Implementation in Nursing Homes: Describing Early and Late Adopters of an Evidence-Based Dementia Care Program

Abstract Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study add...

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Bibliographic Details
Published in:Innovation in aging 2021-12, Vol.5 (Supplement_1), p.547-547
Main Authors: Lekovitch, Cara, Toto, Pamela, Chew, Felicia, Bieber, Dawn, Leland, Natalie
Format: Article
Language:English
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Summary:Abstract Despite national efforts to improve nursing home (NH) quality, care remains variable. Health system efforts to drive improvement often begin with a sub-group of NHs before scaling up across the organization. Yet, there is limited evidence on who to target for the first group. This study addressed this gap by examining facility characteristics of early and late adopters within a multi-site pragmatic clinical trial. Data were obtained from the Organizational Readiness to Change Assessment (ORCA), which was completed by expert trainers, and Nursing Home Compare. Early and late adoption was operationalized according to Roger’s Diffusion of Innovations. Sixty-percent of NHs (n=12) were late adopters and 40% (n=8) were early adopters. Between group differences (p
ISSN:2399-5300
2399-5300
DOI:10.1093/geroni/igab046.2102