National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Catheter-Associated Urinary Tract Infection (CAUTI) (1)
- COVID-19 (1)
- Healthcare-Associated Infections (HAIs) (1)
- Health Information Technology (HIT) (1)
- Home Healthcare (1)
- Long-Term Care (1)
- (-) Nursing Homes (4)
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- Urinary Tract Infection (UTI) (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 4 of 4 Research Studies DisplayedLi J
Public reporting and consumer demand in the home health sector.
The author used a natural experiment in the home health sector to assess whether a higher rating under the star ratings program affected patient choice. Findings indicated that higher rated agencies increased their market share by a statistically insignificant amount. No evidence of heterogeneous effects across the rating distribution or over time was discovered. The author concluded that star ratings are unlikely to improve home health quality despite continued policymaker interest.
AHRQ-funded; HS026836.
Citation: Li J .
Public reporting and consumer demand in the home health sector.
AHRQ-funded; HS026836..
Keywords: Home Healthcare, Nursing Homes, Provider Performance, Patient Experience, Quality of Care
Clark SE, Bautista L, Neeb K
Post-acute sequelae of SARS-CoV-2 (PASC) in nursing home residents: a retrospective cohort study.
This retrospective cohort study was conducted at two nursing homes in Michigan to explore post-acute sequelae of SARS-CoV-2 (PASC) among residents. Minimum Data Set was used to examine trajectories of functional dependence and cognitive function. The results suggested that nursing-home residents experienced a significant functional decline persisting for nine months following acute infection. The authors concluded that further research is needed to determine whether increased rehabilitation services after COVID-19 may help mitigate this decline.
AHRQ-funded; 1HS025451.
Citation: Clark SE, Bautista L, Neeb K .
Post-acute sequelae of SARS-CoV-2 (PASC) in nursing home residents: a retrospective cohort study.
J Am Geriatr Soc 2024 Feb; 72(2):551-58. doi: 10.1111/jgs.18678.
Keywords: COVID-19, Nursing Homes
Powell KR, Farmer M, Liu J
A survey of technology abandonment in US nursing homes.
This study examined abandonment of health information technology (HIT) by US nursing homes (NHs) and its association with organizational characteristics among a national sample of US NHs. This longitudinal, retrospective analysis used data from 2 sources: the HIT Maturity Survey and Staging model and public data from the Care Compare database. The authors used a random sample of 299 NHs representing each US state that completed the HIT maturity survey in 2 consecutive years: year 1 (Y1) was June 2019-August 2020 and year 2 (Y2) was June 2020-August 2021. The primary dependent variable was technology abandonment, operationalized by using total HIT maturity score, HIT maturity stage, and subscale scores within each dimension/domain; and independent variables were NH organizational characteristics including bed size, type of ownership, urbanicity, Centers for Medicare & Medicaid Services Five-Star Overall Rating and Staffing Rating. Results were that over the 2-year period HIT abandonment occurred in 28% of NHs compared with 44% that experienced growth in HIT systems. Capabilities in resident care was abandoned most frequently. They found that large NHs (bed size greater than 120) were more likely to experience technology abandonment in administrative activities. They concluded that technology abandonment can increase strain on scarce resources and may impact administrators' ability to oversee clinical operations, especially in large NHs.
AHRQ-funded; HS022497.
Citation: Powell KR, Farmer M, Liu J .
A survey of technology abandonment in US nursing homes.
J Am Med Dir Assoc 2024 Jan; 25(1):6-11. doi: 10.1016/j.jamda.2023.09.002..
Keywords: Nursing Homes, Health Information Technology (HIT), Long-Term Care
Jones KM, Krein SL, Mantey J
Characterizing infection prevention programs and urinary tract infection prevention practices in nursing homes: a mixed-methods study.
This study assessed nursing home (NH) infection prevention and control (IPC) resources and practices related to catheter and non-catheter-associated urinary tract infection (CAUTI and UTI). This mixed-methods study was conducted from April 2018 through November 2019 using quantitative surveys and semistructured qualitative interviews. Surveys were completed by 51 NH infection preventionists (IPs), and interviews were conducted with 13 participants from 7 NHs. The participating IPs had limited experience and/or additional roles, and in 36.7% of NHs, IPs had no specific IPC training, with a high turnover rate often mentioned during interviews. Most NHs were aware of their CAUTI and UTI rates and reported using prevention practices, such as hydration (85.7%) or nurse-initiated catheter discontinuation (65.3%). Interviewees expressed concerns about overuse of urine testing and antibiotics. Transfer sheets were used by 84% to communicate about infection, but the information received was described as suboptimal.
AHRQ-funded; HS25451.
Citation: Jones KM, Krein SL, Mantey J .
Characterizing infection prevention programs and urinary tract infection prevention practices in nursing homes: a mixed-methods study.
Infect Control Hosp Epidemiol 2024 Jan; 45(1):40-47. doi: 10.1017/ice.2023.127..
Keywords: Urinary Tract Infection (UTI), Nursing Homes, Catheter-Associated Urinary Tract Infection (CAUTI), Healthcare-Associated Infections (HAIs), Prevention