The collaborative method: an effective performance improvement tool for reducing inappropriate admissions.

TMF Health Quality Institute (TMF) is the Medicare quality improvement organization for Texas. Under its contract with the Centers for Medicare and Medicaid Services, an agency of the U.S.

Aluminumoxyhydride: improved synthesis and application as a selective reducing agent.

Aluminumoxyhydride (HAlO) has been obtained by the reaction of aluminum hydride with the siloxane (Me2HSi)2O or the stannoxane (Bu3Sn)2O as an amorphous colorless insoluble powder. The highest-purity product resulted from the reaction of H3Al.NMe3 with (Me2HSi)2O.

Quality improvement in nursing homes in Texas: results from a pressure ulcer prevention project.

Background: Pressure ulcer prevalence, cost, associated mortality, and potential for litigation are major clinical problems in nursing homes despite guidelines for prevention and treatment.

Objective: To improve the use of pressure ulcer prevention procedures at nursing homes in Texas through implementation of process of care system changes in collaboration with a state quality improvement organization (QIO).

Design: Preintervention and postintervention measurement of performance for process of care quality indicators and of pressure ulcer incidence rates.