John F Schnelle

Summary

Affiliation: University of California
Country: USA

Publications

  1. ncbi request reprint A standardized quality assessment system to evaluate incontinence care in the nursing home
    John F Schnelle
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Los Angeles, California, USA
    J Am Geriatr Soc 51:1754-61. 2003
  2. ncbi request reprint Measurement sensitivity and the Minimum Data Set depression quality indicator
    J F Schnelle
    University of California at Los Angeles Department of Medicine, USA
    Gerontologist 41:401-5. 2001
  3. ncbi request reprint The minimum data set prevalence of restraint quality indicator: does it reflect differences in care?
    John F Schnelle
    Borun Center for Gerontological Research, Department of Medicine, University of California Los Angeles, 7150 Tampa Avenue, Reseda, CA 91335, USA
    Gerontologist 44:245-55. 2004
  4. ncbi request reprint Urinary and fecal incontinence in nursing homes
    John F Schnelle
    Division of Geriatrics, UCLA David Geffen School of Medicine, Borun Center for Gerontological Research, USA
    Gastroenterology 126:S41-7. 2004
  5. ncbi request reprint Improving the quality of nursing home care and medical-record accuracy with direct observational technologies
    John F Schnelle
    Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, CA, USA
    Gerontologist 45:576-82. 2005
  6. ncbi request reprint Accuracy of nursing home medical record information about care-process delivery: implications for staff management and improvement
    John F Schnelle
    Department of Medicine, University of California at Los Angeles, Los Angeles, California, USA
    J Am Geriatr Soc 52:1378-83. 2004
  7. ncbi request reprint Direct observations of nursing home care quality: Does care change when observed?
    John F Schnelle
    Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, Los Angeles, CA, USA
    J Am Med Dir Assoc 7:541-4. 2006
  8. ncbi request reprint The minimum data set urinary incontinence quality indicators: do they reflect differences in care processes related to incontinence?
    John F Schnelle
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, and Department of Medicine, Division of Geriatrics, UCLA, and Veterans Administration Hospital Sepulveda, Los Angeles, California, USA
    Med Care 41:909-22. 2003
  9. ncbi request reprint Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care with nursing home residents
    John F Schnelle
    UCLA Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California 91335, USA
    J Am Geriatr Soc 50:1476-83. 2002
  10. ncbi request reprint The minimum data set pressure ulcer indicator: does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?
    Barbara M Bates-Jensen
    Division of Geriatrics, School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA
    J Am Geriatr Soc 51:1203-12. 2003

Detail Information

Publications56

  1. ncbi request reprint A standardized quality assessment system to evaluate incontinence care in the nursing home
    John F Schnelle
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Los Angeles, California, USA
    J Am Geriatr Soc 51:1754-61. 2003
    ..To demonstrate the reliability and feasibility of a standardized protocol to assess and score urinary incontinence care in nursing homes...
  2. ncbi request reprint Measurement sensitivity and the Minimum Data Set depression quality indicator
    J F Schnelle
    University of California at Los Angeles Department of Medicine, USA
    Gerontologist 41:401-5. 2001
    ..The purpose of this study was to determine the accuracy of the prevalence rating of depression in nursing homes as flagged on the Minimum Data Set (MDS) quality indicator report...
  3. ncbi request reprint The minimum data set prevalence of restraint quality indicator: does it reflect differences in care?
    John F Schnelle
    Borun Center for Gerontological Research, Department of Medicine, University of California Los Angeles, 7150 Tampa Avenue, Reseda, CA 91335, USA
    Gerontologist 44:245-55. 2004
    ....
  4. ncbi request reprint Urinary and fecal incontinence in nursing homes
    John F Schnelle
    Division of Geriatrics, UCLA David Geffen School of Medicine, Borun Center for Gerontological Research, USA
    Gastroenterology 126:S41-7. 2004
    ..The scientific documentation of the efficacy of such a noninvasive intervention and the labor costs of implementing these measures can lead to major changes in how nursing home care is funded and provided...
  5. ncbi request reprint Improving the quality of nursing home care and medical-record accuracy with direct observational technologies
    John F Schnelle
    Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, CA, USA
    Gerontologist 45:576-82. 2005
    ..The purpose of this article is to describe the steps to develop a standardized and scientifically defensible observational system to assess nursing home care quality...
  6. ncbi request reprint Accuracy of nursing home medical record information about care-process delivery: implications for staff management and improvement
    John F Schnelle
    Department of Medicine, University of California at Los Angeles, Los Angeles, California, USA
    J Am Geriatr Soc 52:1378-83. 2004
    ..This article reviews methods to improve the accuracy of NH medical record documentation and to create data systems useful for staff training and management...
