title: The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing.
abstract: Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005-2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009-2012) of the program (N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care (n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life.
authors.affiliation: Sinclair School of Nursing, Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO. Electronic address: RantzM@missouri.edu.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Rantz
authors.affiliation: Sinclair School of Nursing, Columbia, MO.
authors.forename: Lori L
authors.initials: LL
authors.lastname: Popejoy
authors.affiliation: School of Social Work, Sinclair School of Nursing, Columbia, MO.
authors.forename: Colleen
authors.initials: C
authors.lastname: Galambos
authors.affiliation: Sinclair School of Nursing, Columbia, MO.
authors.forename: Lorraine J
authors.initials: LJ
authors.lastname: Phillips
authors.affiliation: Sinclair School of Nursing, Columbia, MO.
authors.forename: Kari R
authors.initials: KR
authors.lastname: Lane
authors.affiliation: Arizona State University, College of Nursing and Health Innovation, Phoenix, AZ.
authors.forename: Karen Dorman
authors.initials: KD
authors.lastname: Marek
authors.affiliation: Health Management and Informatics, School of Medicine, University of Missouri, Columbia, MO.
authors.forename: Lanis
authors.initials: L
authors.lastname: Hicks
authors.affiliation: Manager of Nursing Services, TigerPlace, Sinclair School of Nursing, Columbia, MO.
authors.forename: Katy
authors.initials: K
authors.lastname: Musterman
authors.affiliation: Sinclair School of Nursing, Columbia, MO.
authors.forename: Jessica
authors.initials: J
authors.lastname: Back
authors.affiliation: Sinclair School of Nursing, Columbia, MO.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Miller
authors.affiliation: Medical Research Office, University of Missouri, Columbia, MO.
authors.forename: Bin
authors.initials: B
authors.lastname: Ge
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005851:Geriatric Nursing / Q000458:organization & administration*; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D057187:Independent Living; D008134:Long-Term Care / Q000458:organization & administration*; D008297:Male; D008923:Missouri; D024802:Nurse's Role; D009726:Nurses / Q000458:organization & administration*; D009735:Nursing Homes / Q000458:organization & administration*; D015397:Program Evaluation
keywords: Aging in place; Assisted living; Elderly; Nurse care coordination; Nursing home