Alternative OrderingPhone: 1-800-358-9295; Outside of the United States: 703-437-2078; TTY/TDD: 1-888-586-6340 Mail: AHRQ Publications Clearinghouse, P.O. Box 8547, Silver Spring, MD 20907-8547
Changes in Clinical and Hotel Expenditures Following Publication of the Nursing Home Compare Report Card AHRQ 11-R001
D. Mukamel, W. Spector, J. Zinn, et al., Medical Care, October 2010; 48(10):869-874. Examines the hypothesis that nursing homes responding to changes in consumer demand for quality improvement shifted the balance of resources from the hotel aspects of care to clinical activities.
Community and Individual Race/Ethnicity and Home Health Care Use Among Elderly Persons in the United States AHRQ 11-R021
J. Kirby, D. Lau, Health Services Research, October 2010; 45(5 Pt 1):1251-1267. Examines whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly individuals in the United States.
Computerized Physician Order Entry with Clinical Decision Support in Long-Term Care Facilities: Costs and Benefits to Stakeholders AHRQ 08-R004
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.
Developing a Research Agenda for Assisted Living AHRQ 08-R034
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.
Dual Eligibles with Mental Disorders and Medicare Part B: How Are They Faring? AHRQ 09-R062
J. Donohue, H. Huskamp, S. Zuvekas, Health Affairs, 28(3):May/June 2009, 746-759. Describes changes in use of psychotropic medications since 2006, when individuals who were eligible for both Medicare and Medicaid switched from Medicaid to Medicare Part D coverage for their prescription drugs. (AHRQ 09-R062)
Formal Home Care Utillization Patterns by Rural-Urban Community Residence AHRQ 10-R003
W. McAuley, W. Spector, J. Van Nostrand, Journal of Gerontology, 64(2):March 2009, 258-268. Examines formal home care use among civilian adults across metro and nonmetro residential categories before and after adjustment for predisposing, enabling, and need variables.(AHRQ 10-R003)
Home Health Care Agency Staffing Patterns Before and After the Balanced Budget Act of 1997, by Rural and Urban Location AHRQ 08-R059
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 coucnties from 1996-2002.
Impact of Local Resources on Hospitalization Patterns of Medicare Beneficiaries and Propensity to Travel Outside Local Markets AHRQ 10-R037
J. Basu, L. Mobley, Journal of Rural Health, Winter 2010; 26(1):20-29. Examines how the availability of local health care resources affects travel patterns of patients aged 65 and older across the rural/urban continuum.
Is There Evidence of Cream Skimming Among Nursing Homes Following the Publication of the Nursing Home Compare Report Card? AHRQ 10-R002
D. Mukamel, H. Ladd, D. Weimer, et al., Gerontologist 49(6):December 2009, 793-802. Tests empirically the hypothesis that nursing homes have responded to the publication of the report on nursing home quality by adopting cream-skimming admission policies by which they admit less sick and less frail individuals to improve their quality scores without investing additional resources. (AHRQ 10-R002)
Observed Association Between Antidepressant Use and Pneumonia Risk Was Confounded by Comorbidity Measures AHRQ 08-R011
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.
On-Time Quality Improvement for Long-Term Care: Case Studies AHRQ 07-0058-3
Agency for Healthcare Research and Quality and the California Healthcare Foundation, May 2007, 3 pp. Summarizes three case studies from this joint initiative to turn daily documentation into useful information that enhances clinical care planning in long-term care facilities. The three case studies are implementation of digital pen technology, importance of daily care documentation, and the use of handheld computers.
On-Time Quality Improvement for Long-Term Care: Frequently Asked Questions AHRQ 07-0058-2
Agency for Healthcare Research and Quality and the California Healthcare Foundation, 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.
Parental Marital Disruption, Family Type, and Transfers to Disabled Elderly Parents AHRQ 09-R033
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.
Pressure Ulcer Plan is Working AHRQ 08-R084
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.
Pressure Ulcer Prevention in Long-Term-Care Facilities: A Pilot Study Implementing Standardized Nurse Aide Documentation and Feedback Reports AHRQ 10-R047
S. Horn, S. Sharkey, S. Hudak, et al., Advances in Skin and Wound Care, March 2010; 23(3)120-131. Describes the design and implementation of evidence-based changes associated with decreases in presser ulcer development in long-term care facilities.
Publication of Quality Report Cards and Trends in Reported Quality Measures in Nursing Homes AHRQ 09-R014
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.
Reducing Hospitalizations from Long-Term Care Settings AHRQ 08-R020
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.
Stage 2 Pressure Ulcer Healing in Nursing Homes AHRQ 09-R001
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.
Strategic Orientation and Nursing Home Response to Public Reporting of Quality Measures: An Application of the Miles and Snow Typology AHRQ 08-R070
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 differences in their response to the publication of quality measures on the Nursing Home Compare Web site.
The "Nursing Home Compare" Measure of Urinary/Fecal Incontinence: Cross-Sectional Variation, Stability Over Time, and the Impact of Case Mix AHRQ 10-R050
Y. Li, J. Schnelle, W. Spector, et al., Health Services Research, February 2010; 45(1):79-97. Describes the impact of facility case mix on cross-sectional variations and short-term stability of the "Nursing Home Compare" incontinence quality measure and discusses whether multivariate risk adjustment could minimize the impact.
The Costs of Turnover in Nursing Homes AHRQ 10-R004
D. Mukamel, W. Spector, R. Limcangco, et al., Medical Care, 47(10):October 2009, 1039-1045. Presents an estimate of net costs associated with turnover of direct care staff in California nursing homes in 2005. (AHRQ 10-R004)
The Relationship Between Living Arrangements and Preventive Care Use Among Community-Dwelling Elderly Persons AHRQ 09-R060
D. Lau, J. Kirby, American Journal of Public Health, 99(7):July 2009, 1315-1321. Uses 2002-2005 Medical Expenditure Panel Survey (MEPS) data to examine the relationship between living arrangement and obtaining preventive care among the elderly population. (AHRQ 09-R060)