  7. ncbi request reprint Direct observations of nursing home care quality: Does care change when observed?
    John F Schnelle
    Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, Los Angeles, CA, USA
    J Am Med Dir Assoc 7:541-4. 2006
    ..This paper provides information about one important measurement issue (reactivity) that is often cited as a limitation of observational procedures in measuring usual care practices accurately...
  8. ncbi request reprint The minimum data set urinary incontinence quality indicators: do they reflect differences in care processes related to incontinence?
    John F Schnelle
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, and Department of Medicine, Division of Geriatrics, UCLA, and Veterans Administration Hospital Sepulveda, Los Angeles, California, USA
    Med Care 41:909-22. 2003
    ..nursing homes that score in the lower 25th percentile (low prevalence) versus the upper 75th percentile (high prevalence) on each of two Minimum Data Set (MDS) incontinence quality indicators provide different incontinence care processes..
  9. ncbi request reprint Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care with nursing home residents
    John F Schnelle
    UCLA Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California 91335, USA
    J Am Geriatr Soc 50:1476-83. 2002
    ..To examine clinical outcomes and describe the staffing requirements of an incontinence and exercise intervention...
  10. ncbi request reprint The minimum data set pressure ulcer indicator: does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?
    Barbara M Bates-Jensen
    Division of Geriatrics, School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA
    J Am Geriatr Soc 51:1203-12. 2003
    ..To determine whether nursing homes (NHs) that score in the extreme quartiles of pressure ulcer (PU) prevalence as reported on the Minimum Data Set (MDS) PU quality indicator provide different PU care...
  11. ncbi request reprint The Minimum Data Set bedfast quality indicator: differences among nursing homes
    Barbara M Bates-Jensen
    Multicampus Program in Geriatric Medicine, School of Medicine, University of California, Los Angeles, CA, USA
    Nurs Res 53:260-72. 2004
    ....
  12. ncbi request reprint A standardized quality assessment system to evaluate pain detection and management in the nursing home
    Mary P Cadogan
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Los Angeles, CA 90095, USA
    J Am Med Dir Assoc 6:1-9. 2005
    ..Assessment and management of pain for nursing home residents is frequently reported to be inadequate, yet few studies have used objective criteria to measure the quality of care related to pain...
  13. ncbi request reprint The effects of staffing on in-bed times of nursing home residents
    Barbara M Bates-Jensen
    Department of Geriatrics, School of Medicine, University of California at Los Angeles, 91335, USA
    J Am Geriatr Soc 52:931-8. 2004
    ..To examine the effect of staffing level on time observed in bed during the daytime in nursing home (NH) residents...
  14. pmc The coach is in: improving nutritional care in nursing homes
    Anna N Rahman
    Davis School of Gerontology, University of Southern California, 519 Stassi Lane, Santa Monica, Los Angeles, CA 90402, USA
    Gerontologist 52:571-80. 2012
    ..This article describes and evaluates a long distance coaching course aimed at improving nutritional care in nursing homes (NHs). The course was structured to provide more support than traditional training programs offer. ..
  15. ncbi request reprint Incidence and costs of acute medical conditions in long-stay incontinent nursing home residents
    Cathy A Alessi
    University of California at Los Angeles Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California 91343, USA
    J Am Med Dir Assoc 4:S4-S18. 2003
    ..To determine the incidence of acute medical conditions in incontinent nursing home residents, and associated costs of diagnostic testing and treatment..
  16. ncbi request reprint The minimum data set weight-loss quality indicator: does it reflect differences in care processes related to weight loss?
    Sandra F Simmons
    Department of Geriatrics, University of California at Los Angeles School of Medicine, Borun Center for Gerontological Research, Los Angeles, California 91335, USA
    J Am Geriatr Soc 51:1410-8. 2003
    ..To determine whether nursing homes (NHs) that score differently on prevalence of weight loss, according to a Minimum Data Set (MDS) quality indicator, also provide different processes of care related to weight loss...
  17. ncbi request reprint What do family members notice following an intervention to improve mobility and incontinence care for nursing home residents? An analysis of open-ended comments
    LENE LEVY-STORMS
    Department of Social Welfare, School of Public Affairs, Box 951656, 5226 Public Policy Building, Los Angeles, CA 90095 1656, USA
    Gerontologist 47:14-20. 2007
    ..The purpose of this study was to evaluate the sensitivity of family members' responses to open-ended interview questions about an intervention to improve incontinence and mobility care for their relative in a nursing home...
