Nexus Success in Nebraska: Invested Leaders and True Partnerships

This webinar is part of the Accelerating Initiative Real Stories with Real Impacts: What Worked for Accelerating Initiative Teams Webinar series.


Focused Description:
Education and community partners aligned with a common commitment to improve the health of older adults by focusing on enabling their safe transitions from hospital to skilled nursing facilities (SNF). The program brings together SNF staff, graduate nursing and pharmacy students, and their preceptors.  The interprofessional team assesses SNF residents who are on multiple medications for multiple chronic diseases (polypharmacy) to address their needs related to appropriate medications with the goal of to preventing adverse events and readmissions after hospitalizations. In the first cohort of patients, the interprofessional team was able to successfully discontinue inappropriate medications on the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, adjust dosing, and appropriately add needed medications correlated with lab results. No adverse events occurred for residents seen by the interprofessional teams in the first 30 days of the initiative.

The presenters will provide insight into how this partnership was different than past partnerships, what had to change in order for them to be successful, and how their focus on the needs of the older adults in transition contributed to benefits for all; including the patients, the education partner and their students, and community partners and their staff.  The presenters will also highlight the NexusIPE™ tool, Creating and Communicating your Compelling Vision tool and how this tool contributed to their success. 

Education-Community Partners:
University of Nebraska Medical Center, Omaha, Nebraska
Ambassador Health of Omaha
Skilled Nursing and Rehabilitation
Azria Health Midtown

University of Nebraska Medical Center presenters:

  • Claudia Chaperon, PhD, APRN, GNP-BC, (Principal Investigator), Associate Professor, Faculty Adult Gerontology Primary Care Nurse Practitioner Program. University of Nebraska Medical Center College of Nursing.  Primary Care Practice in Azria Health Midtown, Omaha, NE.
  • Rebecca Wester, MD, Adjunct Associate Professor, Geriatrician, Palliative, and Certified Medical Director. Medical Director at Ambassador Health Skilled Nursing Facility, Omaha, Nebraska. UNMC, College of Medicine, Family Practice
  • Linda Sobeski, PharmD, BCPS, Clinical Assistant Professor.  University of Nebraska Medical Center, Department of Pharmacy Practice and Science  


  • Barbara F. Brandt, PhD, EdM, FNAP, Director and Associate Vice President, National Center
  • Carla Dieter, EdD, MS, RN, Coordinator of Accelerating Initiative and Coordinator of NexusIPE™ Programs, National Center

Key lessons from the Nebraska NexusIPE™ Team include:

  • Treat partners as equals
  • Secure commitments from leadership
  • Identify clear lines of responsibility

NexusIPE Tooll highlight:  

  • Creating and Communicating your Compelling Vision.
  • What makes this a Critical Success Factor?

Professions engaged:

  • Nursing (graduate students, faculty, practitioners)
  • Pharmacy (students, faculty)
  • Geriatrician

Webinar Recording

Event Date: 
Wednesday, October 30, 2019 - 2:00 pm to 3:00 pm CDT