Spreading Improvement Strategies Within a Large Home Healthcare Organization

Authors

  • Miriam Ryvicker PhD,

    Research associate and project manager, Corresponding author
      miriam.ryvicker@vnsny.org.
    Search for more papers by this author
    • Miriam Ryvicker, PhD, is a research associate and project manager at the Center for Home Care Policy and Research, Visiting Nurse Service of New York (VNSNY), New York, NY, and manages an evaluation of the Home Health Aide Partnering Collaborative, funded by the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.

  • Joan Marren MEd RN,

    Chief operating officerSearch for more papers by this author
    • Joan Marren, MEd RN, is chief operating officer, VNSNY, New York, NY. She has been a key leader in developing and implementing VNSNY's quality improvement infrastructure and is a 2004–2007 Robert Wood Johnson Executive Nurse Fellow.

  • Sally Sobolewski MSN RN,

    Director of practice improvementSearch for more papers by this author
    • Sally Sobolewski, MSN RN, is director of practice improvement, VNSNY, New York, NY. She is responsible for directing quality improvement projects within VNSNY, including the Home Health Aide Partnering Collaborative.

  • Terese Acampora MA RN,

    Director of contract administrationSearch for more papers by this author
    • Terese Acampora, MA RN, is director of contract administration, VNSNY, New York, NY. She oversees the development and management of contractual relationships between VNSNY and vendor staffing agencies providing home health aide services.

  • Marki Flannery MA,

    President of Partners in CareSearch for more papers by this author
    • Marki Flannery, MA, is president of Partners in Care, an affiliate of VNSNY in New York, NY. She has been published in home healthcare journals and has served in leadership positions in industry associations.

  • Elizabeth Buff MS RN,

    Vice president of quality and clinical excellenceSearch for more papers by this author
    • Elizabeth Buff, MS RN, is vice president of quality and clinical excellence, VNSNY, New York, NY. She has spoken throughout the state and nation on clinical outcomes and methodologies to achieve best practices.

  • Ann Marie R. Hess MS MSN,

    President of Clinical Performance ManagementSearch for more papers by this author
    • Ann Marie R. Hess, MS MSN, is president of Clinical Performance Management, Inc., Falmouth, ME, providing front-line team and leadership strategic support in areas of clinical practice redesign, performance improvement, and microsystem assessment.

  • Robert J. Rosati PhD,

    Director of researchSearch for more papers by this author
  • Theresa Schwartz BA,

    Programmer and analystSearch for more papers by this author
    • Robert J. Rosati, PhD, is director of research, evaluation, and informatics at the Center for Home Care Policy and Research, VNSNY, New York, NY. He is also JHQs research editor.

  • Penny Hollander Feldman PhD

    Vice president of research and evaluation and directorSearch for more papers by this author
    • Theresa Schwartz, BA, is a programmer and analyst at the Center for Home Care Policy and Research, VNSNY, New York, NY, and is currently enrolled in a master's program in biostatistics at Columbia University.


  • Penny Hollander Feldman, PhD, is vice president of research and evaluation and director of the Center for Home Care Policy and Research, VNSNY, New York, NY. She is the author of numerous publications. “Exploring the Utility of Automated Drug Alerts in Home Healthcare,” which she coauthored, won JHQ's 2007 Golden Pen Award.

miriam.ryvicker@vnsny.org.

Abstract

Abstract: This article describes the process of the spread of improvement strategies to improve relationships between professional and paraprofessional service providers within a large home healthcare organization and its partnering home health aide vendors. We describe the method for spreading the strategies, which emerged from a learning collaborative, and the successes and challenges of the spread. Two case studies highlight how the attributes of innovations and the methods for spreading them can influence the effectiveness of an improvement effort.

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