which insures the implementation of more lasting resultsРeРIn Donabedian's model, e is assumed to result from processes and processes are assumed to require structures. An e may be a facility e which indirectly supports direct resident care. An example of an indirect or facility e would be supervising and correcting or training staff That changes staff knowledge and skills. Staff applying those new skills is a process which should yield better resident es. Resident es may be classified as physical (death, disease, disability or dysfunction) and psychosocial (fort, dissatisfaction). Resident es are usually specified in terms of health, well-being, patient satisfaction, etc. Resident es are usually improved when staff provide and residents experience resident oriented care РConsumer choices