Involvement of Advanced Practice Nurse in the management of geriatric conditions: examples from different countries

The increasing demand for healthcare services is placing great strain on healthcare systems throughout the world. Although the older population is increasing worldwide, there is a marked deficit in the number of persons trained in geriatrics. It is now...

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The MDS Mortality Risk Index: The evolution of a method for predicting 6-month mortality in nursing home residents

Accurate prognosis is vital to the initiation of advance care planning particularly in a vulnerable, at risk population such as care home residents. The aim of this paper is to report on the revision and simplification of the MDS...

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A profile of residents admitted to long-term care facilities for end-of-life care

Permanent placement in a Long-Term-Care (LTC) facility following hospitalization or when staying at home is no longer a viable option is the reality for a growing number of Americans. When death is imminent, the specialized knowledge and skill of...

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

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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Entrepreneurial program of research and service to improve nursing home care

This is a methodological article intended to demonstrate the integration of multiple goals, multiple projects with diverse foci, and multiple funding sources to develop an entrepreneurial program of research and service to directly affect and improve the quality of...

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

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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Aging in Place: Critical for Seniors to Remain Independent

EXPERT AVAILABLE: Aging in Place Critical for Seniors to Remain Independent MU Professor Marilyn Rantz credits advanced nurses, technology and coordinated care as means for improving patient care and lowering health care costs COLUMBIA, Mo. – Quality of care...

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High-quality nursing home care is more cost effective than low-quality care

Two studies of Missouri nursing homes – a random sample of facilities and a larger, statewide analysis – suggest that high-quality LTC actually costs less than poor-quality LTC. The researchers found that larger nursing homes, in particular, can realize...

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

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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