Improving the quality of health care using clinical information is achieved either by identifying targets for quality improvement qi efforts or by reporting intra or interprovider performance differences to consumers regulators or purchasers using accepted indicators of quality of care. Improving the quality of long term care takes a comprehensive look at the quality of care and quality of life in long term care including nursing homes home health agencies residential care facilities family members and a variety of others this book describes the current state of long term care identifying problem areas and offering . Standards for evaluating whether the quality of long term care is good or bad improving or deteriorating are shaped by several considerations including views of the nature and scope of long term care the operational definitions of quality and the ways quality of care data and research findings are interpreted. In the context of these evolving long term care needs options and persistent concerns about the quality of long term care the robert wood johnson foundation requested that the iom examine the quality of long term care provided in nursing homes and other long term care settings the archstone foundation the irvine. Many factors affect quality care in long term care ltc settings a supportive organizational culture strong leadership appropriate staff and staffing and effective training and professional development of staff members are all fundamental elements necessary for influencing quality care in ltc settings
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