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Orna Intrator, Ph.D.

Orna Intrator, Ph.D.

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About Me

Professional Background

EDUCATION
Undergraduate Tel Aviv University, Mathematics and Computer Science, BSc 1986
Advanced Degrees Brown University, Division of Applied Mathematics, ScM 1988, PhD 1991

UNIVERSITY OF ROCHESTER MENTORING ROLES
2016- : Zhiqui Ye, PhD Dissertation Chair
2016- : W...
EDUCATION
Undergraduate Tel Aviv University, Mathematics and Computer Science, BSc 1986
Advanced Degrees Brown University, Division of Applied Mathematics, ScM 1988, PhD 1991

UNIVERSITY OF ROCHESTER MENTORING ROLES
2016- : Zhiqui Ye, PhD Dissertation Chair
2016- : Wei Song, PhD Dissertation Chair
2016- : Jill Szydlowski, MA Committee
2016- : Huiwen Xu, PhD Dissertation Chair
2016- : Lianlian Lei, PhD Dissertation Chair

BROWN UNIVERSITY TEACHING ROLES
Mentoring:
2004-2006 Julie Lima, Ph.D. Member dissertation committee. Dissertation Title: "The Demography of Community Based Care: The Late Middle-aged Versus the Elderly". Sociology Department.

2005 – 2006 David Dosa, MD. Co-Mentor SURDNA Foundation Fellowship: "Detecting Delirium in Nursing Homes Using the MDS."

2005-2008 – Susan Wieland Member dissertation committee. Candidate in Community Health. Dissertation Title: "Depression and Health Service Utilization in Physically Disabled Medicaid Fee-for-Service Enrollees"

2007 - 2008 Laura Gast. MPH thesis director. Topic: "Cellular Phones, Cellular Base Towers and Health".

2007 – 2008 Lynn McNicoll, MD. Mentor, SURDNA foundation fellowship: "ICU Utilization among nursing home residents."

2008 - 2009 Kelly Aschbrenner, PhD, Postdoc. Reading course on missing data in studies of severe mental illness.

2010 – 2013 David Dosa, MD. Mentor, VA HSR&D Career Development Award VA HSR&D CDA-II: "Medication Use as a Quality Indicator in VA Nursing Home Care Units"

2010-2012 Elisabeta Minca, Ph.D. Advisor, Postdoctoral Fellowship

2011-2013: Chang Liu PhD Dissertation Committee (HSPP)

2012-2013: Shubing Cai, Ph.D. Junior faculty mentor

2012-2015: Emily Gadbois PhD Dissertation Committee (U Mass Boston)

2012-2013: Marissa Meucci PhD Dissertation Chair (HSPP)

2015- : Kira Ryskina, MD, MC Postdoctoral Fellowship K01 (Univ of Pennsylvania)

2016- : Kali Thomas, PhD Career Development Award (Providence VAMC)

Faculty Appointments

Professor - Department of Public Health Sciences (SMD)

Credentials

Awards

Outstanding Medical Care. 2008 - 2011

Outstanding Abstract, Annual Meeting of the Health Services Research. 2004

Fellow InterRAI, International collaboration to develop common assessment instruments for the elderly across service settings. 2001

Who's Who in the World. 2000

Strathmore's Who's Who. 1997

Who's Who in Science and Engineering. 1996

Golda Meir Scholar, Hebrew University. 1995

Sigman-Xi Society. 1991

Research

Trained in statistics and applied mathematics, Dr. Intrator is an Professor of Health Services Research and Policy at the University of Rochester Medical Center, Rochester, NY and Adjunct Professor at the Brown University School of Medicine in Providence, RI. Dr. Intrator also works as Research Heal...
Trained in statistics and applied mathematics, Dr. Intrator is an Professor of Health Services Research and Policy at the University of Rochester Medical Center, Rochester, NY and Adjunct Professor at the Brown University School of Medicine in Providence, RI. Dr. Intrator also works as Research Health Scientist and the Director of the national VA Geriatrics & Extended Care Data Analysis Center (GECDAC).

