Publications

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Nursing Home Provider Perceptions of Deprescribing to Reduce Potentially Inappropriate Medications

JAMDA
March 1, 2018
Potentially inappropriate medications in nursing home (NH) residents carries significant burden and costs to residents and health-systems alike. The goal of this study was to survey a nationally representative sample of NH providers to describe...

Nurse –Physician Communication Gaps During After-hour Phone Calls in a Long-term Care Facility (LTC)

JAMDA
March 1, 2018
Research shows that communication gaps during after-hour phone calls between providers in LTC facilities can lead to adverse events. The objective of this project is to examine communication gaps in phone calls related to patient fall reports in a...

Number of Long Term Care Beds by County Correlates with Caregiver Burden

JAMDA
March 1, 2018
High caregiver burden and low caregiver self-efficacy are associated with worse health outcomes for persons with dementia (PWD) and their caregivers. There is substantial variability in the availability of community resources for dementia patients...

Measuring Team Effectiveness in the Veterans Health Administration's Home-Based Primary Care Program

JAMDA
March 1, 2018
The Department of Veterans Affairs (VA) operates Home-Based Primary Care (HBPC), a program designed to provide comprehensive and longitudinal care to community-based frail Veterans with complex, chronic care needs. The HBPC has been in existence for...

Interpreting the Impact of Physical Function in Skilled Nursing Facility Residents

JAMDA
March 1, 2018
Medicare mandates report of standardized measures of function in post-acute care to inform reimbursement policies and monitor the quality of care. As a result, skilled nursing facilities (SNFs) assess a patient’s level of assistance needed for...

Innovative Approaches to LTSS Rebalancing: Perspectives from Medicaid Administrators, Service Agencies, and Patient Advocates

JAMDA
March 1, 2018
Over the last several decades, state policymakers have experimented with policy changes and demonstration programs to rebalance long-term services and supports (LTSS) to more home and community-based services (HCBS) care delivery. Through...

Impaired Awareness and Its Relationship with Neuropsychiatric Symptoms in People with Korsakoff Syndrome and other Alcohol-Related Cognitive Disorders Living in Specialized Long-Term Care Facilities

JAMDA
March 1, 2018
Impaired awareness is a common feature in Korsakoff syndrome (KS), but it has hardly been studied. Without accurate awareness, KS patients may reluctant to accept care, and it may have adverse effects such as provoking challenging neuropsychiatric...

High BMI and Functional Dependence in Nursing Facilities: What We Need to Know

JAMDA
March 1, 2018
There is paucity of research on the effects of obesity and its related comorbidities on the care of long-term Care (LTC) residents living in nursing facilities. There is a strong association between higher body mass index (BMI) and greater...

Health Outcomes from Assisted Living Facilities: a Cohort Study of a Primary Care Practice

JAMDA
March 1, 2018
The population of older US adults residing in assisted living facilities (ALFs) is growing, yet health data on this population is relatively sparse. We aimed to describe health outcomes of ALF residents in the greater Rochester, Minnesota area...

Effects of a Story-sharing Intervention on Depression and Well-being in Older Adults Transitioning to Long-term Care

JAMDA
March 1, 2018
The purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the...