Assisted Living Quality Improvement

The Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL) is made up of a group of dedicated people organized to improve the outcomes of individuals living in Wisconsin assisted living communities (ALCs). WCCEAL is an innovative collaborative including Wisconsin’s regulatory and public funding agencies (WI-DHS); the Wisconsin state ombudsman’s program; the four assisted living and residential provider associations and the Center for Health Systems Research and Analysis (CHSRA).

Along with being active participants in the WCCEAL collaborative since its creation in 2009, CHSRA is responsible for creating and maintaining the WCCEAL website and data reporting system.

-+ WCCEAL Website Development and Infrastructure

Wisconsin Department of Health Services (DHS) funding for the Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL) has supported the initial and ongoing infrastructure development for WCCEAL. Activities include but are not limited to ongoing support for the monthly WCCEAL collaborative meetings; creation and ongoing maintenance of the WCCEAL website; and development, testing and implementation of the reporting infrastructure for the resident satisfaction and quality improvement measures as well as benchmark reports. DHS funding also supports WCCEAL research activities such as an early adopter analysis and initial evaluation of open-ended questions in the resident satisfaction survey and the online quality improvement measures.

Project Duration: November 2009 – present

Primary Personnel

Principal Investigator: David Zimmerman
Co-Investigator & Project Director: Susan Nordman-Oliveira
Contact: WCCEAL helpdesk

Sponsoring Agency

Wisconsin Department of Health Services (DHS), the Wisconsin state ombudsman’s program, LeadingAge Wisconsin, Wisconsin Assisted Living Association (WALA), Wisconsin Center for Assisted Living (WiCAL), Residential Services Association of Wisconsin (RSA WI) and the Center for Health Systems Research and Analysis (CHSRA).

Funding Source

Wisconsin Department of Health Services (DHS)

Links

WCCEAL website
Wisconsin Department of Health Services (DHS)
Wisconsin state ombudsman’s program
LeadingAge Wisconsin
Wisconsin Assisted Living Association (WALA)
Wisconsin Center for Assisted Living (WiCAL)
Residential Services Association of Wisconsin (RSA WI)

-+ Improving Assisted Living Quality through Collaborative System Change (WPP)

The Wisconsin Partnership Community Impact Grant continues the ongoing WCCEAL collaboration to improve the outcomes of individuals living in Wisconsin Assisted Living Communities (ALCs). This includes individuals in all Assisted Living client groups, including elderly, intellectually disabled, physically disabled, and those with mental health issues. The project has six aims:

  1. Reach: Ensure that residents of Wisconsin Assisted Living Communities (ALCs) have access to quality care by expanding the reach of the collaborative to engage more ALCs.
  2. Infrastructure: Improve ALCs’ ability to report and compare their progress and quality improvement by collaboratively updating the WCCEAL data infrastructure.
  3. Disparities: Address health disparities in the state by assessing and targeting ALCs providing services to underserved populations.
  4. Family Care: Reach more publically-funded and underserved residents through integrating WCCEAL into the Family Care Quality Strategy.  Connecting ALCs to a tested quality improvement infrastructure will improve the overall quality of the long-term care system by focusing on achieving people's health and social outcomes.
  5. Quality Improvement: Improve specific quality targets for ALCs by developing educational opportunities and/or processes that would allow for ALCs to work with their peers.
  6. Dissemination: Produce and disseminate evidence to sustain positive systems change through this collaborative.

Project Duration: 3/1/2016 through 2/28/2021

Primary Personnel

Principal Investigator: David Zimmerman
Co-Investigator & Project Director: Susan Nordman-Oliveira
Co-Investigator: Edmond Ramly
Co-Investigator: James H. Ford II
Contact: WCCEAL helpdesk

Sponsoring Agency

Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL)

Funding Source

Wisconsin Partnership Program Community Impact (WPP-CI)

Links

WCCEAL website
Wisconsin Partnership Program Community Impact (WPP-CI)
Wisconsin Partnership Program 2015 Grant Announcements
Partnership aims to improve quality, consistency in Wisconsin assisted living communities

-+ ICTR Assisted Living Falls Research

WCCEAL as a Quality Improvement Dissemination and Implementation Vehicle: The Wisconsin Coalition for Collaborative Excellence in Assisted Living

This ICTR funded grant builds on a very successful community partnership involving state, industry, consumer and academic partners. The Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL) was established as the first standardized quality improvement data set for Assisted Living Communities (ALCs) in the country. Falls and falls prevention is one of the three key outcomes emphasized in WCCEAL, and efforts have been undertaken to promote the use of evidence based falls prevention programs. Yet little is known about how ALCs utilize WCCEAL to disseminate, implement and sustain these programs. Addressing that knowledge gap is the main goal of this project.

