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...

Read More

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...

Read More

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...

Read More

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...

Read More

Advance directives in the nursing home setting: an initiative to increase completion and reduce potentially avoidable hospitalizations

Published On: 01-01-2021

Advance directive (AD) completion can improve transitions between hospitals and skilled nursing facilities (SNF’s). One Centers for Medicare and Medicaid Services (CMS) Innovations Demonstration Project, The Missouri Quality Initiative (MOQI), focused on improving AD documentation and use in sixteen...

Read More

Tracking personalized functional health in older adults using geriatric assessments

Published On: 10-20-2020

Background: Higher levels of functional health in older adults leads to higher quality of life and improves the ability to age-in-place. Tracking functional health objectively could help clinicians to make decisions for interventions in case of health deterioration. Even...

Read More

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...

Read More

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...

Read More

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,...

Read More

Call to action: APRNs in US nursing homes to improve care and reduce costs

Published On: 09-01-2017

Background: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. Purpose: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). Method: MOQI APRN...

Read More