Publications

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Improving Care of Patients Undergoing Palliative Sedation at an Urban Inpatient Hospice Center

JAMDA
March 1, 2016
Palliative sedation is defined by the AAPHM as “the intentional lowering of awareness towards, and including, unconsciousness for patients with severe and refractory symptoms”; this is generally performed after other methods to control these...

Improved Hand Hygiene Compliance Reduced the Incidence of Common Multi Drug Resistant Organisms in a Nursing Facility

JAMDA
March 1, 2016
Rates of healthcare- associated MDROs are increasing worldwide with US hospitals accounting for approximately 1.7 million infections and > 98,000 deaths each year. Healthcare- associated infections (HAI's) are also a major cause of...

Implementation of a Spiritual Wellbeing Guideline Among Assisted Living (AL) Residents

JAMDA
March 1, 2016
The Goodman Group defines resident wellbeing as encompassing mind, body, and spirit. Spirituality, defined as the affective approach that seeks to give meaning to life, has been found to be associated with physical and mental health and an important...

Implementation and Efficacy of Personalized Music Therapy in an Assisted Living Center

JAMDA
March 1, 2016
Behavioral and psychological symptoms of dementia (BPSD) are common in patients with dementia who are admitted to assisted living facilities. These symptoms place a large burden on the staff and care providers of such patients to ameliorate such...

Impact of a Monthly Physician Report Card on the Rate of Urine Culture Utilization in a Community Nursing Facility

JAMDA
March 1, 2016
The most common infection in the nursing facility (NF) setting is suspected urinary tract infection. Up to 50% of NF residents have asymptomatic bacteriuria (ASB). Treatment of ASB is unnecessary and increases the risk of adverse drug events, C...

Home Based Transitional Care: The Tampa VA Patient Centered Solution to Prevent Readmissions of the Frail Elderly

JAMDA
March 1, 2016
Readmission following discharge is a concern for hospitals, payers, and veterans. Programs targeting single diseases for readmission reduction may miss opportunities to address the complex relationships between multiple domains of care.

High Presence Model in Post-Acute Care: Combating Rehospitalizations Through SNF Specific Care Programs

JAMDA
March 1, 2016
In 2013, 10% of Medicare total program outlays went to spending on post-acute care, a large portion of which can be attributed to Skilled Nursing Facilities (SNFs). These expenditures are partially due to high length-of-stays (LoS), an issue many...

Enhanced Care Program for Transitional Care to Home Upon Acute Care or SNF Discharge: A Quality Improvement Study

JAMDA
March 1, 2016
A care transition represents a vulnerable time for older adults, especially those experiencing cognitive or functional impairment, low health care literacy, multiple chronic conditions, or lack of caregiver support. Integrated and home-based...

Encouraging the Appropriate Use of Proton Pump Inhibitors (PPIs) in Long-Term Care Through a Quality Improvement (QI) Project

JAMDA
March 1, 2016
PPI use has increased over the years. Once begun, PPIs tend to be used for long periods without clear therapeutic intent. PPIs are generally safe but long term use is linked to nutritional deficiencies, infections, fractures and more. It is hence...

Decreasing Readmissions Through Transitional Care from Skilled Nursing Facilities to Home

JAMDA
March 1, 2016
Hospitals and skilled nursing facilities (SNF) face growing financial pressure to decrease readmission rates. Transitional care has proven effective for patients with chronic conditions across healthcare settings, typically from the hospital to home...