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Adjunct Policy Researcher
Assistant Policy Researcher, RAND; Ph.D. Student, Pardee RAND Graduate School
Downsizing in the nursing home industry from 1992 to 2003 was examined.
Jan 1, 2006
The authors examine the association between caregiver staffing levels and mental health outcomes in approximately 17,000 U.S. nursing homes.
The authors investigate the nexus between mental health outcomes in nursing home residents and the use of physical restraints.
The association between certified nurse aide, LPN, and RN turnover and the organizational characteristics of nursing homes.
The authors find that the availability of PAC is a major determinant of whether patients use such care and which type of PAC facility they use.
Jan 1, 2005
Changes in nursing home staffing patterns are related to the quality of nursing home care. Staff stability is associated with better outcomes.
Examines the association between quality of care in nursing homes and turnover of nurse aides, licensed practical nurses, and registered nurses.
Compares state-level physical restraint use, urethral catheterization, contractures, pressure ulcers, and psychoactive medication use as indicators of quality of care in nursing facilities.
Further developmental work is needed to address many of these issues to improve the usefulness of these quality measures in future NHQR reports.
Steps of care critical to the assessment and management of geriatric syndromes in NHs were identified.
Jan 1, 2004
Nursing home quality measures for medical conditions must account for exclusions related to poor prognosis and advanced dementia.
The authors sought to describe the role and function of nursing facilities after disaster.
This article examines the concentration of low- and high-quality care within particular nursing facilities over time.
The authors found 86% of nursing homes and 88% of assisted living facilities to be using resident satisfaction surveys.
Despite its potentially controversial nature and many methodological challenges, the system has been well received by both the public and the industry.
Mar 1, 2003
In recent years, the rate of institutionalization among the elderly has been falling.
Jan 1, 2003
The authors investigate whether declines in the age difference between spouses has influenced widowhood and nursing home demand.
Cost of implementing these interventions for frail nursing home residents unlikely to be offset by savings in medical care costs in this population.
Quality improvement implementation is most likely to be successful in those VA nursing homes with an underlying culture that promotes innovation.
This article evaluates whether the hours spent on the job by nursing home administration have an effect on the quality of care.