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Nursing Homes

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
Journal Article
Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities
Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.
Dec 17, 2020
Journal Article
State "Technical Assistance Programs" for Nursing Home Quality Improvement: Variations and Potential Implications
We conducted a national survey on state technical assistance programs for nursing homes to collect data on program design, operations, financing, and perceived effectiveness.
Dec 4, 2020
Journal Article
COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic
We describe the COVID-19 preparedness of nursing homes across the nation.
May 21, 2020
Commentary
Should You Consider Taking a Loved One Out of a Long-Term Care Facility?
As modern living is changing during this pandemic, so is assisted living. Already, many of us are facing difficult decisions about whether someone we know should stay in an assisted living facility or be taken out due to the coronavirus crisis. If you're in the position to bring someone to hunker down with you, is it even a good idea?
Mar 30, 2020
Journal Article
Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey
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.
Mar 19, 2020

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RAND Topic:
Nursing Homes

Topic Synonyms:
Convalescent Home

Research conducted by

RAND Health Care

Researcher Spotlight

Andrew W. Dick

Senior Economist

Andrew Dick is a senior economist at the RAND Corporation. He studies the development of methods and empirical applications of risk-adjustment models for quality assessment, comparative effectiveness research, and cost estimation, all with a focus on applied econometric methods for drawing…
Catherine C. Cohen

Policy Researcher

Catherine "Katie" Cohen (she/her) is a nurse scientist and health services researcher at the RAND Corporation. Her work advances health care quality through research and policy. Her work often includes mixed-methods, including large data analysis and primary data collection, especially from…

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