The relationship of community-based nurse care coordination to costs in the Medicare and Medicaid programs

Posted On: 10-25-17

The purpose of this evaluation was to study the relationship of nurse care coordination (NCC) to the costs of Medicare and Medicaid in a community-based care program called Missouri Care Options (MCO). A retrospective cohort design was used comparing...

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Helping nursing homes “at risk” for quality problems: a statewide evaluation

Posted On: 10-25-17

Nearly everyone has some life experiences or opinions based on media about nursing homes and the need for quality improvement. States and federal agencies spend enormous amounts of time regulating and surveying nursing homes, but quality problems persist. In...

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Improving care in nursing homes using quality measures/indicators and complexity science

Posted On: 10-25-17

The authors report on a NIH multilevel intervention study (n=58; 29 intervention, 29 control) performed in a Midwestern state over a 2 year time frame. Complexity science was the theoretical model used to analyze the observations made by research...

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A trial of a comprehensive nursing rehabilitation program for nursing home residents post-hospitalization

Posted On: 10-25-17

This pilot study examined the feasibility of implementing a comprehensive nursing rehabilitation program (CNRP) designed to promote the physical functioning of moderately frail nursing home residents post-hospitalization. The 4-week to 8-week CNRP incorporated three interventions: the Capacity Intervention (improving...

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Field testing, refinement, and psychometric evaluation of a new measure of quality of care for assisted living

Posted On: 10-25-17

Field test results are reported for the Observable Indicators of Nursing Home Care Quality Instrument-Assisted Living Version, an instrument designed to measure the quality of care in assisted living facilities after a brief 30 minute walk-through. The OIQ-AL was...

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Nursing home care quality: insights from a Bayesian network approach

Posted On: 10-25-17

The purpose of this research is two-fold: (1) to utilize a new methodology (Bayesian networks) for aggregating various quality indicators to measure the overall quality of care in nursing homes and (2) to provide new insight into the relationships...

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

Posted On: 10-25-17

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

Posted On: 10-25-17

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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Nursing home staff’s views on quality improvement interventions: A follow-up study

Posted On: 10-25-17

Ongoing problems with nursing home care mandates understanding nursing home staff’s perspectives on innovative quality improvement programs. This follow-up study used focus groups to examine the experiences of staff who participated in a clinical trial that involved Quality Indicator...

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A new reliable tool for nurse administrators, nursing staff, regulators, consumers, and researchers for measuring quality of care in nursing homes

Posted On: 10-25-17

Funding from NINR enabled large-scale field testing of an instrument to measure the observable multidimensional components of the concept of nursing home care quality. Field testing in 3 states was directed by research teams at the University of Missouri-Columbia...

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