Research Opportunities at LIFE UPenn: Research Opportunities at LIFE UPenn Eileen M. Sullivan-Marx, PhD, RN, FAAN Associate Professor/Associate Dean for Practice and Community Affairs Shearer Endowed Term Chair for Healthy Community Practice December 14, 2005 Research Colloquium


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Integrated PACE Model of Care at LIFE UPenn: Integrated PACE Model of Care at LIFE UPenn In-Home Services Interdisciplinary Team MEMBER/ FAMILY Day Health Care Center andamp; Social Services Primary Care andamp; Pharmacy Services Transportation Services Rehabilitative andamp; Activity Services Specialty– Behavioral Health, Podiatry, Dentistry Skilled Nursing Facility Care Acute Hospital Care


Selected Goals: Selected Goals Enhance practices as a model of high quality, sound business, andamp; exemplary teaching sites Further science and knowledge


SON Strategic Goal: SON Strategic Goal Advance the science and shape the structure and quality of health care by systematically integrating education, research, and clinical care to meet current and future health care needs.


LIFE/Penn Nursing Mission: LIFE/Penn Nursing Mission Excellence in Research Test model of care and outcomes – participant in national study (Dana Mukamel, AHCPR) Palliative Care (NS, DC) Doctoral Dissertation (AB) Geriatric RN Training – (ESM) Leg Ulcer Therapy (SOM) Caregiver Stress - LaSalle School of Nursing


Knowledge Development: Knowledge Development Test model of care and outcomes – participant in national study Palliative Care Family Choice in Long Term Care Caregiver Stress Vascular Wound Care Hypertension among Older African-Americans Quality of Life Indicators


Highlights – 2005 Annual Report : Highlights – 2005 Annual Report Quality Management Integrated Electronic Data Base andamp; Health Record Web site: www.lifeupenn.org Space Capacity 300 Members!


LIFE41st & Woodland Avenue (1998): LIFE 41st andamp; Woodland Avenue (1998) Opening of LIFE at first site in 1998 Leased space of 10, 500 sq ft to serve 200 members


LIFE 38th & Market Street (2003): LIFE 38th andamp; Market Street (2003) Opened in September, 2003 10,000 sq ft for 100 members


Living Independently For Elders (LIFE): Living Independently For Elders (LIFE) Term used by Pennsylvania Dept. of Public Welfare (DPW) Four LIFE Programs in Pennsylvania LIFE UPenn – 1998 LIFE St. Agnes Community LIFE, Pittsburgh Pittsburgh - McKeesport


Philadelphia Catchment Area: Philadelphia Catchment Area 8 zip codes assigned to LIFE UPenn in West Philadelphia, exclusive service rights to serve 250 members – 1998 DPW raised cap to 400 members – 2004 19103, 19104, 19121, 19131, 19143, 19142, 19139, 19151 andamp; 19153


LIFE/SoN Quality Management Program: LIFE/SoN Quality Management Program Wayne Pendleton, MSW, Executive Director Mary Austin, MSN, Nursing Practice Director


LIFE/SoN Quality Circle: LIFE/SoN Quality Circle


Stakeholders in Quality: Stakeholders in Quality LIFE members Families and caregivers West/SW Philadelphia Community LIFE staff and contracted entities School of Nursing LIFE governing/advisory committees Penn PACE/NPA CMS and DPW/LTCCAP Taxpayers


New QM Format: New QM Format The Executive QM Committee meets quarterly and oversees all QM activities. The QM Workgroup meets monthly to gather and review data and report results on a variety of quality monitors. The QM Workgroup is made up of chairs of the Quality subcommittees. The plan is to implement 1-2 subcommittees per month.


Quality Subcommittees/Chairs: Quality Subcommittees/Chairs Quality of Care- Johanna Yurkow and Bruce Kinosian Quality of Life- Rebecca Tobias Ethics- Ed Kratowicz Safety and Environment- Wanda Cooper and Cherry Sturdivant Teaching, Education, and Research- Carole Somers Utilization Review- Lisa Santilli Administration- Johanna Yurkow Finance- Terry Klein Regulatory Compliance- Carolyn Draft


Executive QM Committee: Executive QM Committee Mary Austin Johanna Yurkow Bruce Kinosian Jane Barnsteiner- SoN Kathryn Bowles- SoN Mrs. Brown- LIFE member Mr. Parks- LIFE member Carol Jones- Inglis Foundation Jill James Idan Lisa Santilli Dawn Vesnefsie- NeighborCare Wayne Pendleton Betty Jo Robinson- PCA


LIFE Nursing Professional Model: LIFE Nursing Professional Model Owned and operated – Penn School of Nursing Director of Clinical Services – Gerontology Advanced Practice Nurse Primary Care – Nurse Practitioners Geropsychiatric APN Home Health Nurse Practitioner UPHS privileges for APNS underway


Translational Research: Translational Research Caregiving, Patricia Archbold, PhD, RN, FAAN Continence, Christine Bradway, PhD, CRNP, RN Mapping Cognitive Impairment, G. Hall, PhD, RN, FAAN Geriatric RN Training – Eileen Sullivan-Marx, PhD, FAAN


Process to Conduct Research at LIFE UPenn: Process to Conduct Research at LIFE UPenn Send request with abstract, procedure, IRB approval to Associate Dean for Practice andamp; Community Affairs Asso Dean forwards request to: Faculty Research Committee LIFE Chief of Operations Johanna Yurkow, MSN, MBA yurkowj@nursing.upenn.edu


Next Steps : Next Steps Obtain LIFE HIPAA certification Faculty Research Committee approves research based on meeting mission, exploring quality of life, nursing professional model of practice After approval proceed to LIFE to initiate research


LIFE Research for Pre and Post Docs/Students: LIFE Research for Pre and Post Docs/Students LIFE Staff approach members for your consent to request participation Need Faculty Sponsor with appointment to LIFE for HIPAA E. Sullivan-Marx, J. Barnsteiner, C. Bradway, A. Meleis, B. Kinosian