In 2010, a consortium called the “Senior Quality Leap Initiative” (SQLI) was established to leverage the collective expertise and experience of its members in an effort to enhance quality of care and quality of life for their nursing home residents. The SQLI has grown to become a committed and highly motivated collaborative of 14 long-term care/post-acute care providers across Canada and the United States.
Using the RAI data, SQLI organizations receive quarterly reports on their performance on a series of quality of care and quality of life indicators against reference benchmarks. Through this exchange and benchmarking of performance data, SQLI members identify and scope relevant improvement projects.

In January 2014, based on a review of performance data, the consortium identified an opportunity to improve pain management for residents in long term care. Together, the SQLI embarked on designing a collaboratively derived structured improvement process, which included: Identifying organizational gaps in pain management practices based on established evidence; selecting and targeting specific evidence-based practices to address specific organizational gaps; testing and evaluating interventions; sharing resources and networking with peers to share lessons learned and; reporting on performance and progress

Rather than imposing a uniform guideline or approach, this practice ensured that each organization’s improvement approach tailored their specific interventions to the gaps identified.

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