Advice Columns from Dr. Carolyn Clancy

February 5 2013 20130205

New Tools Help Health Providers Reduce Patients' Risk of Falls

Other Patient & Consumer Resources

• Chapter 5a. Presentation Content

Clinicians & Providers

• Care Coordination Measures Atlas
• Chapter 5a. Presentation Content
• Development of Electronic Transition Tools for Home Health Care
• Elderly/Long-Term Care
• Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities
• Evidence-Based Medicine
• Exploratory Study of Nursing Home Factors Associated with Successful Implementation of Clinical Decision Support Tools for Pressure Ulcer Prevention
• St. Barnabas Rehabilitation and Continuing Care Center Implements On-Time Quality Improvement in Long-Term Care

Hospital & Health System Resources

• Additional Tools and Resources
• Additional Tools and Resources
• Appendix 1-A. Suggested Slides for Module 1
• Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1
• Appendix 2-A. Suggested Slides for Module 2
• Appendix 2-B. Pre/Post-Test Questions and Answers for Module 2
• Appendix 3-A: Suggested Slides for Module 3
• Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3
• Appendix. Additional Tools and Resources
• Appendix: Examples of the SBAR and CUS Tools
• Assisted Living Disclosure Collaborative (ALDC)
• Bringing Human Factors into Home Health Care
• Care Coordination Measures Atlas
• Chapter 1. Introduction and Program Overview
• Chapter 5a. Presentation Content
• Conclusion
• Conclusion
• Conclusion
• Development of Electronic Transition Tools for Home Health Care
• Elderly/Long-Term Care
• End of Life Care Media Resources
• Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities
• Evidence-Based Medicine
• Falls Prevention Literature Review
• How to Choose Long-Term Care Services
• Improving Patient Safety in Long-Term Care Facilities
• Improving Patient Safety in Long-Term Care Facilities
• Introduction
• Learning Objectives: Knowledge and Performance Objectives
• Learning Objectives: Knowledge and Performance Objectives
• Learning Objectives: Knowledge and Performance Objectives
• Module 1. Detecting Change in a Resident's Condition
• Module 1: Detecting Change in a Resident's Condition
• Module 2. Communicating Change in a Resident's Condition
• Module 2: Communicating Change in a Resident's Condition
• Module 3. Falls Prevention
• Module 3: Falls Prevention and Management
• On-Time Quality Improvement Manual for Long-Term Care Facilities
• On-Time Quality Improvement for Long-Term Care
• Preventing Falls in Hospitals
• Quality of Care Measures for Home and Community-Based Services Under Medicaid
• Session 1
• Session 1
• Session 1
• Session 2
• Session 2
• Session 2
• TeamSTEPPS® Long-Term Care Version Training Videos
• The AHRQ Multiple Chronic Conditions Research Network
• The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities

Policymaker Resources

• Elderly/Long-Term Care
• Evidence-Based Medicine
• On-time Quality Improvement for Long-Term Care of Pressure Ulcers
• Quality of Care Measures for Home and Community-Based Services Under Medicaid

Fact Sheets

September 1 2012 20120901

Assisted Living Disclosure Collaborative (ALDC)

Full Research Reports

December 1 2012 20121201

Chapter 1. Introduction and Program Overview

December 1 2012 20121201

Chapter 5a. Presentation Content

December 1 2012 20121201

Environmental Scan of Instruments to Inform Consumer Choice in Assisted Living Facilities

December 1 2012 20121201

Falls Prevention Literature Review

December 1 2012 20121201

Medicaid Home and Community-Based Services Measure Scan: Project Methodology

December 1 2012 20121201

The AHRQ Multiple Chronic Conditions Research Network

December 1 2012 20121201

The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities

September 1 2007 20070901

Development of Electronic Transition Tools for Home Health Care

Other Research & Data

• A guided care approach helps curb health care costs of elderly patients with chronic conditions
• Elderly/Long-Term Care
• Evidence-Based Medicine
• Exploratory Study of Nursing Home Factors Associated with Successful Implementation of Clinical Decision Support Tools for Pressure Ulcer Prevention
• Gurwin Jewish Nursing and Rehabilitation Center
• Hebrew Rehabilitation Center Incorporates AHRQ's Project RED Into Demonstration Project
• On-time Quality Improvement for Long-Term Care of Pressure Ulcers

