Publications

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Front-line Nursing Home Staff Provide Insight on Advance Care Planning in a Crisis

JAMDA
March 1, 2022
The dynamic changes stemming from the COVID-19 pandemic brought instability in advance care planning (ACP). ACP includes eliciting and documenting goals, values, and preferences for medical treatments, and requires considerable skill and resources...

Flu Vaccine Hesitancy Among Staff and Residents in Skilled Nursing Facilities

JAMDA
March 1, 2022
Influenza (flu) vaccination of both residents and staff is a critical component of infection prevention in skilled nursing facilities (SNF). Our study explored some of the reasons individuals decline flu vaccinations and the broad range of ways that...

Coronavirus Disease of 2019 (COVID-19) Outbreak Investigation Findings from an Urban Skilled Nursing Facility

JAMDA
March 1, 2022
The current COVID-19 pandemic has disproportionately affected nursing home (NH) residents. While vaccination has offered protection against severe disease, sporadic outbreaks continue to occur in skilled nursing facilities (SNF). We present NH...

Comparison of Preparation Times and Cost for Compounded, Outsourced and Premixed Vancomycin Products in a Long-Term Care Pharmacy

JAMDA
March 1, 2022
Multiple drug resistant organism (MDRO) infections are increasingly being treated in post-acute long-term care (PA-LTC) settings, due to high costs associated with treating MDRO in the hospital. While MDRO therapies are increasingly given in PA-LTC...

Advanced Practice Provider Perceptions of Barriers and Opportunities for Conducting Telehealth Encounters in the PALTC Setting

JAMDA
March 1, 2022
Prior to the Public Health Emergency of 2020/2021, telemedicine services were limited to specific geographic areas in the U.S. that were designated as Healthcare Resource Shortage Areas (HRSA). On January 31, 2020, HHS declared a public health...

Why Not Home? Identifying Areas of Opportunity for Reducing Skilled Nursing Facility Utilization

JAMDA
March 1, 2022
Skilled nursing facilities (SNFs) are vital to a patient’s post-acute care journey; but for some, getting care in the home may be more desirable and may result in better outcomes. In 2018, Massachusetts had the 6th highest SNF stays per 1000...

What Gets Measured Matters: Introducing a Culture Change Tracking Tool to Capture Person-Centered Care and Quality of Life Progress for QAPI Initiatives

JAMDA
March 1, 2022
Altarum’s Center for Eldercare Improvement has developed a tool to track progress within a 3-year comprehensive culture change training and implementation initiative in 6 Michigan nursing homes. The Systems Change Tracking Tool https://altarum.org/...

Skin Tear Management: Collaborative Physician-Nurse Education Project

JAMDA
March 1, 2022
Skin tears are common in older adults and often neglected in physician and nursing education. We wanted to create and implement a common educational program for physicians and nurses on skin tears. Having 2 parallel systems of education programing...

Red Napkin Program (RNP) : A Nutrition Intervention for High-Risk Residents in Skilled Nursing Facility

JAMDA
March 1, 2022
Unintentional weight loss, which can lead to increased morbidity and mortality, is a prevalent problem among residents of long-term care facilities. Since the start of the COVID-19 pandemic, unintentional weight loss has been a persistent problem in...

Nursing Administrative Support Role Proves Reduction in Nursing Overtime and Staff Turnover

JAMDA
March 1, 2022
In the wake of the COVID-19 pandemic skilled nursing facilities (SNFs) and long-term care (LTC) facilities have been faced with a critical shortage of nursing staff while caring for an increasingly complex patient population. Due to these shortages...