Skilled Nursing Facilities

Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

This article describes a process developed by Eastern Mercy Health System (EMHS), headquartered in Radnor, PA, to identify opportunities for quality improvement using defined outcome-based indicators in skilled nursing and long-term care (SN/LTC). The model is built on collaboration among the system's freestanding and hospital-based facilities; it includes a cyclical approach to the exchange of information.

Author(s): 
Denny, D. S.
Christian, V.
Nordan, V. N.
Therriault, M. F.
Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

This article describes a knowledge transfer process that was developed by Catholic Health East (CHE), headquartered in Newtown Square, PA, and that focuses upon one indicator of care, physical restraint use, in the skilled nursing/long-term care setting. The values-based process focuses on preserving residents' rights and using comparative data sharing as the basis for identifying opportunities for improvement. Further, it builds upon a collaborative cyclical model employed by all the CHE System's freestanding and hospital-based long-term care facilities.

Author(s): 
Carroll-Solomon, P. A.
Christian, V.
Denny, D. S.
Nordan, V. N.
Therriault, M. F.
Van Wicklen, R.
Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

This article describes a knowledge-transfer process developed by Catholic Health East (CHE), headquartered in Newtown Square, PA, and focuses on improving resident safety in the skilled nursing or long-term care setting. How the health system customized and implemented an electronic medical event database to identify opportunities for improvement to prevent future occurrences of adverse events is outlined.

Author(s): 
Carroll-Solomon, Pamela A.
Denny, Diane S.
Publication Title: 
Health Services Research

OBJECTIVE: To analyze the effect of states' Medicaid bed-hold policies on the 30-day rehospitalization of Medicare postacute skilled nursing facility (SNF) residents. DATA SOURCES: Minimum data set assessments were merged with Medicare claims and eligibility files for all first-time SNF admissions (N = 3,322,088) over the period 2000 through 2005; states' Medicaid bed-hold policies were obtained via survey.

Author(s): 
Grabowski, David C.
Feng, Zhanlian
Intrator, Orna
Mor, Vincent
Publication Title: 
JAMA

CONTEXT: Implementation of Medicare Part D was followed by increased use of prescription medications, reduced out-of-pocket costs, and improved medication adherence. Its effects on nondrug medical spending remain unclear. OBJECTIVE: To assess differential changes in nondrug medical spending following the implementation of Part D for traditional Medicare beneficiaries with limited prior drug coverage.

Author(s): 
McWilliams, J. Michael
Zaslavsky, Alan M.
Huskamp, Haiden A.
Publication Title: 
Health Economics

Post-acute care provided by skilled nursing facilities (SNFs) is reimbursed by Medicare under a prospective payment system using resource utilization groups (RUGs) that adjust payment intensity on the basis of predefined ranges of weekly therapy minutes provided and the functionality of the patient. Individual RUGs account for differences in the intensity of care provided, but there exists significant regional variation in the payments SNFs receive from Medicare due to the use of geographic adjustment factors.

Author(s): 
Bowblis, John R.
Brunt, Christopher S.
Publication Title: 
Balance (Alexandria, Va.)
Author(s): 
Kramer, C.
Schild, K.
Publication Title: 
Journal of Gerontological Social Work

Postcards to God was a creative method to allow individuals to express their spirituality. The purpose of this study was to examine the validity of this innovative method. At a skilled nursing facility in a geriatric residence, 19 older disabled workshop participants created collage and message "Postcards to God", and completed a brief survey. Postcard content and construction were coded and analyzed using qualitative methods around self-reports along two attitudinal dimensions: a) making a postcard to God; and b) level of religiousness.

Author(s): 
Brennan, Mark
Laditka, Sarah B.
Cohen, Amy
Publication Title: 
Journal of the American Geriatrics Society

OBJECTIVE: To use two different exercise programs over a 2-year period to reduce falls and their sequelae among residents of two long-term care facilities. DESIGN: Randomized, controlled trial. SETTING: The study took place at two long-term care facilities with services ranging from independent living to skilled nursing. PARTICIPANTS: One hundred and ten participants whose average age was 84 and who were capable of ambulating with or without assistive devices and could follow simple directions.

Author(s): 
Nowalk, M. P.
Prendergast, J. M.
Bayles, C. M.
D'Amico, F. J.
Colvin, G. C.
Publication Title: 
International Journal of Nursing Studies

BACKGROUND: Studies support the positive effects that Tai Chi has on the physical health of older adults. However, many older adults residing in long-term care facilities feel too weak to practice traditional Tai Chi, and a more simplified style is preferred. OBJECTIVE: To test the effects of a newly-developed, Simplified Tai-Chi Exercise Program (STEP) on the physical health of older adults who resided in long-term care facilities.

Author(s): 
Chen, Kuei-Min
Lin, Jong-Ni
Lin, Huey-Shyan
Wu, Hui-Chuan
Chen, Wen-Ting
Li, Chun-Huw
Kai Lo, Sing

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