Leaders Need Training, Development to Spearhead QAPI

November 8, 2013 | Aging Services Risk, Quality, & Safety Guidance

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​“It’s self-evident that we should promote more leadership, more competency” to propel quality assurance and performance improvement (QAPI) in nursing homes, said Nicholas G. Castle, Ph.D., M.H.A., FGSA, professor, Graduate School of Public Health, University of Pittsburgh. Speaking October 18, 2013, at the National Aging Services Risk Management conference in Chicago, Castle discussed a series of studies he and other authors have conducted on leadership and QAPI in these settings. Studies in the series have identified several associations among leadership factors (e.g., professional development, job satisfaction, deficiency citations for administration), quality of care, and staff and leadership turnover. One study found a link between the leadership styles—which are amenable to change—of nursing home administrators (NHAs) and directors of nursing (DONs) and quality of care.

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