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     <title>RAND Research Topic: Nursing Homes</title>
     <link rel="self" href="http://www.rand.org/topics/nursing-homes.xml"/>
     <updated>2012-05-24T14:57:15Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/nursing-homes.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/nursing-homes.html</id>
	 
 <entry>
   <title type="html">Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100221.html</id>
   <published>Sep 30, 2011</published>
   <updated>Sep 30, 2011</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100221.html" />
   
 </entry>
 
 <entry>
   <title type="html">A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100108.html</id>
   <published>Jul 31, 2010</published>
   <updated>Jul 31, 2010</updated>
   <summary type="html">&lt;p&gt;This study evaluates the effects of a multicomponent intervention to reduce fecal incontinence and urinary incontinence.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100108.html" />
   
 </entry>
 
 <entry>
   <title type="html">An Examination of Special Focus Facility Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100063.html</id>
   <published>Jun 2, 2010</published>
   <updated>Jun 2, 2010</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100063.html" />
   
 </entry>
 
 <entry>
   <title type="html">Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100043.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">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</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100043.html" />
   
 </entry>
 
 <entry>
   <title type="html">Why Not Just Ask the Resident? Refinement of a Preference Assessment Tool for Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20091120.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;Evaluates a draft preference assessment tool designed to replace the current Customary Routine section of the Minimum Data Set (MDS) for nursing homes.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20091120.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Health Consequences of Using Physical Restraints in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090023.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;Using a national longitudinal sample of nursing homes residents we examine whether physical restraint use contributes to subsequent physical or psychological health decline.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090023.html" />
   
 </entry>
 
 <entry>
   <title type="html">Effects of Payment Changes on Trends in Post-Acute Care</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090806.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090806.html" />
   
 </entry>
 
 <entry>
   <title type="html">Measuring the Quality of Care Provided to Dually Enrolled Medicare and Medicaid Beneficiaries Living in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090508.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090508.html" />
   
 </entry>
 
 <entry>
   <title type="html">Annual Expenditures for Nursing Home Care: Private and Public Payer Price Growth, 1977 to 2004</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090307.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090307.html" />
   
 </entry>
 
 <entry>
   <title type="html">A National View of Workplace Injuries in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090022.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090022.html" />
   
 </entry>
 
 <entry>
   <title type="html">Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080817.html</id>
   <published>Jul 31, 2008</published>
   <updated>Jul 31, 2008</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080817.html" />
   
 </entry>
 
 <entry>
   <title type="html">Use of Postacute Care By Nursing Home Residents Hospitalized for Stroke or Hip Fracture: How Prevalent and to What End?</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080829.html</id>
   <published>Jul 31, 2008</published>
   <updated>Jul 31, 2008</updated>
   <summary type="html">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.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080829.html" />
   
 </entry>
 
 <entry>
   <title type="html">Further Examination of the Influence of Caregiver Staffing Levels on Nursing Home Quality</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080020.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;Weak empirical evidence exists showing that nursing home staffing levels influence quality of care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080020.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Influence of Agency Staffing on Quality of Care in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080021.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080021.html" />
   
 </entry>
 
 <entry>
   <title type="html">Use of Advance Directives for Nursing Home Residents in the Emergency Department</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080622.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080622.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Relationship of Reported Pain Severity to Perceived Effect on Function of Nursing Home Residents</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080923.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080923.html" />
   
 </entry>
 
 <entry>
   <title type="html">Nurse Aide Agency Staffing and Quality of Care in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080407.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;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.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080407.html" />
   
 </entry>
 
 <entry>
   <title type="html">What the Resident Meant to Say: Use of Cognitive Interviewing Techniques to Develop Questionnaires for Nursing Home Residents</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080413.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;This study demonstrates how cognitive interviews can be used to improve questionnaires intended for nursing home residents.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080413.html" />
   
 </entry>
 
 <entry>
   <title type="html">Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status</title>
   <id>http://www.rand.org/pubs/external_publications/EP20081121.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;Tests the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20081121.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Influence of Staffing Characteristics on Quality of Care in Nursing Homes</title>
   <id>http://www.rand.org/pubs/external_publications/EP20071005.html</id>
   <published>Sep 30, 2007</published>
   <updated>Sep 30, 2007</updated>
   <summary type="html">&lt;p&gt;The influence staffing levels, turnover, worker stability, and agency staff had on quality of care in nursing homes was examined.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20071005.html" />
   
 </entry>
 
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