Long-term care

Innovations

Cooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays 07/04/08

Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.

Voluntary Osteoporosis Educational Modules for Nursing Home Physicians and Staff Do Not Reduce Falls or Fractures Among Residents 07/01/08

Due to the high prevalence of osteoporosis in nursing homes, researchers from the Duke University Center for Aging and Human Development and four other organizations developed and tested a program for fracture and fall prevention for nursing home residents based on established clinical practice guidelines for osteoporosis.

Prevention and Treatment Program Integrates Actionable Reports Into Practice, Significantly Reducing Pressure Ulcers in Nursing Home Residents 06/27/08

The On-Time Pressure Ulcer Prevention and Treatment program uses standardized documentation data elements and actionable clinical reports that are integrated into practice at nursing homes, leading to a significant reduction in pressure ulcer rates.

Community-Based Volunteer Program Postpones or Avoids Nursing Home Admissions Among Neighborhood Seniors, Saving Millions of Dollars 06/14/08

The Payne-Phalen Living at Home/Block Nurse Program is a community-based program that provides medical and social services to neighborhood seniors, enabling them to live at home rather than in a nursing home.

Weekly Group Storytelling Enhances Verbal Skills, Encourages Positive Behavior Change, and Reduces Confusion in Patients With Alzheimer's Disease and Related Dementia 06/09/08

The Timeslips program uses group storytelling to enhance the lives of people with Alzheimer's disease and related dementia.

Hospital-Based Program Proactively Identifies, Addresses Delirium Risk Factors in Elderly, Leading to Less Cognitive/Functional Decline and Lower Nursing Home Costs 04/22/08

The Hospital Elder Life Program screens all patients aged 70 years and older at admission for the presence of six risk factors for delirium, and then implements targeted interventions to reduce these risks, leading to less cognitive and functional decline and lower costs.

Creation of Households Program in Nursing Home Improves Residents' Health Status, Reduces Staff Turnover, and Boosts Demand for Services 04/09/08

Meadowlark Hills, a retirement community, renovated one of its facilities so residents can live together in group households and become more independent. This led to improved residents' health and a sharp decrease in staff turnover.

Nursing Home "Neighborhoods" Emphasize Dignity and Independence, Leading to Improvements in Resident Health and Quality of Life and Lower Employee Turnover 03/17/08

Providence Mount St. Vincent (known as “The Mount”) developed and implemented a new model for nursing home care in which most residents live in a “neighborhood” of 20 to 23 residents; neighborhoods contain a cluster of private and semiprivate rooms and a large kitchen/dining area that serves as the central gathering spot for meals and activities. The Mount's approach also focuses on giving residents more independence, autonomy, and dignity than in a traditional nursing home, leading to a greater sense of community and a higher quality of life for residents, as well as a better work environment for employees.

Pediatric Center Offers Coordinated, Culturally Appropriate Services, Increasing Access to Comprehensive Care for Low-Income Children With Special Health Care Needs 03/07/08

A pediatric center provides comprehensive, coordinated services within a primary care medical home for low-income and immigrant children with special health care needs.

Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home 03/05/08

Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers' ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.

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