In the past decade the provision of home care services in Canada has doubled; with this increase there has been a growing interest in improving quality and safety. National-level data are captured in the Home Care Reporting System (HCRS), using the interRAI-HC tools. Data in the HCRS provide decision-makers and administrators with actionable evidence to inform quality and safety improvement initiatives. The objective of this study was to determine how providers and administrators were using these data, and if there were any opportunities to enhance their use. We collaborated with the Canadian Patient Safety Institute to conduct this qualitative study. To understand data use in home care, we recruited participants in management and/or data analysis roles from home care organizations across Canada. We conducted three individual interviews and three focus group interviews with a total of eleven participants from five Canadian provinces. Individual and focus group interviews were audio recorded, transcribed, and analysed using a combination of emergent coding and thematic analysis. Several participants provided powerful examples of how interRAI data have been used to guide patient safety and quality improvement initiatives; however, all participants recognized challenges in using these data. Leveraging interRAI data in the complex home care environment is limited by several factors: the general “newness” of these data in many jurisdictions; the sheer volume of data; limited capacity and resources to interpret and analyse the data; and connectivity issues in rural areas. Participants recognized and appreciated the training that has been provided, and made several recommendations for additional training. Mandated clinical datasets, such as the suite of interRAI tools, have the potential to improve quality and inform decision-making. However, in order to utilize these data, home care agencies require additional education, personnel and supports. Additional training and resources for these organizations could improve the use of available data by home care agencies, as well as outcomes for individuals receiving home care services.

中文翻译：

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“我们有家庭护理数据，我们该如何处理？”：了解决策和质量改善中的数据使用

在过去的十年中，加拿大的家庭护理服务增加了一倍；随着这种增加，人们越来越关注提高质量和安全性。使用interRAI-HC工具在家庭护理报告系统（HCRS）中捕获国家级数据。HCRS中的数据为决策者和管理者提供了可行的证据，以告知质量和安全改进计划。这项研究的目的是确定提供者和管理者如何使用这些数据，以及是否有任何机会来增强其使用。我们与加拿大患者安全研究所合作进行了定性研究。为了了解家庭护理中的数据使用情况，我们从加拿大各地的家庭护理组织招募了管理和/或数据分析职位的参与者。我们对来自加拿大五个省的11名参与者进行了3次个人访谈和3次焦点小组访谈。使用紧急编码和主题分析相结合的方式对个人访谈和焦点小组访谈进行录音，转录和分析。一些参与者提供了有力的例子，说明如何使用interRAI数据指导患者安全和质量改善计划；但是，所有参与者都认识到了使用这些数据的挑战。在复杂的家庭护理环境中利用interRAI数据受到以下几个因素的限制：许多辖区中这些数据的一般“新颖性”；庞大的数据量；解释和分析数据的能力和资源有限；和农村地区的连通性问题。与会者认可并赞赏所提供的培训，并提出了一些建议进行其他培训。强制性的临床数据集，例如interRAI工具套件，有可能提高质量并为决策提供依据。但是，为了利用这些数据，家庭护理机构需要额外的教育，人员和支持。这些组织的额外培训和资源可以改善家庭护理机构对可用数据的使用，以及改善接受家庭护理服务的个人的成果。人员和支持。这些组织的额外培训和资源可以改善家庭护理机构对可用数据的使用，以及改善接受家庭护理服务的个人的成果。人员和支持。这些组织的额外培训和资源可以改善家庭护理机构对可用数据的使用，以及改善接受家庭护理服务的个人的成果。