Advice Columns from Dr. Carolyn Clancy

February 5 2013 20130205

New Tools Help Health Providers Reduce Patients' Risk of Falls

Other News & Events

• A guided care approach helps curb health care costs of elderly patients with chronic conditions
• AHRQ releases Common Formats for patient safety reporting in skilled nursing facilities
• AHRQ toolkit helps to prevent hospital-acquired pressure ulcers
• Alcohol may be misused by residents in assisted living places
• Anemia is common among nursing home residents and affects their physical functioning
• Antibiotic resistance is prevalent and varied in long-term-care facilities
• Antipsychotic choices in nursing homes partly influenced by nursing home’s prescribing culture
• Being a caregiver linked to poor health behaviors among baby boomers
• Bowel incontinence and other clinical factors predict the development of pressure ulcers
• Care processes in nursing home and residential long-term care settings
• Caregiver dissatisfaction affects outpatient care for the elderly with dementia
• Certain factors linked to risk of early death of intensive care patients after discharge
• Clinical informatics monitoring tool helps reduce adverse drug events in nursing home settings
• Computerized clinical decision support produces only modest savings for nursing home residents with impaired kidney function
• Computerized decisionmaking systems improve physician prescribing for long-term-care residents
• Conventional and atypical antipsychotic drugs show differing safety risks among older nursing home residents
• Developing community health resources entices more elderly patients to seek hospital care locally
• Discharge to skilled nursing facilities after a heart attack or heart failure explains little of variation in hospital readmissions
• Elderly/Long-Term Care
• Elders and families find it difficult to interpret data from passive sensors that help monitor elderly activity
• Evidence lacking on transition-of-care programs for heart attack and stroke patients after hospital discharge
• Evidence-Based Medicine
• Exploratory Study of Nursing Home Factors Associated with Successful Implementation of Clinical Decision Support Tools for Pressure Ulcer Prevention
• Extended use of medications to prevent blood clots may benefit patients after major orthopedic surgery
• Financial performance has modest effect on nursing home quality improvement
• High performance on quality measures linked to financial benefits for nursing homes
• Human factors challenges in home health care
• Introduction of hospice services by nursing homes does not significantly affect nursing assistant staffing
• Lower flu vaccination rates for black nursing home residents a cause for concern
• Making nursing home quality reports public leads to improved posthospitalization care
• Many surgeons do not discuss advance directives with their patients before surgery
• Medicaid nursing home reimbursement affects nursing homes' approach to end-of-life care
• Medicare payment caps on home care add to the family caregiving burden, especially among lower-income families
• Medicare reimbursement changes lessen regional disparities for home health services
• More nursing home residents are receiving hospice care
• New AHRQ resource helps to improve nursing home care
• New tool released that improves the safety of care for nursing home residents
• Nurse-facilitated guided care for elders and their caregivers leads to improved perceptions of quality of care
• Nursing home physicians and nurses struggle with communication barriers
• Nursing home studies focus on the costs of staff turnover rates and selective admission of patients
• Nursing home users of information technology start to see its benefits
• Nursing homes more often voluntarily terminate from Medicare and Medicaid programs in States with strong quality regulations
• Nursing homes using more agency staff have lower quality of care
• Octogenarians fare well after aortic valve replacements
• Patients with inherited cancer syndrome need help with decisions and long-term support from their surgeons
• Preventing pressure ulcers in the home requires creative solutions by nurses
• Public report cards prompt nursing homes to spend more on clinical services
• Public reporting on quality of care has definite, if modest, effects on nursing home care improvement
• Restorative care appears to lower emergency department visits and falls
• Review looks at outcomes of patients at different types of long-term care facilities
• State regulation of care quality is costly to nursing homes
• Stroke recurrence rates vary by U.S. region
• Study finds potentially suboptimal use of antidepressants for residents in Veterans Affairs nursing homes
• Three Publications Highlight Human Factors Research
• Use of physical restraint in nursing homes cut by half in 8 years
• Use of physician extenders associated with increase in antidepressant prescribing in nursing homes