TigerPlace (named after the University of Missouri mascot, the tiger) is a specially designed elder housing project that was initiated by the MU Sinclair School of Nursing (SON) and designed by MU faculty working with the Americare Corporation of Sikeston, Missouri.

TigerPlace is built to nursing home standards, but not the typical configuration. The building has 32 private apartments with fully accessible bathrooms, kitchens, and screened porches. Private garages and a private dining room for special family occasions are available, as are beautiful common spaces such as a large living room, dining room, meeting room, library, sports bar, and beauty shop. Included in this list of amenities that surpasses the typical list of long term care options are TigerPlace Pet Initiative (TiPPI) Veterinary Medicine Clinic, TigerCare Wellness Center, and TigerCize Exercise and Spa area.

A major goal for MU is to design and implement exciting research, education, and practice opportunities at TigerPlace while integrating TigerPlace into the MU campus and the Columbia community. From the resident’s point of view, on-going assessment, early illness recognition, health promotion activities, and a well-designed housing environment will help older people stay healthier and active longer, avoid expensive and debilitating hospitalizations, and for most residents, avoid relocation to a nursing home. The links with MU are important as seniors become involved in the student learning projects and take advantage of classes and cultural activities of their interest at MU.

In the area below you will find a list of recently added TigerPlace research articles.

In 1996, faculty from the MU Sinclair School of Nursing (SON) envisioned a new model of long term care based on the concept of aging in place (AIP). The traditional model of long term care forces older adults to move from home, to independent senior housing, to assisted living, then to a nursing home as health deteriorates. The aging in place model allows older adults to remain in the environment of their choice for as long as they wish without fear of forced relocation. The faculty worked with state legislators, industry advocates, and community leaders to enact the legislative changes in 1999 and 2001 to make AIP possible within the highly regulated long term care industry. This legislation designated four “aging in place” demonstration sites that are regulated by the Missouri Department of Health and Senior Services, but are regulated differently than traditional nursing homes or residential care (assisted living). In 1999, Sinclair Home Care, a home health agency developed by the MU SON, was created to provide care to residents of the MU AIP demonstration sites TigerPlace and Maplewood Apartments at Lenoir Woods, other private congregate senior housing, and public senior housing. The MU SON received a $2 million grant from the Centers for Medicare and Medicaid Services (CMS) to establish the agency and evaluate the effectiveness of the AIP mode in the community, other private congregate housing and public senior housing. In 2009, the Medicare and Medicaid components of the Sinclair Home Care agency were sold to Oxford HomeCare. The SON retained control of the AIP program and continues to provide services to the residents of TigerPlace and Lenoir Woods. Initial results of the AIP evaluation indicate the cost-effectiveness and positive health outcomes of AIP.

The University of Missouri MDS and Quality Research Team is an interdisciplinary group committed to conducting research that will help nursing homes in Missouri deliver high quality services to residents. The Team began work in 1993 and members have had funding for their work since 1994 through the Missouri Division of Aging, the Health Care Financing Administration, the National Institute for Nursing Research, the Agency for Health Care Policy Research, and other agencies and foundations. The goal of the team is to improve quality of care for nursing home residents. The team specifically focuses on the use of the MDS data for quality improvement and monitoring resident outcomes of care.

In the area below you will find a list of recently added MDS and Quality research articles.

The Quality Improvement Program for Missouri's Long-Term Care Facilities (QIPMO) will send gerontologic nurse specialists to Missouri nursing facilities. They will provide information and assistance related to clinical issues of interest to long-term care staff. QIPMO is a cooperative program between the MU Sinclair School of Nursing and the Missouri Department of Health and Senior Services (DHSS) with funding by DHSS using the Missouri Quality of Care fund (senate bill 556). QIPMO nurses are not surveyors from the Department of Health and Senior Services. The site visits are treated confidential.

If your facility is in Missouri, QIPMO nurse consultants will help refine your quality improvment programs. Members of the QIPMO team can also help you learn to download, read, and interpret your state and federal MDS quarterly reports and help simplify the quarterly MDS data. The nurses can also provide clinical practice consultations and
inservice training sessions for your staff to help improve nursing care in those areas where you would like to see improvement.

In the area below you will find a list of recently added QIPMO research articles.

Interdisciplinary research is a major focus for MU faculty and many have come together to focus their research expertise on improving the lives of older people. There are several large research projects funded by the National Institutes of Health (NIH), National Science Foundation (NSF), and Agency for Healthcare Research and Quality (AHRQ) underway developing and applying technology to help the residents of TigerPlace age in place. Research teams are pursuing multiple ways to measure physical function, detect falls, and early illness recognition. Grant proposals to NIH, NSF, AHRQ, and other funding agencies are continuously under development with PIs from our multidisciplinary team.

AgingMO is Copyrighted by the Sinclair School of Nursing

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