Nursing Home Control of Physician Resources

Incentivizing nursing home quality and physician performance.

Nursing homes (NHs) are under increasing pressure to accurately gauge and improve the quality of care they provide to their residents. Higher patient acuity, demand from consumers and policy-makers, and media reports of inadequate care are providing the impetus for change. In response to these pressures, researchers are devising more appropriate indicators of quality,1 states are creating innov...

Nursing Home

The effect of a physician assistant on the hospitalization of nursing home residents.

OBJECTIVES To describe the impact of regular visits to a nursing home by a gerontologist physician assistant (PA) on the hospitalization and medical costs of patients. DESIGN A 6-year case series (1992-1997) incorporating events before and after introduction of a PA in May 1994. The PA visited the nursing home 3 to 4 times per week, provided nearly all of the acute medical care, and alternate...

Impact of physician telephone management of nursing home residents before the initial assessment: a pilot study.

OBJECTIVE To describe physician telephone management of newly admitted nursing home residents before direct evaluation by the physician, and the effect on resident outcomes. DESIGN Retrospective chart review of 111 consecutive discharge records from two proprietary community nursing homes in Baltimore, Maryland in 1999. MEASUREMENTS Data regarding the admission process were collected, with ...

Essential nursing resources.

The 26th edition of the ICIRN Essential Nursing Resources (ENR) list is presented as a resource for locating nursing information and for collection development. The list includes print, electronic, and web sources to support nursing practice, education, administration, and research activities. Only the most recent editions and website addresses have been included. The list was compiled to point...