Initiative to test a multidisciplinary model with advanced practice nurses to reduce avoidable hospitalizations among nursing facility residents.

Author Affiliations: Sinclair School of Nursing (Drs Rantz, Alexander, Vogelsmeier, Popejoy, Flesner, and Crecelius and Ms Lueckenotte), School of Social Work, College of Human and Environmental Sciences (Dr Galambos), and Curtis W. and Ann H. Long Department of Family and Community Medicine (Dr Koopman), University of Missouri, Columbia; and College of Nursing and Health Sciences, University of Wisconsin–Eau Claire (Dr Zwygart-Stauffacher).

[1]  D. Grabowski,et al.  Predictors of Nursing Home Hospitalization , 2008, Medical care research and review : MCRR.

[2]  Seung Chun Paek,et al.  Facility Service Environments, Staffing, and Psychosocial Care in Nursing Homes , 2008, Health care financing review.

[3]  M. Rantz,et al.  Helping nursing homes "at risk" for quality problems: a statewide evaluation. , 2009, Geriatric nursing.

[4]  Kaija Saranto,et al.  Use of electronic information systems in nursing management , 2010, Int. J. Medical Informatics.

[5]  D. Tresch,et al.  Relationship of Long‐Term and Acute‐Care Facilities: The Problem of Patient Transfer and Continuity of Care , 1985, Journal of the American Geriatrics Society.

[6]  Marilyn Rantz,et al.  Clinical Information Systems in Nursing Homes: An Evaluation of Initial Implementation Strategies , 2007, Computers, informatics, nursing : CIN.

[7]  K. Steel,et al.  Referral of Patients from Long‐term to Acute‐care Facilities , 1983, Journal of the American Geriatrics Society.

[8]  D. Mehr,et al.  Statewide strategy to improve quality of care in nursing facilities. , 2003, The Gerontologist.

[9]  D. Mehr,et al.  The minimum data set: No longer just for clinical assessment , 1999 .

[10]  N. Staggers,et al.  A Systematic Review of the Designs of Clinical Technology: Findings and Recommendations for Future Research , 2009, ANS. Advances in nursing science.

[11]  M. Creditor Hazards of Hospitalization of the Elderly , 1993, Annals of Internal Medicine.

[12]  MA Jennifer Zimmerman Msw,et al.  Collaborative Models of Patient Care: New Opportunities for Hospital Social Workers , 2008 .

[13]  R. Kington,et al.  Appropriateness of the Decision to Transfer Nursing Facility Residents to the Hospital , 2000, Journal of the American Geriatrics Society.

[14]  A. J. O’Malley,et al.  The costs and potential savings associated with nursing home hospitalizations. , 2007, Health affairs.

[15]  Priscilla D. Allen,et al.  Psychosocial assessment of nursing home residents via MDS 3.0: recommendations for social service training, staffing, and roles in interdisciplinary care. , 2012, Journal of the American Medical Directors Association.

[16]  Jennifer A. Zimmerman,et al.  Collaborative Models of Patient Care , 2007, Social work in health care.

[17]  M Przybylski,et al.  Factors related to potentially preventable hospitalizations among the elderly. , 1998, Medical care.

[18]  R. Kane,et al.  The Effect of Evercare on Hospital Use , 2003, Journal of the American Geriatrics Society.

[19]  Helaine E. Resnick,et al.  Research Paper: Use of Electronic Information Systems in Nursing Homes: United States, 2004 , 2009, J. Am. Medical Informatics Assoc..

[20]  J. Burl,et al.  ADVANCING GERIATRIC NURSING PRACTICE: Geriatric Nurse Practitioners in Long‐Term Care: Demonstration of Effectiveness in Managed Care , 1998, Journal of the American Geriatrics Society.

[21]  Alice Bonner,et al.  Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project , 2011, Journal of the American Geriatrics Society.

[22]  M. Rantz,et al.  Improving quality of care in nursing facilities. Gerontological clinical nurse specialist as research nurse consultant. , 2000, Journal of gerontological nursing.

[23]  D. Mehr,et al.  Randomized clinical trial of a quality improvement intervention in nursing homes. , 2001, The Gerontologist.

[24]  J. Ouslander,et al.  Inappropriate Hospitalization of Nursing Facility Residents: A Symptom of a Sick System of Care for Frail Older People , 2000, Journal of the American Geriatrics Society.

[25]  V. Mor,et al.  Nursing Home Characteristics and Potentially Preventable Hospitalizations of Long‐Stay Residents , 2004, Journal of the American Geriatrics Society.