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

Root Cause Analyses of Transfers of Skilled Nursing Facility Patients to Acute Hospitals: Lessons Learned for Reducing Unnecessary Hospitalizations.

BACKGROUND Performing root cause analyses (RCA) on transfers of skilled nursing facility (SNF) patients to acute hospitals can help identify opportunities for care process improvements and education that may help prevent unnecessary emergency department (ED) visits, hospitalizations, and hospital readmissions. OBJECTIVES To describe the results of structured, retrospective RCAs performed by S...

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 ...

Reducing the incidence of pressure ulcers in nursing home residents: a prospective 6-year evaluation.

Despite numerous clinical efforts and regulatory mandates to reduce occurrence, pressure ulcers (PUs) continue to plague up to one fourth of patients in healthcare facilities. In 2003, staff and administrators of a 151-bed skilled nursing facility in the Midwest started a quality improvement project based on 1992 Agency for Health Care Policy and Research guidelines to reduce the incidence of f...

High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report

Effect of applying the specific situation theory on the quality of life in patients with heart failure

Background & Aim: Self-care education is one of the effective ways to improve the quality of life and health in patients with heart failure. The purpose of this study was to determine the effect of applying the specific situation theory on the quality of life in patients with heart failure. Methods & Materials: In a clinical trial study, 80 patients with class 2 or 3 heart failure, referred to...