How Does On-Time Reduce Pressure Ulcer Rates and Improve Quality?
The On-Time program provides participating facilities new tools and skills to improve the prevention of pressure ulcers. The program provides the pressure ulcer team with simple weekly reports that summarize changes in the clinical status of high-risk residents for pressure ulcer development. These reports are used to make more timely changes in the resident’s care plan. Nursing home staff work in a multidisciplinary team and harness improved clinical information documented daily by CNAs to increase the power of interdisciplinary team discussions and communication. A key component of the work is bringing the entire clinical care team—CNAs, dieticians, nursing coordinators, and managers—to the table with the reports and engaging them in discussions about workflow, documentation, and care planning. Weekly feedback reports address documentation completeness, behavior, nutrition, high-risk indicators for pressure ulcer development, and incontinence trends. Once the program ends, facilities
