Center for Healthcare Quality (CHQ)
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
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:
- examine patient, facility,
workforce, and care process factors that predict pressure ulcer development in New
Jersey nursing home residents;
- compare nursing homes in New Jersey with the
highest and lowest pressure ulcer rates on predictors of pressure ulcer development
and pressure ulcer outcomes;
- 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
- 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:
- 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;
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
- 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:
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;
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
- 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.