NIP-Q-UPGRADE
Titel
National Implementation Program – Strengthening quality of care in partnership with residential long-term care facilities for older people 2022–2026
Leitung
Franziska Zúñiga (PI)
Nathalie Wellens (Institut et Haute École de la Santé La Source, Lausanne) (Co-PI)
Laurie Corna (Scuola universitaria professionale della Svizzera italiana (SUPSI)) (Co-PI)
INS-Team
Franziska Zúñiga
Bastiaan Van Grootven
Lisa Kästner
Magdalena Osinska
Jianan Huang
Angelika Barco
Brigitte Benkert
Sandra Staudacher
Daniela Braun
Lina Heltsche
Sebastian Ritzi
Yanmei Liu
and more colleagues from the Institut et Haute Ecole de la Santé La Source (La Source) and Scuola universitaria professionale della Svizzera italiana (SUPSI)
Externe Partner
Delegation of tasks with compensation by the Federal Quality Commission (FQC) to:
ARTISET with the industry association CURAVIVA (Verena Hanselmann) and senesuisse (Pia Coppex)
Ort der Datenerhebung
Nursing institutions in German-, French- and Italian-speaking Switzerland
Laufzeit
2022 to 2027
Description
Background
Long-term care institutions are challenged to provide good quality care with increasing complexity and scarce resources. There is a lack of nationally specific practices to consistently and systematically support data-driven quality development in long-term care institutions. Accordingly, the Federal Quality Commission (FQC) commissioned a National Implementation Program (NIP) to ARTISET with the industry association CURAVIVA and senesuisse to strengthen the quality of data collection and the quality of the data collected for quality indicators, as well as to promote data-driven quality development in long-term care institutions.
Objective
The overall objective of NIP-Q-UPGRADE is the data-driven improvement of the quality of care in long-term care institutions. This will be addressed through the following work packages (WP):
WP 1: Optimizing data collection and quality of the national quality indicators
Context analysis: Identifying development needs for the data quality of the national quality indicators in collaboration with LTCFs, software providers (for needs assessment instruments and resident documentation), and the Federal Office of Public Health and Federal Statistical Office (2023-2024)
Development and implementation of measures: Joint development and implementation of measures to improve data quality at all levels (measurement level, LTCF level, external support level) (2023-2025)
Piloting: The measures is implemented in a pilot test with LTCFs (2025)
Evaluation: An evaluation will be carried out to determine whether the measures actually improve data quality (2026)
Scale-up: The measures will be expanded by the industry association CURAVIVA and senesuisse (2027).
WP 2: Strategies for data-based quality development
Context analysis: Identifying development needs in order to support LTCFs in quality development (2023-2024)
Development of measures: Measures are developed in collaboration with LTCFs to support them in using data on care quality to further develop their care (2023-2024)
Pilot testing: The measures are implemented in a pilot test with LTCFs (2025)
Test scale-up: The measures are expanded on a trial basis at regional and cantonal levels (2026)
Evaluation: The effectiveness of the measures is evaluated (2026)
Scale-up: The measures will be expanded by the industry association CURAVIVA and senesuisse (2027).
WP 3: Introduction of new quality indicators:
Context analysis: Together with the context analysis WP 1, the requirements for the successful implementation of three new MQI (pressure ulcers, advance care planning, medication review) will be determined (2023-2024).
Development and preparation of measures: Together with software providers, LTCFs, and federal offices, work is being done on how the three indicators can be introduced and integrated into existing structures and systems (2024–2025). Accompanying measures for the introduction of the three quality indicators are being prepared (2024–2025).
Implementation: The three new quality indicators will be integrated into the systems and supporting instruments for their introduction will be published (2025). Evaluation: An assessment will be made as to whether the measures offer an effective solution for further developing the quality of care (2026)
At the same time, possible further quality indicators for Swiss nursing homes will be explored (2024-2026).
Program Design
Two central scientific frameworks guide the entire course of the project:
EPIS Framework (Exploration, Preparation, Implementation, Sustainment): This four-phase model structures the entire implementation process:
Exploration: Evidence search and context analysis.
Preparation: Elaboration of the intervention(s) and implementation strategies.
Implementation: Execution of the strategies and evaluation.
Sustainment: Ensuring sustainable implementation.
Going for Full Scale: This framework describes the Scale-up process – from the development of a package of measures, including implementation strategies, to successful replication in all desired settings.
The detailed objectives of the work packages are subordinate to these two major processes.
Methods and Procedures
Appropriate methodological approaches are proposed for the individual detailed objectives within the work packages, including quantitative, qualitative, and mixed-method approaches:
E.g., a rapid ethnography study for context analysis
Case studies of international best practice examples
A validation study to verify the quality of data collection
Qualitative interviews to describe best practice examples of quality development at the LTCF level
Workshops with residents and relatives to ascertain their perspectives
Pilot studies to test the planned program - as well as national evaluations of the program with online surveys and the use of routine data.
Participatory approach
A participatory approach is used in the individual project steps and ensures that the measures are practical and acceptable. This is done in collaboration with a practical sounding board and an advisory group, as well as with suggestions on how residents and relatives can be involved in the development and evaluation of the programs.