Advance directives in the nursing home setting: an initiative to increase completion and reduce potentially avoidable hospitalizations

Published On: 01-01-2021

Advance directive (AD) completion can improve transitions between hospitals and skilled nursing facilities (SNF’s). One Centers for Medicare and Medicaid Services (CMS) Innovations Demonstration Project, The Missouri Quality Initiative (MOQI), focused on improving AD documentation and use in sixteen...

Read More

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...

Read More

Entrepreneurial program of research and service to improve nursing home care

Published On: 12-01-2006

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...

Read More

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...

Read More

Impact of nurse practitioners on health outcomes of Medicare and Medicaid patients

Published On: 11-01-2014

Strengthening healthcare overall is essential to the health of our nation and promoting access to healthcare as well as controlling healthcare costs in a quality cost-effective manner. Nurse practitioners have demonstrated in prior research to be effective and cost-effective...

Read More

Analysis of advance directive documentation to support palliative care activities in nursing homes

Published On: 11-20-2016

As part of an intervention to improve health care in nursing homes with the goal of reducing potentially avoidable hospital admissions, 1,877 resident records were reviewed for advance directive (AD) documentation. At the initial phases of the intervention, 50...

Read More

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...

Read More

Better care, better quality: reducing avoidable hospitalizations of nursing home residents

Published On: 10-01-2015

The MOQI Intervention Model illustrates the key components of the intervention. An APRN guides the intervention delivering care to the residents and training the facility staff to improve their skills. An MOQI intervention team assists with medical care, care...

Read More

Randomized clinical trial of a quality improvement intervention in nursing homes

Published On: 08-01-2001

Purpose: The purpose of the study was to determine if simply providing nursing facilities with comparative quality performance information and education about quality improvement would improve clinical practices and subsequently improve resident outcomes, or if a stronger intervention, expert clinical...

Read More

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....

Read More