The perfect INTERACTions to reduce hospitalizations

Stefanacci, Richard G.; Haimowitz, Daniel

doi:10.1016/j.gerinurse.2014.10.004

Geriatric Nursing

2014

DOI: 10.1016/j.gerinurse.2014.10.004

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The perfect INTERACTions to reduce hospitalizations

Richard G. Stefanacci

Daniel Haimowitz²

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Cited by 2 publications

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“…Because nursing facilities and to a lesser extent, residential care facilities, have such an important role in post-acute hospital care, a better understanding of their roles in transitional care is critical. Although some recent programs have been designed for, or adapted with, long-term care providers in mind (Allen, 2013; Ouslander et al, 2011; Stefanacci & Haimowitz, 2014), understanding the nursing facility and residential care facility role in transitions has been limited. Within the context of this uncertainty lies the question about the role of the broader long-term care industry in health care transitions.…”

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The Residential Long-Term Care Role in Health Care Transitions

Berish

Straker

2016

J Appl Gerontol

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The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions. The data were collected via an online survey from 888 nursing facilities (NFs) and 527 residential care facilities (RCFs) that completed the care integration module of the Ohio Biennial Survey of Long-Term Care. Questions focused on partnerships, current work, type of care model, and perceived barriers to reducing hospital readmissions. More than nine in 10 (93.1%) of NFs and 63.6% of RCFs reported being engaged in a program to reduce hospital admissions/readmissions. Evidence-based care models were utilized by two thirds of NFs and one third of RCFs. Financial barriers were the most frequently cited challenges faced by facilities. Long-term care settings are increasingly becoming transitional care stops for short-term stay residents. Ensuring that facilities are well versed in current transition research and practice is critical to improve system outcomes.

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The Residential Long-Term Care Role in Health Care Transitions

Berish

Straker

2016

J Appl Gerontol

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2015 Beers criteria medication review in assisted living facilities

Chun

Appel

Simmons³

2018

J Am Assoc Nurse Pract

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Background and purpose: The elderly population is expected to double by 2050 with falls and hospitalizations due to adverse drug events having a major effect on health and quality of life. With the release of the revised 2015 American Geriatrics Society (AGS) Beers criteria, usage of potentially inappropriate medications (PIMs) should be studied to determine their effect on falls and hospitalizations in frail populations such as those in assisted living facilities. Methods: This quality improvement project used a retrospective chart review on residents from a purposive sample of two assisted living facilities in Northern Virginia. Residents were aged ≥65 and lived at the facility for at least 6 months and were not enrolled in hospice and/or palliative care or living in the dementia unit. The 2015 AGS Beers criteria were used to evaluate the effect of PIMs on falls and hospitalization rates. Conclusions: This project did not find statistical significance between PIMs and falls (p = .276). A favorable, but not statistically significant trend, was noted between PIMs and hospitalizations (p = .079). Implications for practice: Understanding the effect of PIMs on falls and hospitalizations could help providers improve prescribing practices for the elderly population who are at the greatest risk for potential adverse effects from polypharmacy.

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The perfect INTERACTions to reduce hospitalizations

Cited by 2 publications

References 0 publications

The Residential Long-Term Care Role in Health Care Transitions

The Residential Long-Term Care Role in Health Care Transitions

2015 Beers criteria medication review in assisted living facilities

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