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Lonhala Magnair

Advanced Practice Nurses Play Key Role in Reducing Hospitalizations, Improving Resident Care

Researchers from the University of Missouri Sinclair School of Nursing are continuing to see success in their work to improve quality of care in nursing homes.

In 2016, a federal report found the Missouri Quality Initiative for Nursing Homes (MOQI) reduced potentially avoidable hospitalizations 48% and reduced hospitalizations from all causes 33%.

This reduced total Medicare expenses $1,376 per person, saving 33% of the costs of all-cause hospitalizations and 40% of potentially avoidable hospitalizations.

Launched in 2012, MOQI is a partnership among MU, Centers for Medicare & Medicaid Services, and state Medicaid programs initiated to improve care at 40 nursing facilities in the St. Louis area.

Based on MOQI’s latest results, it is estimated that if APRNs were able to work in each one of Missouri’s 500 nursing homes, Medicare costs for the more than 39,000 nursing home residents would be reduced by approximately $53.9 million each year.

Overall, the report on MOQI’s progress found evidence of the initiative’s effectiveness in reducing hospital inpatient admissions, emergency room visits, and hospitalization-related Medicare expenses. The second phase of the initiative is now underway, with researchers looking to help other nursing homes in Missouri and other states implement the successful program.

View the final report.

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