State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. 6.3 Informal Assessment of TA Impact Among Study States


During state site visits, the research team asked about the perceived impact of the TA program in each state on the quality of life or quality of care of the residents. Only one state was able to report any empirical analysis of the outcome of their efforts. Thus, most of the information we present in this section is anecdotal, gathered during our discussions with stakeholders.

State program staff and stakeholders were also asked to describe aspects of the program that worked well, aspects that could be improved, sustainability, and lessons learned. Combining this information helped us understand how the programs had been able to effect change in facility systems or processes related to quality improvement--although it was typically difficult to attribute those changes solely to the TA program. Here we describe respondents' impressions of how the various TA programs have improved resident outcomes, which factors make them effective, and what difficulties they see as inherent in measuring program effectiveness.

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