  18. ncbi request reprint Evaluating the accuracy of minimum data set bed-mobility ratings against independent performance assessments: systematic error and directions for improvement
    Barbara M Bates-Jensen
    Borun Center for Gerontological Research, School of Medicine, University of California, Los Angeles, 91335, USA
    Gerontologist 45:731-8. 2005
    ..The purpose of this study was to evaluate the accuracy of the MDS ADL bed-mobility item as completed by nursing home nurses with independent performance assessments conducted by research staff...
  19. ncbi request reprint The effects of an exercise and incontinence intervention on skin health outcomes in nursing home residents
    Barbara M Bates-Jensen
    Division of Geriatrics, University of California at Los Angeles School of Medicine, Los Angeles, CA, USA
    J Am Geriatr Soc 51:348-55. 2003
    ..To examine skin health outcomes of an exercise and incontinence intervention...
  20. ncbi request reprint A refined protocol for coding nursing home residents' comments during satisfaction interviews
    LENE LEVY-STORMS
    Department of Social Welfare and Medicine, University of California, Los Angeles, CA 90095 1656, USA
    J Gerontol B Psychol Sci Soc Sci 60:S326-S330. 2005
    ..This study's objective was to refine a method for coding nursing home (NH) residents' comments about their perceptions of care into unmet needs specific to the manner and frequency of care delivery...
  21. ncbi request reprint Feeding assistance needs of long-stay nursing home residents and staff time to provide care
    Sandra F Simmons
    UCLA Borun Center for Gerontological Research, 7150 Tampa Avenue, Reseda, CA 91335, USA
    J Am Geriatr Soc 54:919-24. 2006
    ....
  22. ncbi request reprint Using the minimum data set to select nursing home residents for interview about pain
    Lily Chu
    Department of Medicine, Division of Geriatrics, Los Angeles Jewish Home for the Aging, School of Medicine, CA, USA
    J Am Geriatr Soc 52:2057-61. 2004
    ..To determine how many nursing home residents can provide stable responses to a simple pain interview and whether a Minimum Data Set (MDS) cognitive performance measure can be used to identify these residents...
  23. pmc Relationship of nursing home staffing to quality of care
    John F Schnelle
    UCLA Borun Center, 7150 Tampa Avenue Reseda, CA 91335, USA
    Health Serv Res 39:225-50. 2004
    ..To compare nursing homes (NHs) that report different staffing statistics on quality of care...
  24. ncbi request reprint Standardized quality-assessment system to evaluate pressure ulcer care in the nursing home
    Barbara M Bates-Jensen
    Division of Geriatrics, School of Medicine, University of California, Los Angeles, California, USA
    J Am Geriatr Soc 51:1194-202. 2003
    ..To demonstrate reliability and feasibility of a standardized protocol to assess and score quality indicators relevant to pressure ulcer (PU) care processes in nursing homes (NHs)...
  25. pmc Translating research into practice in nursing homes: can we close the gap?
    Anna N Rahman
    Davis School of Gerontology, University of Southern California, 3715 McClintock Ave, Los Angeles, CA 90089 0191, USA
    Gerontologist 52:597-606. 2012
    ..This review article examines these two elements through the conceptual lens of Roger's innovation dissemination model...
  26. ncbi request reprint Transitioning residents from nursing facilities to community living: who wants to leave?
    Christy M Nishita
    Andrus Gerontology Center, University of Southern California, Los Angeles, California 90089, USA
    J Am Geriatr Soc 56:1-7. 2008
    ....
  27. ncbi request reprint A minimum data set prevalence of pain quality indicator: is it accurate and does it reflect differences in care processes?
    Mary P Cadogan
    Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Reseda, CA, USA
    J Gerontol A Biol Sci Med Sci 59:281-5. 2004
    ..The purpose of this study was to compare pain-related care processes between NHs that scored in the lower 25th percentile (low pain prevalence) or upper 75th percentile (high pain prevalence) based on this indicator...
  28. ncbi request reprint A continuous quality improvement pilot study: impact on nutritional care quality
    Sandra F Simmons
    University of California, Los Angeles, School of Medicine, Department of Geriatrics, Borun Center for Gerontological Research, Los Angeles, CA 91335, USA
    J Am Med Dir Assoc 7:480-5. 2006
    ..The purpose of this pilot study was to teach long-term care staff how to conduct continuous quality improvement (CQI) related to nutritional care...
  29. ncbi request reprint Quality assessment in nursing homes by systematic direct observation: feeding assistance
    Sandra F Simmons
    Department of Geriatrics, School of Medicine, Borun Center for Gerontological Research, University of California, Los Angeles, CA 91335, USA
    J Gerontol A Biol Sci Med Sci 57:M665-71. 2002
    ..This protocol is replicable and shows significant differences between facilities with respect to accuracy of oral intake documentation and the adequacy and quality of feeding assistance during mealtimes...
