AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Pressure Ulcer Healing to help nursing homes with electronic medical records address pressure ulcers that are slow to heal. Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. Pressure ulcers cause pain, disfigurement, and increased infection risk and are associated with longer hospital stays and increased morbidity and mortality. Median annual nursing home pressure ulcer prevalence was 7.5 percent in 2009, with associated costs of $3.3 billion annually.
Introduction to On-Time Pressure Ulcer Healing
Electronic Reports
- Sample Reports and Report Descriptions (PDF, 642 KB)
- Pressure Ulcer Assessment (used to populate the reports). (PDF, 532 KB; Word, 98 KB)
Implementation Materials
- Self-Assessment Worksheet for Pressure Ulcer Healing (PDF, 290 KB)
- Menu of Implementation Strategies (PDF, 86 KB; Word, 45 KB)
- Implementation Steps and Timeline (PDF, 63 KB; Word, 27 KB)
Facilitator Training Materials (Train the Trainer)
- Overview of On-Time
- Instructor Guide (PDF, 811 KB)
- Slides (PowerPoint, 2 MB)
- Pressure Ulcer Healing Electronic Reports
- Instructor Guide (PDF, 1.5 MB)
- Slides (PowerPoint, 4.3 MB)
- Implementation of the Healing Reports
- Instructor Guide (PDF, 442 KB)
- Handouts (PDF, 571 KB; Word, 715 KB)
Additional Resources
- Functional Specifications (Word, 198 KB)
More Information
If you are interested in learning more about On-Time and would like to talk with someone, please email your contact information, including the best time to be reached by phone. Send email to: On-Time@ahrq.hhs.gov and type "request followup" in the subject line.
