Giving “Voice” to Nursing Home Residents: A Revolution in Quality Assessment
It seems obvious to ask nursing home residents about their own health. But until a quiet revolution that took place in 2010, it didn't work that way.
Oct 9, 2012
Debra Saliba
Senior Natural Scientist
Santa Monica Office
Education
M.D., University of Alabama; M.P.H., UCLA School of Public Health
Media Resources
This researcher is available for interviews.
To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email media@rand.org.
More ExpertsOverview
Debra Saliba is a senior natural scientist at the RAND Corporation. She is also associate director for Education for the VA Los Angeles HSR&D Center of Innovation and a professor of medicine at UCLA, as well as a practicing geriatrician and health services researcher. Saliba's research focuses on creating tools and knowledge that can be applied to improving quality of care and quality of life of vulnerable older adults across care settings, including clinics, hospitals, homes, post-acute care and nursing homes. She developed the VES-13, a survey that identifies vulnerable elders living in the community. Saliba was the principal investigator for CMS's MDS 3.0 Revision and Evaluation project and collaborative VA MDS Validation project. Significant gains in MDS reliability, validity, staff satisfaction, and assessment efficiency were seen in national testing. Saliba's current research includes developing measures of physician performance in post-acute and long-term care; including patient and family priorities in weighting quality measures, and a randomized trial to decrease transfers from VA nursing homes to hospitals. Saliba is president of the American Geriatrics Society and serves on several national expert panels, including the CMS 5-star TEP and National Quality Forum Committees. Saliba received her M.D. from the University of Alabama where she also completed internal medicine residency. She also completed fellowships in health services research and geriatric medicine at UCLA where she received an M.P.H. in epidemiology.
Research Focus
Concurrent Non-RAND Positions
Anna and Harry Borun Chair in Geriatrics and Gerontology, University of California, Los Angeles; Director, UCLA/JH Borun Center for Gerontological Research; Research Physician, VA GLAHS GRECC ; Research Physician, VA GLAHS Center for InnovationRecent Projects
- Improving quality of life and safety in long-term care
- Individualizing goals of care
- Revision and validation of the Minimum Data Set for Nursing Homes (MDS 3.0)
- Development and validation of the Vulnerable Elders 13 Item Survey (VES-13)
- Nursing Home culture change
