Publications

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Ultrasound at an Assisted Living Facility Reduces Emergency Room Visits

JAMDA
May 1, 2023
The aim is to decrease emergency room visits and possible hospitalization for residents in our assisted living facility (ALF) who have a moderate Well’s Criteria score for DVT (deep venous thrombosis), thereby also reducing resident health burden...

The Tailored Adoption of a National Clinical Antimicrobial Stewardship Program

JAMDA
May 1, 2023
To rapidly adopt a tailored antimicrobial stewardship program (ASP) using evidence-based tools and workflow processes to reduce unnecessary antibiotic prescriptions by 5% in a comprehensive skilled nursing facility (SNF) by the end of August 2022.

The PALTC-Hospice Interface: A Post-COVID-19 Staff Capacity Building Educational Model

JAMDA
May 1, 2023
Participants will be able to: understand, apply, and reinforce each other’s general PALTC and hospice information and admission/discharge order referral templates with an aim of improving the hospice/PALTC interface.

Telemedicine Coverage Impacts Hospital Transfers in High Acuity Nursing Home

JAMDA
May 1, 2023
Providing direct clinical provider encounters during off hours via telemedicine with the goal of reducing hospital transfers by 15%.

Reduction of Non-Beneficial Life-Sustaining Treatments in a Nursing Home

JAMDA
May 1, 2023
Decrease number of non-beneficial medical treatments (NBT) for nursing home (NH) residents with advanced life-limiting illnesses and also enrollment in palliative care by 30% over a 12-month period via an interdisciplinary team (IDT) approach to...

Reduction in Hospitalization, A Formidable Goal!

JAMDA
May 1, 2023
Hospital readmission of nursing home patients continues to pose a safety and quality of life as well as a cost issue. The purpose of this initiative is to promote evidence-based strategies in reducing avoidable hospitalizations.

Post-SNF Follow-Up Calls and Appointments Trend Toward Decreased Readmissions

JAMDA
May 1, 2023
To assess whether scheduled and attended follow-up appointments and follow-up phone calls after skilled nursing facility (SNF) discharge decrease 30-day readmissions post-SNF discharge, and subsequently improve patient outcomes and help decrease the...

Palliative Care Clinical Activation Report to Identify Palliative Needs

JAMDA
May 1, 2023
To review the use of a Palliative Care Clinical Activation Report (PCAR©) to identify high-risk patients for a palliative care program.

Optimizing Osteoporosis Intervention After Fragility Fracture in Post-Acute Long-Term Care

JAMDA
May 1, 2023
To provide education to patients, family, and subacute rehabilitation providers, initiating interventions, and to assist with transition to community healthcare providers for further care. This is especially paramount given current aging population...

Medication-Reconciliation Quality Improvement With a Reverse Hand-Off at a Nursing-Home

JAMDA
May 1, 2023
By the end of November 2022, we will increase the rate of reverse hand-offs performed by accepting providers at the skilled nursing facility by 50% as a process measure.