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American Journal of Medical Quality, Vol. 12, No. 1, 51-61 (1997)
DOI: 10.1177/0885713X9701200110
© 1997 American College of Medical Quality

Quality Improvement in Nursing Care Facilities: Extent, Impetus, and Impact

Jacqueline S. Zinn

Department of Health Administration, School of Business and Management, Temple University, Philadelphia, Pennsylvania

Diane Brannon

Department of Health Policy and Administration, Pennsylvania State University, University Park, Pennsylvania

Robert Weech

Department of Health Administration, School of Business and Management, Temple University, Philadelphia, Pennsylvania

This study examines the extent, motivation, and per formance implications of formal quality improvement (QI) programs in Pennsylvania nursing care facilities. Responses to a 20-item survey sent to facility adminis trators indicate that continuous quality improve ment/total quality management (CQI/TQM) adopters are more motivated by quality of care and human resource concerns in implementing QI, more satisfied with the results of QI efforts, and more aware of a com petitive environment than are non-adopters. There are few differences between adopters and non-adopters with respect to organizational characteristics or per formance on quality of care measures. Comparison with the results of a study of QI implementation in hospitals reveals some differences in motivation, but similarities in satisfaction with results.


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