To improve the quality of care for nursing home residents, researchers at Indiana University have translated their research into practice through a startup called Probari.
The health care services startup was developed by Kathleen Unroe, a professor of medicine at the IU School of Medicine and a research scientist at the IU Center for Aging Research at the Regenstrief Institute. The Indianapolis-based company gathers patient treatment history from hospital records and charts, offloading activities from nursing home staff so they can focus on providing day-to-day patient care. Since its founding in 2018 with financial and planning support from IU Ventures, IU’s early-stage venture and angel investment arm, Probari has supported over 100 nursing homes in the Midwest.

Each year, approximately 30% of long-stay nursing home residents are hospitalized, and hospital transfers can be traumatic and costly for nursing home patients. Unroe’s research focuses on improving quality of care — particularly access to palliative and end-of-life care — for nursing home residents.
For nearly 10 years, Unroe and colleagues worked to reduce hospitalizations through a $30.3 million OPTIMISTIC project — Optimizing Patient Transfers, Impacting Medical Quality and Improving Symptoms — funded by Centers for Medicare and Medicaid Services Innovations Center.
“The model utilizes a team of nurses to improve the clinical care for residents through quality care audits and reviews of transitions of care,” Unroe said. “The nurses are another set of eyes on the care in facilities as they provide early detection for interventions of care and suggest recommendations on improving processes.”
The demonstration project was implemented in 40 nursing homes across Indiana, reducing avoidable hospitalizations by 33%, reducing spending for hospitalizations by 25% per resident and saving more than $3.4 million in Medicare expenditures. The OPTIMISTIC model is now licensed to Probari and will be used to deliver virtual support services to nursing home staff.
Licensing this model into practice through the creation of Probari streamlined nursing home processes so patients can receive much-needed care, while optimizing workloads of nursing home staff.
“We are excited to continue expanding this model into more nursing homes, so that we can improve quality of care for residents and support nursing home staff,” Unroe said.

Unroe also co-leads the APPROACHES project — Aligning Patient Preferences: A Role Offering Alzheimer’s Patient, Caregivers and Healthcare Providers Education and Support — with Susan Hickman, the Cornelius and Yvonne Pettinga Professor of Medicine at the IU School of Medicine and the director of Center for Aging Research at the Regenstrief Institute, which strives to improve advanced care planning in nursing home patients with Alzheimer’s disease or related dementias.
“We designed APPROACHES to help equip facilities with resources on how to facilitate important conversations regarding care for these residents,” Hickman said. “Study outcomes will be available within the next year to examine how this systematic documentation affected treatment outcomes including hospitalization and emergency department visits.”
Unroe has disclosed her work and has filed patents with the help of the IU Innovation and Commercialization Office to continue improving nursing home facilities across the nation.