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Reducing Avoidable Hospitalizations and Improving Quality in Nursing Homes With APRNs and Interdisciplinary Support: Lessons Learned

Rantz, Marilyn, J., PhD, RN, FAAN; Popejoy, Lori, PhD, RN, FAAN; Vogelsmeier, Amy, PhD, RN, FAAN; Galambos, Colleen, PhD; Alexander, Greg, PhD, RN, FAAN; Flesner, Marcia, PhD, RN; Murray, Cathy, EdD, MBA, BHSM, RN, NHA; Crecelius, Charles, MD, PhD, CMD

doi: 10.1097/NCQ.0000000000000302
Departments: Innovations in Quality Improvement in Long-term Care

MU Sinclair School of Nursing (Drs Rantz, Popejoy, Vogelsmeier, Alexander, Flesner, Murray, and Crecelius), and Department of Social Work, College of Human and Environmental Sciences (Dr Galambos), University of Missouri, Columbia. Dr Crecelius is on-site in grant operation location, St Louis, Missouri.

Correspondence: Marilyn J. Rantz, PhD, RN, FAAN, MU Sinclair School of Nursing, University of Missouri, Columbia, MO 65211 (

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 (

This project is supported by grant no. 1E1CMS331080 from the Centers for Medicare & Medicaid Services (CMS) Innovations Center and Medicare-Medicaid Coordination Office (, which is focused on improving care and outcomes for Medicare-Medicaid enrollees residing in nursing facilities. The authors also acknowledge the participation of 16 nursing homes in the St Louis area, their staffs, and the advanced practice registered nurses and other staff of the MOQI Initiative.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the CMS.

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

The authors declare no conflicts of interest.

Accepted for publication: August 15, 2017

Published ahead of print: September 29, 2017

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