Social practices of nurse care coordination using sensor technologies – Challenges with an alert system adoption in assisted living communities for older adults

Published On: 07-10-2021

Objectives: From the view of everyday practices and the socio-technical coordination lens, we analyzed the gap between creators’ intention and the users’ implementation (mainly nursing staff and social workers) of an alert system in assisted living communities. Methods: Qualitative...

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Advanced practice registered nurses help reduce hospitalizations from nursing home residents

Published On: 03-03-2021

Advanced practice registered nurses help reduce hospitalizations from nursing home residents MU study examines effectiveness of $35 million program designed to improve quality of care in nursing homes. Marilyn Rantz still remembers the day she got the call that...

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Full-time nurse program cuts ED visits, saves $31 million for MO nursing homes

Published On: 03-01-2020

Medicare should scrap billing restrictions for direct care services provided by advanced practice nurses in nursing homes, say researchers from the University of Missouri’s Sinclair School of Nursing, citing results of a long-term study. Investigators followed a six-year quality...

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Take it to the resident: A model for engaging longterm stay residents in advance care planning

Published On: 02-11-2021

Advance care planning involves a meaningful conversation about residents’ end of life goals with the health-care team and documenting these wishes in advance directives; however, these conversations are not taking place early enough or with strategies that allow nursing...

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Results of the Missouri Quality Initiative: six-year trends of reducing unnecessary hospitalizations

Published On: 01-01-2021

Objectives: The purpose of this article is to present six-year findings of the Missouri Quality Initiative (MOQI) to reduce unnecessary hospitalizations for long-stay nursing home residents. Design: A CMS funded demonstration project analyzed over 6-years using a single group...

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Reducing avoidable hospitalizations for nursing home residents: role of the Missouri Quality Initiative intervention support team

Published On: 07-01-2020

Hospitalization for nursing home residents is a national concern. Studies suggest the majority of hospital transfers are avoidable, often resulting from poor care processes such as lack of early illness detection, adverse event occurrences, and poor communication between nursing...

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Transitions of care: Perspectives of patients living in long-term care

Published On: 07-01-2020

Across studies, the risk of hospital transfer for nursing home residents is highest for people without documented advance directives and for people with chronic health conditions (eg, diabetes and congestive heart failure), mental health conditions (eg, depression), and limited...

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A coordinated response to the COVID-19 pandemic in Missouri nursing homes

Published On: 07-01-2020

In the United States, the first case of the novel coronavirus 2019 (COVID-19) was detected in January 2020 in the state of Washington. By February 2020, COVID-19 was linked to 167 confirmed cases of staff and residents within a...

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An Interdisciplinary Approach to Promote Older Adult Health

Published On: 11-12-18

An Interdisciplinary Approach to Promote Older Adult Health Over twenty years ago, the University of Missouri formed a broad interdisciplinary team to revolutionize older adult care. Over the years, this team consisted of engineering, nursing, and social work researchers,...

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The APRN role in changing nursing home quality: The Missouri Quality Improvement Initiative

Published On: 07-01-2017

The Centers for Medicare & Medicaid Innovations Centers partnered with 7 Enhanced Care and Coordination Provider (ECCP) sites across the United States with the goal to reduce potentially avoidable hospital transfers for nursing home residents. The University of Missouri Sinclair...

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