Dr. Intrator has published over 100 peer-reviewed articles in leading health services and health policy journals such as Health Affairs, Medical Care Research and Review, Medical care, Health Services Research, and has been cited more than 2500 times. Her excellent work has brought her multiple awards, including Best of AcademyHealth Annual Research Meeting (2015), Outstanding Medical Care Reviewer (2008–2011), Outstanding Abstract of the Annual Meeting of the Health Services Research (2004) and others. Her outstanding contribution to the health services research community is exemplified by her authoritative reviews including one published by HSR as an example to authors (2005). Dr. Intrator's work has been funded by grants from the United States Department of Veterans Affairs, National Institute on Aging (NIA), the Agency for Healthcare Research and Quality (AHRQ), the Israeli National Science Foundation, and the Israel National Institute for Health Care Policy and Research.

Dr. Intrator has been studying the effect of nursing homes' organizational characteristics (Intrator 2005, Intrator 2014), markets and states' Medicaid policies on hospitalizations from nursing homes (Intrator 2004, Intrator 2007 ). She and colleagues developed the Residential History File that summarizes information from Medicare claims and nursing home (NH) Minimum Data Set (MDS) assessments to provide a daily tracking of individuals through their health care locations, including non-Medicare-paid NH stays. More recently, she evaluated the impact of state policies on nurse practitioner and physician assistant scope of practice on their availability and visits in nursing homes. Another paper examined the impact of state spending on home and community based services on nursing home admissions.

Dr. Intrator's VA research focuses on Veteran's use of nursing homes and health care programs in the community across health care systems (VA, Medicare and Medicaid) and the quality of care delivered, with particular attention to the implications for health policies and organizational management. Dr. Intrator is currently examining the system-wide impact of provision of personal care services, GeriPACT and Home Based Primary Care. Since 2012, Dr. Intrator has been developing GECDAC as a data and analytic resource to the VA Center Office of Geriatrics & Extended Care (GEC), developing measures and standardized datasets, conducting evaluations, as well as enriching the community of researchers by providing access to many of these resources. In developing the GECDAC data infrastructure, Dr. Intrator extended the Residential History File (RHF) methodology to include input from VA provided or paid utilization in addition to Medicare and Medicaid claims and nursing home resident assessments. The RHF provides a daily tracking of individuals through their health care locations allowing for example, the identification of site of death and adjudicating overlapping services data. The RHF has been used in many studies.

Publications

Journal Articles

Rural-Urban Differences in Nursing Home Risk-adjusted Rates of Emergency Department Visits: A Decomposition Analysis

Xu H, Bowblis JR, Caprio TV, Li Y, Intrator O.

Med Care. 2021; 59(1): 38-45.

Nursing Home and Market Factors and Risk-Adjusted Hospitalization Rates Among Urban, Micropolitan, and Rural Nursing Homes

Xu H, Bowblis JR, Caprio TV, Li Y, Intrator O.

J Am Med Dir Assoc. 2021; 22(5): 1101-1106.

Continuity of care and health care cost among community-dwelling older adult veterans living with dementia

Lei, L, Intrator, O, Conwell, Y, Fortinsky, RH, Cai, S.

Health Serv Res. 2021; 56(3): 378– 388.

An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change

Curyto KJ, Jedele JM, Mohr DC, Eaker A, Intrator O, Karel M.

J Am Geriatr Soc. 2021; 69(3): 785-791.

Factors Associated With Hospitalization by Veterans in Home-Based Primary Care

Gillespie SM, Li J, Karuza J, Levy C, Dang S, Olsan T, Kinosian B, Intrator O.

J Am Med Dir Assoc. 2021; 22(5): 1043-1051.

Medicaid Long-term Care Policies and Rates of Nursing Home Successful Discharge to Community

Xu H, Intrator O.

