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  • The Quality Improvement Program for Missouri's Long - Term Care Facilities (QIPMO) is committed to Missouri's Elderly.

  • The "Aging-in-place" model allows older adults to receive health care in their preferred place of living, eliminating the need for a more restricted living space, such as a nursing home.

  • TigerPlace is a specially designed elder housing project initiated by the MU Sinclair School of Nursing, working to provide elders a better quality of life.

Clinical Topics

Much of the research conducted by our research teams has focused on a variety of topics with clinical implications for improving care for elders. Some include, Pain Management, Quality Measures and Indicators, depression, pressure ulcer prevention and management, activity, and new approaches to improve care.

Clinical Topic Articles

Challenges of using quality improvement methods in nursing homes that "need improvement"
Journal of the American Medical Directors Association

Objectives: Qualitatively describe the adoption of strategies and challenges experienced by intervention
facilities participating in a study targeted to improve quality of care in nursing homes “in need of
improvement”. To describe how staff use federal quality indicator/quality measure (QI/QM) scores and
reports, quality improvement methods and activities, and how staff s...

application/pdf iconJAMDA - Challenges in NHs Needing Improvement 13(8) 2012.pdf
- Year Published: 2012
Challenges of using quality improvement methods in nursing homes that "need improvement"
Journal of the American Medical Directors Association

A randomized, two-group, repeated-measures design was used to test a two year intervention for improving quality of care and resident outcomes in facilities in “need of improvement”. Intervention group (n=29) received an experimental multilevel intervention designed to help them: 1) use quality-improvement methods, 2) use team and group process for direct-care decision-making, 3) focus on accomplish...

- Year Published: 2012
Indicators of new depression diagnosis in nursing home residents
Journals of Gerontological Nursing

Depression affects approximately 30% to 40% of nursing home residents but frequently goes unrecognized. Using the Missouri Minimum Data Set, we aimed to determine whether changes in clinical status, other than mood changes, were associated with new depression diagnosis in residents 65 and older without a recorded depression diagnosis. Of 127,587 potential participants, 14,371 met inclusion criteria...

- Year Published: 2011
Passive sensor technology interface to assess elder activity in independent living
Nursing Research

Background: Effectiveness of clinical information systems to improve nursing and patient outcomes depends on human factors including system usability, organizational workflow, and user satisfaction.

Objective: The specific aim of this research is to examine to what extent residents, family members, and clinicians find a sensor data interface used to monitor elder activity levels usable and us...

application/pdf iconNR - Passive Sensor 60(5) 2011.pdf
- Year Published: 2011
Evolution of an early illness warning system to monitor frail elders in independent living
Journal of Healthcare Engineering

The paper describes the evolution of an early illness warning system used by an interdisciplinary team composed of clinicians and engineers in an independent living facility called TigerPlace. The early illness warning system consists of algorithms which analyze resident activity patterns obtained from sensors embedded in residents’ apartments. The engineers designed an automated reasoning system t...

application/pdf iconJHE - Early Illness Syst 2(3) 2011.pdf
- Year Published: 2011
The use of bedside electronic medical record (EMR) to improve quality of care in nursing facilities: A qualitative analysis
Computer, Informatics, and Nursing

It appears that implementation and use of bedside electronic medical record (EMR) in nursing homes can be a strategy to improve quality of care and staff like using the bedside EMR and believe it is beneficial. Information gleaned from this qualitative evaluation of 4 nursing homes that implemented complete electronic medical records (EMRs) and participated in a larger evaluation of the use of EMR w...

application/pdf iconCIN - EMR 29(3) 2011.pdf
- Year Published: 2011

All Research Grants

List all Research & Projects Grants
Project Title: Technology to Automatically Detect Falls and Assess Fall Risk in Senior Housing
Summary: This application integrates the specialized talents and perspectives of an interdisciplinary team of scientists from the he...
Principal Investigator:  Marilyn Rantz
Dates of Project Period: 9/30/09-7/31/13
Total Amount: $1,989,438
Project Title: CPS: Medium: Active Heterogeneous Sensing for Fall Detection and Fall Risk Assessment
Summary: The project objectives are to investigate 1) adaptive, active, anonymized vision sensing for monitoring elders in a home se...
Principal Investigator:  Marjorie Skubic
Dates of Project Period: 9/1/09-8/31/12
Total Amount: $1,409,963
Project Title: Technology to Automatically Detect Early Signs of Illness in Senior Housing
Summary: Building on our current work using intelligent sensor systems to retrospectively measure functional ability in older adults...
Principal Investigator:  Marilyn Rantz
Dates of Project Period: 8/13/09-7/31/2012
Total Amount: $404,592
Project Title: Multilevel Interventions to Improve Nursing Home Outcomes
Summary: In this study, we seek to improve the outcomes of residents by transforming poorly performing nursing home staffs into good...
Principal Investigator:  Marilyn Rantz
Dates of Project Period: 5/1/05-2/28/11
Total Amount: $2,888,334
Project Title: The ACTIVE Intervention to Improve Hospice Caregiver Pain Management
Summary: In congruence with the mission of NINR to promote and improve the health of individuals, families, communities, and popula...
Principal Investigator:  Debra Oliver
Dates of Project Period: 9/15/10-6/30/14
Total Amount: $2,105,700