Marilyn Rantz, PhD, RN, FAAN

Marilyn-Rantz

Curators’ Professor Emerita

Helen E. Nahm Chair
University Hospitals and Clinics Professor of Nursing
Executive Director, Aging In Place, TigerPlace
Associate Director, Interdisciplinary Center on Aging

E-mail: rantzm@missouri.edu
Phone: 573.882.0258
Fax: 573.884.1353
Web site: AgingMO

S406 Sinclair School of Nursing
University of Missouri
Columbia, MO 65211

Nursing Specialty

Gerontological nursing, Nursing administration, Aging in Place, Technology in aging

Interest Area(s)

Quality of care in long-term care; Quality measurement; Aging in place; Nurse care coordination; Technology to enhance aging in place

Education

  • AD, Mercy Junior College, St. Louis, Mo.
  • BS, University of Illinois, Chicago, Ill.
  • MA, University of Wisconsin-Whitewater, Whitewater, Wis.
  • MS(N), Marquette University, Milwaukee, Wis.
  • PhD, University of Wisconsin-Milwaukee, Milwaukee, Wis.

Area of Doctoral Study

Long-term care health policy and public program evaluation; Gerontological nursing

Program of Research

Quality improvement in the care of older adults across the continuum of care; aging in place; technology to enhance aging in place

Selected Grants and Awards

  • Intelligent Sensor System for Early Illness Alerts in Senior Housing – National Institutes of Health – $1,768,179, 2013-2016
  • Missouri Quality Initiative for Nursing Homes – Centers for Medicare & Medicaid Services – $14,799,771, 2012-2016
  • Technology to Automatically Detect Falls and Assess Fall Risk in Senior Housing – Agency for Health Care Research and Quality – $1,989,438, 2009-2014
  • Quality Improvement Program for Missouri – Missouri Department of Health and Senior Services, $820,000, 2012-2013

