Program on Aging, Disability, and Long-term Care co-directors Philip Sloane, MD, MPH and Sheryl Zimmerman, PhD are leading a multidisciplinary team to develop Alzheimer’s Medical Advisor,© a website that aims to help family caregivers of persons with dementia deal with new and worsening medical symptoms in their relatives. When people with Alzheimer’s disease or related… Read more »
The Patient-Centered Medical Home (PCMH) model involves complete primary care practice redesign with the ultimate goal of improving the quality of patient care and at reduced cost. Detailed information regarding the practice level costs of performing transformative activities is needed to help the growing number of practices and practice organizations as they navigate this process…. Read more »
Every year, almost two million episodes of pneumonia are suffered by nursing home (NH) residents across the United States, resulting in more deaths than from any other infection. Further, NH residents acquire pneumonia at a rate 6-10 times higher than older adults in the community, indicating that characteristics of these individuals and/or the NH setting… Read more »
The over-riding goal of the EVINCE (Educational Video to Improve Nursing home Care in End-stage dementia) study is to conduct a cluster RCT of an ACP intervention vs. control among 360 nursing home (NH) residents with advanced dementia.
Consequently, the purpose of this conference is for key stakeholders in public reporting on Housing with Support Services (HSS) to advance the science of public reporting on HSS.
This project will assess and expand the knowledge base on culture change in nursing homes (NHs) and explore the potential for NH culture change as a strategy to drive improvement in quality of care and life for individuals living in NHs and in the quality of jobs of those employed by NHs.
Reducing Potentially Inappropriate Antibiotic Prescribing by Primary Care Clinicians Working in Long-Term
This supplement extended the period of observation of the intervention in assisted living, to allow for additional data collection and analysis and for the development of materials for training new sites to implement the intervention and disseminate them to appropriate audiences. The goal was to reduce potentially inappropriate antibiotic prescribing. Principal Investigator: Phillip Sloane, M.D.,… Read more »
Outcomes of Green House Homes Compared to Other Nursing Homes: What Structures and Processes are Associated with Better Outcomes?
The primary aim of this study is to identify the essential components (structures and processes) of care that relate to resident outcomes in various skilled nursing settings, with a special focus on those structures and processes that are reflected in Green House homes(GH).
Shared decision-making about goals of care is the ethical standard for serious illness, yet families report poor quality communication, decision-making and palliative care.
The goal of this research project is to address this urgent need by developing a toolkit of valid and reliable measures of person-centered care and outcomes for use by AL administrators, staff, residents, their families, and others to improve care and outcomes.
This study will collect related data for a larger project that will examine the efficacy and effectiveness of an intervention to affect barriers to effective pain management in hospice.
A University-AAA-State Partnership to Understand the Link Between Primary Care Physicians and Aging Service Providers in the Support of Persons with Alzheimer’s Disease and Related Disorders (ADRD)
Engaging physicians with ADRD service providers is a challenge. Under a 2008-2010 Innovation Grant, a partnership between the university-based Carolina Alzheimer’s Network (CAN), two Area Agencies on Aging, and the NC Division of Aging and Adult Services recruited and trained 16 primary care physicians, engaged them with ADRD services providers, and generated 75 new ADRD… Read more »
The goals of care framework asks decision-makers to prioritize goals of medical care – primarily survival, function, or comfort – before engaging in major decision-making about medical treatment.
The goal of ACTION II is to promote and accelerate the development, implementation, dissemination and sustainability of evidence-based innovation in health care delivery and organization to measurably improve health care in the U.S.
This project will design, implement, and evaluate a quality improvement program to reduce inappropriate antibiotic prescribing in nursing homes and assisted living communities in order to reduce infections in nursing homes.