Improving Nursing Home Care through Feedback on PerfoRMance Data

What is INFORM?

The Improving Nursing Home Care through Feedback on PerfoRMance Data (INFORM) study seeks to demonstrate how managers of care units can improve performance by improving modifiable elements of their care units. We accomplish this using a feedback and goal-setting intervention designed to help improve care aides’ involvement through working with care managers to engage them in goal setting, ongoing learning, and instituting positive changes in their facilities.

In the INFORM intervention, we use varying degrees of feedback in the form of workshops. In the workshops, the INFORM team works with care managers in order to engage them in goal setting, ongoing learning and instituting positive changes in their facilities.

We have completed delivery of the INFORM intervention, including collecting comprehensive quantitative and qualitative process data from participants. Once the next wave of TMS data is collected, we can determine if there were changes in formal interaction over time and if these varied by study arm.

Emerging Findings

  • Units differ in their implementation of INFORM activities due to factors such as resources (e.g., time and staff) and staff buy-in.
  • Care managers feel that having TREC data about their unit legitimates their ability to make changes within their units.
  • Care mangers’ attendance at workshops is integral to keeping them on track and allows for networking and the sharing of strategies with care mangers in other facilities.
  • Care aides’ involvement in Formal Interactions has a positive impact on residents, care aides, and care teams.
  • Care managers think INFORM is feasible project that helps increase the involvement of care aides.
  • Care mangers felt the skills learned during INFORM are transferable to other settings.

PROTOCOL

QUICK FACTS

Provinces active

Alberta, British Columbia

Facilities involved

67 TREC LTC facilities

Target audience

LTC Facility Unit Managers and Leaders 

Length of project

3.5 year study, launched in October 2015

Connection to TMS

INFORM utilizes research findings from the TREC Measurement System Wave 1 as feedback for managers. TMS Wave 2 data, collected after the intervention, will be used to evaluate the impact of the intervention on unit level performance and patient outcomes (secondary outcome).

Funding

CIHR Open Operating Grant, MOP 142366, $756,827