Reducing avoidable hospitalizations and improving quality in nursing homes with APRNs and interdisciplinary support: lessons learned
Reducing in avoidable hospitalizations of nursing home residents is a major concern to health care providers as well as payers. Not only are hospitalizations costly but also hospitalized nursing home residents experience functional and physical decline as a result of hospital transitions that can result in worsening health conditions or death. In 2012, the Missouri Quality Initiative (MOQI)was funded by the Centers for Medicare &Medicaid Services (CMS) Innovations Center and Medicare-Medicaid Coordination Office as a part of a national demonstration, Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents. While avoiding hospitalizations is important for both short- and long-stay nursing home residents,the CMS initiative focuses on long-stay residents. The CMS funded 7 sites across the United States with the purpose for each site to test the effectiveness of evidence-based clinical and educational interventions in reducing potentially avoidable hospitalizations for long-stay residents—an important aspect of improving care and quality of life.
Rantz, M., Popejoy, L., Vogelsmeier, A., Galambos, C., Alexander, G., Flesner, M., Murray, C., & Crecelius, C. (2017). Reducing avoidable hospitalizations and improving quality in nursing homes with APRNs and interdisciplinary support: lessons learned. Journal of Nursing Care Quality, 33(1), 5-9.
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