Publications

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Evaluating the Strengthening a Palliative Approach in Long Term Care

JAMDA
May 1, 2024
Despite the high mortality rates in LTC, most LTC homes do not have a formalized palliative care program. The objective of this proposed research was to implement and evaluate the Strengthening a Palliative Approach in Long Term Care (SPA-LTC; www...

Differences and Similarities in the 2021 Special Focus Facility Program

JAMDA
May 1, 2024
The Special Focus Facility Program is a resource-intensive quality improvement intervention reserved for the lowest-performing nursing facilities (NFs) in the United States. NFs are eligible for enrollment after three consecutive surveys during...

Determination of Frail Elderly Status in a Home Healthcare Population

JAMDA
May 1, 2024
Introduction: Frailty, a state of physical vulnerability associated with higher rates of hospitalization, intensive care unit use, debility, mortality and total cost of care, has gained attention in recent years, but it is not yet well characterized...

Correlated Prescribing Patterns for Antibiotics and Antipsychotics at Veteran Affairs

JAMDA
May 1, 2024
In nursing homes (NHs), antibiotics and antipsychotics pose risks to resident safety. Previous work in community NHs characterized providers’ prescribing rates for antibiotics and antipsychotics and assessed associations between the two drug classes...

WHOLE Communication: A High Reliability Organization Approach to Post-Acute-Long-Term-Care Education

JAMDA
May 1, 2024
The aim of this project is to reduce patient risk through effective and efficient communication amongst interdisciplinary teams working with Veterans who are in need of Post-Acute-Long-Term Care (PALTC). High Reliability Organization research argues...

Virtual Reality (VR) as an Alternative Treatment in Palliative Care

JAMDA
May 1, 2024
The purpose of this quality improvement project was to determine the impact and viability of multiple virtual reality use-case platforms on overall patient outcomes in the palliative and long-term care setting. Nine areas were assessed utilizing a 1...

The Care Transitions Nurse in a Skilled Nursing Facility

JAMDA
May 1, 2024
Our aim is to improve care transitions for older adults discharging from an acute hospitalization to a skilled nursing facility for sub-acute rehab by creating a role of a Care Transition Nurse to review every admission to our facility. Improvement...

Telehealth Intervention with Emergency Medical Services Personnel for Fall Assessment

JAMDA
May 1, 2024
This quality improvement project was done to reduce unnecessary emergency department (ED) transfers after a fall by providing a telehealth visit between an advanced practice provider (APP) with the onsite Emergency Medical Services (EMS) personnel...

Reducing Pressure Injuries in a High-Risk Long-Term Acute Care Hospital

JAMDA
May 1, 2024
Reduce new Hospital-Acquired Pressure Injuries (HAPI) rate to < 50% of national long-term acute care hospital (LTACH) benchmark by Q2-2021 from spike caused by 2020 pandemic and maintain it for at least 24 months via improvements in our...

Quality Improvement Project to Increase Well-Being for Dementia Residents

JAMDA
May 1, 2024
The aim of this project was to implement a program to reduce the use of antipsychotic drugs and to decrease the number of avoidable transfers to inpatient psychiatric hospitals (IPHs) while enhancing the care of long-term care (LTC) residents with...