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New Directions: The e-Newsletter of the Hartford Geriatric Nursing Initiative | |
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 Volume
5, Issue 10
June 30, 2008 Welcome
to New Directions, a publication of the
In
This Issue
1. US Government Plans to Rate All Nursing Homes on Five-Star Scale 2. Funding Opportunities: Scholarships & Fellowships 3. Opportunities, Resources & Tools 4. HCGNE News 5.Announcements 6. Link of the Month: Kaisers New Online Tools for Health Policy Data Please note: New Directions will take a summer hiatus and will return in September. 1. US Government Plans to Rate All Nursing Homes on Five-Star Scale
The Centers for Medicare and Medicaid Services (CMS) plans to rate all 16,000 of the nation's nursing homes on a five-star scale in an effort to help consumers choose among nursing homes and prompt substandard nursing homes to improve. The ratings will be available by December on CMS's Web site. (www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp?version=default&browser=IE%7C7%7CWinXP&language=English&defaultstatus=0&pagelist=Home&CookiesEnabledStatus=True)The initiative was prompted by the recognition that although the CMS Web site already contains a wealth of information about nursing homes, for most nursing home patients and their families, that data is too difficult to understand. The incorporation of the five-star rating system is intended to make it easier to make comparisons among nursing homes. Exactly how those ratings are to be determined has not yet been finalized. CMS plans to use data from the past three years of inspections, staffing information, and several measures of quality that include the percentage of residents who have bedsores. Federal officials have indicated that the question of which data will be used in the formulation of the ratings and how the data will be weighted is open to discussion. To that end, and in order to make the eventual website as user-friendly as possible, officials at CMS have asked the public to comment at BetterCare@cms.hhs.gov through July and August on the topics of the site, its contents, and the rating system itself. 2. Funding Opportunities: Scholarships & Fellowships
NRSA Postdoctoral Fellowship in Mental Health Services Research for Older Adults The National Research Service Award (NRSA) offers a postdoctoral fellowship in mental health services research for older adults. This NIMH-funded (T-32) two-year postdoctoral Research Training Program provides fellowship training in health services research for older adults with mental disorders. The program is designed for psychiatrists, medical physicians, psychologists, and social/behavioral scientists who are committed to becoming independently supported mental health services researchers. For more information, go to: www.cornellpsychiatry.org/research/geriatric_psychiatry.html or contact Paul Toth, MA, Weill Medical College of Cornell University at 914.997.5914 or pjt2003@med.cornell.edu. 3. Opportunities, Resources & Tools
AACN Faculty Training: Enhancing Gerontology Content in Baccalaureate Courses "We are extremely grateful for the opportunity we had to be pioneer participants in the GNEC Training Institute. The institute was absolutely amazing. The carefully selected speakers were impressive. We are excited to put into action the direction you have given us." -Donna F. Richards, PhD, RN, and Valerie Flattes, RN, GNP, University of Utah In recognition of the need for faculty development in geriatrics, AACN invites faculty to attend one of the upcoming Geriatric Nursing Education Consortium (GNEC) faculty training institutes. GNEC is an innovative national initiative to enhance geriatric content in senior-level baccalaureate courses. GNEC focuses on faculty development as a necessary precursor to successfully implementing and sustaining enhancements in nursing education programs. This institute provides nursing educators with the skills, knowledge, and resources needed to ensure that the best geriatric practices are imbedded in baccalaureate curricula and subsequently in the clinical care provided by newly educated nurses. Using a train-the-trainer approach, nursing faculty are prepared to lead their colleagues in "gerontologizing" senior-level curricula as well as teaching and mentoring students in the care of older adults. GNEC has now held three of the six scheduled training institutes. AACN is well on its way to achieving its objective to educate faculty at a majority of the baccalaureate schools of nursing across the country—415 faculty representing 231 schools of nursing from 44 states have been trained thus far. The remaining three institutes are scheduled for October 14-16, 2008, in St. Louis, MO, April 