Results of the Missouri Quality Initiative: six-year trends of reducing unnecessary hospitalizations

Published On: 01-01-2021

Objectives: The purpose of this article is to present six-year findings of the Missouri Quality Initiative (MOQI) to reduce unnecessary hospitalizations for long-stay nursing home residents. Design: A CMS funded demonstration project analyzed over 6-years using a single group...

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An integrated review of research using clinical decision support to improve advanced directive documentation

Published On: 08-01-2017

The Patient Self-determination Act requires that health care institutions inform patients of their right to make health care preferences known through advance directives. However, actual advance directive documentation remains low. This study’s purpose is to identify and analyze research...

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Nursing Home Care Quality: A Multidimensional Theoretical Model Integrating The Views of Consumers and Providers

Published On: 10-01-1999

This exploratory study was undertaken to discover the defining dimensions of nursing home care quality from the viewpoint of consumers of nursing home care. Eleven focus groups were conducted in five Missouri communities. The seven dimensions of the consumer...

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Nursing Home Care Quality: A Multidimensional Theoretical Model

Published On: 02-01-1998

This exploratory study was undertaken to discover the defining dimensions of nursing home care quality and to propose a conceptual model to guide nursing home quality research and the development of instruments to measure nursing home care quality. Three...

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Assessing quality of nursing home care: The foundation for improving resident outcomes

Published On: 07-01-1996

Efforts to improve the quality of care and outcomes for nursing home residents are constantly of concern to state and federal regulators, nursing home providers, nursing home advocacy groups, and health policy researchers. The article describes a study that...

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Tracking personalized functional health in older adults using geriatric assessments

Published On: 10-20-2020

Background: Higher levels of functional health in older adults leads to higher quality of life and improves the ability to age-in-place. Tracking functional health objectively could help clinicians to make decisions for interventions in case of health deterioration. Even...

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Technology for healthy independent living: creating a tailored in-home sensor system for older adults and family caregivers

Published On: 07-01-2020

Sensing technologies hold enormous potential for early detection of health changes that can dramatically affect the aging experience. In previous work, we developed a health alert system that captures and analyzes in-home sensor data. The purpose of this research...

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A coordinated response to the COVID-19 pandemic in Missouri nursing homes

Published On: 07-01-2020

In the United States, the first case of the novel coronavirus 2019 (COVID-19) was detected in January 2020 in the state of Washington. By February 2020, COVID-19 was linked to 167 confirmed cases of staff and residents within a...

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Human-centered approaches that integrate sensor technology across the lifespan: opportunities and challenges

Published On: 07-04-2020

Children, parents, older adults, and caregivers routinely use sensor technology as a source of health information and health monitoring. The purpose of this paper is to describe three exemplars of research that used a human-centered approach to engage participants...

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Transitions of care: Perspectives of patients living in long-term care

Published On: 07-01-2020

Across studies, the risk of hospital transfer for nursing home residents is highest for people without documented advance directives and for people with chronic health conditions (eg, diabetes and congestive heart failure), mental health conditions (eg, depression), and limited...

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