29 results match your criteria: "Center of Innovation for Long-Term Services and Supports[Affiliation]"

Is Fear of Falling the Missing Link to Explain Racial Disparities in Fall Risk? Data from the National Health and Aging Trends Study.

Clin Gerontol

August 2021

Center for Gerontology & Healthcare Research, Department of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, Rhode Island, USA.

Objectives: Emerging research suggests Black older adults experience a 30% decreased risk for falls compared with their White U.S. counterparts, and this is mediated neither by physical performance nor activity.

View Article and Find Full Text PDF

A path-breaking example of the interplay between geriatrics and learning healthcare systems is the Veterans Health Administration's (VHA's) planned roll-out of a program for providing participant-directed home- and community-based services to veterans with cognitive and functional limitations. We describe the design of a large-scale, stepped-wedge, cluster-randomized trial of the Veteran-Directed Home- and Community-Based Services (VD-HCBS) program. From March 2017 through December 2019, up to 77 Veterans Affairs Medical Centers will be randomized to times to begin offering VD-HCBS to veterans at risk of nursing home placement.

View Article and Find Full Text PDF

Palliative Care Interventions for Patients with Heart Failure: A Systematic Review and Meta-Analysis.

J Palliat Med

January 2017

7 Division of Geriatrics and Palliative Care, VA Boston Healthcare System , Boston, Massachusetts.

Objective: To systematically characterize interventions and effectiveness of palliative care for advanced heart failure (HF) patients.

Background: Patients with advanced heart failure experience a high burden of distressing symptoms and diminished quality of life. Palliative care expertise with symptom management and healthcare decision-making benefits HF patients.

View Article and Find Full Text PDF

Antimicrobial Stewardship in Long-Term Care Facilities: A Call to Action.

J Am Med Dir Assoc

February 2016

Center of Innovation for Long-term Services and Supports, Veterans Affairs Medical Center, Providence, RI; Infectious Diseases Research Program, Veterans Affairs Medical Center, Providence, RI; Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, RI; Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI.

Antimicrobial resistance is a global public health crisis and a national security threat to the United States, as stated in an executive order signed by the president in September 2014. This crisis is a result of indiscriminant antimicrobial use, which promotes selection for resistant organisms, increases the risk of adverse drug events, and renders patients vulnerable to drug-resistant infections. Antimicrobial stewardship is a key measure to combat antimicrobial resistance and specifically seeks to do this by improving antimicrobial use.

View Article and Find Full Text PDF