J Am Med Dir Assoc. 2020; 21(2): 248-253.

Perceived Effectiveness of Home-Based Primary Care Teams in Veterans Health Administration

Temkin-Greener H, Szydlowski J, Intrator O, Olsan T, Karuza J, Cai X, Gao S, Gillespie SM.

Gerontologist. 2020; 60(3): 494-502.

Construction and Validation of Risk-adjusted Rates of Emergency Department Visits for Long-stay Nursing Home Residents

Xu H, Bowblis JR, Li Y, Caprio TV, Intrator O.

Med Care. 2020; 58(2): 174-182.

Comparing Outcomes Between Thiazide Diuretics and Other First-line Antihypertensive Drugs in Long-term Nursing Home Residents

Boockvar KS, Song W, Lee S, Intrator O.

Clin Ther. 2020; 42(4): 583-591.

Medicaid Nursing Home Policies and Risk-Adjusted Rates of Emergency Department Visits: Does Rural Location Matter?

Xu H, Bowblis JR, Li Y, Caprio TV, Intrator O.

J Am Med Dir Assoc. 2020; 21(10): 1497-1503.

Benchmarking Site of Death and Hospice Use: A Case Study of Veterans Cared by Department of Veterans Affairs Home-based Primary Care

Intrator O, Li J, Gillespie SM, Levy C, Davis D, Edes T, Kinosian B, Karuza J.

Med Care. 2020; 58(9): 805-814.

Utilization and Cost Effects of the VHA Caring for Older Adults and Caregivers at Home (COACH) Program

Song W, Intrator O, Twersky J, Davagnino J, Kinosian B, Wieland D.

Medical Care Research and Review. 2020; .

Can Continuity of Care Reduce Hospitalization Among Community-dwelling Older Adult Veterans Living With Dementia?

Lei L, Cai S, Conwell Y, Fortinsky RH, Intrator O.

Med Care. 2020; 58(11): 988-995.

Shortages of Staff in Nursing Homes During the COVID-19 Pandemic: What are the Driving Factors?

Xu H, Intrator O, Bowblis JR.

J Am Med Dir Assoc. 2020; 21(10): 1371-1377.

Characterizing Physician Practice in Nursing Homes Using Claims-Based Measures: Correlation With Nursing Home Administrators' Perceptions

Ryskina KL, Song W, Sharma V, Yuan Y, Intrator O.

Med Care Res Rev. 2020; Epub ahead of print.

Purchasing Quality Nursing Home Care in the Veterans Health Administration

Intrator O, Miller EA, Cornell PY, Levy C, Halladay CW, Barber M, Corneau E, Mor V, Rudolph JL.

Innovation in Aging. 2020; 4(6).

Home-Based Primary Care Teams in Veterans Affairs: Perceived Effectiveness

Temkin-Greener H, Szydlowski J, Intrator O, Olsan T, Karuza J, Cai X, Gao S, Gillespie S.

Gerontologist. 2019; .

Hypertension Treatment in US Long-Term Nursing Home Residents With and Without Dementia

Boockvar KS, Song W, Lee S, Intrator O.

J Am Geriatr Soc. 2019; 67(10): 2058-2064.

VA Staff Perceptions of Barriers and Facilitators to Home-and Community-Based Placement Post-Hospital Discharge.

Miller EA, Intrator O, Gadbois E, Gidmark S, Rudolph JL

Journal of aging & social policy.. 2018 February 22 :1-29. Epub 02/22/2018.

Correction to: Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol.

Sales AE, Ersek M, Intrator OK, Levy C, Carpenter JG, Hogikyan R, Kales HC, Landis-Lewis Z, Olsan T, Miller SC, Montagnini M, Periyakoil VS, Reder S

Implementation science : IS.. 2018 February 913 (1):29. Epub 02/09/2018.

Differences in End-of-Life Care across Medicare Advantage versus Traditional Medicare: a Risk-Adjusted Analysis

Gidwani R, Kinosian B, Scott W, Phibbs C, Intrator O.

