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Integrating Advanced Practice Registered Nurses Into Nursing Homes: The Missouri Quality Initiative Experience

Vogelsmeier, Amy PhD, RN; Popejoy, Lori PhD, APRN, GCNS-BC, FAAN; Rantz, Marilyn PhD, RN, FAAN; Flesner, Marcia PhD, RN; Lueckenotte, Annette MSN, RN, FNGNA; Alexander, Greg PhD, RN, FAAN

Journal of Nursing Care Quality: April/June 2015 - Volume 30 - Issue 2 - p 93–98
doi: 10.1097/NCQ.0000000000000114
Departments: Innovations in Quality Improvement in Long-term Care

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Sinclair School of Nursing, University of Missouri, Columbia.

Correspondence: Amy Vogelsmeier, PhD, RN, S314, Sinclair School of Nursing, Columbia, MO 65211 (

This project is supported by grant number 1E1CMS331080 from the Centers for Medicare and Medicaid (CMS) Innovations Center and Medicare-Medicaid Coordination Office. The Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents is focused on improving care and outcomes for Medicare-Medicaid enrollees residing in nursing facilities ( The content is solely the responsibility of the authors and does not represent the official views of CMS.

The authors acknowledge the participation of 16 nursing homes in the St Louis area and other staff of the MOQI Initiative.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflict of interest.

The purpose of this column is to discuss innovations and quality improvement advancements across the various long-term care settings. This column is coordinated by Marilyn J. Rantz, PhD, RN, FAAN, NHA

© 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins