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

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

Successfully reducing hospitalizations of nursing home residents: results of the Missouri Quality Initiative

Published On: 11-01-2017

Purpose: The goals of the Missouri Quality Initiative (MOQI) for long-stay nursing home residents were to reduce the frequency of avoidable hospital admissions and readmissions, improve resident health outcomes, improve the process of transitioning between inpatient hospitals and nursing...

Read More

The continued success of registered nurse care coordination in a state evaluation of Aging in Place in senior housing

Published On: 11-01-2014

Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of Aging in Place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc., developed...

Read More

Exploring health information exchange implementation using qualitative assessments of nursing home leaders

Published On: 09-01-2016

Objectives: Limited research exists on nursing home information technologies, such as health information exchange (HIE) systems. Capturing the experiences of early HIE adopters provides vital information about how these systems are used. In this study, we conduct a secondary...

Read More

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...

Read More

Call to action: APRNs in US nursing homes to improve care and reduce costs

Published On: 09-01-2017

Background: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. Purpose: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). Method: MOQI APRN...

Read More

Metrics from in-home sensor data to assess the effect of clinical therapies

Published On: 09-01-2017

A set of metrics and a methodology were developed to characterize a subject’s ability to ambulate. These metrics use the movement of the subject’s centroid as detected by an inexpensive depth camera system. The centroid is chosen as it...

Read More

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...

Read More

Assessment of fall characteristics from depth sensor videos

Published On: 07-01-2017

Falls are a major source of death and disability in older adults; little data, however, are available about the etiology of falls in community-dwelling older adults. Sensor systems installed in independent and assisted living residences of 105 older adults...

Read More