SCOPE: safer care for older persons (in residential) environments—a pilot study to enhance care aide-led quality improvement in nursing homes

Table 1 Scoring system used to rate team’s level of treatment enactment during SCOPE

Treatment enactment category	Scoring based on teams’ self-reported progression throughout the pilot
	Excellent (5)	Adequate (3)	Poor (1)
Creating actionable AIM statements^a	The team developed an aim statement that reflects 4 of 5 of the SMART components including the ‘specific’ and ‘measurable’ categories.	The team developed an aim statement that reflects up to 3 of the SMART components.	The team’s aim statement did not reflect any of the SMART components.
Intervention Progression using Plan-Do-Study-Act (PDSA Cycles	The team planned and implemented their intervention in a way that aligned with their aim statement, AND reported using PDSA cycles to spread it to involve other residents and/or staff on their unit.	The team planned and implemented their intervention, but it did not align clearly with their aim statement, OR was only conducted on a limited number of residents and/or staff on the unit.	The team provided no evidence of implementing their intervention, or using PDSA cycles to promote change
Use of measurement to guide decision-making	The team included specific text documenting how measurement and data were used to guide improvement decisions in successive PDSA cycles.	The team made vague reference to measurement tools and/or strategies used to guide decision-making in successive PDSA cycles.	The team did not report how measurement and data were used to guide decision-making.

^aTeam aim statements had to include operational terms (e.g., define responsive behavior) (Specific); contain a target goal (e.g., identify the degree of improvement sought) (Measurable); be realistic (e.g., initially focus on a smaller number of residents) and/or show progression throughout the pilot (Achievable); include information about how (e.g., by creating toolkits to support implementation) or when (e.g., during mealtime) the intervention would happen (Relevant), and; include a reference point/date by which intervention success would be measured (Timely)

ISSN: 2055-5784