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Resources for Better Nursing Home Care

The Quality Improvement Process

Case Studies/Reports

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Evaluating/Choosing a Nursing Home

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Case Studies/Reports


Resources for Better Nursing Home Care


Case Studies/Reports

Best practices in long-term care

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  • Mary Ann Kehoe, Executive Director, Good Shepherd Services (Power Point Presentation)
    In 1994, Good Shepherd Services was co-founder of “Wellspring”, the first long term care provider alliance in the nation to focus on providing cost-effective quality through management paradigm shift, staff empowerment and the establishment of a major line staff clinical education program in the form of care resource teams.
  • Robyn Stone, Executive Director, Institute for the Future of Aging Services (Power Point Presentation)
    Robyn I. Stone, Dr.P.H., is a noted researcher and internationally recognized authority on health care and aging policy. In June 1999, she joined the American Association of Homes and Services for the Aging to establish and oversee the Institute for the Future of Aging Services. She has done extensive research evaluating the “Wellspring” program and the program’s impact on quality of care.
  • Irene Fleshner, Senior Vice President, Genesis Health Ventures (Power Point Presentation)
    Genesis Health Ventures is a publicly traded, eldercare company with 220 nursing facilities, 40 assisted living facilities, institutional and retail pharmacies, rehabilitation and physician services. Fleshner has corporate-wide responsibility for clinical practice and program development and quality improvement. She has implemented “At Risk Meetings” during which patients at risk of decline in functioning are consistently addressed by interdisciplinary teams.
  • Anne Coble Voss, Senior Research Scientist, Ross Products Division, Abbott Laboratories (Power Point Presentation)
    Dr. Voss has been at Ross since 1993 and is responsible for clinical research in the frail elderly and the development of novel products for patients with cancer. Her areas of research interests are the nutritional status of cancer patients and outcomes research in the frail elderly. She has initiated a novel research project in long-term care, called PINpoint, which has gained national attention for sustaining reductions in pressure ulcer rates.
  • Rich Daehn, Director, Benedictine Health Center Nutritional Centers of Excellence (Power Point Presentation)
    Rich Daehn has over 18 years of experience in long-term care foodservice, during which he has developed a Nutritional Centers of Excellence Program. Rich has dedicated his career to changing the image of dietary services in long-term care, and empowering as well as educating others.
  • Linda Hollinger-Smith, Director of Research Mather LifeWays (Power Point Presentation)
    Dr. Hollinger-Smith has more than 22 years of experience working with older adults in long term care settings, in the community, and in acute care settings in various staff and managerial positions. Dr. Hollinger-Smith is the principal investigator on the “LEAP” initiative to recruit, develop, and retain quality frontline long-term care staff.

To contribute to this section, send information about best practices
in long-term care to David Adler at dadler@ahqa.org.

A number of leaders spearheading innovations to improve nursing home care made presentations at Partnerships for Success: The Federal Initiative on Quality Improvement & Public Reporting in Nursing Facilities in Baltimore in July 2002. For more on the CONFERENCE.

Quality Improvement Organizations’ Efforts To Improve Nursing Home Quality

Quality Improvement Organizations (QIOs) are playing a critical role in a new federal initiative to help nursing homes improve care for residents who suffer from pain, delirium, depression, pressure ulcers, and loss of everyday functions. Working under contract to the U.S. Department of Health and Human Services, QIOs are providing nursing homes with materials and technical support needed to upgrade clinical and organizational systems. Nationwide rollout of the initiative in November 2002 followed a PILOT EFFORT launched earlier last year in six states—Colorado, Florida, Maryland, Ohio, Rhode Island, and Washington . Prior to the national initiative, QIOs worked on a number of projects to improve quality in long term care facilities:

Recent reports addressing quality problems in nursing homes:

“Malnutrition and Dehydration in Nursing Homes: Key Issues in Prevention and Treatment.” National Citizens’ Coalition for Nursing Home Reform—supported by the Commonwealth Fund. June 2000. For a copy of the REPORT.

“Meeting Future Health and Long-Term Care Needs of an Aging Population.” Commonwealth Fund. December 1999. For a copy of the REPORT.

“Promoting Quality in Nursing Homes: The Wellspring Model.” American Association of Homes and Services for the Aging. January 2001. For a copy of the REPORT.

“Regulating US Nursing Homes: Are We Learning From Experience.” Kieran Walshe. Health Affairs. November/December 2001. For a copy of the REPORT.

American Society for Gerontology in Higher Education. LISTING contains all of AGHE’s publications.

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