Publications

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“It’s Worth the Time and Energy”: Nursing Home Provider Perspectives on Implementing a Person-Centered Communication Intervention During a Global Pandemic

JAMDA
March 1, 2021
Person-centered care (PCC) is a philosophy that recognizes “knowing the person” and honoring individual preferences. However, obtaining the knowledge and communicating important preferences across staff is challenging in NHs. The Preferences for...

Improving Transitions of Care After Discharge from Skilled Nursing Facility

JAMDA
March 1, 2021
Use of skilled nursing facilities (SNF) as an intervening step in the transition from hospital to home is increasing among older adults. Evidence suggests that after hospital discharge, patients are at risk of adverse drug events, lost test results...

Improving Access of Advance Directives in a Skilled Nursing Facility

JAMDA
March 1, 2021
Skilled nursing facility (SNF) patients should have good quality Advance Care Planning (ACP) to ensure that their wishes are respected. However, SNF patients often lack advance directives (AD) due to barriers including multiple care transitions and...

Implementation of Basic and Practical Approaches to Reduce Urinary Tract Infections and Related Costs in a Nursing Facility

JAMDA
March 1, 2021
Urinary tract infections (UTIs) are the second most frequent infections in long-term care facilities preceded only by respiratory conditions. The incidence of UTIs in nursing facilities (NFs) is 0.19-2.3 cases per 1000 resident care days making...

Implementation and Evaluation of a Patient Handoff Tool to Improve Nurse to Nurse Communication

JAMDA
March 1, 2021
Poorly conducted handoffs are implicated in 80% of preventable adverse events in healthcare facilities. As a result, The Joint Commission (TJC) (2017) calls on healthcare organizations to implement a standardized, evidence-based communication...

Hypoglycemia Protocol Institution at SNF/LTC Facility

JAMDA
March 1, 2021
The geriatric population is at high risk of severe low blood glucose (LBG) events due to diminished homeostatic mechanisms especially on hypoglycemic medications. Moderate to severe LBG events in these patients can contribute to behavior changes...

Getting to Know Our Patients Through the Lens of Trauma Informed Care

JAMDA
March 1, 2021
It was not mandatory for Skilled Nursing Facilities (SNFs) to screen patients’ past or recent history of trauma until November 28, 2019, when CMS phase 3 required SNFs to participate in the initiation of Trauma-Informed Care (TIC). With the release...

Examining the Effects of Modified Recreational Activities on the Mental Health of Nursing Home Residents During COVID-19

JAMDA
March 1, 2021
Social isolation from COVID-19 has been shown to affect the mental health of all socioeconomic, ethnic, and age groups, one of the most affected populations is long-term care (LTC) residents. This increased separation from their families and society...

Changes in Antibiotic Prescribing Metrics at 3 Nursing Homes Collaborating on Antibiotic Stewardship, Atlanta, GA, 2020

JAMDA
March 1, 2021
Unnecessary use of antibiotics is common in nursing homes (NH) and can contribute to the spread of antibiotic resistance and increased rates of associated adverse events, such as C. difficile infections. As of November 2017, NHs are required to...

Addressing Population Health Care Transitions by Utilizing Swing Bed Post-Acute Care

JAMDA
March 1, 2021
In 2019, over 2500 acute care hospitals were subject to readmission penalties (Nelson, 2019). SGCMH has a swing bed hospital-based program for Transitional Care (skilled nursing). SGCMH has developed an innovative care model, standardized triage...