Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project

Predictors of emergency commitment for nursing home residents: the role of resident and facility characteristics.

OBJECTIVES The ability of nursing homes to manage the mental health needs of their residents is crucial to providing high quality care. An important element is preventing exacerbations of psychiatric conditions that trigger discharge from the nursing home (NH) because of an emergency commitment (EC) for an involuntary psychiatric examination. The objective of this study was to examine the relat...

Beyond CMS quality measure adjustments: identifying key resident and nursing home facility factors associated with quality measures.

OBJECTIVE This quality improvement (QI) project was initiated to understand what differentiates nursing homes (NHs) that perform well on publicly reported Centers for Medicare and Medicaid Services (CMS) Quality Measures (QMs). The intent was to assist NH staff to direct QI efforts to positively impact QM rates. A key step was to determine if any resident or facility characteristics might accou...

Targeting with In-kind Transfers: Evidence from Medicaid Home Care

Many of the most important government programs make transfers in kind as opposed to in cash. Making transfers in kind has the obvious cost that recipients would at least weakly prefer cost-equivalent cash transfers. But making transfers in kind can have benefits as well, including better targeting transfers to desired recipients. In this paper, we exploit large-scale randomized experiments run ...

SMI in Florida nursing homes: A study of resident, facility and cost characteristics

Palliative care for the nursing home resident with dementia.

The prevalence of memory impairment, including dementia, increases exponentially with age. Of people with late-onset dementia, about half have Alzheimer’s, 16% have vascular dementia, and 30% have other forms of dementia.1 Alzheimer’s disease, the most frequent cause of dementia in Western societies, affects an estimated 5 million people in the United States and 17 million worldwide.2 The onset...