Data Quality of National Quality Indicators in Long-term Care Facilities: a Validation and Evaluation Study

Summary

This multiple-methods study with two data collection points (T0 and T1) aims to:

1. assess inter-rater reliability of the six national quality indicators in long-term care facilities (LTCFs) for older people in Switzerland (T0);
2. explore determinants of data quality of the national quality indicators (T0),
3. evaluate adoption and effectiveness of a bundle of measures to improve data quality of the national quality indicators (T1).

The study will take place in three language regions of Switzerland. The intended sample is 30 LTCFs . The current reliability of the national quality indicator data will be assessed by comparing two independent quality indicator assessments for the same 30 residents per facility. Afterwards a focus group discussion will be conducted in each facility to explore determinants (barriers and facilitators) to data collection of the national quality indicators. Findings from the first data collection period will be used to develop a program with a bundle of measures (interventions and implementation strategies) to improve data quality of the national quality indicators. The program will be piloted in a separate study and then implemented in the LTCFs, which took part in the initial data collection. The second data collection period will start 3 months after the implementation of the program. A survey of healthcare and management staff will be conducted to assess implementation outcomes. A second reliability assessment of the quality indicators will be conducted with the same procedures to evaluate the effectiveness of the implemented measures.

Conditions

• Reliability of National Quality Indicator Data

Interventions

BEHAVIORAL

Program to improve data quality of national quality indicators

Interventions will be developed based on the findings from the first data collection period. A bundle of interventions (Program to improve data quality of national quality indicators) will be offered to participating long-term care facilities to support changing behavior in data collection procedures via training and supporting material as implementation strategies with the goal to improve the data quality of the national quality indicators. The program will be tested in a separate pilot study. The second data collection period in the current study will be used to evaluate the effect of the implemented program.

Sponsors & Collaborators

• University of Applied Sciences and Arts of Southern Switzerland

  collaborator OTHER

• Institut et Haute Ecole de la Santé la Source

  collaborator OTHER

• University of Basel

  lead OTHER

Principal Investigators

• Franziska Zúñiga, Prof. Dr. · University of Basel

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-10-14

Primary Completion

2026-06-30

Completion

2026-12-31

Countries

• Switzerland

Study Locations