News
April 1, 2019

Success of OPTIMISTIC Highlighted in LeadingAge Magazine

OPTIMSTIC/Care Revolution to improve care for people in nursing homes.

A Regenstrief and Indiana University School of Medicine program was featured in LeadingAge Magazine for its success at reducing unnecessary hospitalizations for people living in long-stay nursing homes.

The magazine gave an in-depth look at the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) program, reporting that it is leading the way in streamlining transitions of care and reducing hospitalizations.

OPTIMISTIC was one of two nursing-intensive initiatives highlighted in the article because of its success in the Centers for Medicare and Medicaid Services (CMS) Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents.

“OPTIMISTIC is about developing a more comprehensive approach to the many drivers of rehospitalizations,” Kathleen Unroe, M.D., principal investigator of OPTIMISTIC and acting director of the Center for Aging Research, told LeadingAge.

The OPTIMISTIC model embeds a specially trained nurse in each nursing home. The nurse analyzes the reasons any resident is transferred to the hospital, then identifies opportunities for improvement in the transfer process and trends at the caregiving level.

“They conduct a detailed transition evaluation when a resident returns to the facility,” Dr. Unroe said. “They address polypharmacy and overall care planning.”

Facilities with these services were able to treat more residents in place, rather than sending them to the hospital. The program decreased avoidable hospitalizations by one third.

Right now, OPTIMISTIC is in phase two, testing a CMS payment model to incentivize facilities to provide higher levels of care on site. That grant ends in 2020.

Read more of Dr. Unroe’s interview here 

Related News

Dr. Babar Khan on All IN

Renowned delirium researcher and clinician named Regenstrief interim center director

Babar Khan, M.D., M.S., a renowned delirium research scientist and pulmonary and critical care clinician, has been named interim

Regenstrief Research Scientist Wanzhu Tu, PhD

Parental liver disease death more than doubles risk of alcohol-associated hepatitis in next generation

In a groundbreaking study, research scientists from the Indiana University School of Medicine and Regenstrief Institute found that individuals

image of elderly woman discussing pill bottle with her doctor

American Geriatrics Society unveils updated alternatives to potentially harmful medications for older adults

Regenstrief researcher serves on expert panel providing clinicians, patients and families with credible, actionable alternatives The American Geriatrics Society

Regenstrief experts drive global dialogue on AI in healthcare at MedInfo 2025

Regenstrief experts drive global dialogue on AI in healthcare at MedInfo 2025

Regenstrief Institute research scientists and professional staff joined presenters from around the world at the MedInfo 2025 conference from