyday Ethics and the Unseen Moral Landscape of Assisted Living
The Ethics in Long-Term Care Model: Everyday Ethics and the Unseen Moral Landscape of Assisted Living
Assisted living (AL) communities are long-term care settings where people live, work, and visit, and where social relationships and care, including end-of-life care, are negotiated. Assisted living is fraught with uncertainty and conflict about values, especially given residents’ cognitive and physical frailty. These value-laden issues have implications for both resident and care partners’ experiences. Yet, […]
Monitoring Laboratory Parameters for Drug Toxicity in Assisted Living Facilities
Monitoring Laboratory Parameters for Drug Toxicity in Assisted Living Facilities
No abstract available.
Storage Issues in Assisted Living Facilities and Senior Living Communities
Storage Issues in Assisted Living Facilities and Senior Living Communities
No abstract available.
Implementing Large-Scale Data-Driven Quality Improvement in Assisted Living
Implementing Large-Scale Data-Driven Quality Improvement in Assisted Living
Objectives Develop and evaluate the implementation of a proposed model for large-scale data-driven quality improvement in assisted living. Design We conducted a mixed-methods evaluation of the implementation of a large-scale data-driven quality improvement collaborative of Wisconsin assisted living communities (ALCs). Setting and Participants The model has been voluntarily implemented by 810 Wisconsin-licensed ALCs serving >20,000 […]
Reimagining Medical Care in Assisted Living
Reimagining Medical Care in Assisted Living
No abstract available.
Rapid Adoption of Electronic Health Record and Health Information Exchange among Assisted Living Communities, 2010–2018
Rapid Adoption of Electronic Health Record and Health Information Exchange among Assisted Living Communities, 2010–2018
Adoption of electronic health records (EHRs) and health information exchange (HIE) is a key tool to improving the quality of care in assisted living communities (ALC). We examined whether EHRs were being used in ALC to support HIE in 2010 and 2018. We found that adoption of EHR and HIE functions increased substantially over the […]
Memory Care Reduces Nursing Home Admissions among Assisted-Living Residents with Dementia
Memory Care Reduces Nursing Home Admissions among Assisted-Living Residents with Dementia
Introduction We compare nursing-home and hospital admissions among residents with Alzheimer’s disease and related dementias (ADRD) in memory-care assisted living to those in general assisted living. Methods Retrospective study of Medicare beneficiaries with ADRD in large (>25 bed) assisted-living communities. We compared admission to a hospital, to a nursing home, and long-term (>90 day) admission […]