A Longitudinal Assessment of the Effect of Resident-Centered Care on Quality in Veterans Health Administration Community Living Centers

Abstract

Objective: To examine whether changes in resident-centered care (RCC) over time were associated with changes in quality. Data Sources/Study Setting: Data sources were the Minimum Dataset quality indicators (which consist of measures of both prevalence and incidence of adverse events) and the Artifacts of Culture Change Tool (which measures RCC; FYs 2009–2012) from 130 Veterans Health Administration community living centers. Study Design: A retrospective longitudinal study. Data Collection/Extraction Methods: Data were from VA secondary data sources. Principal Findings: The overall relationship between RCC and quality was not statistically significant (p =.22), although there was a weakly significant negative relationship (i.e., increased RCC was associated with poorer quality) in the seven quarters after implementation of an automated version of the Artifacts Tool (p =.08). In facility-specific analyses, there were 15 facilities with a weakly significant (p