What is INFORM?
The INFORM (Improving Nursing Home Care Through Feedback On PerfoRMance Data) model supports care managers to make change and improve performance by working on modifiable elements within their care units. It is also adaptable to other improvement targets.
In the original INFORM intervention study, we used different intensities of facilitated workshops. In the workshops, researchers and trained facilitators worked with care managers on goal setting, action plans, measurement, and other ongoing change activities in their facilities.
We successfully completed the original study—a pragmatic randomized controlled trial of INFORM—including a comprehensive process evaluation. In that study the main outcome worked on was engagement of care aides in decision-making. The INFORM trial focused on the goal of improving communication by coaching care managers to increase care aides’ involvement in the planning process (formal interactions) around resident care, for instance through care aides’ participation in care conferences.1
The trial was successful, i.e., the intervention improved the engagement of care aides in decision making. The lower intensity approach (virtual) worked as well as the higher intensity approach. Our follow-up findings two years later show sustainability of the improved outcome and early signs of spread. The elements of success included:1
- Greater care aide involvement around resident care
- The work culture becoming more supportive
- An increase in feedback activities
TREC is currently working with Michael Smith Health Research BC to adapt INFORM for operational use and implement it more widely, focusing again on care managers. Through this collaboration Regional Practice Leads (RPLs) from the five Health Authorities in BC are being oriented and supported to facilitate INFORM. This implementation is being evaluated by TREC, supported by Michael Smith Health Research BC and Healthcare Excellence Canada.
INFORM BC begins with an “apprenticeship cohort” of 25 homes recruited by Regional Practice Leads across BC’s five Health Authorities. Managers and their teams are working on one of three areas prioritized by managers. They will have an opportunity to meet through workshops and to network, further strengthening peer to peer connections. Networking opportunities occur throughout the project.