Publications

Members only publications are marked with a lock icon:
Filter By

Variations in the High Impact Change Model for Managing Transfers of Care in England and Their Association With Delayed Discharges

JAMDA
March 1, 2020
Integrated care has been proposed as a solution for caring for an aging population with limited health- and social-care resources. Many of these policies have tried to reduce delayed discharges, including the High Impact Change Model (HICM). This...

Variation in Measures of Antimicrobial Use Across 4 Nursing Homes in Atlanta, GA, 2019

JAMDA
March 1, 2020
Although antibiotic stewardship programs (ASPs) are now required in nursing homes (NHs), assimilating and responding to data to improve prescribing in nursing homes is novel. Four Atlanta-based skilled nursing facilities (SNFs) began collaborating (...

Utility of Electrocardiograms in a Post-Acute and Long-Term Care Center

JAMDA
March 1, 2020
Electrocardiograms (EKGs) are a well-known diagnostic medical tool. At Post-Acute and Long-Term Care Centers (PALTCs), residents get EKGs ordered for many urgent and non-urgent clinical indications. There are no studies so far to demonstrate EKG...

The Relationship of Nursing Home Medicaid Census to Nurses’ Assessments of Care Quality and Work Environment

JAMDA
March 1, 2020
Medicaid is the largest payer of nursing home (NH) care in the U.S., yet there are long-standing concerns that Medicaid payments are insufficient to cover actual costs of care and contribute to poor care quality. Prior work has shown that low...

The Relationship Between State-Level In-Service Dementia Care Training Requirements and Nursing Home Deficiencies of Care for Inappropriate Psychotropic Medication Use

JAMDA
March 1, 2020
Psychotropic medications are often prescribed to manage behavioral and psychological symptoms of dementia (BPSD) in nursing home (NH) residents, although these medications may lack efficacy for BPSD and can have adverse effects. NHs can receive a...

What’s For Dinner? Nutrition in the Extended Living Facility: Expection vs Reality

JAMDA
March 1, 2020
Nutrition plays a vital role in the older adult, as weight in older adults is used as a marker of health and wellness. Individualization of meals is very limited; therefore, it is essential to offer a well-balanced diet options. In this regard, the...

Practice-Based Perspectives on Good Care for Nursing Home Residents With Korsakoff Syndrome: A Qualitative Study

JAMDA
March 1, 2020
In the Netherlands, people with severe forms of Korsakoff syndrome (KS), a neuropsychiatric disorder with a specific profile of neurocognitive dysfunctioning (in particular, frontal impairments), are generally admitted to a specialized nursing home...

Medication Errors Upon Hospital Discharge to Skilled Nursing Facility

JAMDA
March 1, 2020
Discharge documents are the main means of communication between healthcare settings, and their transmission from hospital to skilled nursing facility (SNF) is essential to assure high-quality care transitions, provide optimal patient care, and...

Leveraging Patient Partners to Disseminate a Long-Term Support Services (LTSS) Planning Tool, PlanYourLifespan.org.

JAMDA
March 1, 2020
Many older adults do not plan for their LTSS needs. When older adults experience a health crisis (e.g. hospitalization, worsening dementia), family members must often react to the crisis. With PCORI funding, we developed PlanYourLifespan.org (PYL...

Hospitalization for Pneumonia Carries High Risk of Severe Disability and Death for Nursing Home Residents

JAMDA
March 1, 2020
Pneumonia is the most common cause of hospitalization for nursing home residents. When deciding whether to treat a resident in the nursing home or transfer to a hospital, it is important to consider risks of hospitalization, including significant...