SCOPE Pilot (2010-2012)

The SCOPE Pilot was a two-year (2010-2012) project conducted at seven nursing homes in Alberta (2) and British Columbia (5). The aim was to improve the quality of care for elderly persons in nursing homes and the quality of worklife for the staff who provide this care.

Overview

Almost one-half of Canadians in nursing homes are frail elderly over 80 years of age. Over the past decade there have been increasing efforts to develop and test methods to address quality of care and safety. Quality of worklife in healthcare settings affects both patient and staff outcomes.

Design

The SCOPE study had two parts:

  • A 12 month quality improvement initiative where staff teams were supported to make practice changes to improve resident care
  • A SCOPE survey that asked healthcare aides about themselves and their work environment before and after the quality improvement initiative.  

Timeline

To view click Figure 2 on the right.

The SCOPE Learning Collaborative Model is adapted from the Institute for Healthcare Improvement breakthrought series and is composed of the following:

  • The Model for Improvement which has two parts, a set of three fundamental questions and the Plan-Do-Study-Act Cycle. The Coaching and Change Management Support: SCOPE staff provided the teams with access to QI and clinical experts, coaching and site visits, feedback reports and online access to data and tool kits.
  • The QI teams were composed of four or five staff including two or three healthcare aides and one or more registered professional staff (e.g., physiotherapist)
  • Selection of Areas of Care for Improvement was carried out using a three step collaborative approach involving gerontology experts, various stakeholder groups, SCOPE staff and QI teams.

Note:  Read the SCOPE "Proof of Principle" Final Report here

Results: Did the QI intervention improve the quality of Worklife?

 

Results: Did the QI intervention improve the quality of care? 

 

Results: What did the teams have to say about the QI process?

 

Figures

Please click to enlarge.

Learning Collaborative Model

 Timeline

  

 Support

 Selection of Care Areas