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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.

Quality Improvement Program for Missouri (QIPMO)

The Quality Improvement Program for Missouri's Long-Term Care Facilities (QIPMO) will send gerontologic nurse specialists to Missouri nursing facilities. They will provide information and assistance related to clinical issues of interest to long-term care staff. QIPMO is a cooperative program between the MU Sinclair School of Nursing and the Missouri Department of Health and Senior Services (DHSS) with funding by DHSS using the Missouri Quality of Care fund (senate bill 556). QIPMO nurses are not surveyors from the Department of Health and Senior Services. The site visits are treated confidential.

If your facility is in Missouri, QIPMO nurse consultants will help refine your quality improvment programs. Members of the QIPMO team can also help you learn to download, read, and interpret your state and federal MDS quarterly reports and help simplify the quarterly MDS data. The nurses can also provide clinical practice consultations and
inservice training sessions for your staff to help improve nursing care in those areas where you would like to see improvement.

In the area below you will find a list of recently added QIPMO research articles.

QIPMO

Western Journal of Nursing

This is a methodological article intended to demonstrate the integration of multiple goals, multiple projects with diverse foci, and multiple funding sources to develop an entrepreneurial program of research and service to directly affect and improve the quality of care of older adults, particularly nursing home residents. Examples that illustrate how clinical ideas build on one another and how the research ideas and results build on one another are provided. Results from one study are applied to the next and are also applied to the development of service delivery initiatives to test results in the real world. Descriptions of the Quality Improvement Program for Missouri and the Aging in Place Project are detailed to illustrate real-world application of research to practice.

The Gerontologist

Purpose: We describe the development of a statewide strategy to improve resident outcomes in nursing facilities, and we present some evaluative data from this strategy.

Design and Methods: Key components of the strategy include (a) a partnership between the state agency responsible for the nursing home survey and certification and the school of nursing in an academic health sciences center; and (b) on-site clinical
expert technical assistance and support to facilities throughout the state.

Results: The partnership has resulted in state agency staff having information from analysis about resident needs and outcomes in the state and facilities having access to the quarterly electronic "Show-Me Quality Indicator Report." On-site clinical expert technical assistance is now used widely across the state, with 569 site visits conducted in 286 different facilities to help them interpret their quality indicator (QI) reports and implement quality improvement programs; statewide improvements in QI scores have been measured in several key QIs.

Implications: Other states should consider building partnerships with schools
of nursing in an academic health sciences center. Programs using on-site clinical consultation can facilitate improving quality of care in nursing facilities.

Geriatric Nursing

Nearly everyone has some life experiences or opinions based on media about nursing homes and the need for quality improvement. States and federal agencies spend enormous amounts of time regulating and surveying nursing homes, but quality problems persist. In the past decade, federal initiatives have emphasized quality improvement, and researchers have tested a variety of ways to engage nursing home staff to embrace methods of quality improvement and best clinical practices. However, fnding ways that are clinically effective, but not cost-prohibitive, to assist nursing homes most at risk for quality concerns eludes most states. This is a program report of the findings of 2 consecutive annual evaluations of the Quality Improvement Program of Missouri (QIPMO). This program is sponsored by the Department of Health and Senior Services (DHSS) in an effort to help facilities in the state develop quality-improvement programs and improve the quality of care to Missouri nursing home residents.