Nursing Homes

Contents:

Research conducted by: RAND Health; RAND Labor and Population

All Items (79)

JOURNAL ARTICLE

Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model — Sep 30, 2011

Vulnerable older adults enrolled in plans that use nurse care managers receive, on average, 69% of recommended care for geriatric conditions, compared with 53% for elders in plans without nurse care managers.

JOURNAL ARTICLE

A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation — Jul 31, 2010

This study evaluates the effects of a multicomponent intervention to reduce fecal incontinence and urinary incontinence.

JOURNAL ARTICLE

An Examination of Special Focus Facility Nursing Homes — Jun 2, 2010

This descriptive study of nursing home characteristics found that facilities targeted by a CMS improvement initiative typically have fewer nurses and nurse aides and higher rates of quality of care citations.

JOURNAL ARTICLE

Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods — Dec 31, 2009

Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments

JOURNAL ARTICLE

Why Not Just Ask the Resident? Refinement of a Preference Assessment Tool for Nursing Homes — Dec 31, 2008

Evaluates a draft preference assessment tool designed to replace the current Customary Routine section of the Minimum Data Set (MDS) for nursing homes.

JOURNAL ARTICLE

The Health Consequences of Using Physical Restraints in Nursing Homes — Dec 31, 2008

Using a national longitudinal sample of nursing homes residents we examine whether physical restraint use contributes to subsequent physical or psychological health decline.

JOURNAL ARTICLE

Effects of Payment Changes on Trends in Post-Acute Care — Dec 31, 2008

Test how the implementation of new Medicare post-acute payment systems affected the use of inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies.

JOURNAL ARTICLE

Measuring the Quality of Care Provided to Dually Enrolled Medicare and Medicaid Beneficiaries Living in Nursing Homes — Dec 31, 2008

To adapt the Assessing Care of Vulnerable Elders project nursing home (NH) specific quality indicators (QIs), for use with routinely collected data, and to evaluate which clinical conditions and types of care were inadequately measured using these data sources.

JOURNAL ARTICLE

Annual Expenditures for Nursing Home Care: Private and Public Payer Price Growth, 1977 to 2004 — Dec 31, 2008

Evaluates changes in private and public prices for annual nursing home care from 1977 to 2004, and compares nursing home price growth to overall price growth and growth in the price of medical care.

JOURNAL ARTICLE

A National View of Workplace Injuries in Nursing Homes — Dec 31, 2008

Data from a large sample of nursing homes were used to examine the cross-sectional association between workplace injuries and organizational factors, caregiver staffing levels, and quality.

JOURNAL ARTICLE

Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance — Jul 31, 2008

Twice-daily feeding assistance promotes food and fluid intake and weight gain in nursing home residents at risk for weight loss. Delivery of snacks between meals requires less staff time than at mealtime and thus may be more practical to implement.

JOURNAL ARTICLE

Use of Postacute Care By Nursing Home Residents Hospitalized for Stroke or Hip Fracture: How Prevalent and to What End? — Jul 31, 2008

This study found that a high percentage of nursing home residents hospitalized for hip fracture and stroke (80% and 64% respectively) used Medicare-paid skilled nursing facilities, yet had outcomes similar to those who did not use such care.

JOURNAL ARTICLE

Further Examination of the Influence of Caregiver Staffing Levels on Nursing Home Quality — Dec 31, 2007

Weak empirical evidence exists showing that nursing home staffing levels influence quality of care.

JOURNAL ARTICLE

The Influence of Agency Staffing on Quality of Care in Nursing Homes — Dec 31, 2007

Data from a large sample of nursing homes were used to examine the cross-sectional association between use of agency staff, regular staff, and quality.

JOURNAL ARTICLE

Use of Advance Directives for Nursing Home Residents in the Emergency Department — Dec 31, 2007

Finds variability in advance directive documentation for nursing home patients on transfer to the emergency department, and finds that emergency clinicians experience substantial difficulty in reliably obtaining information about advance directives.

JOURNAL ARTICLE

The Relationship of Reported Pain Severity to Perceived Effect on Function of Nursing Home Residents — Dec 31, 2007

Finds that questions addressing the effect of pain on day-to-day functions are an important addition to standardized pain assessments in nursing homes, particularly for persons who report intermediate levels of pain severity.

JOURNAL ARTICLE

Nurse Aide Agency Staffing and Quality of Care in Nursing Homes — Dec 31, 2007

Nurse aide agency staff of less than 14 full-time equivalents per 100 beds has little influence on quality in nursing homes, whereas nurse aide agency staff of more than 25 full-time equivalents per 100 beds has a substantial influence on quality.

JOURNAL ARTICLE

What the Resident Meant to Say: Use of Cognitive Interviewing Techniques to Develop Questionnaires for Nursing Home Residents — Dec 31, 2007

This study demonstrates how cognitive interviews can be used to improve questionnaires intended for nursing home residents.

JOURNAL ARTICLE

Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status — Dec 31, 2007

Tests the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.

JOURNAL ARTICLE

The Influence of Staffing Characteristics on Quality of Care in Nursing Homes — Sep 30, 2007

The influence staffing levels, turnover, worker stability, and agency staff had on quality of care in nursing homes was examined.

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John Engberg

Senior Economist

John Engberg

John Engberg is a senior economist at the RAND Corporation. He specializes in applied statistical methods and microeconomics. Engberg's research spans the areas of education, health, labor markets, economic development, and crime. One theme that connects much of this work is the analysis of data…

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