Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee (Dr Galambos and Ms Rollin); Sinclair School of Nursing (Drs Vogelsmeier, Popejoy, Crecelius, and Rantz) and School of Social Work (Dr Canada), University of Missouri, St Louis; and Columbia University, School of Nursing (Dr Alexander).

Correspondence: Marilyn Rantz, PhD, RN, FAAN, Sinclair School of Nursing, Columbia, MO 65211 ([email protected]).

This project was supported by grant nos. 1E1CMS331080 and 1E1CMS331489 from the Centers for Medicare & Medicaid (CMS) Innovations Center and Medicare-Medicaid Coordination Office (http://innovation.cms.gove/initiatives/rahnfr) that focuses on improving care and outcomes for Medicare-Medicaid enrollees residing in nursing facilities.

The authors acknowledge the participation of 16 nursing homes in the St Louis area, their staff, the APRNs, and other staff of the MOQI. Without everyone's support and hard work, the advances of the initiative would not have been possible.

The authors declare no conflicts of interest.

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Published ahead of print: January 28, 2021