Evaluators at the University of Colorado Health Sciences Center conducted a formal evaluation and a follow-up study of the 1982–1987 Teaching Nursing Home Program (TNHP).
TNHP sought to demonstrate that nursing home affiliations with nursing schools would result in improved patient care and reduced health care costs. Grants were made to 11 university nursing schools, each of which had affiliations with at least one nursing home.
The evaluation compared 11 of these affiliated nursing homes with six matched homes with no nursing school affiliations, gathering data from over 3,300 nursing home patients' records for the years 1981–1988.
- The evaluation found that TNHP achieved improved clinical outcomes in patient care in nursing homes through affiliations with university schools of nursing.
- Among specific findings was a 7 percent decrease in hospitalizations of patients within three months of admission at teaching nursing homes (TNHs), resulting in reduced per-patient cost of care.
- There were two apparent mechanisms for reduced hospitalizations:
- Programs that focused on enhancing or stabilizing activities of daily living or functional independence.
- The involvement of nurse clinicians and nurse's aides in care planning.
A follow-up survey was undertaken in 1995, seven years after the close of the national program.
- This survey of nursing school and nursing home staff found that TNHP affiliation appeared to produce enduring improvements in patient care, and spurred professional growth of both faculty and nursing home staff.
Results of the formal evaluation appeared in the Journal of the American Geriatrics Society and Health Care Financing Review, among other publications.
Findings from the follow-up survey were published in Nursing Outlook.
RWJF Scholar examines neighborhood-based death rates from opiate-based painkiller overdoses, compared with heroin overdose deaths.
Unengaged patients can incur costs of up to 21% higher than patients who are highly engaged in care. This suite of materials from RWJF's AF4...
This month the Johns Hopkins Bloomberg School of Public Health published a special issue of its magazine devoted to food.
The LEAP project identified 30 primary care practices that use health professionals and other staff in ways that maximize access to their se...
A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality o...
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
Adverse working conditions contribute substantially to the risk of depression for working-age adults, according to new research from a team ...
The Health and Medical Care Archives at the University of Michigan's Inter-University Consortium for Political and Social Research is the of...
Majority of Youth C. Difficile Infections Linked to Doctor Visits - Study: Even Slightly Elevated Blood Pressure Can Do Cardiovascular Damag...
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
Hilary Levey Friedman, author of Playing to Win: Raising Children in a Competitive Culture, writes about youth sports.
RWJF President and CEO Risa Lavizzo-Mourey, MD, discusses how the Foundation will work across professions and sectors to create a culture of...