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Nursing Homes

Journal Article

Journal Article

Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study

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.

Jul 6, 2018
Journal Article

Journal Article

Racial/Ethnic Differences in Receipt of Influenza and Pneumococcal Vaccination Among Long-Stay Nursing Home Residents

Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.

Sep 15, 2017
Journal Article

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's likelihood of using a nursing home is much greater than previous research has suggested. Among people age 57 to 61, 56 percent will stay in a nursing home at least one night in their lifetime.

Aug 29, 2017
News Release

News Release

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's lifetime risk of using a nursing home is substantially greater than previous research has suggested. Among persons age 57 to 61, 56 percent will stay in a nursing home at least one night during their lifetime.

Aug 28, 2017
Journal Article

Journal Article

Infection Trends in US Nursing Homes, 2006–2013

The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.

Jul 13, 2017
Journal Article

Journal Article

Isolation Precautions Use for Multidrug-Resistant Organism Infection in Nursing Homes

To examine factors associated with isolation precaution use in nursing home (NH) residents with multidrug-resistant organism (MDRO) infection.

Mar 28, 2017
Journal Article

Journal Article

Screening Tool of Older Person's Prescriptions: Screening Tools to Alert Doctors to Right Treatment Medication Criteria Modified for U.S. Nursing Home Setting

Experts have identified new criteria for assessing the quality of prescribing in nursing homes.

Mar 15, 2017
Journal Article

Journal Article

Infection Prevention and Control Programs in Nursing Homes: Results from a National Survey

About 1.6 to 3.8 million nursing home (NH) infections are reported each year and this is expected to rise as the NH population increases.

Mar 18, 2016
Journal Article

Journal Article

Resident and Facility Factors Associated with the Incidence of Urinary Tract Infections Identified in the Nursing Home Minimum Data Set

This research examined resident and facility-specific factors associated with a diagnosis of a urinary tract infection (UTI) in the nursing home setting.

Mar 16, 2016
Journal Article

Journal Article

Nursing Homes in States with Infection Control Training or Infection Reporting Have Reduced Infection Control Deficiency Citations

The objective of this study is to determine associations between specific state DOH activities and NH IC citation rates.

Mar 16, 2016
Journal Article

Journal Article

Cost-effectiveness of Nutrition Intervention in Long-Term Care

This study aims to determine the cost-effectiveness of two nutrition interventions on food, beverage, and supplement intake and body weight.

Nov 11, 2015
Journal Article

Journal Article

The Invisible Homebound: Setting Quality-of-Care Standards for Home-Based Primary and Palliative Care

This article describes the current status of home-based medical care in the United States and offers a brief narrative of a fictional homebound patient and the health events and fragmented care she faces.

Jan 8, 2015
Journal Article

Journal Article

The National Response for Preventing Healthcare-Associated Infections: Infrastructure Development

This article examines the unique infrastructure developed through the Action Plan to support adoption of HAI prevention practices.

Feb 1, 2014
Journal Article

Journal Article

The National Response for Preventing Healthcare-Associated Infections: Research and Adoption of Prevention Practices

This paper describes progress and challenges in Healthcare–associated infections (HAI) research and prevention practices, as explained through an examination of Health and Human Services (HHS) Action Plan's goals, inputs, and implementation in each area.

Feb 1, 2014
Journal Article

Journal Article

The National Response for Preventing Healthcare-Associated Infections: System Capacity and Sustainability for Improvement

The objective of this analysis was to identify key system capacity issues for sustainability from evaluation of the Action Plan to prevent healthcare–associated infections, a major national initiative launched by the US Department of Health and Human Services in 2009.

Feb 1, 2014
Journal Article

Journal Article

Transforming Nurse Home Culture: Evidence for Practice and Policy

The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care.

Feb 1, 2014
Journal Article

Journal Article

What Does the Evidence Really Say About Culture Change in Nursing Homes?

Nursing home culture change remains an evolving field. Although culture change has clear face validity, the current evidence does not give providers sufficient information for selecting interventions based on the expectation of improving outcomes.

Feb 1, 2014
Journal Article

Journal Article

An Examination of Longitudinal CAUTI, SSI, and CDI Rates from Key HHS Data Systems

In response to the growing concern about healthcare–associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections.

Feb 1, 2014
Journal Article

Journal Article

Regional Interventions to Eliminate Healthcare-Associated Infections

Key to the success of the National Action Plan was the multilevel approach to implementation of initiatives at the federal, regional, and state levels.

Feb 1, 2014
Brochure

Measuring the Quality of Health Care

RAND is engaged in developing and supporting the use of quality measures by the Centers for Medicare & Medicaid Services (CMS)

Jun 26, 2013

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RAND Topic:
Nursing Homes

Topic Synonyms:
Convalescent Home

Research conducted by

RAND Labor and Population