Initiative to test a multidisciplinary model with advanced practice nurses to reduce avoidable hospitalizations among nursing facility residents

Consider the current reality for Mrs Florence Jones, a woman of advanced age and mild dementia in a long-term care facility, who insists everyone call her “Flossie”:On May 1, Karen, the nurse aide taking care of Flossie, needs to...

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Back to the fundamentals of care: A road map to improve nursing home care quality

See PDF. Rantz, M.J., & Zwygart-Stauffacher, M. (2004). Back to the fundamentals of care: A road map to improve nursing home care quality. Journal of Nursing Care Quality, 19(2), 92-94. Journal of Nursing Care Quality

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Setting thresholds for MDS quality indicators for nursing home quality improvement reports

An important area of inquiry in quality measurement when using quality indicators (QIs) lies in determining what thresholds indicate good and poor resident outcomes. In July 1996, a cross-section of 13 clinical care personnel from nursing homes participated on...

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Measuring quality of care in assisted living: A new tool for providers, consumers, and researchers

The article discusses the initiative to measure the quality improvement efforts in assisted living facilities in the U.S. In 33,000 assisted living centers, there are roughly 800,000 residents who are under their care. However, there are continuing research to...

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Stability and sensitivity of nursing home quality indicators

The issues of stability and sensitivity of indicators to actually detect differences in quality of care in nursing facilities are not only of concern to researchers, but also to public policy makers, who are reporting indicators to providers and...

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Developing a residential care facility version of the observable indicators of nursing home care quality instrument

The last decade has seen a substantial growth in the development of residential care facilities (assisted-living facilities). Evaluation of the quality of care in this service delivery sector has been hampered by the lack of a consensus definition of...

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Advances in measuring quality of care in nursing homes: a new tool for providers, consumers, regulators, and researchers

Over the past 12 years, members of the Minimum Data Set (MDS) and Quality Research Team at the University of Missouri-Columbia have been working with the Missouri Department of Health and Senior Services to improve care in Missouri nursing...

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Clinical information systems in nursing homes: an evaluation of initial implementation strategies

This article presents qualitative results collected 6 months after implementation of a clinical information system in four nursing homes in the Midwestern USA. Researchers explored initial implementation strategies, discussed employee experiences, and analyzed employee satisfaction. Transcript-based analysis and axial...

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Nursing home quality and pressure ulcer prevention and management strategies

OBJECTIVES: To measure pressure ulcer quality indicator (QI) scores and to describe the self-reported skin integrity assessment, pressure ulcer risk assessment, and pressure ulcer prevention and treatment practices in long-term care facilities (LTCFs). DESIGN: Retrospective analysis of a large data set...

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Impact of pain on outcomes in long-term care residents with and without multiple sclerosis

This study was to compare long-term care (LTC) residents with and without multiple sclerosis (MS); to compare admission status of pain, physical disability, pressure ulcers, depression, and cognitive performance in LTC residents with and without MS; and to examine...

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