The Data Management &Methods Core (DM&M) will centrally unify the j-renewal program project and serve all three proposed research projects and the other cores by providing the data management backbone of the P01. Core C will build analysis files for each project in accordance with investigators'specifications, will work with project investigators to construct and test independent and dependent variables that are conceptually and theoretically appropriate for use across projects, will assemble data for dissemination on our program project website (www.LTCFocUS.org), and develop statistical models and methods specific to the complex administrative data utilized in the projects.
Specific aims are to: 1) assemble project data and develop methods for tracking and cleaning projects'longitudinal data;2) create uniform, core measures for use in all project analyses;3) provide analytic and statistical support;4) develop novel methods of measuring functional status across post-acute settings;and, 5) assemble data for dissemination on the project website, managed by Core A. The DM&M Core is the heart of the common overlap across the projects since all rely upon the same core of longitudinal Medicare claims data and PAC assessment data all of which is matched to 100% of Medicare beneficiaries. Core C will integrate 2010 thru 2014 data to the existing decade of pane| data. We will apply Rasch measurement modeling within the framework of a """"""""missing data"""""""" model in order to create synthetic measures of functioning that can be derived from MDS data on NH residents, IRF-PAI data on rehabilitation patients and OASIS data on home health patients. These integrated measures will be applied as independent and outcome variables in the 3 projects. Core C programmers will create analysis file programs for each project and continue to update the information on our web site and to disseminate it to dissemination partners ranging from the Commonwealth Fund to MedPAC and to trade associations in the nursing home industry

Public Health Relevance

This research core provides methodological and data management support for all projects included in the Program Project and produces de-identified data for public dissemination on our project web site.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
2P01AG027296-06A1
Application #
8618217
Study Section
Special Emphasis Panel (ZAG1-ZIJ-3 (01))
Project Start
Project End
Budget Start
2014-02-15
Budget End
2015-01-31
Support Year
6
Fiscal Year
2014
Total Cost
$452,308
Indirect Cost
$171,592
Name
Brown University
Department
Type
DUNS #
001785542
City
Providence
State
RI
Country
United States
Zip Code
02912
Kumar, Amit; Rahman, Momotazur; Trivedi, Amal N et al. (2018) Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data. PLoS Med 15:e1002592
Berry, Sarah D; Zullo, Andrew R; Lee, Yoojin et al. (2018) Fracture Risk Assessment in Long-term Care (FRAiL): Development and Validation of a Prediction Model. J Gerontol A Biol Sci Med Sci 73:763-769
Thomas, Kali S; Silver, Benjamin; Gozalo, Pedro L et al. (2018) Constructing a Measure of Private-pay Nursing Home Days. Med Care 56:e26-e31
Rivera-Hernandez, Maricruz; Kumar, Amit; Epstein-Lubow, Gary et al. (2018) Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias. J Aging Health :898264318767778
Kosar, Cyrus M; Thomas, Kali S; Gozalo, Pedro L et al. (2018) Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture. J Am Geriatr Soc 66:1108-1114
McCreedy, Ellen M; Weinstein, Barbara E; Chodosh, Joshua et al. (2018) Hearing Loss: Why Does It Matter for Nursing Homes? J Am Med Dir Assoc 19:323-327
Meyers, David J; Mor, Vincent; Rahman, Momotazur (2018) Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees. Health Aff (Millwood) 37:78-85
Teno, Joan M; Gozalo, Pedro; Trivedi, Amal N et al. (2018) Site of Death, Place of Care, and Health Care Transitions Among US Medicare Beneficiaries, 2000-2015. JAMA 320:264-271
Durfey, Shayla N M; Kind, Amy J H; Gutman, Roee et al. (2018) Impact Of Risk Adjustment For Socioeconomic Status On Medicare Advantage Plan Quality Rankings. Health Aff (Millwood) 37:1065-1072
Baier, Rosa R; Mitchell, Susan L; Jutkowitz, Eric et al. (2018) Identifying and Supporting Nonpharmacological Dementia Interventions Ready for Pragmatic Trials: Results From an Expert Workshop. J Am Med Dir Assoc 19:560-562

Showing the most recent 10 out of 160 publications