1-3, 2009, in San Diego, CA, and June 24-26, 2009, in Philadelphia, PA. The application deadline for the St. Louis Institute has been extended to July 15, 2008. There is no registration fee or tuition for these institutes. Up to two applicants per baccalaureate school of nursing are eligible for a stipend to help defer travel expenses. For more information or to apply, see: www.aacn.nche.edu/gnec.htm . Attention All Hartford Creating Careers Scholarship Graduates The American Association of Colleges of Nursing and the John A. Hartford Foundation are hosting a Creating Careers Networking Event at the National Conference of Gerontological Nurse Practitioners' Annual Meeting this September in St. Louis. This session, designed exclusively for Hartford Creating Careers graduates, will focus on development of the APN role to its fullest extent. It will be didactic, interactive, and social. We encourage you to attend! Event information: Hartford Creating Careers Networking Event, NCGNP Annual Meeting, Hilton St. Louis at the Ball Park, Wednesday, September 24th, 2008, 3:00 PM to 6:00 PM. You must be a member of NCGNP to attend the conference. If you are interested in becoming a member of NCGNP and/or need more information about the organization and its annual conference, visit: www.ncgnp.org. Please respond to Debbie Latimer at dlatimer@aacn.nche.edu if you are interested in attending the event. 2004 NNHS Current Resident Web Tables Released Online The 2004 NNHS Current Resident Web Tables from the Division of Health Care Statistics (DHCS) of the National Center for Health Statistics are now available online at: www.cdc.gov/nchs/about/major/nnhsd/ResidentTables.htm. The detailed current resident data tables are from the 2004 National Nursing Home Survey (NNHS) and were prepared by the Division of Health Care Statistics, Long-Term Care Statistics Branch. Nursing home residents are tabulated by facility characteristics (ownership, certification, beds, geographic region, location, and affiliation), descriptive demographics (age at interview, sex, race, and Hispanic or Latino origin), and other characteristics, including activities of daily living (ADLs), continence, all sources of payment, length of time since admission (in days), primary diagnoses, medications, vaccinations, physical restraints, advance directives, falls, fractures, weight management, emergency department visits, and hospitalizations. "How To Try This" from the American Journal of Nursing How to Try This: Using Pain-Rating Scales with Older Adults Ellen Flaherty PhD, GNP-BC Pain is often undertreated and underdiagnosed in older adults. Regular use of short, simple, reliable pain-rating scales provides nurses and physicians with measurable information to establish and modify a pain management plan. This article describes the use of three widely used pain-rating scales: the numeric rating scale, the verbal descriptor scale, and the Faces Pain Scale-Revised. For a free online video demonstrating the use of these scales in older adults, go to: links.lww.com/A251. This video includes demonstrations of how to assess for pain in any older adult and how to reassess to determine the effectiveness of interventions, using four distinct tools: the Faces Pain Scale, the Verbal Descriptor Scale, the Numeric Rating Scale, and the Pain Assessment in Advanced Dementia Scale (PAINAD). In this program, interdisciplinary team members also develop a care plan to address chronic pain in a patient with severe arthritis and a history of joint replacement whose family members have discouraged use of medication for fear addiction might result. This video organizes information in chaptered formats for viewers interested in specific aspects of the program. 4.
HCGNE News
Save the Date The Penn State School of Nursing Fall Research Institute, "New Frontiers in Nursing Science: Harnessing Vulnerability," will be held at the University Park campus in State College, PA, on September 11-13, 2008. For more information, please go to the conference Web site at: www.outreach.psu.edu/programs/nursing-science/?cid=20. Awards and Achievements The purpose of the Commission as established in H.B. 1367, General Assembly of Pennsylvania, is to: review current care, services, and resources available for Commonwealth residents over the age of 65; project future need for various levels of senior care and services through 2025; evaluate the ability of the current assessment and delivery systems to meet projected service needs; determine resources necessary to meet the projected need; and make policy recommendations on how best to meet the need. NHC Research to be published in Research in Gerontological Nursing Literature syntheses based on research completed for the Nursing Home Collaborative will be published in the July issue of Research in Gerontological Nursing. Representatives from each of five of the Hartford Centers of Geriatric Nursing Excellence and the national coordinator of the Nursing Home Collaborative will present this work at the Pioneer Network national meeting in August in Washington, DC. The title of the session is: Best Practices Germane to a Professional Nursing Practice Model in Nursing Homes. 