Selected Publications

  • Phillips, L.J., Deorche, C., Rantz, M., Alexander, G.L., Skubic, M., Despins, L., Abbott, C., Harris, B.H., Galambos, C., & Koopman, R. (2016). Using embedded sensors in independent living to predict gait changes and falls. Western Journal of Nursing Research, published online, July 2016.
  • Davitt, J.K., Madigan, E.A., Rantz, M., & Skemp, L. (2016). Aging in community: developing a more holistic approach to enhance older adults’ well-being. Research in Gerontological Nursing, 9(1), 6-13.
  • Popejoy, L., Stetzer, F., Hicks, L., Rantz, M.J., Galambos, C., Popescu, M., Khalilia, M.A., & Marek, K. (2015). Comparing Aging in Place to home health care: impact of nurse care coordination on utilization and costs. Nursing Economics, 33(6), 306-313.
  • Rantz, M.J., Lane, K.R., Phillips, L.J., Despins, L.A., Galambos, C., Alexander, G.L., Koopman, R.J., Skubic, M., & Miller, S.J. (2015). Enhanced RN care coordination with sensor technology: impact on length of stay and cost in Aging in Place housing. Nursing Outlook, 63, 650-655.* (Innovative Research on Aging Award, 2016, Seniors Housing and Care Journal).
  • Rantz, M.J., Flesner, M.K., Franklin, J., Galambos, C., Pudlowski, J., Pritchett, A., Alexander, G., & Lueckenotte, A. (2015). Better care, better quality: reducing avoidable hospitalizations of nursing home residents. Journal of Nursing Care Quality, 30(4), 290-297.*
  • Rantz, M., Skubic, M., Abbott, C., Galambos, C., Popescu, M., Keller, J., Stone, E., Back, J., Miller, S.J., & Petroski, G.F. (2015). Automated in-home fall risk assessment and detection sensor system for elders. The Gerontologist, 55(s1), S78-S87.
  • Alexander, G.L., Rantz, M., Galambos, C., Vogelsmeier, A., Flesner, M., Popejoy, L.L., Mueller, J., Shumate, S., & Elvin, M. (2015). Preparing nursing homes for the future of health information exchange. Applied Clinical Informatics, 6, 248-266.*
  • Skubic, M., Guevara, R., & Rantz, M. (2015). Automated health alerts using in-home sensor data for embedded health assessment. IEEE Journal of Translational Engineering in Health and Medicine, 3, 1-11.*
  • Galambos, C., Starr, J., Musterman, K., & Rantz, M. (2015). Staff perceptions of social work student contributions to home health care services at an independent living facility. Home Healthcare Now, 33(4), 206-214.*
  • Vogelsmeier, A., Popejoy, L., Rantz, M., Flesner, M., Lueckenotte, A., & Alexander, G. (2015). Integrating advanced practice registered nurses into nursing homes: The Missouri Quality Initiative experience. Journal of Nursing Care Quality, 30(2), 93-98.*
  • Su, B.Y., Ho, K.C., Rantz, M., & Skubic, M. (2015). Doppler radar fall activity detection using the wavelet transform. IEEE Transactions on Biomedical Engineering, 62(3), 865-875.*
  • Stone, E., Skubic, M., Rantz, M.J., Abbott, C., & Miller, S. (2015). Average in-home gait speed: Investigation of a new metric for mobility and fall risk assessment of elders. Gait & Posture, 41, 57-62.*
  • Rantz, M., Skubic, M., Popescu, M., Galambos, C., Koopman, R.J., Alexander, G.L., Phillips, L.J., Musterman, K., Back, J., & Miller, S.J. (2015). A new paradigm of technology enabled “vital signs” for early detection of health change for older adults. Gerontology, 61(3), 281-290.* PMCID: PMC4444511.
  • Rantz, M., Banerjee, T.S., Cattoor, E., Scott, S.D., Skubic, M., & Popescu, M. (2014). Automated fall detection with quality improvement “rewind” to reduce falls in hospital rooms. Journal of Gerontological Nursing, 40(1), 13-17.
  • Rantz, M., Alexander, G., Galambos, C., Vogelsmeier, A., Popejoy, L., Flesner, M., Lueckenotte, A., Crecelius, C., & Zwygart-Stauffacher, M. (2013). Initiative to test a multidisciplinary model with advanced practice nurses to reduce avoidable hospitalizations among nursing facility residents. Journal of Nursing Care Quality, 29(1), 1-8.
  • Rantz, M.J., Skubic, M., Abbott, C., Galambos, C., Pak, Y., Ho, D.K., Stone, E.E., Rui, L., Back, J., & Miller, S.J. (2013). In-home fall risk assessment and detection sensor system. Journal of Gerontological Nursing, 39(7), 18-22.
  • Rantz, M.J., Scott, S.D., Miller, S.J., Skubic, M., Phillips, L., Alexander, G., Koopman, R.J., Musterman, K., & Back, J. (2013). Evaluation of health alerts from an early illness warning system in independent living. CIN: Computer, Informatics, Nursing, 31(6), 274-280.
  • Rantz, M.J., Skubic, M., Miller, S.J., Galambos, C., Alexander, G., Keller, J., & Popescu, M. (2013). Sensor technology to support Aging in Place. Journal of the American Medical Directors Association, 14(6), 386-391.
  • Rantz, M.J., Zwygart-Stauffacher, M., Flesner, M., Hicks, L., Mehr, D., Russell, T., & Minner, D. (2012). The influence of teams to sustain quality improvement in nursing homes that “need improvement”.. Journal of the American Medical Directors Association, 14(1), 48-52.
  • Rantz, M.J., Zwygart-Stauffacher, M., Flesner, M., Hicks, L., Mehr, D., Russell, T., & Minner, D. (2012). Challenges of using quality improvement methods in nursing homes that “need improvement”. Journal of the American Medical Directors Association, 13(8), 732-738.
  • Rantz, M.J., Skubic, M., Koopman, R.J., Alexander, G., Phillips, L., Musterman, K.I., Back, J.R., Aud, M.A., Galambos, C., Guevara, R.D., & Miller, S.J. (2012). Automated technology to speed recognition of signs of illness in older adults.Journal of Gerontological Nursing, 38(4), 18-23.
  • Marek, K.D., Stetzer, F., Adams, S.J., Popejoy, L., & Rantz, M.J. (2012). Aging in Place versus nursing home care: comparison of costs to Medicare and Medicaid. Research in Gerontological Nursing, 5(2), 123-129.
  • Rantz, M.J., Zwygart-Stauffacher, M., Hicks, L., Mehr, D., Flesner, M., Petroski, G.F., Madsen, R.W., & Scott-Cawiezell, J. (2012). Randomized multilevel intervention to improve outcomes of residents in nursing homes in need of improvement. Journal of the American Medical Directors Association, 13(1), 60-68.
  • Skubic, M., Rantz, M., Miller, S., Guevara, R.D., Koopman, R., Alexander, G., & Phillips, L. (2012). Non-wearable in-home sensing for early detection of health changes. In R. Schultz (Ed.) Quality of Life Technology for the Disabled and Elderly (pp. 227-244). Boca Raton, FL: CRC Press.
  • Rantz, M.J., Alexander, G., Galambos, C., Flesner, M.K., Vogelsmeier, A., Hicks, L., Scott-Cawiezell, J., Zwygart-Stauffacher, M., & Greenwald, L. (2011). The use of bedside electronic medical record (EMR) to improve quality of care in nursing facilities: A qualitative analysis. Computer, Informatics, Nursing, 29(3), 149-156.
  • Rantz, M.J., Phillips, L., Aud, M., Marek, K.D., Hicks, L.L., Zaniletti, I., & Miller, S.J. (2011). Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing. Nursing Outlook, 59(1), 37-46.
  • Rantz, M.J., Hicks, L., Petroski, G.F., Madsen, R.W., Alexander, G., Galambos, C., Conn, V., Scott-Cawiezell, J., Zwygart-Stauffacher, M., & Greenwald, L. (2010). Cost, staffing, and quality impact of bedside electronic medical record (EMR) in nursing homes. Journal of the American Medical Directors Association, 11(7), 485-493.

