Elderly/Long-Term Care

Admissions for CABG Procedure in the Elderly: Was There a Change in Access to Teaching Hospitals After 1997? J. Basu, Social Work in Public Health, September 2011; 26(6):605-620. Identifies patient attributes associated with teaching hospital admissions in the elderly for coronary artery bypass graft (CABG) surgery and discusses whether admission patterns for vulnerable subgroups changed between 1997 and 2001. (AHRQ 12-R037)

Changes in Clinical and Hotel Expenditures Following Publication of the Nursing Home Compare Report Card. 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. (AHRQ 11-R001)

Community and Individual Race/Ethnicity and Home Health Care Use Among Elderly Persons in the United States. 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. (AHRQ 11-R021)

Does State Regulation of Quality Impose Costs on Nursing Homes? D. Mukamel, Y. Li, C. Harrington, et al., Medical Care, June 2011; 49(6):529-534. Estimates the costs associated with the regulation of quality in the nursing home industry. (AHRQ 11-R062)

Formal Home Care Utilization Patterns by Rural-Urban Community Residence. W. McAuley, W. Spector, J. Van Nostrand, Journal of Gerontology, March 2009; 64(2):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)

Impact of Local Resources on Hospitalization Patterns of Medicare Beneficiaries and Propensity to Travel Outside Local Markets. 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. (AHRQ 10-R037)

Incremental Cost of Postacute Care in Nursing Homes. W. Spector, M. Limcangco, Health Services Research, February 2011; 46(Part 1):105-119. Examines whether the case mix index, which is based on the 53 Resource Utilization Groups, captures all the cross-sectional variation in nursing home costs and whether nursing homes that have a higher percentage of Medicare skilled care days have additional costs. (AHRQ 11-R057)

Is There Evidence of Cream Skimming Among Nursing Homes Following the Publication of the Nursing Home Compare Report Card? D. Mukamel, H. Ladd, D. Weimer, et al., Gerontologist, December 2009; 49(6):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)

The "Nursing Home Compare" Measure of Urinary/Fecal Incontinence: Cross-Sectional Variation, Stability Over Time, and the Impact of Case Mix. 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. (AHRQ 10-R050)

Pressure Ulcer Prevention in Long-Term-Care Facilities: A Pilot Study Implementing Standardized Nurse Aid Documentation and Feedback Reports. 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. (AHRQ 10-R047)

State Regulatory Enforcement and Nursing Home Termination from the Medicare and Medicaid Programs. Y. Li, C. Harrington, W. Spector, et al., Health Services Research, December 2010; 45(6 Pt 1):1796-1814. Examines the relationship between enforcement of Federal and State quality and safety standards and nursing home termination from the Medicare and Medicaid programs. (AHRQ 11-R028) Evidence

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