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Agency for Healthcare Research Quality

On-Time Quality Improvement for Long-Term Care

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The On-Time Quality Improvement program is designed to improve long-term care by turning daily documentation into useful information that enhances clinical care planning. The health information technology (IT) initiative is funded by the Agency for Healthcare Research and Quality (AHRQ), with support from the California Healthcare Foundation.

Select to download materials and tools related to the program.


The Agency for Healthcare Research and Quality (AHRQ) has launched a program to help front-line nursing home staff reduce the occurrence of in-house pressure ulcers, providing residents with more efficient, effective, and patient-centered care. Pressure ulcers can pose particularly overwhelming challenges for long-term care professionals. The prevalence of pressure ulcers in individual facilities can range from 2.5 percent to 24 percent, depending on the facility. The On-Time Quality Improvement for Long-Term Care program is an innovative program designed to improve day-to-day practice in nursing homes, improve and redesign workflow, enrich work culture, and reduce pressure ulcers.

Download Information

Your browser may support downloading the files from this page by using the links below. Right click on the link and then select "Save Target As" (Internet Explorer) or "Save Link As" (Firefox® or Netscape®).

Program Materials

The information below—from Case Studies illustrating benefits to sample reports to flow sheets—describes how to implement and use the program.


This streaming presentation features nursing home staff and administrators who discuss implementation of the program and the resulting quality improvement.

Readiness and Health IT Assessment Tools

The Readiness Assessment Tool is a paper version of the tool distributed among staff who would take the survey. The Runtime Database is the tool used to data enter the paper surveys and retrieve results reports; it is a computerized version of the paper tool. Directions for both installing and operator use of the Runtime Database are included with the zipped file for the database.

Software Requirements

To access the streaming presentation, you will need a a Real® player or Windows Media® player installed on your computer. To download a free Real® player, go to and select "Free Real® Player." Check the minimum requirements for each for your system; if you are a Macintosh® or Unix/Linux user, select the player appropriate for your computer.

Follow the instructions provided for download and installation. If you are unsure of where you saved it on your computer, select "Start" on your navigation bar, then "Find," and search for "Real." When you find the folder, look for the "Set-Up" box, select that, and the installation will begin.

More Information

If you are interested in learning more about "On-Time" and would like to talk with someone, please E-mail your contact information including the best time to be reached by phone. Send E-mail to: and write "request followup" in the subject line.

Current as of July 2007

Internet Citation:

On-Time Quality Improvement for Long-term Care. Download Information. July 2007. Agency for Healthcare Research and Quality, Rockville, MD.


AHRQ Advancing Excellence in Health Care