Project Duration: 9/1/2014 through 8/31/2016

Primary Personnel

Principal Investigator: James H. Ford II
Co-Investigator: Susan Nordman-Oliveira
Co-Investigator: Jane Mahoney
Contact: WCCEAL helpdesk

Sponsoring Agency

Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL), Wisconsin Alzheimer’s Institute

Funding Source

Wisconsin Institute of Clinical and Translational Research (ICTR)

Links

WCCEAL website
Wisconsin Alzheimer’s Institute
Wisconsin Institute of Clinical and Translational Research (ICTR)

-+ Music & Memory plus iPads for Assisted Living

The grant will implement Music & MemorySM in six Wisconsin based Assisted Living Communities (ALCs). Music & MemorySM uses iPod technology to provide customized play lists for individuals with dementia. In addition to the use of iPods, iPads will be introduced and evaluated in each of the six ALCs. An evaluation of the initiative will examine the impact of iPod and iPad technology on resident agitation and quality of life and the use of antipsychotic medications. Findings from this pilot study will potentially be utilized to seek additional funding to expand the implementation of Music & MemorySM in Wisconsin Assisted Living Communities.

Project Duration: 11/1/2015 through 10/31/2016

Primary Personnel

Principal Investigator: James H. Ford II
Co-Investigator: Susan Nordman-Oliveira
Contact: WCCEAL helpdesk

Sponsoring Agency

Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL)

Funding Source

Park Family Foundation

Links

WCCEAL website

Presentations/Publications

  • American Society on Aging - 2017 Aging in America Conference - Chicago, IL
    Quantifying the Positive Effects of Music & Memory and iPads for Dementia Care https://vimeo.com/209499146

-+ Bringing Healthy Aging to Scale

Bringing Healthy Aging to Scale Intervention utilized a cluster randomized wait-list control group design. Sixteen rural counties that had trained Stepping On or CDSMP leaders but had not implemented a workshop in one or the other program in the year prior to the start of the study were eligible to participate. The counties were assigned to one of two intervention groups: (1) Year 1 BHAS intervention (Cohort 1 - 8 counties); or (2) wait list control for one year, followed by BHAS intervention in Year 2 (Cohort 2 – 8 counties).

The BHAS intervention consisted of four components. An introductory webinar educated the change leaders about the NIATx model. A site visit followed where the BHAS coach reviewed the NIATx model and overall project objectives, discussed county prevention efforts, worked with the change team to identify successful and unsuccessful strategies for implementing evidence-based health promotion programs in the past, and coached the team to develop a change project to support implementation of Stepping On or CDSMP workshops in their county.  In monthly phone calls (12 in total) between the BHAS coach and the change leader and change team, the BHAS coach offered individualized assistance with using the NIATx model to increase implementation of workshops. Additional coach-led calls promoted peer-to-peer sharing of ideas across intervention counties and discussed the development of sustainability plans.

Presentations/Publications

  • Ford II JH, Abramson B, Wise ME, Dattalo M and Mahoney JE. Bringing healthy aging to scale: A randomized trial of a quality improvement intervention to increase adoption of evidence-based health promotion programs by community partners. Journal of Public Health Management & Practice. (In Press 12/16) doi: 10.1097/PHH.0000000000000503
  • Dattalo M, Wise ME, Ford II JH, Abramson B and Mahoney J. “Essential Resources" for Implementation and Sustainability of Evidence-Based Health Promotion Programs: a Mixed Methods Multi-Site Case Study. Journal of Community Health. (2016). doi:10.1007/s10900-016-0263-x