Avoiding nursing home to hospital transfers: rethinking avoidability

Published On: 05-01-2019

Studies describing avoidable hospital transfers for nursing home (NH) residents sug-gest rates vary between 30% and 70%, often citing poor communication, limited resources, patient/family preference, and adverse events as underlying causes.1-3Adverse events, defined as harm resulting from the delivery...

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Advanced practice registered nurses’ quality improvement efforts to reduce antipsychotic use in nursing homes

Published On: 01-01-2019

In 2011, the Office of Inspector General (OIG) of the Department of Health and Human Services released the report Medicare Atypical Antipsychotics Drug Claims for Elderly Nursing Homes Residents. This report was prompted by a legislator’s concern about the...

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An Interdisciplinary Approach to Promote Older Adult Health

Published On: 11-12-18

An Interdisciplinary Approach to Promote Older Adult Health Over twenty years ago, the University of Missouri formed a broad interdisciplinary team to revolutionize older adult care. Over the years, this team consisted of engineering, nursing, and social work researchers,...

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Impact of Survey Readiness Training on Nursing Home Quality of Care

Published On: 11-01-2018

Due to their role overseeing administrative, operational, and clinical services in nursing homes (NHs), licensed nursing home administrators (LNHAs) are responsible for quality of care and correcting deficiencies identified during the annual certification and survey process. State regulations vary...

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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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Impact of advanced practice registered nurses on quality measures: The Missouri Quality Initiative experience

Published On: 06-01-2018

Purpose: The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was...

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

Published On: 01-30-2018

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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APRN-conducted medication reviews for long-stay nursing home residents

Published On: 01-01-2018

Objective: As part of the Missouri Quality Initiative (MOQI) to reduce hospitalizations for long-stay nursing home residents, this article describes reasons MOQI advanced practice registered nurses (APRNs) recommended medication order changes as part of their medication review process as...

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Reducing avoidable hospitalizations and improving quality in nursing homes with APRNs and interdisciplinary support: lessons learned

Published On: 01-01-2018

Reduction in avoidable hospitalizations of nursing home residents is a major concern to health care providers as well as payers. Not only are hospitalizations costly but also hospitalized nursing home residents experience functional and physical decline as a result...

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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...

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