Agency approaches to common quality problems in home care: A scenario study

Rosalie A Kane, Jennifer Frytak, Nancy N. Eustis

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


In a study of best practices in home care quality assurance (QA), a sample of 128 respondents from exemplary home care agencies were presented with 7 brief scenarios depicting common problems in home care quality. Agency respondents were asked to describe their likelihood of identifying the problem in each scenario, how they would identify the problem, and how they would correct it. We found that agencies expressed considerable confidence they would identify the problems, but were unlikely to view their QA efforts as contributing to detecting the problems. Identification was more often perceived to come from ordinary care, with considerable burden placed on paraprofessional staff or clients to bring the problem to the attention of the agency. Medically-oriented agencies weresignificantly more likely than socially-oriented to rely on formal QA to identify deteriorating patient conditions and depression. Across all agencies, a relationship existed bctween the type of problem in the scenario and the most frequent responses about detection and correction modes. Once the problem was identified, agencics presented an appropriate and fairly wide range of corrective strategies. The implications for making QA more organically relatcd to clinical care are discussed.

Original languageEnglish (US)
Pages (from-to)21-40
Number of pages20
JournalHome Health Care Services Quarterly
Issue number1-2
StatePublished - May 21 1997


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