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786 results on '"Horn, Susan D"'

1. Mitigating the Effects of a Pandemic: Facilitating Improved Nursing Home Care Delivery Through Technology

Author

Edelman, Linda S, McConnell, Eleanor S, Kennerly, Susan M, Alderden, Jenny, Horn, Susan D, and Yap, Tracey L

Subjects
Geriatrics, RC952-954.6
Abstract

The coronavirus disease (COVID-19) pandemic has been particularly challenging for nursing home staff and residents. Centers for Medicare & Medicaid Services regulation waivers are burdening staff and affecting how care is delivered. Residents are experiencing social isolation, which can result in physical and behavioral health issues, particularly for persons with dementia. These challenges can be addressed in part through technology adaptations. Full integration of electronic health record systems can improve workflow and care quality. Telehealth can improve access to outside providers, provide remote monitoring, and improve social connectedness. Electronic and audiovisual programs can be used for end-of-life planning and information sharing between nursing home staff and families. Online learning systems and other online resources provide flexible options for staff education and training. Investing in and adapting technology can help mitigate workforce stress and improve the quality of nursing home care during and after the COVID-19 crisis.

Published
2020
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5. Research Agenda for the Prevention of Pain and Its Impact: Report of the Work Group on the Prevention of Acute and Chronic Pain of the Federal Pain Research Strategy

Author

Gatchel, Robert J, Reuben, David B, Dagenais, Simon, Turk, Dennis C, Chou, Roger, Hershey, Andrew D, Hicks, Gregory E, Licciardone, John C, and Horn, Susan D

Subjects
Prevention, Health Services, Patient Safety, Chronic Pain, Clinical Research, Pain Research, Health and social care services research, Management of diseases and conditions, 8.1 Organisation and delivery of services, 7.1 Individual care needs, Musculoskeletal, Quality Education, Health Education, Humans, Pain, Pain Management, Patient Education as Topic, Federal pain research strategy, interagency pain research coordinating committee, acute pain, chronic pain, pain prevention, interdisciplinary research, research priorities
Abstract

After the 2011 Institute of Medicine report on chronic pain, the Interagency Pain Research Coordinating Committee (IPRCC) was created to enhance research efforts among federal agencies. The IPRCC and Office of Pain Policy at the National Institutes of Health collaborated to identify gaps in knowledge and address them via a Federal Pain Research Strategy (FPRS). Interdisciplinary work groups (WGs) were established to make research recommendations in 5 areas: prevention of acute and chronic pain, acute pain and acute pain management, transition from acute to chronic pain, chronic pain and chronic pain management, and disparities in pain and pain care; cross-cutting issues were also considered. The objective was to provide guidance on current research and to make recommendations about addressing identified gaps. Findings from the Prevention of Acute and Chronic Pain WG are summarized in this article. The WG created subgroups to develop recommendations on specific aspects of prevention of acute and chronic pain, including: public education, primary prevention, secondary prevention, tertiary prevention, transition from acute to chronic pain, and cross-cutting mediators. No formal literature review was conducted; however, external advisors were available and consulted as needed. Seven key research priorities were identified. The one deemed "greatest near-term value" was to optimize public health strategies to educate patients on managing pain; that deemed "most impactful" was to determine an association between patient and intervention factors. Other recommendations were related to the epidemiology of acute pain from health care procedures, the epidemiology of acute pain from work-related injuries, safety and effectiveness of management of pain associated with health care procedures, optimizing approaches to acute postsurgical pain, and safety and effectiveness of early interventions for tertiary prevention. Stakeholders, including federally sponsored research programs, researchers, health care providers, policy makers, patients, and others should work together to implement recommendations and address important gaps. PERSPECTIVE:The FPRS Steering Committee created 5 WGs to identify research needs and make recommendations in key areas of research. This article reports the results of one-the Prevention of Acute and Chronic Pain group. Several research priorities emerged, and recommendations made to fill existing knowledge gaps.

