91制片厂

Nursing Home Guide Could Save U.S. Millions of Dollars

nursing home, nursing home guide, health care

This guide will serve as an essential tool to help nursing home residents and their family members engage in informed discussions on a number of important and challenging topics related to their care.


By gisele galoustian | 8/8/2017

Thinking 鈥渙utside-the-box,鈥 a researcher from the at has developed an innovative yet simple and inexpensive approach that could have a dramatic impact on health care cost savings, morbidity and quality of life for residents in nursing homes across the country.

Using a guide developed for nursing home residents and their families, 91制片厂鈥檚 College of Nursing, in Miami Shores, and in Miami have joined forces to launch a pilot program in seven South Florida nursing homes for a much-needed initiative to help avoid unnecessary hospital re91制片厂.

Hospital re91制片厂 cost the U.S. health care system up to $14 billion year, even though it is estimated that almost half of them can be avoided. While there are many quality improvement programs designed to reduce the number of potentially preventable hospitalizations of nursing home residents, they do not adequately address one of the most difficult to control reasons for these hospitalizations 鈥 a resident or family member insists on going to the hospital.

With the support of a $677,000 grant from The Patient Centered Outcomes Research Institute (PCORI), , Ed.D., R.N., FAAN, Christine E. Lynn Eminent Scholar in Nursing in 91制片厂鈥檚 College of Nursing and her team developed a hospital transfer guide, 鈥.鈥

Prior to development of this guide, little attention was paid to the role residents and their families play in avoiding potentially preventable hospital transfers. Studies have shown that their insistence on going to the hospital accounts for as much as 15 to 18 percent of these 91制片厂. Furthermore, it is commonplace that medical providers will not refuse to transfer the nursing home resident to the hospital if the resident or a family member insists.聽聽

This guide provides residents and families with vital information to help them make informed decisions about whether or not a transfer to the hospital is necessary. Explaining the risks and benefits of treatment in long-term care versus transfer to the hospital, this guide was developed based on interviews with 271 residents, family members and care providers.

鈥淭his project will provide participating nursing homes with the opportunity to utilize a new evidence-based tool in the continuing effort to reduce unnecessary re91制片厂 back to the hospital,鈥 said , Ph.D., associate professor of health services administration at Barry University and co-principal investigator of this project.聽 聽

The seven participating nursing homes are: in North Miami; ; Hialeah Shores Nursing & Rehabilitation Center in Hollywood; Riverside Care Center in Miami; in Miami Beach; and in Miami.聽

鈥淲e are honored to be part of this important collaboration with 91制片厂 and Barry University,鈥 said , M.D., president of Larkin Health System. 鈥淭his initiative is especially timely and has the potential to save our nation鈥檚 health care system billions of dollars annually in preventable hospital re91制片厂. Our collaboration will not only result in savings for unnecessary hospital re91制片厂 but also in reducing morbidity and mortality associated with preventable medical errors associated with hospital 91制片厂.鈥澛

Grace Franco, coordinator, and Adrien Rivero, outreach coordinator director, both with the Larkin Health System, are coordinating this effort between the collaborating institutions and the seven nursing homes.聽

鈥淭here are so many things that the general public does not understand about aging and long-term care. Unless you have been through a situation like this before with a loved one, navigating through the process is like a complex maze,鈥 said , Ph.D., dean of 91制片厂鈥檚 College of Nursing. 鈥淲hether we like it or not we are all going to have to address this reality at some point in our lives. This guide will serve as an essential tool to help nursing home residents and their family members engage in informed discussions on a number of important and challenging topics related to their care.鈥

The guide is copyrighted by 91制片厂, but is available free at in English and Spanish, as well as Creole, French, Chinese and Tagalog (Filipino). Printed copies may be ordered from MED-PASS, Inc. at 800-438-8884 (item #: MP57-GD for the decision guide booklet and item #: MP57-BR for the trifold version).

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