Computerized Physician Order Entry with Clinical Decision Support in Long-Term Care Facilities: Costs and Benefits to Stakeholders. S. Subramanian, S. Hoover, B. Gilman, et al., Journal of the American Geriatrics Society 55:2007, 1451-1457. Describes the costs and benefits of computerized physician order entry with clinical decision support for the various stakeholders involved in long-term care. These include nurses, physicians, the pharmacy, the laboratory, the payer, nursing home residents, and the long-term care facility. (AHRQ 08-R004)
Developing a Research Agenda for Assisted Living. R. Kane, K. Wilson, W. Spector, Gerontologist 47(III):2007, 141-154. Describes an approach to identifying knowledge gaps, research questions, and methodological issues for assisted living research. (AHRQ 08-R034)
The Development of a CAHPS® Instrument for Nursing Home Residents (NHCAHPS). J. Sangl, J. Buchanan, C. Cosenza, et al., Journal of Aging & Social Policy 19(2):2007, 63-82. Describes the development and testing of a survey instrument to measure residents' experiences with quality of care and quality of life in nursing homes and discusses lessons learned during the process. (AHRQ 07-R064)
Home Health Care Agency Staffing Patterns Before and After the Balanced Budget Act of 1997, by Rural and Urban Location. W. McAuley, W. Spector, J. Van Nostrand, Journal of Rural Health, 24(1): Winter 2008, 12-23. Examines the staffing characteristics of stable Medicare-certified home health agencies across rural and urban counties from 1996-2002. (AHRQ 08-R059)
Nursing Homes' Response to the Nursing Home Compare Report Card. D. Mukamel, W. Spector, J. Zinn, et al., Journal of Gerontology 62B(4):2007, S218-S225. Examines the initial reactions of nursing homes to publication of the Nursing Home Compare report card by the Centers for Medicare & Medicaid Services and evaluates the impact of the report card on quality improvement activities. (AHRQ 07-R080)
Observed Association Between Antidepressant Use and Pneumonia Risk Was Confounded by Comorbidity Measures. S. Hennessy, W. Bilker, C. Leonard, et al., Journal of Clinical Epidemiology 60:2007, 911-918. Examines the association between antidepressant use by elderly individuals and their subsequent risk of hospitalization for pneumonia. (AHRQ 08-R011)
On-Time Quality Improvement for Long-Term Care. Agency for Healthcare Research and Quality and the California Healthcare Foundation. The goal of this initiative is to turn daily documentation into useful information that enhances clinical care planning in long-term care facilities. A key objective is the reduction of in-house pressure ulcer rates.
Case Studies, May 2007, 3 pp. Summarizes three case studies from this initiative: implementation of digital pen technology, importance of daily care documentation, and use of handheld computers. (AHRQ 07-0058-3)
Frequently Asked Questions, May 2007, 2 pp. Uses a question-and-answer format to describe the On-Time Quality Improvement for Long-Term Care initiative and how facilities can participate. (AHRQ 07-0058-2).
Parental Marital Disruption, Family Type, and Transfers to Disabled Elderly Parents. L. Pezzin, R. Pollak, B. Schone, Journals of Gerontology Series B Psychological Sciences and Social Sciences 63B(6): November 2008, S349-S358. Examines the effects of parental marital status, marital history, and family type on intergenerational living arrangements and adult children's time and cash transfers to their unpartnered disabled elderly parents. (AHRQ 09-R033)
Pressure Ulcer Plan Is Working. S. Hudak, S. Sharkey, M. Engleman, et al., Provider, 34(5):May 2008, 34-39. Describes a new pressure ulcer reduction program—On-Time Quality Improvement for Long Term Care (On-Time)—intended to close the gap between staff knowledge and practice. Discusses response of certified nurse assistants to the On-Time program and presents results of a preliminary evaluation showing improvements in pressure ulcer prevention. (AHRQ 08-R084)
Publication of Quality Report Cards and Trends in Reported Quality Measures in Nursing Homes. D. Mukamel, D. Weimer, W. Spector, et al., Health Services Research, 43(4):August 2008, 1244-1262. Uses survey data for 701 nursing homes to examine changes in outcome-based quality measures, comparing the periods before and after publication of the first Nursing Home Compare Web-based report card in November 2002. (AHRQ 09-R014)
Reducing Hospitalizations from Long-Term Care Settings. R. Konetzka, W. Spector, M. Limcangco, Medical Care Research and Review 65(1): February 2008, 40-66. Reviews the evidence from 55 peer-reviewed articles on interventions that potentially reduce hospitalizations from formal long-term care settings. (AHRQ 08-R020)
Risk Factors Associated with the Occurrence of Fractures in U.S. Nursing Homes: Resident and Facility Characteristics and Prescription Medications. W. Spector, T. Shaffer, D. Potter, et al., Journal of the American Geriatrics Society 55:2007, 327-333. Uses data from the Medical Expenditure Panel Survey to examine the effects of resident and facility characteristics and the use of certain prescribed medicines on the occurrence of fractures among nursing home residents. (AHRQ 07-R047)
Stage 2 Pressure Ulcer Healing in Nursing Homes. N. Bergstrom, R. Smout, S. Horn, et al., Journal of the American Geriatrics Society, 56(7):July 2008, 1252-1258. Identifies resident and wound characteristics associated with Stage 2 pressure ulcer healing time in nursing home residents. (AHRQ 09-R001)
Strategic Orientation and Nursing Home Response to Public Reporting of Quality and Measures: An Application of the Miles and Snow Typology. J. Zinn, W. Spector, D. Weimer, et al., Health Services Research, 43(2):April 2008, 598-615. Examines whether differences in strategic orientation of nursing homes as identified by the Miles and Snow typology are associated with differences in their response to the publication of quality measures on the Nursing Home Compare Web site. (AHRQ 08-R070)
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