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Healthc Q. 2019 Jul;22(2):55-62. doi: 10.12927/hcq.2019.25903.

Overall Quality Performance of Long-Term Care Homes in Ontario.

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A research assistant in the Department of Mechanical and Industrial Engineering, University of Toronto. Dr. Wilkinson's research focuses on evaluating and enhancing quality of care and well-being for residents living in long-term care homes, their families and long-term care staff.
The director of the Centre for Research and Innovation Support, University of Toronto. At the time of this study, Ms. Haroun provided strategic leadership at the OLTCA for research and innovation initiatives as their director of research and knowledge translation, with the goal of supporting long-term care operators to provide safe, high-quality care and excellent quality of life for residents.
The director of data and analytics, Ontario Long Term Care Association. As director, Mr. Wong provides leadership to the association's data infrastructure, develops business intelligence solutions and conducts analyses with several key long-term care data sources to help improve the sector's key priorities.
The director of quality and performance, Ontario Long Term Care Association. Ms. Cooper provides strategic leadership to the association's monitoring, analysis and evaluation of provincial regulatory and public policy initiatives that impact sector quality and performance outcomes with the goal of informing current and future directions in public policy. She is adjunct professor, University of Toronto, Institute of Health Policy, Management and Evaluation.
A professor in the Department of Mechanical and Industrial Engineering, University of Toronto. Dr. Chignell carries out research in human factors and user interface design, with an interest in aging, adaptive interfaces and healthcare. His research is supported by AGE-WELL NCE Inc., a member of the Networks of Centres of Excellence program.


In this paper, individually reported long-term care (LTC) quality indicators have been supplemented with the composite Qindex measure and applied to 614 homes in Ontario, Canada. This study (1) describes the overall quality performance of LTC homes across five years (2012-2017) and (2) determines if organizational factors impact quality performance. The results demonstrate significant, continuous sector-wide improvement in overall quality performance (as assessed by the Qindex) over time and significant differences in quality based on home size, operator size and ownership. This paper positions the Qindex, a global metric of quality, as a valuable tool for quality measurement and management in the LTC sector.


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