Publications

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Readmissions? Not with Your Nurse Practitioner in Charge!

JAMDA
March 1, 2019
Deaconess Health System developed a post-acute embedded Nurse Practitioner (NP) program in partnered skilled nursing facilities (SNF) to improve patient transitions and coordination of care. This model has improved patient care, lowered 30-day...

Quality Improvement Project to Enhance Knowledge of Post-Acute Care Interdisciplinary Team of Hospice Services

JAMDA
March 1, 2019
Hospice services provided to residents of post-acute and long-term care (PALTC) facilities are associated with higher resident and family satisfaction and lower health care costs. One barrier to timely hospice enrollment is limited understanding of...

Proof of Concept: Nursing Home Specialist in Action. the Impact of Full-time Physician Services in Post-Acute Care

JAMDA
March 1, 2019
Post-Acute Care skilled nursing facilities have become a key component to improving quality of care and reducing health care costs nationwide. Several models have been considered to address the complex care and expense that post-acute care...

Palliative Care Services in a Nursing Home Setting-Influence on Care Preferences

JAMDA
March 1, 2019
Preventing hospital readmissions while meeting patients’ needs is one of the top priorities of subacute facilities. Our experience suggests that for many older patients with multiple comorbidities, the hospital stay adds little to their well-being...

Music & Art in Medicine (MAM): the Effectiveness of MAM Events on the Interest and Perception of Geriatrics and Nursing Homes by Medical Students (MSs)

JAMDA
March 1, 2019
MAM is a MS interest group that provides community service music and art performances. PALTC events are coordinated by the activities director. Music and Art QI projects have revealed a positive response in depression, pain, and cognition. A new QI...

Interprofessional Collaboration Improves Antibiotic Stewardship

JAMDA
March 1, 2019
The challenge to improve effective and safe use of antibiotics in PALTC settings is a national focus of great importance. Goals are to reduce the emergence of multi-drug–resistant organisms, AADE, and unnecessary cost. The Centers for Disease...

Improving Experience of Sleep in the Community Living Center by Implementing Non-pharmacologic Interventions

JAMDA
March 1, 2019
Many older residents are prescribed psychoactive medications to improve sleep quality. These include antipsychotics, anxiolytics, and hypnotics. These medications are often prescribed in together and with narcotics. This practice places older adults...

Improving Deep Tissue Pressure Injury (DTPI) Outcomes: A 2.5 Year-long Quality Improvement Project

JAMDA
March 1, 2019
Long-term care facility (LTCF) residents with multiple co-morbidities, debility and cognitive loss are at higher risk of developing deep tissue pressure injury (DTPI). There is limited research supporting the treatment options for DTPIs, but...

Improving Antibiotic Stewardship Program's Educational Materials in the Long-Term Care Setting

JAMDA
March 1, 2019
In November 2017, the Center for Medicare and Medicaid Services (CMS) mandated the implementation of Antibiotic Stewardship Programs (ASP) within Long-Term Care (LTC) facilities in the United States. A core element of this initiative is to provide...

Implementation of Interdisciplinary Wound Care Rounds in a Skilled Nursing Facility

JAMDA
March 1, 2019
There is scant literature regarding interdisciplinary teams providing wound care in long-term care. Our long-term care facility did not have a consistent process for evaluation and treatment of wounds by nursing and physician teams.