Disseminating a Dashboard for VA Purchased Community Nursing Homes

Summary

Objectives: The purpose of this proposal is to evaluate the impact of the CNH Dashboard implementation on the quality of VA Purchased CNH care relative to other CNH facilities, and to evaluate the quality of Veteran-specific care in purchased CNH facilities by transition and safety outcome measures derived from Veteran-specific CMS data.

Methods: The investigators will evaluate the effect of the CNH Dashboard release in a randomized, stepped-wedge dissemination. This dissemination design allows us to determine the impact of the CNH Dashboard on the quality of purchased CNH facility more systematically than a single phase roll-out. In each of the 4 steps, The investigators will release the CNH Dashboard to a randomly selected set of VISNs. Dashboard release will be accompanied by education.

Findings: The CNH Dashboard has actionable information to leaders in GEC at the local, regional, and national levels.

Impact: When completed, this program will improve the quality of care Veterans receive in VA purchased CNH programs as demonstrated by improved selection of CNH facilities and Veteran-specific measures.

Conditions

• Nursing Home
• Veterans
• Functional Impairment
• Quality of Care

Interventions

OTHER

Access to the CNH Dashboard Step 1

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

OTHER

Access to the CNH Dashboard Step 2

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

OTHER

Access to the CNH Dashboard Step 3

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

OTHER

Access to the CNH Dashboard Step 4

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

Sponsors & Collaborators

• US Department of Veterans Affairs

  collaborator FED

• Providence VA Medical Center

  lead FED

Principal Investigators

• James L Rudolph, MD, SM · Providence VA Medical Center

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-02-29

Primary Completion

2018-02-28

Completion

2018-02-28