Bio and Professional Experience

 

Marilyn Rantz is a Curators’ Professor Emerita of Nursing who has been affiliated with the MU Sinclair School of Nursing (MUSSON) since 1992. She held the named position of University Hospital Professor of Nursing, has an appointment as Curators’ Professor Emerita in the Department of Family and Community Medicine in the MU School of Medicine, was designated as a Helen E. Nahm Chair with the School of Nursing in 2008-2015, and was awarded the prestigious University of Missouri Curators’ Professor title in 2010. 

Dr. Rantz’s pioneering work in nursing home care quality spans 35 years, first in practice then as a leading researcher in the Midwest, and establishes her as a premier international expert in quality measurement in nursing homes and research programs to improve quality of care of older people. In late 2012, she secured a $14.8 million grant from the Centers for Medicare and Medicaid Services (CMS) for their Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents; the largest ever received across the entire University of Missouri-Columbia campus. Phase 2 of this Initiative, for $19.8 million, was awarded in March 2016 for her team to complete the work in the Phase 1 nursing homes and then begin testing a new payment model for management of acute conditions within the facility with the help of APRNs.

She has served as Principal Investigator on grants funded from the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), MO Department of Health and Senior Services (DHSS), the Administration of Aging (AOA), among other associations and foundations. In her prior role as Associate Director for the MU Interdisciplinary Center on Aging, she also served as Principal Investigator for “Building Interdisciplinary Geriatric Health Care Research Centers,” funded in 2007-2009 through the Hartford Foundation. Dr. Rantz and her interdisciplinary research teams have been funded for over $80 million to conduct research in long-term care, new delivery models of care for older adults, and most recently, for technology development to enhance aging in place of community-dwelling elders. Much of this research is conducted at TigerPlace, a model of independent housing to enable older people to age in place through the end of life, maximizing independence and function. A joint venture between the MUSSON and the Americare Corporation, Dr. Rantz was part of the MUSSON team who worked on the original design for TigerPlace, and has served as the School’s Director for the facility since its inception. She is now mentoring her replacement for that role who will assume full responsibility upon tenure. TigerPlace provides both an independent living environment for the area’s seniors and an opportunity for students from a variety of professional areas to interact with older adults.

