Home and Community-Based Service Organizations’ Capacity for and Experiences With Quality Improvement Initiatives

Marwa Noureldin, Kathleen Abrahamson, Gregory W. Arling

Research output: Contribution to journalArticle


Few studies have examined quality improvement (QI) initiatives among home and community-based service (HCBS) providers. Study objectives were to (1) examine HCBS organizations’ QI capacity, (2) explore organizational differences in providers’ QI experiences, and (3) explore the impact of a state’s QI initiatives on providers’ efforts. A survey assessing HCBS providers’ experiences and QI capacity was administered. Overall, respondents reported a moderate amount of previous QI experience. In terms of QI capacity, smaller and rural organizations were more likely to report inadequate support for project implementation (p <.05). Larger organizations were more likely to report challenges with staffing. Smaller organizations reported less of a perceived impact of the state’s initiative (p <.05). Smaller and rural providers need individualized support to overcome lack of QI experience and resources.

Original languageEnglish (US)
Pages (from-to)23-29
Number of pages7
JournalHome Health Care Management and Practice
Issue number1
StatePublished - Feb 1 2019



  • HCBS
  • home and community-based services
  • organizational capacity
  • quality improvement
  • quality improvement capacity
  • state policy

ASJC Scopus subject areas

  • Leadership and Management
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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