This multiple-methods study with two data collection points (T0 and T1) aims to: 1. assess inter-rater reliability of the six national quality indicators in long-term care facilities (LTCFs) for older people in Switzerland (T0); 2. explore determinants of data quality of the national quality indicators (T0), 3. evaluate adoption and effectiveness of a bundle of measures to improve data quality of the national quality indicators (T1). The study will take place in three language regions of Switzerland. The intended sample is 30 LTCFs . The current reliability of the national quality indicator data will be assessed by comparing two independent quality indicator assessments for the same 30 residents per facility. Afterwards a focus group discussion will be conducted in each facility to explore determinants (barriers and facilitators) to data collection of the national quality indicators. Findings from the first data collection period will be used to develop a program with a bundle of measures (interventions and implementation strategies) to improve data quality of the national quality indicators. The program will be piloted in a separate study and then implemented in the LTCFs, which took part in the initial data collection. The second data collection period will start 3 months after the implementation of the program. A survey of healthcare and management staff will be conducted to assess implementation outcomes. A second reliability assessment of the quality indicators will be conducted with the same procedures to evaluate the effectiveness of the implemented measures.
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Change in the rate of agreement on the presence of malnutrition
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of self-reported pain
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of observed pain
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of trunk fixation or seating that prevents the resident from rising
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of bedrails
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of polypharmacy
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the level of cognitive impairment
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the presence of depression
Timeframe: up to 6 months at each time point
Change in the rate of agreement on the assessment of life expectancy
Timeframe: up to 6 months at each time point
Primary implementation outcome: The rates of adoption of the intervention components of the program to improve the data quality of the national quality indicators
Timeframe: within 8 weeks