At both local and national levels, Dr. Rantz’s profession contributions include election to the National Academy of Medicine (formerly Institute of Medicine) in 2012. In 2005, she received both the MUSSON Faculty Award for Excellence in Research and the National Gerontological Nursing Association Lifetime achievement Award. She was awarded the MU Alumni Association Faculty Alumni Award in 2006 for outstanding contributions to her profession, community and MU; was inducted as a Fellow into the Gerontological Society of America in 2007; and her Aging in Place Project won the American Academy of Nursing (AAN) Edge Runner Award in 2008. In 2010, she received the Midwest Nursing Research Society’s Distinguished Contribution to Research in the Midwest Award and was awarded the 2011 AAN Nurse Leader in Aging Award. November 2012, she became the only individual to be twice named as an Edge Runner for two different innovations, securing her second for her long-running Quality Improvement Program for MO (QIPMO) project. In April 2013, she received the UM System President’s Award for Economic Development, and in October 2014, she received the Distinguished Service Award from the University of Missouri’s Alumni Association. She was awarded the Curators’ Professor Emerita status in 2015.

Student Mentoring Projects

Graduate and undergraduate student research experiences; PhD student mentoring; MS(N) student advising; Beginning faculty mentoring

Refereed Presentations

  • Alexander, G.L., Shumate, S., Elvin, M., Crecelius, C., Rantz, M.J., Galambos, C., Popejoy, L.L., Vogelsmeier, A., Lueckenotte, A., Flesner, M., & Mueller, J., July 16-18, 2014, “Adoption of Health Information Exchange in Long-term and Post-acute Care (LTPAC):Reflections from the Missouri Quality Initiative”, 24th Summer Institute in Nursing Informatics, Informatics Enabling Patient-Centered Care Across the Continuum, Baltimore, MD. [poster]
  • Yefimova, M., Hajihashemi, Z., Banerjee, T., Woods, D.L., Popescu, M., Skubic, M., Rantz, M. & Keller, J., April 10-12, 2014, “Characterizing Trajectories of Daily Routines of Older Adults with Sensor Technology”, 7th Western Institute of Nursing Communicating Research Conference, Seattle, WA. International [podium presentation]
  • Lyons, V., Popejoy, L., Galambos, C., Khalilia, M., Popescu, M., Rantz, M., Hicks, L., & Stetzer, F., March 27-30, 2014, “Developing an Ontology of Care Coordination”, Midwest Nursing Research Society’s 38th Annual Research Conference, St. Louis, MO.
  • Popejoy, L., Galambos, C., Khalilia, M., Popescu, M., Lyons, V., Rantz, M., Hicks, L., & Stetzer, F., March 27-30, 2014, “Going Beyond Standardized Nursing Language to Describe Nurse Care Coordination Activities”, Midwest Nursing Research Society’s 38th Annual Research Conference, St. Louis, MO.
  • Starr, J., Galambos, C., Rantz, M., Petroski, G., & Flesner, M., March 27-30, 2014, “Advanced Directives Documentation in Nine Midwest Nursing Homes”, Midwest Nursing Research Society’s 38th Annual Research Conference, St. Louis, MO.
  • Rantz, M., Alexander, G., Galambos, C., Vogelsmeier, A., Popejoy, L., Flesner, M., & Lueckenotte, A., March 28, 2014, “Research Partnerships Across Gerontological Settings: Missouri Quality Initiative for Nursing Homes (MOQI)”, Midwest Nursing Research Society’s 38th Annual Research Conference, Gerontological Nursing Science Research Interest Group, St. Louis, MO.
  • Rantz, M., November 22, 2013, “The Technological Nursing Home”, The International Nursing Home Research Conference, St. Louis, MO. International

