The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing

Marilyn Rantz; Lori L. Popejoy; Colleen Galambos; Lorraine J. Phillips; Kari R. Lane; Karen Marek; Lanis Hicks; Katy Musterman; Jessica Back; Steven J. Miller; Bin Ge

doi:10.1016/j.outlook.2014.02.005

The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing

Marilyn Rantz, Lori L. Popejoy, Colleen Galambos, Lorraine J. Phillips, Kari R. Lane, Karen Marek, Lanis Hicks, Katy Musterman, Jessica Back, Steven J. Miller, Bin Ge

Nursing and Health Innovation, Edson College of (EDSON)

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005-2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009-2012) of the program ( N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care ( n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life.

Original language	English (US)
Pages (from-to)	237-246
Number of pages	10
Journal	Nursing Outlook
Volume	62
Issue number	4
DOIs	https://doi.org/10.1016/j.outlook.2014.02.005
State	Published - Jul 2014

Keywords

Aging in place
Assisted living
Elderly
Nurse care coordination
Nursing home

ASJC Scopus subject areas

General Nursing

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10.1016/j.outlook.2014.02.005

Cite this

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title = "The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing",

abstract = "Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005-2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009-2012) of the program ( N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care ( n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life.",

keywords = "Aging in place, Assisted living, Elderly, Nurse care coordination, Nursing home",

author = "Marilyn Rantz and Popejoy, {Lori L.} and Colleen Galambos and Phillips, {Lorraine J.} and Lane, {Kari R.} and Karen Marek and Lanis Hicks and Katy Musterman and Jessica Back and Miller, {Steven J.} and Bin Ge",

note = "Funding Information: Supported in part by a grant from the Centers for Medicare and Medicaid Services: Aging in Place: A New Model for Long-term Care , Grant #18-C-91036 . Copyright: Copyright 2014 Elsevier B.V., All rights reserved.",

year = "2014",

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language = "English (US)",

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AU - Rantz, Marilyn

AU - Popejoy, Lori L.

AU - Galambos, Colleen

AU - Phillips, Lorraine J.

AU - Lane, Kari R.

AU - Marek, Karen

AU - Hicks, Lanis

AU - Musterman, Katy

AU - Back, Jessica

AU - Miller, Steven J.

AU - Ge, Bin

N1 - Funding Information: Supported in part by a grant from the Centers for Medicare and Medicaid Services: Aging in Place: A New Model for Long-term Care , Grant #18-C-91036 . Copyright: Copyright 2014 Elsevier B.V., All rights reserved.

PY - 2014/7

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N2 - Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005-2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009-2012) of the program ( N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care ( n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life.

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The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing

Abstract

Keywords

ASJC Scopus subject areas

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