JAMDA
Volume 10, Issue 1 , Pages 56-61 , January 2009

Acute Myocardial Infarction in Nursing Home Residents: Adherence to Treatment Guidelines Reduces Mortality, But Why Is Adherence So Low?

  • Cari R. Levy, MD

      Affiliations

    • VA Eastern Colorado Healthcare System, HSR&D TREP for Long-term Care Research, Denver, CO
    • University of Colorado, School of Medicine Division of Health Care Policy and Research, Aurora, CO
    • Corresponding Author InformationAddress correspondence to Cari Levy, MD, VA Eastern Colorado Healthcare System, HSR&D TREP for Long-term Care Research, 1055 Clermont Street, Building C, Mailstop 151, Denver, CO 80220
    • ,
  • Tiffany A. Radcliff, PhD

      Affiliations

    • VA Eastern Colorado Healthcare System, HSR&D TREP for Long-term Care Research, Denver, CO
    • University of Colorado, School of Medicine Division of Health Care Policy and Research, Aurora, CO
    • ,
  • Elizabeth T. Williams, MS

      Affiliations

    • VA Eastern Colorado Healthcare System, HSR&D TREP for Long-term Care Research, Denver, CO
    • ,
  • Evelyn Hutt, MD

      Affiliations

    • VA Eastern Colorado Healthcare System, HSR&D TREP for Long-term Care Research, Denver, CO
    • University of Colorado, School of Medicine Division of Health Care Policy and Research, Aurora, CO

References 

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 C.R.L. is funded by a Veterans Affairs Career Development Award. She has no other financial disclosures. T.A.R. receives salary support through the US Department of Veterans Affairs Health Services Research & Development Research Enhancement Award Program (HSRD REA 06–0173) at the Denver VA Medical Center. She has no other financial disclosures. E.T.W. receives salary support through the US Department of Veterans Affairs Health Services Research & Development Research Enhancement Award Program (HSRD REA 06–0173) at the Denver VA Medical Center. She has no other financial disclosures. E.H. receives salary support through the US Department of Veterans Affairs Health Services Research & Development Research Enhancement Award Program (HSRD REA 06–0173) at the Denver VA Medical Center. She has no other financial disclosures.

 Data were provided by StratisHealth, the Quality Improvement Organization for Minnesota, the Centers for Medicare and Medicaid Services, and the University of Minnesota, Twin Cities.

 The analyses using Cooperative Cardiovascular Project (CCP) baseline data were performed under a Centers for Medicare & Medicaid Services Dissertation Fellowship Grant (No. 30-P-91016/5–01) awarded in 1999, which was extended through a data use agreement until 12/31/2009. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is the direct result of the Health Care Quality Improvement Program initiated by the Centers for Medicare and Medicaid Services, which has encouraged identification of quality improvement projects derived from the analysis patterns of care, and therefore required no special funding on the part of the contractor. Feedback to the authors concerning the issues presented is welcomed.

PII: S1525-8610(08)00275-2

doi: 10.1016/j.jamda.2008.08.009

JAMDA
Volume 10, Issue 1 , Pages 56-61 , January 2009

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