Published Proceedings

  • Galambos, C., Skubic, M., Wang, S., & Rantz, M.J., June 26-29, 2012, “Using Density Map Visualization for Early Detection and Management of Dementia and Depression”, International Society for Gerontechnology and International Symposium for Automation and Robotics in Construction Conference, Eindhoven, Netherlands, 11(2), pp. 273-274.International*
  • Skubic, M., Guevara, D., & Rantz, M. (2012). Testing classifiers for embedded health assessment. Proceedings from the 10th Annual International Conference on Smart Homes and Health Telematics, Artimino, Italy, June 12-15, 2012,Lecture Notes in Computer Science, 7251, pp. 198-205. International* (Refereed)
  • Liu, L., Popescu, M., Rantz, M., & Skubic, M. (2012). Fall detection using Doppler radar and classifier fusion. Proceedings from the Annual IEEE-EMBS International Conference on Biomedical and Health Informatics, Hong Kong, China, January 5-7, 2012, pp.180-183. International* (Refereed)
  • Popescu, M., Chronis, G., Ohol, R., Skubic, M., & Rantz, M. (2011). An eldercare electronic health record system for predictive health assessment. Proceedings from the 13th IEEE International Conference on e-Health Networking, Application, & Services, Columbia, MO, June 13-15, 2011, pp. 193-196. International* (Refereed)
  • Rantz, M.J., Skubic, M., Koopman, R., Phillips, L., Alexander, G.L., & Miller, S.J.  (2011). Using sensor networks to detect urinary tract infections in older adults. Proceedings from the 13th IEEE International Conference on e-Health Networking, Application, & Services, Columbia, MO, June 13-15, 2011, pp. 142-149. International* (Refereed)
  • Liu, L., Popescu, M., Rantz, M., Skubic, M., Cuddihy, P., & Yardibi, T. (2011). Automatic fall detection based on Doppler radar motion signature. Proceedings from the 5th International Conference on Pervasive Computing Technologies for Healthcare, Dublin, Ireland, May 23, 2011, pp. 222-225. International* (Refereed)
  • Yardibi, T., Cuddihy, P., Genc, S., Bufi, C., Skubic, M., Rantz, M., Liu, L., & Phillips II, C. (2011). Gait characterization via pulse-Doppler radar. Proceedings from the 9th Annual IEEE International Conference on Pervasive Computing and Communications: Workshop on Smart Environments to Enhance Health Care, Seattle, WA, March 21-25, 2011, pp. 662-667. International * (Refereed)

Honors and Awards

  • Inducted as a Fellow in the American Academy of Nursing (1996)
  • Chancellor’s Award for Outstanding Research and Creative Activity in Behavioral and Social Sciences (2002)
  • National Gerontological Nursing Association Lifetime Achievement Award (2005)
  • MU Alumni Association Faculty Alumni Award (2006)
  • Inducted as a Fellow in the Gerontological Society of America (2007)
  • American Academy of Nursing Edge Runner Award for the Aging in Place Project (2008)
  • University of Oklahoma Reynold’s Center of Geriatric Nursing Excellence Scholar in Aging (2009)
  • MU Sinclair School of Nursing Faculty Service Award (2009)
  • American Journal of Nursing’s Book of the Year Award (for How to Find the Best Eldercare: A 20 Minute Guide to Assisted Living, In-Home Care, Nursing Homes, & Senior Housing in Your Community) (2010)
  • Midwest Nursing Research Society’s Distinguished Contribution to Research in the Midwest Award (2010)
  • University of Missouri’s Curators’ Professorhip Award (2010)
  • American Academy of Nursing Nurse Leader in Aging Award (2011)
  • Inducted as a member of Institute of Medicine (IOM) of the National Academies (2012)
  • Nursing Outlook’s Writing Award: Excellence in Research (for (Evaluation of Aging in Place Model with Home Care Services and Registered Nurse Care Coordination in Senior Housing article) (2012)
  • American Academy of Nursing Edge Runner Award for the Quality Improvement Program for Missouri (QIPMO) Project (2012)
  • University of Missouri System’s Presidential Faculty Award for Economic Development (2013)

Memberships

  • Midwest Nursing Research Society (1985-present), Member of the Awards Committee (2005-2006), Gerontological Nursing Section, Chair (2000-2001), Awards Committee (2001-2002)
  • American Academy of Nursing (1996-present), Member of the AAN Development Committee (2005), Member of the Communications and Publicity Committee (2003 to present)
  • American Nurses’ Association (1970-present)
  • American Nurses’ Association/Missouri Nurses Association: Government Affairs Committee (member 1995-1999), alternate member (1993-1995)
  • American Nurses’ Association/Wisconsin Nurses Association: Chairperson, WNA Convention Arrangements Committee (1984), Member of committee for convention (1981-1983, 1985)