Facilities working with Lumetra significantly reduce use of restraints
SAN FRANCISCO, May 12 /PRNewswire-USNewswire/ -- Patients in California
nursing homes working with Lumetra are less likely to be physically
restrained, according to data collected as part of the national Medicare
Nursing Home Quality Initiative.
Nursing facilities across California have reduced their use of
restraints noticeably since 2004, but those homes working directly with
Lumetra during an 18 month-long patient-centered care collaborative have
shown considerable reductions in the use of physical restraints. Nursing
homes participating in Lumetra's Quality Improvement Collaborative showed,
overall, an average 52% reduction in the use of restraints. Homes in the
Collaborative that had been designated by the Center for Medicare &
Medicaid (CMS) as "poor performing" showed an improvement of 55% average
rate of reduction.
Comparative state-wide numbers from all California nursing homes showed
declines of less than 26% for restraint use. California nursing home
residents are twice as likely to be restrained as residents in nursing
homes nationally (10% vs. 5%).
"This Quality Improvement Collaborative focused on
de-institutionalizing the nursing home culture and implementing the
principles of person-centered care," says Lumetra's David Farrell, Director
of the company's Care Continuum program. "Combined with evidence-based best
clinical practices, the curriculum, along with the hard work by the
providers to change their systems of care, led to these unprecedented
levels of improvement."
Lumetra worked with 138 California Nursing Homes over 18 months to
focus on reducing restraint use using a person-centered care collaborative.
Consultants met with teams in each home, challenging them to eliminate just
one physical restraint a week at their facility (a deliberately do-able
goal). A graph for each home tracked the cumulative number of residents
that would be restraint-free at the end of each week if the homes met the
challenge, and at each learning session the homes learned how they were
doing trended over time. They also learned how their results compared to
other homes participating in the collaborative.
From the start and throughout the program, evidence-based materials and
tools were shared with participating homes online, in workshops, in
teleconferences and on-site consultations. Lumetra's ongoing involvement on
the Quality Improvement Subcommittee of the California Association of
Healthcare Facilities (CAHF) and the Quality Advisory Committee for
restraint reduction of the National Citizens' Coalition for Nursing Home
Reform (NCCNHR) in California helps promote the goal of improving nursing
home care on a broader scale.
Lumetra is a non-profit independent consulting organization dedicated
to improving the quality, safety, efficiency, and integrity of healthcare.
Lumetra provides an array of professional services that include medical
review, health information technology, quality evaluation and improvement,
marketing and communications, and data analysis to private and public
entities. As California's Medicare Quality Improvement Organization,
Lumetra works with healthcare providers across the state to ensure that
every person receives the right care, every time. For more information,
please visit http://www.lumetra.com.
SOURCE Lumetra
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Related links:
http://www.lumetra.com
CONTACT:
Laura Marshall of Lumetra, +1-415-677-2029,
lmarshall@lumetra.com
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