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Journal of Applied Gerontology
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Perfecting Patient Care

Integrating Principles of Process Redesign in Nursing Homes

Nicholas G. Castle

University of Pittsburgh, PA, CASTLEN{at}Pitt.edu

Fran Sheedy Bost

Jewish Healthcare Foundation, Pittsburgh, PA

The authors describe the principles of Perfecting Patient Care (PPC) and provide case examples of work redesign and measurable outcomes at one nursing home. The impact of PPC was evaluated by examining employee, family, and resident satisfaction scores. PPC helped with process redesign to eliminate linen shortages and to decrease the resident fall rate. For the employee job satisfaction survey, improved scores resulted for nine questions; six scores were similar to baseline; and four scores were lower than at baseline. For the family satisfaction survey improved scores resulted for 17 questions; five scores were similar to those at baseline; and no scores were lower than baseline. For the resident satisfaction survey scores on 13 questions improved compared to baseline; eight scores were similar to those at baseline; and one score was lower than baseline. Thus, we found using PPC, improvements in work processes were implemented at this pilot facility.

Key Words: Toyota production system • nursing homes • quality improvement

This version was published on April 1, 2009

Journal of Applied Gerontology, Vol. 28, No. 2, 256-276 (2009)
DOI: 10.1177/0733464808326005
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