Building access to the Regenstrief Institute is currently restricted. More on our coronavirus precautions.
See our coronavirus precautions.
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 

MEDIA CONTACTS:
John Erickson
Regenstrief Institute
jorerick@regenstrief.org
(317) 274-9062

Related News

Sep 20, 2021 • News
Ethical challenge of healthcare for undocumented immigrants yields clinician moral distress
In one of the first studies to explore clinician moral distress related to the ethically challenging provision of healthcare to undocumented immigrants, researchers from Regenstrief Institute and Indiana University School of Medicine surveyed physicians and nurses to assess their perspectives on treating end-stage renal disease in undocumented immigrants, a condition which Medicare covers for U.S.…
Continue Reading >
Sep 16, 2021 • News
Regenstrief Institute CEO to depart for Vanderbilt University
Peter Embí, M.D., M.S., president and CEO of the Regenstrief Institute, Inc., will leave the institute in December to assume the position of chair of Vanderbilt University Medical Center’s Department of Biomedical Informatics. He also will serve as senior vice president for research and innovation, a newly created position. He will join the Vanderbilt faculty…
Continue Reading >