%0 Journal Article
%T Home and Community
%A Gregory W. Arling
%A Kathleen Abrahamson
%A Marwa Noureldin
%J Home Health Care Management & Practice
%@ 1552-6739
%D 2019
%R 10.1177/1084822318796105
%X Few studies have examined quality improvement (QI) initiatives among home and community-based service (HCBS) providers. Study objectives were to (1) examine HCBS organizations¡¯ QI capacity, (2) explore organizational differences in providers¡¯ QI experiences, and (3) explore the impact of a state¡¯s QI initiatives on providers¡¯ efforts. A survey assessing HCBS providers¡¯ experiences and QI capacity was administered. Overall, respondents reported a moderate amount of previous QI experience. In terms of QI capacity, smaller and rural organizations were more likely to report inadequate support for project implementation (p < .05). Larger organizations were more likely to report challenges with staffing. Smaller organizations reported less of a perceived impact of the state¡¯s initiative (p < .05). Smaller and rural providers need individualized support to overcome lack of QI experience and resources
%K home and community-based services
%K quality improvement
%K quality improvement capacity
%K organizational capacity
%K state policy
%K HCBS
%U https://journals.sagepub.com/doi/full/10.1177/1084822318796105