A quality improvement service delivery model was developed, implemented, an
d evaluated during a boarding home consultation program in Washington State
. Standardized quality improvement (QI) pathways were utilized to define re
sident issues related to quality of life, quality of care, and safety. The
pathways assisted boarding homes (n = 126) volunteering for on-site visits
with QI consultants to identify and address resident needs and meet statuto
ry requirements. After 6 months in the program, 78 percent of participating
residents demonstrated objective clinical improvement. Assisting providers
in meeting resident needs by using QI pathways will improve residents' qua
lity of life, quality of care, and safety.