Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Nurse-Managed Facility in Home-Like Setting Helps Residents With Dementia Maintain Function, Avoid Falls and Disruptive Behaviors
Liberty Country Living, a long-term care facility for people with dementia, offered nurse-managed care in a home-like setting, with a focus on supporting residents' capabilities. The facility had a high ratio of staff to residents and promoted social interaction, ambulation, and continence. The program helped residents stay ambulatory, maintain continence, avoid weight loss, avoid falls and disruptive behaviors, and reduce psychotropic medication use. After 5 years of operation, Liberty closed abruptly due to changes in State regulations.
Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
Multipronged Strategy Reduces Use of Seclusion and Restraints to Manage Aggression at Inpatient Behavioral Health Facility
An ongoing evaluation suggests that a multipronged strategy to reduce use of seclusion and restraints to manage episodes of aggression in behavioral health patients has reduced seclusion and restraint use, patient and staff injuries, "code green" calls (calls for staff assistance), and workers' compensation claims.
Online Communities Foster Data-Sharing, Communication, and Learning Among Patients With Neurologic and Other Chronic Diseases
Web-based communities allow patients with a variety of life-changing illnesses to record functional outcomes, share these data securely with clinicians and caregivers, and communicate with similar patients for support and learning.
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Improving Patient Safety in Long-Term Care Facilities: Training Modules
The Improving Patient Safety in Long-Term Care Facilities: Training Modules materials are intended for use in training frontline personnel in nursing homes and other long-term care facilities.
Nursing Home Survey on Patient Safety Culture
This set of surveys and tools helps nursing home providers and staff assess patient safety in their nursing home.
On-Time Quality Improvement for Long-Term Care Tool Set
The On-Time Quality Improvement for Long-Term Care program is designed to improve day-to-day practice in nursing homes, improve and redesign workflow, enrich work culture, and reduce pressure ulcers.
On-Time Quality Improvement Manual for Long-Term Care Facilities
The On-Time Quality Improvement program is a practical approach to quality improvement (QI) in long-term care, embedding QI strategies and best practices into health information technology. This manual is an introduction to the On-Time QI approach.
Pressure Ulcer Clinical Tools & Resources
This site provides various resources on the assessment, treatment, and prevention of pressure ulcers.