Publications

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Evaluating the Impact of Coaching on Burnout in Long-term Care

JAMDA
May 1, 2023
Our aim was to implement a well-studied coaching program for nurse practitioners working in long-term care facilities with the goal of reducing burnout and improving the well-being of these providers. Self-reported psychological metrics were used to...

Enhancing Communication Processes to Decrease Readmissions in Post-Acute Care

JAMDA
May 1, 2023
We aim to understand the causes of and decrease the rates of readmission in the skilled nursing facility (SNF) by implementing new communication channels with nursing and administration directly while preserving patient confidentiality, safety, and...

Designing a New Behavioral Reporting Tool for Long-Term-Care-Residents with Dementia

JAMDA
May 1, 2023
We aimed to develop a new behavioral reporting tool for long-term care (LTC) residents that allows for establishing a behavioral baseline, longitudinal assessment of residents with behaviors, and assessing behavioral outcomes after interventions.

Deprescribing Supplements in Nursing Home Residents: Decreased Polypharmacy and Cost

JAMDA
May 1, 2023
The objective is to determine the impact of a medication optimization program aimed at deprescribing supplements in nursing home residents. Expected outcomes include decreased pill burden, decreased cost, and decreased nursing medication...

Deprescribing Proton Pump Inhibitors: A Quality Improvement Initiative

JAMDA
May 1, 2023
The objective of this study is to identify the baseline rate of prescribed proton pump inhibitors (PPIs) among long-term care (LTC) residents and to safely stop or reduce the dosage of prescribed PPIs in residents without evidenced-based indication...

Deprescribing Initiative Fostering Enhanced Quality of Life in Post-acute

JAMDA
May 1, 2023
The aim is to reduce the burden of polypharmacy for post-acute residents through collaboration with our consultant pharmacy and interdisciplinary team by targeting identified drug classes. The goal is to ascertain a 50% acceptance rate of the...

Combinatorial Pharmacogenomic Testing a First Step to Reducing Polypharmacy

JAMDA
May 1, 2023
The aim of this quality improvement is to utilize a combinatorial pharmacogenomic (PGx) test to identify residents with actionable gene-drug interactions, gaps in provider knowledge about PGx testing, and best practices for implementing PGx testing...

A Palliative and Supportive Care Program: Nurse Practitioner Survey Responses

JAMDA
May 1, 2023
The aim of this project is to evaluate the impact of a palliative and supportive care program by administering a survey to nurse practitioners who participated in the program.

A Multidisciplinary Approach to Antibiotic Stewardship in Long-Term Care

JAMDA
May 1, 2023
The aim of this quality improvement project was to implement and evaluate the effectiveness of the Loeb Minimum Criteria within a long-term care (LTC) unit with the goals of decreasing unnecessary testing for urinary tract infections (UTIs) and...

A Fellow-Led Quality Improvement Initiative for Standardized Deprescribing in LTC

JAMDA
May 1, 2023
We will evaluate the burden of polypharmacy in long-term care residents, and we anticipate offering valuable recommendations on deprescribing medications for long-term care residents by utilizing a standardized STOPP/START criteria.