Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program

Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program

Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed th...

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Veröffentlicht in:Innovation in aging 2021-12, Vol.5 (Supplement_1), p.547-547
Hauptverfasser: Lekovitch, Cara, Toto, Pamela, Chew, Felicia, Bieber, Dawn, Leland, Natalie
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container_end_page 547
container_issue Supplement_1
container_start_page 547
container_title Innovation in aging
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creator Lekovitch, Cara
Toto, Pamela
Chew, Felicia
Bieber, Dawn
Leland, Natalie
description Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed this gap by examining facility characteristics of early and late adopters within a multi-site pragmatic clinical trial. Data were obtained from the Organizational Readiness to Change Assessment (ORCA), which was completed by expert trainers, and Nursing Home Compare. Early and late adoption was operationalized according to Roger’s Diffusion of Innovations. Sixty-percent of NHs (n=12) were late adopters and 40% (n=8) were early adopters. Between group differences (p
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title Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program
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