Table 6.

Quality improvement strategies identified and implemented by participating sites

Strategy	Facilities that identified (%)	Facilities that implemented (%)
Knowledge/awareness of vitamin D
Face-to-face education for residents	28/41 (68)	21/28 (75)
Information and resources emailed to families	14/41 (34)	10/14 (71)
Making resources available onsite (in addition to study posters and brochures e.g. newsletters)	12/41 (29)	12/12 (100)
Face-to-face education for families	12/41 (29)	9/12 (75)
Adding vitamin D to staff meeting agendas	11/41 (27)	9/11 (82)
Embedding ongoing education for staff into the workplace (e.g. adding links or information to online portals)	11/41 (27)	5/11 (46)
Additional face-to-face education for staff	3/41 (7)	2/3 (67)
Identification of residents suitable for vitamin D
Conducting a one-off audit to identify residents not currently prescribed, and potentially suitable for vitamin D	29/41 (71)	21/29 (72)
Adding vitamin D to online or hard copy assessment forms (e.g. falls risk ax, admission or case conference forms)	23/41 (56)	0/23 (0)
Implementing an unwritten process or procedure to identify residents suitable for vitamin D (e.g. staff to remember to check on admission or during a case conference/ care plan review)	20/41 (49)	16/20 (80)
Arranging an ongoing audit to identify residents suitable for follow up (either internally or as a request to pharmacy)	1/41 (2)	0/1 (0)
Referral pathways
Follow up with GPs regarding specific residents that have been identified as potentially suitable for vitamin D	23/41 (56)	14/23 (61)
General follow up with pharmacists to raise awareness	17/41 (41)	11/17 (65)
General follow up with GPs to raise awareness	16/41 (39)	16/16 (100)
Follow up with physiotherapists for support	3/41 (7)	2/3 (67)
General follow up with nurse practitioners to raise awareness	1/41 (2)	0/1 (0)