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Older Adults

The group studies the formation and impact of organizational structures in nursing homes. Organizational factors studied include medical staff organization, chain affiliation and proprietary status. Group members examine the impact of states’ policies on organization formation, and the impact of organization formation on nursing home resident outcomes. Various causal inference methods have been employed in these studies. A novel study currently being conducted involves the development of patient sharing social networks among primary care providers as identified in Medicare claims data.

Group members have created a comprehensive data infrastructure of Medicare data pertaining to nursing home residents. Group members maintain data use agreements with the Centers for Medicare and Medicaid services for an abundance of personally identifiable data. Faculty, staff and students have developed expertise using these data and adding data from other sources to help address a myriad of analytical research questions. These data are often used in doctoral theses of PhD students.

Part of our research among older adults is to explore the biopsychosocial determinants of HIV care engagement, social support, and the development of targeted intervention to enhance overall health-related quality-of-life among older people living with HIV.

Aging Group members are engaged in studying long-term services and supports (LTSS) of Veterans using VA, CMS and additional data sources. Questions addressed relate to VA national policy creation, national and local management of LTSS programs, and development of risk measures and research tools. A focus of this work is on evaluations of VA Geriatrics & Extended Care (GEC)  programs such as Home Based Primary Care, Hospital-In-Home, and VA provided and contracted nursing home care. Students are afforded many opportunities to interact with this group with some students engaged in PhD theses related to VA research on provision of health care services to aging Veterans. Dr. Intrator, a member of this group, is the Director of the National Geriatrics & Extended Care Data Analysis Center.

Program Faculty

Evelyn Arana, DrPH

Shubing Cai, Ph.D.

Orna Intrator, Ph.D.

Yue Li, Ph.D.

Yu Liu, Ph.D., M.P.H.

Christopher Seplaki, Ph.D.

Helena Temkin-Greener, Ph.D., M.S.

Peter J. Veazie, Ph.D.