Capacity and readiness for quality improvement among home and community-based service providers

Kathleen Abrahamson, Jaclyn Myers, Greg Arling, Heather Davila, Christine Mueller, Brian Abery, Yun Cai

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


The objective of this study was to explore home and community-based service (HCBS) providers’ perspectives of organizational readiness for quality improvement (QI). Data were obtained from a survey of participants (N = 56) in a state-sponsored HCBS QI initiative. Quality improvement challenges included lack of time and resources, staff apprehension or resistance, resistance from consumers and families, and project sustainability. Support from leadership was viewed as an important factor in participating organizations’ decision to engage in QI. Internal resources available to support QI varied widely between participating organizations, with differences observed between smaller and larger agencies, as well as between provider types and populations served.

Original languageEnglish (US)
Pages (from-to)182-196
Number of pages15
JournalHome Health Care Services Quarterly
Issue number3-4
StatePublished - Oct 1 2016

Bibliographical note

Funding Information:
This work was funded through a contract between the Minnesota Department of Human Services and the University of Minnesota.

Publisher Copyright:
© 2016 Taylor & Francis.


  • Home and community-based services
  • organizational readiness
  • quality
  • quality improvement
  • state policy


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