For the Medicare End Stage Renal Disease (ESRD) population, the Centers for Medicare and Medicaid Services (CMS) launched a bundled prospective payment system for dialysis facilities in 2011. The focus of this research is to provide insight into the impact of the payment reform on health outcomes for ESRD patients receiving hemodialysis. Furthermore, this research will identify facility factors that influence responses to the new payment policy.
Helena Temkin-Greener, PhD, Professor
- PCORI 4/1/13-11/30/17
Improving Palliative and End-of-Life Care in Nursing Homes
The objective of this study is to examine if nursing home-based palliative care practice guidelines implemented through palliative care teams improve quality of care processes and outcomes for residents at the end of life.
- Donaghue Foundation 11/1/16 - 10/31/18
Mental Health Disorders in Nursing Homes: Developing and Deploying Quality Metrics
The overall objectives of this project are to: 1) identify longitudinal changes in the profile of NH residents with mental/behavioral issues; 2) develop and validate risk-adjusted measures of mental health quality that can be derived from existing national databases; and 3) examine how these QMs vary in different sub-populations of residents with mental health disorders, and with facility structural and organizational characteristics.
- National PACE Association through 6/30/18
PACE Data Analysis Center Project
Assessing the Impact of Risk Adjusted Payment Models on PACE
The objective of this study is to analyze the impact of the CMS risk-adjustment on PACE programs, and to develop QI measures.
- Dept. of Veterans Affairs (VA) 7/1/15-6/30/18
Factors Associated with Institutional Use by Veterans in Home-based Primary Care
An established organizational methodology is used to examine associations between the VA Home-based Primary Care (HBPC) program structures, interdisciplinary team functioning, and risk adjusted rates of institutional use, including veterans’ site of death.
- National Institutes of Health/NIA 8/15/16-5/31/19
Disparities in Quality of Care for Obese Nursing Home Residents
The objective of this study is to understand disparities both in access to care and in quality of care experienced by obese residents.
- AHRQ 9/30/16-8/31/19
Impact of State Policies on Nursing Home Patient Safety Culture
The overall goal of this project is to identify those aspects of state regulatory and payment policies that may foster or prevent the development of nursing home patient safety culture.
- AHRQ through 12/31/17
Availability of Mental Health Services in Nursing Homes
A national survey to examine the availability of behavioral health services in nursing homes