5. Announcements BAGNC 2008 Annual Leadership Conference For all invited BAGNC 2008 Leadership Conference attendees, we are pleased to announce that the online registration is ready. All BAGNC scholars, fellows, mentors and invited guests must register for the conference. Since this is the first year the Leadership Conference registration will be conducted online and the first time Leadership Conference attendees will make their own hotel reservations directly with the hotel, we ask that you carefully follow the instructions at the Web site when registering: www.geriatricnursing.org/leadership/leadership-conference.asp. Pioneer Network 8th Annual Conference: A Call to Action The 8th annual Pioneer Network conference advocates for culture change in eldercare models in a variety of settings, including long-term nursing home care, short-term transitional care, community-based care, with a vision of creating homes that are person directed. The conference will take place August 20-22, 2008. For more information about the conference, visit: www.pioneernetwork.net/news-and-events/08ConferenceInfo.php. Geriatrics Nursing Leadership Academy Mentor/Mentee Pairs Begin Work The first workshop of the Geriatric Nursing Leadership Academy—The Leadership Challenge: Defining Your Passion—will be held in Portland, OR, June 25-29, 2008. The academy curriculum is designed to instill leadership and geriatric knowledge in academy participants through multi-level learning activities. Pairs participating in the 18-month mentored leadership development program and the topic of their study are: Kimberly M. Bergen-Jackson, RN, BSN, and Janet Kay P. Specht, RN, PhD, FAAN, Iowa Nurse Leadership and Gerontological Knowledge: Key to Quality Nursing Home Care Shirley Conway, RN, MSN, MBA, and Cheryl Merrill, RN, MSN, CNAA, Massachusetts Northeast Hospitals' Inpatient Geriatric Initiative Linda C. Bifano, RN, and Judith Woodruff, JD, Oregon Alternatives to Personal Alarm Systems in LTC Amy E. Cotton, MSN, APRN-BC, and Marilyn R. Gugliucci, PhD, Maine The Long Term Care Zero Defect Project: Improving Geriatric Health Care Outcomes Utilizing Gap Analysis Linda Sue Davis, RN, MSN, APRN, B, and Suzanne Wantland, MS, Virginia Pulaski Adult Day Service and Fall Prevention Center Gena Edmiston, RN, BSN, and Teri Kiss, MSN, Arkansas Achieving Resident Centered Care Goals through Strengthened Bedside Leadership Lynn Marie Etters, MSN, GNP-BC, and Mary Beth Lepczyk, MSN, ACNS-BC, Michigan Homeostenosis Susan J. Gordon, MSN, ACNP, and Deborah A. D'Avolio, PhD, APRN-B, Massachusetts The G.R.E.A.T. Project: Geriatric Rounds to Evaluate, Assess, and Teach (GREAT): A Collaborative Approach to Improving Care Linda J. Hassler, RN, MS, CNS-BC, and Christine Hedges, RN, PhD, APRN, B, New Jersey Integrating Geriatric Excellence into the Emergency Department (ED) Katherine Korby Hostvedt, RN, MSN, and Irene Fleshner, RN, MHSA, Pennsylvania Enhancing Professional Relationships among Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants in Nursing Homes Cynthia Diane Johnson, MSN, GNP-BC, and Mark Hawk, MSN, ACNP, California Enhancing Geriatric Nursing Knowledge to Improve Relationships between Acute Care and Long Term Care Nurses Cynthia McDaniel, RN, MSN, and Catherine R. Van Son, RN, PhD, Oregon A Voice for Older Adults&emdash;Promoting the Role of the Nurse in Assisted Living Jeanne St. Pierre, RN, MN, CNS-BC, and Kathryn Renee Twibell, RN, DNS, CNE, Indiana Geriatric Resource Nurse Model Lynn Colleen Szender, BSN, and Linda Luce, RN, MNA, Oregon Household Model of Care: Developing Leadership in Self-Directed Work Teams Cecilia A. Vinson, RN, MSN, and Robin McAtee, RN, PhD, MHSA, F, Arkansas Using the Ominibus Budget Reconciliation Act (OBRA) Long Term Care Survey Process to Support a Professional Practice Model for Arkansas Nursing Homes Kathy Denise Wright, MSN, APRN, BC, and Rose Beeson, PhD, Ohio Transitional Care across the Continuum: Empowering the Older Adult to Change In addition to creating the Geriatric Nursing Leadership Academy, Sigma Theta Tau, the John A. Hartford Foundation, and the Hartford Foundation's Centers of Geriatric Nursing Excellence have compiled a variety of online resources for nurses interested in expanding their knowledge of geriatric nursing best practices. Visit