  30. ncbi request reprint Does an exercise and incontinence intervention save healthcare costs in a nursing home population?
    John F Schnelle
    Veterans Administration Hospital, Sepulveda, California, USA
    J Am Geriatr Soc 51:161-8. 2003
    ..To determine whether an intervention that combines low-intensity exercise and incontinence care offsets some of its costs by reducing the incidence of selected health conditions in nursing home residents...
  31. ncbi request reprint Indicators of the quality of nursing home residential care
    Debra Saliba
    Geriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
    J Am Geriatr Soc 50:1421-30. 2002
    ..To identify quality indicators (QIs) that can be used to measure nursing home (NH) residential care processes...
  32. ncbi request reprint Prescription analgesic and antidepressant utilization and cost among elderly Medicaid beneficiaries before and after nursing home admission
    Lily Chu
    Department of Medicine, Division of Geriatrics, University of California at Los, Los Angeles School of Medicine, Los Angeles, CA 91335, USA
    J Am Med Dir Assoc 5:75-81. 2004
    ....
  33. pmc Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patients
    David A Ganz
    Robert Wood Johnson Clinical Scholars Program, Veterans Affairs Greater Los Angeles Health Care System and University of California, Los Angeles, 911 Broxton Plaza, Los Angeles, CA 90024, USA
    BMC Health Serv Res 5:35. 2005
    ..However, the cost-effectiveness of increasing staffing to recommended levels is unknown...
  34. ncbi request reprint The quality of medical care provided to vulnerable community-dwelling older patients
    Neil S Wenger
    RAND Health, Santa Monica, California, USA
    Ann Intern Med 139:740-7. 2003
    ..Previous studies have focused on general medical conditions aimed at prolonging life, not on geriatric issues important for quality of life...
  35. pmc Urinary and fecal incontinence in nursing home residents
    Felix W Leung
    David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA 90024, USA
    Gastroenterol Clin North Am 37:697-707, x. 2008
    ..Documentation of noninvasive and efficacious interventions by randomized, controlled trials and the labor costs of implementing these measures can lead to changes in how nursing home care is provided and funded...
  36. ncbi request reprint A nonpharmacological intervention to improve sleep in nursing home patients: results of a controlled clinical trial
    Joseph G Ouslander
    Division of Geriatric Medicine and Gerontology, Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA
    J Am Geriatr Soc 54:38-47. 2006
    ..To improve nighttime sleep in nursing home patients...
  37. doi request reprint Quality assurance and performance improvement in nursing homes: using evidence-based protocols to observe nursing care processes in real time
    Mary Ellen Dellefield
    Patient Care Services, VA San Diego Healthcare System, San Diego, CA, USA
    J Nurs Care Qual 28:43-51. 2013
    ....
  38. ncbi request reprint A comparison of methods to assess nursing home residents' unmet needs
    LENE LEVY-STORMS
    University of California, Los Angeles, School of Medicine, and the Los Angeles Jewish Home for the Aging Borun Center for Gerontological Research, Reseda 91335, USA
    Gerontologist 42:454-61. 2002
    ..This paper compares three interview methodologies to assess nursing home (NH) residents' unmet needs with regard to activity of daily living (ADL) care...
  39. pmc Distance coursework and coaching to improve nursing home incontinence care: lessons learned
    Anna N Rahman
    Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
    J Am Geriatr Soc 60:1157-64. 2012
    ..To determine whether a distance coaching course on improving nursing home incontinence care could be replicated and brought to scale with a larger group of nursing homes without sacrificing outcomes...
  40. ncbi request reprint Individualized feeding assistance care for nursing home residents: staffing requirements to implement two interventions
    Sandra F Simmons
    University of California, Los Angeles, School of Medicine, Department of Geriatrics, Borun Center for Gerontological Research, 91335, USA
    J Gerontol A Biol Sci Med Sci 59:M966-73. 2004
    ..The purpose of this study was to evaluate the effects and staffing requirements of two individualized feeding assistance interventions to improve oral food and fluid intake in NH residents...
  41. ncbi request reprint Effects of a controlled exercise trial on pain in nursing home residents
    Sandra F Simmons
    Department of Geriatrics, Borun Center for Gerontological Research, University of California, Los Angeles, School of Medicine, USA
    Clin J Pain 18:380-5. 2002
    ..To report preliminary data relevant to the effects of an exercise and toileting intervention on pain among incontinent nursing home (NH) residents...
