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Nursing Homes

Journal Article
Changes Over Time in POLST Use and Content by Race and Ethnicity Among California Nursing Home Residents
Racial and ethnic differences in POLST intensity of care orders increased between 2011 and 2016 suggesting that efforts to mitigate factors underlying differences were ineffective.
Sep 18, 2023
Journal Article
Relationship of POLST to Hospitalization and ICU Care Among Nursing Home Residents in California
This paper links Physician Orders for Life Sustaining Treatment (POLST) document status with actual intensity of care for nursing home residents in California.
Aug 28, 2023
Journal Article
Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation
Through a rapid mixed-methods evaluation of care homes in England, this article explores whether use of pulse oximeters in care homes during the COVID-19 pandemic was beneficial to care home staff and residents.
Jul 26, 2023
Journal Article
Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia
New York State's Medicaid managed long-term care (MLTC) program expanded access to home- and community-based services. This cohort study evaluated changes in nursing home use among older adults with dementia following MLTC implementation.
Jul 11, 2023
Commentary
Home and Community-Based Services Help Aging Veterans and Provide Cost Savings
Home and community-based services allow veterans to “age in place” while receiving the care and support they need. They also cost less than institutional care facilities. As these VA programs expand, it will be important to make them available to all veterans who would benefit from them.
Jun 26, 2023
Journal Article
Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?
We evaluated integration of palliative care and infection management (i.e. merging the goals of palliative care and infection management at end of life) in nursing homes and its association with hospital transfers for residents with advanced illness.
Apr 11, 2023
Research Brief
Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic
The COVID-19 pandemic highlighted a need to transform the decisionmaking culture in long-term care to make it more inclusive of residents, staff, and others who are affected by infection-control policies in these facilities.
Nov 9, 2022
Report
Reimagining Policy Decisionmaking in Long-Term Care
Policies to mitigate the spread of COVID-19 in long-term care facilities were often mandated without input from residents and their family members, administrators, or staff. What can be done to make policy decisionmaking in these settings more inclusive?
Oct 20, 2022
Journal Article
Care Preferences in Physician Orders for Life Sustaining Treatment in California Nursing Homes
Physician Orders for Life-Sustaining Treatment (POLST) facilitates documentation and transition of patients' life-sustaining treatment orders across care settings. We describe the orders within POLST among all nursing home residents in California from 2011 to 2016.
Mar 16, 2022
Journal Article
POLST Completion and Continuity in California Nursing Homes
We used MDS 2011–2016 linked to California Section S to describe POLST completion, cardiopulmonary resuscitation and do not resuscitate orders, invalid POLST documents, and switches in POLST content across the population of California NH residents.
Mar 16, 2022
Journal Article
Organizational and Geographic Nursing Home Characteristics Associated With Increasing Prevalence of Resident Obesity in the United States
The objective of this study was to examine the associations between nursing home obesity prevalence rate and nursing home organizational, staffing, resident, and geographic factors within a profit maximization framework.
Feb 8, 2022
Journal Article
Nurse Aide Retention in Nursing Homes
The research presented provides information on nurse aide retention in nursing homes as a workforce challenge and its impact on quality.Retention may be an additional staffing characteristic of nursing facilities with policy and practice relevance.
Feb 8, 2022
Journal Article
Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses
This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' patient safety culture perceptions corresponded to their personal and professional characteristics.
Feb 8, 2022
Journal Article
Nursing Home Responses to Performance-based Accountability: Results of a National Survey
We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.
Apr 9, 2021
Journal Article
The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies
We examined whether state and regional advance care planning initiatives play a role in the presence of "do not administer antibiotics" orders for nursing home residents at the end of life.
Apr 7, 2021
Journal Article
Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study
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.
Feb 25, 2021
Journal Article
Trends in Antibiotics Use Among Long-Term US Nursing-Home Residents
The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.
Feb 10, 2021
Journal Article
Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care
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.
Dec 30, 2020
Journal Article
Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts
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.
Dec 30, 2020
Journal Article
Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes
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.
Dec 29, 2020

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RAND Topic:
Nursing Homes

Topic Synonyms:
Convalescent Home

Research conducted by

RAND Health Care

Researcher Spotlight

Thomas W. Concannon

Senior Policy Researcher

Thomas Concannon is a senior policy researcher at RAND, a professor of policy analysis at the Pardee RAND Graduate School, assistant professor of medicine at Tufts University School of Medicine (2006–present), and Codirector of Stakeholder and Community Engagement at Tufts Clinical and…
Agne Ulyte

Senior Analyst

Agnė Ulytė is a senior analyst at the RAND Corporation. Working primarily with RAND Europe, her main focus is health services and health care policy research. Key areas of interest are health, nursing, and social care in long-term care settings; innovative health care delivery modalities such as…

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