Published
2018

12. Adults with cerebral palsy and chronic pain experience: A cross-sectional analysis of patient-reported outcomes from a novel North American registry

Author

Sarmiento, Cristina A., primary, Gannotti, Mary E., additional, Gross, Paul H., additional, Thorpe, Deborah E., additional, Hurvitz, Edward A., additional, Noritz, Garey H., additional, Horn, Susan D., additional, Msall, Michael E., additional, Chambers, Henry G., additional, and Krach, Linda E., additional

Published
2023
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44. New Evidence on the Green House model of nursing home care: synthesis of findings and implications for policy, practice, and research

Author

Zimmerman, Sheryl, Bowers, Barbara J., Cohen, Lauren W., Grabowski, David C., Horn, Susan D., and Kemper, Peter

Subjects
United States. Centers for Medicare and Medicaid Services -- Analysis -- Surveys, Nursing homes -- Analysis -- Research -- Surveys, Evidence-based medicine -- Analysis -- Research -- Surveys, Green buildings -- Analysis -- Research -- Surveys, Activities of daily living -- Analysis -- Research -- Surveys, Business, Health care industry, University of North Carolina at Chapel Hill. Cecil G. Sheps Center for Health Services Research -- Surveys
Abstract

Objective. To synthesize new findings from the THRIVE Research Collaborative (The Research Initiative Valuing Eldercare) related to the Green House (GH) model of nursing home care and broadly consider their implications. Data Sources. Interviews and observations conducted in GH and comparison homes, Minimum Data Set (MDS) assessments, Medicare data, and Online Survey, Certification and Reporting data. Study Design. Critical integration and interpretation of findings based on primary data collected 2011-2014 in 28 GH homes (from 16 organizations), and 15 comparison nursing home units (from 8 organizations); and secondary data derived from 2005 to 2010 for 72 GH homes (from 15 organizations) and 223 comparison homes. Principal Findings. Implementation of the GH model is inconsistent, sometimes differing from design. Among residents of GH homes, adoption lowers hospital readmissions, three MDS measures of poor quality, and Part A/hospice Medicare expenditures. Some evidence suggests the model is associated with lower direct care staff turnover. Conclusions. Recommendations relate to assessing fidelity, monitoring quality, capitalizing opportunities to improve care, incorporating evidence-based practices, including primary care providers, supporting high-performance workforce practices, aligning Medicare financial incentives, promoting equity, informing broad culture change, and conducting future research. Key Words. Green House, nursing home, culture change, outcomes, evidence, The Green House (GH) model is a prescriptive model of residential long-term or rehabilitative care licensed by THE GREEN HOUSE Project[R] (http:// thegreenhouseproject.org/). Essential elements of GH homes relate to [...]

Published
2016
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45. Workforce characteristics, perceptions, stress, and satisfaction among staff in Green House and other nursing homes

Author

Brown, Patrick B., Hudak, Sandra L., Horn, Susan D., Cohen, Lauren W., Reed, David Allen, and Zimmerman, Sheryl

Subjects
Labor force -- Analysis, Nursing homes -- Analysis, Job stress -- Analysis, Green buildings -- Analysis, Business, Health care industry
Abstract

Objective. To compare workforce characteristics and staff perceptions of safety, satisfaction, and stress between Green House (GH) and comparison nursing homes (CNHs). Data Sources/Study Setting. Primary data on staff perceptions of safety, stress, and satisfaction from 13 GHs and 8 comparison NHs in 11 states; secondary data from human resources records on workforce characteristics, turnover, and staffing from 01/01/2011-06/30/2012. Study Design. Observational study. Data Collection Methods. Workforce data were from human resources offices; staff perceptions were from surveys. Principal Findings. Few significant differences were found between GH and CNHs. Exceptions were GH direct caregivers were older, provided twice the normalized hours per week budgeted per resident than CNAs in CNHs or Legacy NHs, and trended toward lower turnover. Conclusions. GH environment may promote staff longevity and does not negatively affect worker's stress, safety perceptions, or satisfaction. Larger studies are needed to confirm findings. Key Words. Nursing home workforce characteristics, Green House homes, safety culture, stress, and satisfaction, staff turnover, Much research on staff type and staffing ratios in nursing homes suggests that staffing has important effects on quality of care for residents (Bowers, Esmond, and Jacobson 2000; Harrington et [...]

Published
2016
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50. Opioid Pharmacotherapy for Chronic Non-Cancer Pain in the United States: A Research Guideline for Developing an Evidence-Base

Author

Chapman, C. Richard, Lipschitz, David L., Angst, Martin S., Chou, Roger, Denisco, Richard C., Donaldson, Gary W., Fine, Perry G., Foley, Kathleen M., Gallagher, Rollin M., Gilson, Aaron M., Haddox, J. David, Horn, Susan D., Inturrisi, Charles E., Jick, Susan S., Lipman, Arthur G., Loeser, John D., Noble, Meredith, Porter, Linda, Rowbotham, Michael C., Schoelles, Karen M., Turk, Dennis C., Volinn, Ernest, Von Korff, Michael R., Webster, Lynn R., and Weisner, Constance M.

Published
2010
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