www.nursingsociety.org/LeadershipInstitute/GeriatricAcademy for access to free online continuing education, full text geriatric articles, and an online geriatric nursing community. Ten New Practice Change Fellows Selected The Practice Change Fellows program, funded by the John A. Hartford Foundation and the Atlantic Philanthropies, has selected 10 new Fellows in social work, nursing, and medicine. Fellows will receive $90,000 and the support of local and national mentors to further develop their leadership skills and to complete a project aimed at implementing a new geriatric service line or aging program. The 2008 Fellows and their areas of study are: Ellen Barrington, MSN, RN, BC, Ocean Medical Center A Comprehensive Approach to Delirium James W. Campbell, MD, MS, The MetroHealth System Impact of an Integrated Service Model on Quality and Costs of Care Delivery Curtis Lee Greer, MD, North Mississippi Medical Clinics, Inc. Improving Care of Older Adults with CHF in a Rural Health System Elizabeth B. Hart, MD, Maine General Health Cultivating Meaningful Conversations to Guide Care Christina McQuiston, MD, Mission Hospitals/Mission Health System Geriatric Hip Fracture Program Amy Minnich, RN, BSN, Geisinger Health System Implementing a Geriatric Service Line within Geisinger Health System Tziona Regev, LCSW, LSW, Harris County Hospital District Capacity Assessment and Treatment Model Karyn Rizzo, RN, MS, CNS, The Miriam Hospital Geriatric Education through Nursing Evaluation & Specific Interventions for Successful Healing Miriam E. Schwartz, MD, MA, PhD, Gallup Indian Medical Center Comprehensive Geriatric Care of Elderly Native Americans James Tew, MD, UPMC Health System Enhancing Transitional Care Quality in Elderly Patients Discharged from Psychiatric Hospitals To learn more about the Practice Change Fellows program, please visit: www.practicechangefellows.org. Registration Open for 2008 Data Users Conference On August 11-13, 2008, the National Center for Health Statistics will present the 2008 Data Users Conference at the Omni Shoreham Hotel in Washington, DC. Four sessions during the conference will highlight long-term care data and statistics, including sessions that will feature the National Nursing Home Survey, National Home and Hospice Care Survey, and the National Home Health Aide Survey. The conference is open to all who are interested, and there is no cost to attend, but registration is required. The registration deadline is July 18, 2008, but the availability of hands-on sessions is limited. Register now at: www.cdc.gov/nchs/events/duc2008/duc_announce.htm. Save the Date The University of North Carolina at Chapel Hill School of Nursing and Flinders University School of Nursing and Midwifery, Adelaide, South Australia, are co-hosting "Connecting the Dots: Geriatric Nursing, Education, and Clinical Simulation" at the Sheraton Imperial Hotel, Research Triangle Park, Durham, NC, on April 2-3, 2009. Call for Abstracts coming soon. Submission deadline: November 10, 2008. For more information, visit: nursing.unc.edu. Director of Clinical & Nursing Services Position Available This position in the greater Boston area offers compensation up to $150,000, and requires a unique capacity to lead an interdisciplinary clinical team composed of nurses, pharmacists, and clinical professionals in providing outstanding, personalized service to geriatric patients and their families in home-based settings. In addition to an advanced nursing or pharmacy degree, preferred candidates will also possess appropriate certifications and a proven track record of clinical leadership experience with community-based geriatric care providers. Direct inquiries and applications should be sent to: Rich Steinkohl at rich@hireresults.net. 6. Link of the Month: Kaiser's New Online Tools for Health Policy Data The Kaiser Foundation recently launched Kaiser Fast Facts (facts.kff.org), featuring "Quick-Takes" and "Kaiser Slides"—two tools providing direct access to facts, data, and slides about the nation's health care system and programs, in an easy-to-use format. For tips and resources to help you use this data, as well as links to additional data sets, visit the Hartford Foundation communications Web site, designed especially for Hartford grantees, at: www.BandwidthOnline.org. Write
to Us
We are committed to creating a monthly publication that serves your needs and interests. New Directions, therefore, welcomes your feedback and encourages you to supply ideas, stories, resources, news, and other content for subsequent issues. To make a contribution, please contact Pamela Dudzik at: pdudzik@aannet.org, Debbie Latimer at dlatimer@aacn.nche.edu, or Malvina Kluger at malvina.kluger@nyu.edu. Please
Note
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