1. Nursing Facility Research Partnership
Steering Committee
Community: Leslie Eber, MD; Joanna Trojanowski, MD; Ruth Cohn
Academic: Heidi Wald, MD; Rebecca Boxer MD, Cynthia Drake, MA
Contact
Rebecca S. Boxer, MD, MS
Divisions of Geriatric Medicine and Cardiovascular Medicine
University of Colorado School of Medicine

2. Why Research in Nursing Homes?
To learn how to improve care.
To combat the shifts in care which occur from anecdotal events
To provide evidence which can inform policies and regulations
To find a better way

3. Partnerships to Change Care
UC Researchers
Nursing Facility

4. How are we Partnering
Long Term Care Research Partnership – Steering Committee
2 community physicians and 2 researcher physicians
Long Term Care Stakeholder Advisory Board
Vet research to assure appropriate for nursing facilities
Assist researchers in navigating the “nursing home world”
Identify key areas of need for research to improve quality of care.
Nursing Home Research Consortium
Identifying nursing homes which are interested in being research partners throughout the state.

5. Ongoing Research UTI DECIDE
Collaboration with the CDC to provide clinical decision support for nursing homes
Produced an App which reflects workflow in nursing homes
Usability testing followed by field testing
This work is specific for urinary tract infection (UTI) but has methodological implications for other conditions

7. Cultural Shift in SNF Rehabilitation Paradigms
To promote a cultural shift in SNF rehabilitation, we have designed an interdisciplinary “IntenSive Therapeutic Rehabilitation for Older Skilled NursinG HomE Residents” (I-STRONGER) program, which integrates principles of physiologic tissue overload into rehabilitation interventions. We will address previously documented barriers to cultural change in SNFs by appointing clinical advocates to promote I-STRONGER and integrating high-intensity principles into routine rehabilitation interventions to minimize staff time.
Low-Physiologic Intensity
High-Physiologic Intensity

8. UPDATE: A Randomized Trial of Heart Failure Disease Management vs
UPDATE: A Randomized Trial of Heart Failure Disease Management vs. Usual Care
What we will learn from this trial:
Does HF disease management improve outcomes while a patient is in the SNF and after they leave?
Do patients feel better if HF disease management is specifically addressed?

9. Patient and Family Engagement
Funded by the Patient Centered Outcomes Research Institute
Learn what are the best ways to manage patients based on what we already know (comparative effectiveness research)
How to best engage patients and caregivers in their care

10. What is next? Looking for LTC/SNF partners statewide
Planning certification indicating University of Colorado Research Site
Do you have ideas regarding research – we would are all EARS!
Lets partner to change care!

11. Supported by:
University of Colorado, Clinical and Translational Science Insitute NIH/NCATS Colorado CTSA Grant Number UL1 TR Contents are the authors’ sole responsibility and do not necessarily represent official NIH views