2021-04-05T17:38:25Z Copyright (c) 2021, The RAND Corporation RAND Corporation https://www.rand.org/topics/geriatrics.html Margaret M. Weden; Regina A. Shih; Mohammed U. Kabeto; Kenneth M. Langa https://www.rand.org/pubs/external_publications/EP67436.html 2017-12-20T12:00:00Z 2017-12-20T12:00:00Z

The higher risk of dementia among U.S. rural adults compared with their urban peers highlight the importance of public health planning for more rapidly aging rural communities.

Daniel A. Waxman; Xiaoyu Nie; Asa Wilks; David A. Ganz https://www.rand.org/pubs/research_reports/RR1649.html 2016-10-26T08:30:00Z 2016-10-26T08:30:00Z

Researchers linked data from a randomized controlled trial to Medicare claims to determine whether a fall-prevention intervention reduced health care costs or the frequency of emergency department visits for fall-related injuries.

Kate L. Lapane; Catherine Dubé; Anne L. Hume; Jennifer Tjia; Bill M. Jesdale; Jayne Pawasauskas; Dmitry Khodyakov https://www.rand.org/pubs/external_publications/EP68533.html 2021-02-25T08:30:00Z 2021-02-25T08:30:00Z

Our objective was to explore the extent of consensus among expert stakeholders regarding what analgesic issues should be prioritized for comparative-effectiveness studies of beneficial and adverse effects of analgesic regimens in nursing home residents.

Catherine C. Cohen; Andrew W. Dick; Mansi Agarwal; Tadeja Gracner; Susan Mitchell; Patricia Stone https://www.rand.org/pubs/external_publications/EP68498.html 2021-02-10T09:30:00Z 2021-02-10T09:30:00Z

The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.

Dana B. Mukamel; Zhiqiu Ye; Laurent G. Glance; Yue Li https://www.rand.org/pubs/external_publications/EP68409.html 2020-12-30T09:45:00Z 2020-12-30T09:45:00Z

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Yue Li; Xueya Cai; Laurent G. Glance https://www.rand.org/pubs/external_publications/EP68410.html 2020-12-30T09:45:00Z 2020-12-30T09:45:00Z

This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.

Laurent G. Glance; Turner M. Osler; Mark D. Neuman https://www.rand.org/pubs/external_publications/EP68403.html 2020-12-30T09:00:00Z 2020-12-30T09:00:00Z

This article discusses how patients should be counseled about the risks of complications and functional impairment after major surgery.

Yue Li; Zhiqiu Ye; Laurent G. Glance; Helena Temkin-Greener https://www.rand.org/pubs/external_publications/EP68404.html 2020-12-29T09:00:00Z 2020-12-29T09:00:00Z

We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.

Yue Li; Xueya Cai; Zhiqiu Ye; Laurent G. Glance; Charlene Harrington; Dana B. Mukamel https://www.rand.org/pubs/external_publications/EP68385.html 2020-12-17T08:30:00Z 2020-12-17T08:30:00Z

Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.

Yue Li; William D. Spector; Laurent G. Glance; Dana B. Mukamel https://www.rand.org/pubs/external_publications/EP68359.html 2020-12-04T09:15:00Z 2020-12-04T09:15:00Z

We conducted a national survey on state technical assistance programs for nursing homes to collect data on program design, operations, financing, and perceived effectiveness.

Kandice A. Kapinos; Shira H. Fischer; Andrew W. Mulcahy; Orla Hayden; Richard Barron https://www.rand.org/pubs/external_publications/EP68338.html 2020-11-13T09:15:00Z 2020-11-13T09:15:00Z

The objective of this study was to estimate the incremental direct medical care costs associated with first fracture observable in high-risk older adults.

Denise D. Quigley; Andrew W. Dick; Mansi Agarwal; Karen Jones; Lona Mody; Patricia Stone https://www.rand.org/pubs/external_publications/EP68179.html 2020-05-21T11:00:00Z 2020-05-21T11:00:00Z

We describe the COVID-19 preparedness of nursing homes across the nation.

Fabio del Missier; Patrik Hansson; Andrew M. Parker; Wandi Bruine de Bruin; Timo Mäntylä https://www.rand.org/pubs/external_publications/EP68169.html 2020-05-12T10:30:00Z 2020-05-12T10:30:00Z

Our study depicts a generally positive picture of age-related changes in three important aspects of decision-making competence and it shows that starting levels of decision-making competence are predictive of decision-making performance over time.

Patricia Stone; Ashley M. Chastain; Richard Dorritie; Aluem Tark; Andrew W. Dick; Jeneita M. Bell; Nimalie D. Stone; Denise D. Quigley; Melony E. Sorbero https://www.rand.org/pubs/external_publications/EP68118.html 2020-03-19T09:45:00Z 2020-03-19T09:45:00Z

We explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN), interviewing NH personnel about their facility's decision-making and infection prevention program. We identified barriers and facilitators to NHSN enrollment and reporting in NHs.

Richard Dorritie; Denise D. Quigley; Mansi Agarwal; Aluem Tark; Andrew W. Dick; Patricia Stone https://www.rand.org/pubs/external_publications/EP68115.html 2020-03-19T09:15:00Z 2020-03-19T09:15:00Z

In many countries, healthcare associated infections (HAI) are problematic in long-term aged care living facilities. In the US, HAI occur frequently in nursing homes (NH). We systematically examined the variations in state intentions and activities related to HAI prevention in NHs.

Aluem Tark; Leah V. Estrada; Mary E. Tresgallo; Denise D. Quigley; Patricia Stone; Mansi Agarwal https://www.rand.org/pubs/external_publications/EP68113.html 2020-03-19T09:00:00Z 2020-03-19T09:00:00Z

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Denise D. Quigley; Andrew W. Dick; Patricia Stone https://www.rand.org/pubs/external_publications/EP68089.html 2020-02-19T09:00:00Z 2020-02-19T09:00:00Z

Centralized resources with tailored or specialized links to unique local resources such as in-person trainings and state-specific contact information could be more beneficial for NH.

Kathryn G. Kietzman; Alina I. Palimaru; Janet C. Frank https://www.rand.org/pubs/external_publications/EP68051.html 2019-12-20T09:45:00Z 2019-12-20T09:45:00Z

This study draws from an evaluation of how older adults are served by California's public mental health delivery system, and a review of state planning documents and academic literature, to describe gaps and deficiencies in the workforce that serves older adults.

Stefan Horvath; Eileen Crimmins; Kristine Yaffe https://www.rand.org/pubs/conf_proceedings/CF416.html 2019-12-09T10:15:00Z 2019-12-09T10:15:00Z

Video sessions from the 26th Annual RAND Summer Institute, two annual conferences in Santa Monica, California, which addressed critical issues facing our aging population: The Mini-Medical School for Social Scientists on July 8–9, and the Demography, Economics, Psychology, and Epidemiology of Aging conference on July 10–11, 2019.

Patricia Stone; Carolyn T. A. Herzig; Mansi Agarwal; Monika Pogorzelska-Maziarz; Andrew W. Dick https://www.rand.org/pubs/external_publications/EP67647.html 2018-07-06T09:00:00Z 2018-07-06T09:00:00Z

National baseline data on nursing home infection control programs will aid evaluations of a Centers for Medicare & Medicaid Services rule requiring facilities to include an antibiotic stewardship and employ an infection preventionist.