  42. ncbi request reprint Family members' preferences for nutrition interventions to improve nursing home residents' oral food and fluid intake
    Sandra F Simmons
    University of California at Los Angeles, School of Medicine, Department of Geriatrics and The Los Angeles Jewish Home for the Aging, Borun Center for Gerontological Research, Reseda, California 91335, USA
    J Am Geriatr Soc 51:69-74. 2003
    ..To measure family members' preferences for nutrition interventions to improve the oral food and fluid intake of their relatives in a nursing home...
  43. pmc Prevention of unintentional weight loss in nursing home residents: a controlled trial of feeding assistance
    Sandra F Simmons
    Division of General Internal Medicine and Public Health, Center for Quality Aging, School of Medicine, Vanderbilt University, Nashville, Tennessee 37232 2400, USA
    J Am Geriatr Soc 56:1466-73. 2008
    ..To determine the effects of a feeding assistance intervention on food and fluid intake and body weight...
  44. ncbi request reprint The nursing home culture-change movement: recent past, present, and future directions for research
    Anna N Rahman
    Scripps Gerontology Center, Dept of Sociology and Gerontology, Upham Hall Room 396, Miami University, Oxford, OH 45056 1879, USA
    Gerontologist 48:142-8. 2008
    ....
  45. ncbi request reprint A preliminary evaluation of the paid feeding assistant regulation: impact on feeding assistance care process quality in nursing homes
    Sandra F Simmons
    Vanderbilt University, 1310 24th Avenue South, GRECC 4 A131, Nashville, TN 37212, USA
    Gerontologist 47:184-92. 2007
    ..Organizers designed the PFA regulation to increase the number of staff available to provide assistance with eating and improve nutritional care process quality...
  46. ncbi request reprint Federal and state nursing facility websites: just what the consumer needs?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, Calif 94118, USA
    Am J Med Qual 18:21-37. 2003
    ..Although many states are making progress toward providing consumers with information, there are gaps that exist, which if filled, could provide consumers with a better tool for facility selection and monitoring the quality of care...
  47. ncbi request reprint Psychoactive medications and actigraphically scored sleep quality in frail nursing home patients
    K Elizabeth Greco
    Emory University School of Medicine, Atlanta, GA 30329, USA
    J Am Med Dir Assoc 5:223-7. 2004
    ..The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients...
  48. ncbi request reprint Determining the relationship between staffing and quality
    John F Schnelle
    Gerontologist 44:10-2. 2004
  49. ncbi request reprint Sustaining a best-care practice in a nursing home
    Cornelia Beck
    Department of Geriatrics, National Institute on Aging, Alzheime s Disease Center at the University of Arkansas for Medical Sciences, USA
    J Healthc Qual 27:5-16. 2005
    ....
  50. ncbi request reprint Nursing indicators of quality in nursing homes. A Web-based approach
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Gerontol Nurs 29:5-11. 2003
    ..g., direct care expenditures, wages, benefits), and complaints and deficiencies. Overall, nursing indicators of quality are a major approach for evaluating nursing home quality and can be used by nurses, consumers, and advocates...
  51. ncbi request reprint Effects of an exercise intervention on immunologic parameters in frail elderly nursing home residents
    Zoher F Kapasi
    Division of Physical Therapy, Department of Rehabilitation Medicine and Center for Health in Aging, Emory University School of Medicine, Atlanta, Georgia 30322, USA
    J Gerontol A Biol Sci Med Sci 58:636-43. 2003
    ....
  52. ncbi request reprint Improving nursing home quality assessment: capturing the voice of cognitively impaired elders
    John F Schnelle
    J Gerontol A Biol Sci Med Sci 58:238-9. 2003
  53. ncbi request reprint CMS guidelines and improving continence care in nursing homes: the role of the medical director
    John F Schnelle
    J Am Med Dir Assoc 7:131-2. 2006
  54. ncbi request reprint Designing a report card for nursing facilities: what information is needed and why
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 43:47-57. 2003
    ..Such information can meet the needs of various stakeholder groups, including consumers, family/friends, health professionals, providers, advocates, ombudsman, payers, and policy makers...
  55. ncbi request reprint Developing innovative models to translate guidelines into practice
    John F Schnelle
    J Am Med Dir Assoc 5:55-6. 2004
  56. ncbi request reprint Continuous quality improvement in nursing homes: public relations or a reality?
    John F Schnelle
    Vanderbilt Center for Quality Aging, Vanderbilt University, Nashville, TN 37232 8300, USA
    J Am Med Dir Assoc 8:S2-5. 2007