Introduction The financial constraints and the shift of care from the hospital to the homecare setting challenges home nursing to provide care to sicker patients than in the past, to perform more intensive and technically complex nursing activities at home, and to think about a more efficient and effective use of the current home nursing staff. A mixed-method analysis was performed to understan...

A study in Derbyshire showed that there are wide variations in the populations served by individual home nurses. These variations are difficult to reduce. To assess the quantity and quality of home nursing that is provided more sophisticated formulae than the nurse/population ratio are necessary. For these data derived from output of work are inadequate; studies of need are required in each loc...

Marginalization of physicians in the nursing home threatens the overall care of increasingly frail nursing home residents who have medically complex illnesses. The authors propose that creating a nursing home medicine specialty, which recognizes the nursing home as a unique practice site, would go a long way toward remedying existing problems with care in skilled nursing facilities and would be...

KEY FINDINGS Data from the National Nursing Home Survey, 2004. In 2004, 8 percent of U.S. nursing home residents had an emergency department (ED) visit in the past 90 days. Among nursing home residents with an ED visit in the past 90 days, 40 percent had a potentially preventable ED visit. Injuries from falls were the most common conditions accounting for potentially preventable ED visits by nu...

PURPOSE OF THE STUDY To compare acute care outcomes and costs among nursing home residents with community-dwelling home health recipients. DESIGN AND METHODS A matched retrospective cohort study of Alabamians aged more than or equal to 65 years admitted to a nursing home or home health between March 31, 2007 and December 31, 2008 (N = 1,291 pairs). Medicare claims were compared up to one year...

OBJECTIVE to evaluate the prevalence of nasal colonization with Staphylococcus aureus (SA) in active, independent community seniors and old people in a nursing home. DESIGN cross-sectional brief questionnaire and screening culture of anterior nares specimens from 165 elders at a community centre and cross-sectional data from a recent survey in a nursing home. RESULTS the prevalence of SA co...

linked Medicaid nursing home rates with minimum federal and state quality of care standards. As part of the Omnibus Reconciliation Act of 1980, the “Boren amendment” required that Medicaid nursing home rates be “reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care and services in conformity with applicable ...