The purpose of this Mentored Research Scientist Development Award (K01) is to provide the candidate, a recently graduated health economist, with additional training and research experience that will enable him to pursue an academic career in aging with a focus on the economics of nursing home quality care issues. In order to fully understand and investigate patient-level quality measures, the candidate will need to acquire specialized knowledge and skills. He proposes a career development plan with a mentoring team of senior faculty that will provide clinical, measurement, and modeling expertise in the use of patient-level data. The research program consists of a study of within-facility variation in the quality of nursing home care.
The first aim of this study tests whether disparities in nursing home care and nursing home outcomes exist across Medicaid and private-pay residents within a common facility.
The second aim of this study evaluates whether disparities in nursing home care and nursing home outcomes exist across racial and ethnic minority and majority residents within a common facility. By using recent MDS data over multiple years, the proposed study will greatly increase our understanding of differences in nursing home quality by payer status and race. The results will allow providers, advocates, clinicians, consumers and policymakers to better evaluate and address within-facility disparities in nursing home care.
| Aschbrenner, Kelly A; Cai, Shubing; Grabowski, David C et al. (2011) Medical comorbidity and functional status among adults with major mental illness newly admitted to nursing homes. Psychiatr Serv 62:1098-100 |
| Mor, Vincent; Gruneir, Andrea; Feng, Zhanlian et al. (2011) The effect of state policies on nursing home resident outcomes. J Am Geriatr Soc 59:3-9 |
| Grabowski, David C; Town, Robert J (2011) Does information matter? Competition, quality, and the impact of nursing home report cards. Health Serv Res 46:1698-719 |
| Grabowski, David C; Aschbrenner, Kelly A; Rome, Vincent F et al. (2010) Quality of mental health care for nursing home residents: a literature review. Med Care Res Rev 67:627-56 |
| Mor, Vincent; Intrator, Orna; Feng, Zhanlian et al. (2010) The revolving door of rehospitalization from skilled nursing facilities. Health Aff (Millwood) 29:57-64 |
| Intrator, Orna; Schleinitz, Mark; Grabowski, David C et al. (2009) Maintaining continuity of care for nursing home residents: effect of states' Medicaid bed-hold policies and reimbursement rates. Health Serv Res 44:33-55 |
| Grabowski, David C; Aschbrenner, Kelly A; Feng, Zhanlian et al. (2009) Mental illness in nursing homes: variations across States. Health Aff (Millwood) 28:689-700 |
| Grabowski, David C; McGuire, Thomas G (2009) Black-White Disparities in Care in Nursing Homes. Atl Econ J 37:299-314 |
| Grabowski, David C; Mitchell, Susan L (2009) Family oversight and the quality of nursing home care for residents with advanced dementia. Med Care 47:568-74 |
| Kilgore, Meredith L; Grabowski, David C; Morrisey, Michael A et al. (2009) The effects of the Balanced Budget Act of 1997 on home health and hospice in older adult cancer patients. Med Care 47:279-85 |
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