The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care.
Consistent assignment refers to the same caregivers consistently caring for the same residents almost every time caregivers are on duty. This article examines the association of consistent assignment of nurse aides with turnover and absenteeism.
Vulnerable older adults enrolled in plans that use nurse care managers receive, on average, 69% of recommended care for geriatric conditions, compared with 53% for elders in plans without nurse care managers.
This descriptive study of nursing home characteristics found that facilities targeted by a CMS improvement initiative typically have fewer nurses and nurse aides and higher rates of quality of care citations.
Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments
To adapt the Assessing Care of Vulnerable Elders project nursing home (NH) specific quality indicators (QIs), for use with routinely collected data, and to evaluate which clinical conditions and types of care were inadequately measured using these data sources.
This study found that a high percentage of nursing home residents hospitalized for hip fracture and stroke (80% and 64% respectively) used Medicare-paid skilled nursing facilities, yet had outcomes similar to those who did not use such care.