Implementation of a Heart Failure Quality Initiative in a Skilled Nursing Facility: Lessons Learned

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Implementation of a heart failure quality initiative in a skilled nursing facility: lessons learned.

Skilled nursing facilities (SNFs) are organizations that represent complex adaptive systems, offering barriers to the implementation of quality improvement (QI) initiatives. The current article describes the authors' efforts to use the approach of reflective adaptive process to implement a new model of care (i.e., the Skilled Heart Unit Program) for effective heart failure (HF) care in one SNF....

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Skilled Nursing Facility Use and Hospitalizations in Heart Failure: A Community Linkage Study.

OBJECTIVES To examine the effect of skilled nursing facility (SNF) use on hospitalizations in patients with heart failure (HF) and to examine predictors of hospitalization in patients with HF admitted to a SNF. PATIENTS AND METHODS Olmsted County, Minnesota, residents with first-ever HF from January 1, 2000, through December 31, 2010, were identified, and clinical data were linked to SNF util...

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Heart Failure Management in Skilled Nursing Facilities

CORRINE Y. JURGENS, PhD, RN, FAHA, CHAIR, SARAH GOODLIN, MD, CO-CHAIR, MARY DOLANSKY, PhD, RN, CO-CHAIR, ALI AHMED, MD, MPH, FAHA, GREGG C. FONAROW, MD, FAHA, REBECCA BOXER, MD, ROSS ARENA, PhD, PT, FAHA, LENORE BLANK, NP, HARLEAH G. BUCK, PhD, RN, CHPN, KERRY CRANMER, MD, JEROME L. FLEG, MD, FAHA, RACHEL J. LAMPERT, MD, TERRY A. LENNIE, PhD, RN, FAHA, JOANN LINDENFELD, MD, FAHA, ILEANA L. PI~ ...

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Approaches to quality improvement in nursing homes: Lessons learned from the six-state pilot of CMS's Nursing Home Quality Initiative

BACKGROUND In November 2002, the Centers for Medicare & Medicaid Services (CMS) launched a Nursing Home Quality Initiative that included publicly reporting a set of Quality Measures for all nursing homes in the country, and providing quality improvement assistance to nursing homes nationwide. A pilot of this initiative occurred in six states for six months prior to the launch. METHODS Review ...

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Impact of medication aide use on skilled nursing facility quality.

PURPOSE OF THE STUDY A number of states have begun to allow skilled nursing facilities to employ medication aides, who have less formal education than registered nurses (RNs) or licensed practical nurses (LPNs), to administer medications. If this results in fewer RNs or LPNs, quality degradation may occur. We evaluated the effect of regulations allowing for medication aides on subsequent medica...

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ژورنال

عنوان ژورنال: Journal of Gerontological Nursing

سال: 2015

ISSN: 0098-9134,1938-243X

DOI: 10.3928/00989134-20141216-01