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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Quantifying care coordination dose using natural language processing and domain specific ontology

Published On: 04-01-2015

Objective This research identifies specific care coordination activities used by Aging In Place (AIP) nurse care coordinators and home healthcare nurses when coordinating care for older community-dwelling adults and suggests a method to quantify care coordination. Methods A care coordination ontology...

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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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QIPMO Video

Published On: 06-19-2014

Wonder what QIPMO is all about? Click here for a quick and informative video! Strata Commun

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International comparison of quality indicators in the United States, Icelandic and Canadian nursing facilities

Published On: 02-04-2014

We discuss the results of a comparison using minimum data set (MDS)-based quality indicators (QIs) for residents in nursing facilities in three countries (Iceland; Ontario, Canada; and Missouri, United States) together with implications regarding nursing practices and resident outcomes...

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Systematic review of studies of staffing and quality in nursing homes

Published On: 02-04-2014

Numerous studies in the past three decades have explored the relationships between staffing levels in nursing homes and quality of care measures. However, the wide array of studies researching staffing and quality of care, many with conflicting results, make...

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

Published On: 02-04-2014

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...

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Management of dementia and depression utilizing in-home passive sensor data

Published On: 01-22-2013

Purpose: This study investigates whether motion density maps based on passive infrared (PIR) motion sensors and the average time out and average density per hour measures of the density map are sensitive enough to detect changes in mental health over...

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Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing

Published On: 01-01-2011

A state-sponsored evaluation of aging in place (AIP) as an alternative to assisted living and nursing home has been underway in Missouri. Cost, physical, and mental health assessment data reveal the cost-effectiveness and positive health measures of AIP. Findings...

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Indicators of new depression diagnosis in nursing home residents

Published On: 01-01-2011

Depression affects approximately 30% to 40% of nursing home residents but frequently goes unrecognized. Using the Missouri Minimum Data Set, we aimed to determine whether changes in clinical status, other than mood changes, were associated with new depression diagnosis...

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