Spreading and sustaining best practices for home care of older adults: a grounded theory study

Table 1 Description of home care settings ( n =4)

Site	Type of organization	Clients served/year	Employees	Year RNAO BPSO designate^agranted	Topic of guideline implemented
1	Home care provider (for-profit)	65,000-75,000	RNs, RPNs, PSWs	2012	Pain
2	Home Care Coordinator (CCAC)^b (government funded, not-for-profit)	65,000-75,000	Case managers (RNs, rehabilitation therapists and assistants)	2012	Venous leg ulcer
3	Home care provider (not-for-profit)	100,000-125,000	RNs, RPNs, PSWs, rehabilitation therapists	2006	Falls prevention
4	Home care provider (not-for profit)	100,000-125,000	RNs, RPNs	2006	Falls prevention

^aBest Practice Spotlight Organizations (BPSOs) are health care and academic organizations selected by the RNAO through a request for proposal process to implement and evaluate the RNAO’s BPGs. Successful organizations begin with a 3-year candidacy period in which they implement and evaluate BPGs after which they become designate organizations. The initiative now has designate organizations in a number of countries worldwide.
^bCCACs use case management to arrange access to home care providers for all in-home services including professional and home support services. Within limited budgets set by the provincial government, CCACs purchase home care services from local non-profit and private-for-profit community-based agencies that compete for service contracts through a competitive process.

ISSN: 1748-5908