Quality improvement initiatives for urinary incontinence in nursing homes.

Clinical practice guidelines based on research data and expert opinion provide more than adequate guidance for NHs to implement an incontinence quality improvement initiative that will meet the expectations laid out in the federal surveyor guidance for Tag F 315. All quality improvement initiatives take time, effort, leadership support, and coordination by a champion who is dedicated to program success. Simple policies, procedures, and documentation tools can be of critical value in improving the quality of incontinence care. While incontinence management may not be the highest priority for clinicians who care for NH residents suffering from numerous geriatric syndromes and medical conditions, a basic approach to assessment and targeted treatment can improve the quality of life of incontinent residents, prevent complications, improve family satisfaction with care, and facilitate the efficient use of staff resources for this labor intensive condition.