Quality Improvement in Skilled Nursing Facilities for Residents with Alzheimer's Disease

Martin R. Farlow, Soo Borson, Stephen R. Connor, George T. Grossberg, Mary S. Mittelman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background/Rationale: This report describes a quality improvement continuing medical education activity designed to enhance the recognition and treatment of residents with Alzheimer's disease (AD) or other dementias in skilled-nursing facilities (SNFs). Methods: Charts were compared in 6 areas prior to and following (stages A and C) a live, faculty-led workshop (stage B). Four SNFs completed stages A (n = 67 residents) and B, and 3 SNFs completed stage C (n = 52 residents). All charts came from residents with AD or a diagnosis of dementia or dementia-like symptoms. Results/Conclusion: The SNFs had >95% baseline performance in both the frequency of cognitive assessments and documented medication reviews. The percentage of residents who received a quality-of-life assessment and those who had a mental health care plan in place represent areas for improvement. As part of this activity, a toolkit was developed to help guide facilities and clinicians in instituting care improvements for residents with AD/dementia.

Original languageEnglish (US)
Pages (from-to)156-162
Number of pages7
JournalAmerican Journal of Alzheimer's Disease and Other Dementias
Issue number2
StatePublished - Mar 1 2016


  • Alzheimer's disease
  • dementia
  • nursing homes
  • quality improvement CME

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