This study tested a 'wise' intervention (quick prompt of a specific psychological mec) in acute care hospital units to improve nurses' hand hygiene compliance (HHC). A multiple baseline design in two medical-surgical teaching hospitals in the United States. Hand hygiene data was collected using an electronic compliance monitoring system with…

Purpose: The Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality sponsored a nationwide study to evaluate the federal paid feeding assistant (PFA) regulation that allows nursing homes to hire single-task workers to provide feeding assistance to nursing home residents. Organizers designed the PFA regulation…

This textbook presents a conceptual and methodological framework for implementing quality assurance programs in mental health services, with specific emphasis on peer and utilization review. Both the content of the review and the methods of accomplishing it are addressed. The early chapters of the book are designed to show the many types and…

The theme of this serial issue is helping individuals involved in community health programs at the local level to devise and apply a protocol for the evaluation of a community health program. In the opening sections of the issue evaluation is defined, the difference between a direct quantifying measure and an indicator is clarified, obstacles to…

This study evaluates how grantees of the Office of Adolescent Pregnancy Programs (OAPP) implemented their teen pregnancy and parenting programs and how program participation affected the lives of clients. Chapter I outlines the structure and history of the evaluation project. Chapter II highlights the major client outcomes of OAPP-funded projects…

A study evaluated the impact of the reorganization of the academic Sepulveda (California) Veterans' Administration medical center toward primary and ambulatory care. Surveys of several thousand patients were linked to computerized utilization and mortality data and related to the center's strategic plan and goals. Substantial improvement in…

The process of change at the academic Sepulveda (California) Veterans' Administration hospital during implementation of a new ambulatory primary care program was examined through individual or focus group interviews with 63 managers, house officers, and patients. Major problems included administrative integration of in- and outpatient services;…

A project was undertaken to plan a consumer education program and delivery system for elderly persons in the six-county Bootheel area of Southeast Missouri. Included among the project's activities were the following: (1) assessing the needs and qualifications for consumer education programs for the elderly through a literature search and…