Update Community-Research Partnership Innovations in Research for Skilled and Long Term Care Rebecca S. Boxer, MD, MS

OVERVIEW UTI - Patient and Caregiver Tools SNF Connect – Randomized Controlled Trial of Heart Failure Disease Management vs. Usual Care Post Acute and Long Term Care Stakeholder Advisory Board Building community: www.togetherweimprovecare.org

UTI and Antibiotic Stewardship Patient and Caregiver Education

47 SNFs participated in the greater Denver metropolitan area Descriptive Statistics N=715 Age <80 353 (49%) ≥ 80 362 (51%) Sex Women 415 (58%) Race Black 70 (10%) Asian/Other 8 (0.1%) Heart Failure Type Preserved (EF >40%) 485 (68%) NYHA Class I/II 432 (61%) III/IV 267 (39%) Ischemic Disease 427 (60%) Hypertension 630 (88%) Diabetes 304 (43%) Chronic Kidney Disease (CKD) 294 (41%) Pulmonary Disease 412 (58%) Depression 290 (41%) Osteoporosis 183 (26%) History of Falls 446 (62%) Unsteady/Poor Balance 565 (79%) Problems with Sleep 359 (50%) Chronic Pain 406 (57%) Incontinence 209 (29%) Hospitalized for Heart Failure in Past 12 Months 328 (46%) SNF Connect – Randomized Controlled Trial of Heart Failure Disease Management vs. Usual Care Update Trial is complete 47 SNFs participated in the greater Denver metropolitan area Final results available this fall

Post Acute and Long Term Care Stakeholder Advisory Board Provide feedback to researchers regarding the importance and feasibility of research protocols in nursing facilities. Provide a “sounding board” for research ideas and research/community partnerships. Facilitate connections between community and academic researchers and facility personnel.  Projects Reviewed Clinical Tool Development Heart Failure Management in Nursing Homes Information sheet for Transitions from ER Research Tool Patient and family education on urinary tract infection and antibiotics use Why not Antibiotics? Research Engagement A Conference for Patient Centered Post-Acute Care Research Protocol The Transition from SNF to Home for the Patient with Heart Failure Website Development Togetherweimprovecare.org

Education and research opportunities for patients and families Nursing Home Consortium Stakeholder Advisory Board PARTNERS Colorado Clinical & Translational Sciences Institute (CCTSI)​ Colorado Medical Director's Association Patient-Centered Outcomes Research Institute​​ www.togetherweimprovecare.org

Community Participation – Opportunities Support the Stakeholder Advisory Board Donate to further development of the organization Send us your ideas and thoughts about improved patient and community engagement Send us your ideas for tool and educational material development. Ask/volunteer your company to join as a partner INTERESTED? Email us at togetherweimprovecare@ucdenver.edu