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

Published On: 12-01-1997

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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Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: An update

Published On: 11-01-1997

Determining meaningful thresholds to reinforce excellent performance and flag potential problem areas in nursing home care is critical for preparing reports for nursing homes to use in their quality improvement programs. This article builds on the work of an...

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

Published On: 10-01-2005

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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Cost, staffing, and quality impact of bedside electronic medical record (EMR) in nursing homes

Published On: 09-01-2010

There is growing political pressure for nursing homes to implement the electronic medical record (EMR) but there is little evidence of its impact on resident care. The purpose of this study was to test the unique and combined contributions...

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

Published On: 09-01-2005

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

Published On: 07-01-2009

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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An observational study of antipsychotic medication use among long-stay nursing home residents without qualifying diagnoses

Published On: 07-19-2018

Introduction: Antipsychotic use in nursing homes varies widely across the United States; inadequate staffing, skill mix, and geropsychiatric training impede sustained improvement. Aim: This study identified risk factors of antipsychotic use in long-stay residents lacking qualifying or potentially qualifying...

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Assessing contributors to cost of care in nursing homes

Published On: 07-01-1997

In 1994 12.7% of the population was 65 and over, while 10.6% were 85 and over. Expenditures for nursing homes reached $72.3 billion in 1994 (much of which is tax-supported) accounting for 8.7% of all personal health money spent....

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Nursing home costs and quality of care outcomes

Published On: 07-01-2004

The article focuses on nursing homes costs and quality of care outcomes. Consumers are demanding mechanisms that will allow them to evaluate the quality of care provided in nursing homes. Policymakers, who are responsible for oversight of the public...

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Integrating advanced practice registered nurses into nursing homes: The Missouri Quality Initiative experience

Published On: 04-01-2015

There are nearly 1.5 million older adults residing in nursing homes (NH) across the United States. Reducing avoidable hospitalizations among vulnerable NH residents has become a national priority. Estimates suggest more than $14 billion of Medicare funding is spent annually on hospitalizations for this vulnerable population....

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