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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.

Nursing Home Quality

Members of the Statewide Committee for Improving MDS Assessment and Use and QIPMO have developed educational materials to assist long-term care facilities with the Resident Assessment Instrument (RAI) processes, such as the Minimum Data Set (MDS). Quality Indicators (QIs) derived from the MDS were developed as a way of providing feedback to facilities about their quality of care and provide one way of using the MDS data for quality monitoring and improvement. The MDS team has found that facilities that use their QI reports and on-site clinical consultations with gerontological nursing specialists from the MDS team’s Quality Improvement Program for Missouri (QIPMO) program improve the quality of care they deliver and improve resident outcomes.

Nursing Home Quality Articles

Journal of the American Medical Directors Association
- Year Published: 2013

Objectives: Qualitatively describe the use of team and group processes in intervention facilities participating in a study targeted to improve quality of care in nursing homes “in need of improvement.”
Design/setting/participants: A randomized, two-group, repeated-measures design was used to test a 2-year intervention for improving quality of care and...

Journal of the American Medical Directors Association
- Year Published: 2012

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 ac...

Journal of the American Medical Directors Association
- Year Published: 2012

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-makin...

Journal of the American Medical Directors Association
- Year Published: 2012

Purpose: A comprehensive multilevel intervention was tested to build organizational capacity to create and sustain improvement in quality of care and subsequently improve resident outcomes in nursing homes in need of improvement. Intervention facilities (n=29) received a two-year multilevel intervention with monthly on-site consultation from expert nurses with graduate educa...

Journals of Gerontological Nursing
- Year Published: 2011

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, 14,37...

Computer, Informatics, and Nursing
- Year Published: 2011

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 evalu...

All Research Grants

List all Research & Projects Grants
Summary: The major goal of this project is to design and evaluate the effectiveness of a quality improvement program for Missouri nu...
Principal Investigator:  Marilyn Rantz
Dates of Project Period: 7/1/99-6/30/13
Total Amount: $7,835,307
Summary: The major goal of this project is to design and evaluate the effectiveness of a quality improvement program for Missouri nu...
Principal Investigator:  Marilyn Rantz
Dates of Project Period: 11/1/02-7/31/11
Total Amount: $1,027,928
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
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
Summary: The K08 application outlines a five-year plan to support a candidate who is already contributing to clinical research in lo...
Principal Investigator:  Greg Alexander
Dates of Project Period: 9/30/07-9/29/12
Total Amount: $518,782