Articles

Objectives: From the view of everyday practices and the socio-technical coordination lens, we analyzed the gap between creators’ intention and the users’ implementation (mainly nursing staff and social workers) of an alert system in assisted living communities. Methods: Qualitative...

Advanced practice registered nurses help reduce hospitalizations from nursing home residents MU study examines effectiveness of $35 million program designed to improve quality of care in nursing homes. Marilyn Rantz still remembers the day she got the call that...

Medicare should scrap billing restrictions for direct care services provided by advanced practice nurses in nursing homes, say researchers from the University of Missouri’s Sinclair School of Nursing, citing results of a long-term study. Investigators followed a six-year quality...

Advance care planning involves a meaningful conversation about residents’ end of life goals with the health-care team and documenting these wishes in advance directives; however, these conversations are not taking place early enough or with strategies that allow nursing...

Recently, there have been numerous policy and program responses to reducing potentially avoidable hospitalizations from skilled nursing facilities (SNFs). It is estimated that approximately 25% of resident discharges to SNFs are readmitted within 30 days of discharge. Medicare spends...

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...

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...

Texting is ubiquitous with a text frequency of 145 billion/day worldwide. This paper provides partial results of the national demonstration project called the Missouri Quality Improvement Initiative (MOQI). MOQI goals were to reduce avoidable hospitalizations using APRNs to infuse...

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...

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...