About CHQ

Center for Healthcare Quality (CHQ)

Research Initiatives

Falls Pilot Study

A pilot study entitled Factors Associated with Falls in Adult Hospitalized Patients, began in the Fall of 2013 and was completed in 2014. A poster of study findings was presented at the Eastern Nursing Research Society Annual Symposium in Philadelphia, PA, on April 10, 2014. In addition, two undergraduate honors students presented descriptive findings at the Honors Research Day at the School of Nursing on April 14, 2014. One manuscript of these study findings was published in May of 2015 in Applied Nursing Research. Two additional manuscripts are in progress. A follow-up grant proposal was submitted to the New Jersey Healthcare Foundation entitled Predictors of Fall-related Injury in a Magnet and non-Magnet Hospital.

Centers for Medicare and Medicaid (CMS) Services Grant

A grant entitled, Factors Associated with Pressure Ulcer Development in Residents in New Jersey Nursing Homes, was submitted to the New Jersey Department of Health in the Fall of 2014. The aims of this grant were as follows:

  1. examine patient, facility, workforce, and care process factors that predict pressure ulcer development in New Jersey nursing home residents;
  2. compare nursing homes in New Jersey with the highest and lowest pressure ulcer rates on predictors of pressure ulcer development and pressure ulcer outcomes;
  3. gain an understanding of the facilitators and barriers to pressure ulcer prevention in New Jersey nursing homes with high and low pressure ulcer rates; and
  4. develop a pressure ulcer prevention bundle that can be tailored to meet the unique needs of individual nursing homes in New Jersey.

A grant entitled, A Pilot Intervention Project to Evaluate Skilled Nursing Facilities as Alternative Levels of Care to Reduce 30-day Hospital Readmission for Medicare Patients with Heart Failure and Chronic Obstructive Pulmonary Disease, will be submitted to CMS in the Fall of 2015 to match the previous grant description.

The CHQ team is currently developing a proposal to test a pilot intervention project in partnership with three long-term care facilities in New Jersey, St. Joseph’s Hospital, and the New Jersey Department of Health. The aims of the study are:

  1. develop an evidence-based decision algorithm for use by ER physicians in the pilot study hospital to determine the level of care provision needed for Medicare patients with Heart Failure (HF) and Chronic Obstructive Pulmonary Disease (COPD) who seek acute care ER services within 30 days of an index hospitalization;
  2. establish standards and minimal criteria for three levels of short-term alternative skilled nursing facility care for patients with HF and COPD who seek acute care services in a hospital emergency room within 30 days of an index hospitalization; and
  3. compare the pilot study hospital ER admissions rates for Medicare patients with a primary diagnosis of HF and COPD, who are hospitalized within 30 days of discharge from an index hospitalization during the pilot study period against the HF and COPD ER admission rates within 30 days of an index hospitalization for Medicare patients in the year before commencement of the pilot study. Funding will be sought from the Centers for Medicare & Medicaid Services.


Additionally, the CHQ team has submitted a letter of intent to the Donaghue Foundation. Members of CHQ have been invited to write a full proposal for their Another Look: Better Health for Elders in Care Facilities grant funding. This is entitled, Patient, Facility, and Workforce Factors Associated with Pressure Ulcer Development in residents in NJ Nursing Homes.

The aims of the grant will be to:

  1. Examine the independent associations among patient, facility, nursing workforce factors, pressure ulcer (PU) risk assessment processes, and PU outcomes (incidence and prevalence rates) in short- and long-stay residents in NJ nursing homes;
  2. Examine differences between high performing (low pressure ulcer rates) and low performing (high pressure ulcer rates) nursing homes in patient factors, facility factors, nursing workforce factors, PU risk assessment processes, and pressure ulcer outcomes (incidence and prevalence rates) in short- and long-stay residents in NJ nursing homes; and
  3. Determine PU prevention strategies that are tailored to the root causes of PU incidence and prevalence across nursing homes in NJ.

Individual Research Projects

Several members of the Center are actively engaged in individual research studies consistent with the mission of the Center.

Dr. Cadmus was awarded a grant from the Centers for Medicare and Medicaid Services to develop, implement and evaluate an innovative 12-month nurse residency model in New Jersey long-term care facilities for new RN graduates.

Dr. Cox completed a study that examined vasopressor use and pressure ulcer incidence in patients admitted to the intensive care unit (ICU). She was also funded by the Centers for Medicare and Medicaid Services to evaluate a pressure ulcer prevention thermography intervention in six long-term care facilities in New Jersey. This is an ongoing study.

 

 

 

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