Quality Improvement in Skilled Nursing Facilities for Residents With Alzheimer’s Disease

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Abstract

Background/Rationale:

This report describes a quality improvement continuing medical education activity designed to enhance the recognition and treatment of residents with Alzheimer’s disease (AD) or other dementias in skilled-nursing facilities (SNFs).

Methods:

Charts were compared in 6 areas prior to and following (stages A and C) a live, faculty-led workshop (stage B). Four SNFs completed stages A (n = 67 residents) and B, and 3 SNFs completed stage C (n = 52 residents). All charts came from residents with AD or a diagnosis of dementia or dementia-like symptoms.

Results/Conclusion:

The SNFs had >95% baseline performance in both the frequency of cognitive assessments and documented medication reviews. The percentage of residents who received a quality-of-life assessment and those who had a mental health care plan in place represent areas for improvement. As part of this activity, a toolkit was developed to help guide facilities and clinicians in instituting care improvements for residents with AD/dementia.

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