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As part of our continued goal of partnering with nursing homes in central Indiana, IU Center for Aging Research has received a $621,697 planning grant to evolve the current OPTIMISTIC model into a scalable package for national dissemination.


This planning grant is designed to prepare for further implementation and dissemination of the OPTIMISTIC model, developed with CMS Innovations Center support. The grant includes the following activities:

  1. refining and packaging the OPTIMISTIC “bundle” for implementation;
  2. conducting an environmental analysis and plan for identifying national and regional partners and recruiting future sites;
  3. developing a dissemination strategy, including manuals and materials;
  4. developing a business plan focused on long-term sustainability; and
  5. creating a communications and dissemination plan.
Center for Aging Research

Unroe KT, Nazir A, Holtz LR et al. The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project. J Am Geriatr Soc 2015;63:165-169.

October 8, 2018 • News
Shaking up how nursing homes and their clinicians are paid to care for sick residents
Keeping frail older adults in a familiar place with staff and providers who know them is the aim of the ongoing second phase of OPTIMISTIC, an innovative model of care management for long-stay nursing home residents. The 40 participating Indiana nursing homes are reimbursed by Medicare for onsite treatment of the six most common conditions of older nursing home residents linked to unnecessary hospitalizations.
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November 28, 2017 • News
OPTIMISTIC lowers long-stay nursing home residents’ avoidable hospitalizations by a third
INDIANAPOLIS — The initial phase of OPTIMISTIC, an innovative program developed and implemented by clinician-researchers from the Indiana University Center for Aging Research and partners to decrease avoidable hospitalizations of long-stay nursing facility residents, reduced these events a striking 33 percent, according to an independent evaluation prepared at the request of the Center for Medicare […]
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January 26, 2017 • News
Expanding throughout Indiana, OPTIMISTIC study tests new CMS payment model
INDIANAPOLIS — Indiana University’s OPTIMISTIC study has added an additional 25 facilities across Indiana as it expands its efforts to improve the health and health care of long-term nursing home residents. Over the next four years, the 19 central Indiana nursing homes that participated in OPTIMISTIC’s initial phase plus the 25 additional nursing homes from […]
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October 24, 2016 • News
OPTIMISTIC study: Unique nurse practitioner role leads to safer care in nursing homes
INDIANAPOLIS – Transfers of nursing home residents to and from the hospital frequently expose these frail, older adults to medication errors and poor follow-up care resulting in near or serious harm to one in four nationwide. Research conducted as part of the OPTIMISTIC study, an innovative program developed and implemented at a growing number of […]
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March 28, 2016
Improving care for nursing home residents: CMS ups support of OPTIMISTIC to $30.3 million
March 28, 2016 INDIANAPOLIS — With the announcement of an additional $16.9 million for a total of more than $30 million of Centers for Medicare and Medicaid Services funding since 2012, Indiana University’s OPTIMISTIC project commences the second phase of an innovative endeavor with a goal of improving the health and health care of long-term […]
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September 8, 2016 • News
IU and Regenstrief’s OPTIMISTIC named one of 20 top geriatric studies of 21st century
INDIANAPOLIS – The OPTIMISTIC study, an innovative program developed and implemented by clinician-researchers from the IU Center for Aging Research at Regenstrief Institute to prevent unnecessary hospitalizations of long stay nursing home residents, has been recognized by the Journal of the American Geriatrics Society as one of 20 articles published from 2000 to 2015 that […]
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March 7, 2017 • Announcements
OPTIMISTIC improves care by avoiding unnecessary hospital stays for nursing home residents
INDIANAPOLIS – The OPTIMISTIC model of care, an innovative program developed and implemented by clinician-researchers to prevent unnecessary hospitalizations of long-stay nursing home residents reduced hospitalizations for diagnoses considered potentially avoidable by nearly 40 percent and total hospitalizations by 25 percent according to a study published in the March issue of the journal Health Affairs. […]
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November 1, 2016 • News
OPTIMISTIC study: Advance care planning in nursing homes challenging but critical
INDIANAPOLIS — The goal of advance care planning is to ensure that the health care an individual receives is consistent with his or her values and preferences. New research shows the critical need for advance care planning and highlights the challenges that healthcare institutions — especially nursing homes — face in supporting high quality advance […]
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