JAGS. 2018; 66.

Chain affiliation in the nursing home sector and its impact on specialty service provision for Alzheimer's disease and dementia.

Blackburn J, Zheng Q, Grabowski DC, Hirth RA, Stevenson DG, Intrator O, Banaszak-Holl J.

Inquiry. 2018; .

Geriatric Patient-Aligned Care Teams in the Veterans Health Administration: How are they structured?

Sullivan JL, Shin MH, Adjognon O, Shay K, Harvey K, Intrator O, Yaksic E, Moye J, Solimeo S.

Geriatrics. 2018; 3(3):46(doi:10.3390/geriatrics3030046).

Attributable Cost of Dementia: Demonstrating Pitfalls of Ignoring Multiple Healthcare System Utilization

Lei L, Cooley S, Phibbs C, Kinosian B, Allman R, Porsteinsson A, Intrator O.

HSR - Special Issue: Linking VA And Non-VA Data To Conduct Health Services Research. 2018; .

The Impact of Chain Standardization on Nursing Home Staffing

Banaszak-Holl J, Intrator O, Li J, Zheng Q, Stevenson DG, Grabowski DC, Hirth RA.

Medical Care. 2018; .

Validation Of The Jen Frailty Index In The National Long-Term Care Survey Community Population.

Kinosian B, Wieland D, Gu X, Stallard E, Phibbs C, Intrator O.

BMC HSR. 2018; .

Antihypertensive Drug De-Intensification and Recurrent Falls in Long-Term Care. To Appear in Best of Academy Health

Song W, Intrator O, Lee S, Boockvar K.

BMC HSR. 2018; .

Staff Perceptions of Key Factors Guiding Nursing Home Search and Selection Within the Veterans Health Administration

Miller EA, Gidmark S, Gadbois E, Rudolph JL, Intrator O.

Gerontologist. 2018; 58(4): e226-e238.

A Bayesian Procedure for Estimating the Causal Effects of Nursing Home Bed-hold Policy

Gutman R, Intrator O, Lancaster T.

Biostatistics. 2018; 19(4): 444-460.

Nursing Home Referral Within the Veterans Health Administration: Practice Variation by Payment Source and Facility Type

Miller EA, Gidmark S, Gadbois E, Rudolph JL, Intrator O.

Research on Aging. 2018; 40(7): 687-711.

Evaluation of the Cincinnati Veterans Affairs Medical Center Hospital-in-Home Program

Cai S, Grubbs A, Makineni R, Kinosian B, Phibbs CS, Intrator O.

J Am Geriatr Soc. 2018; 66(7): 1392-1398.

Hospice Care of Veterans in Medicare Advantage and Traditional Medicare: A Risk-Adjusted Analysis

Gidwani-Marszowski R, Kinosian B, Scott W, Phibbs CS, Intrator O.

J Am Geriatr Soc. 2018; 66(8): 1508-1514.

Attributable Cost of Dementia: Demonstrating Pitfalls of Ignoring Multiple Health Care System Utilization

Lei L, Cooley SG, Phibbs CS, Kinosian B, Allman RM, Porsteinsson AP, Intrator O.

Health Serv Res. 2018; 53(Suppl 3): 5331-5351.

The Impact of Chain Standardization on Nursing Home Staffing

Banaszak-Holl J, Intrator O, Li J, Zheng Q, Stevenson DG, Grabowski DC, Hirth RA.

Med Care. 2018; 56(12): 994-1000.

Validation of the JEN frailty index in the National Long-Term Care Survey community population: identifying functionally impaired older adults from claims data

Kinosian B, Wieland D, Gu X, Stallard E, Phibbs CS, Intrator O.

BMC Health Serv Res. 2018; 18(1): 908.

Antihypertensive Drug Deintensification and Recurrent Falls in Long-Term Care

Song W, Intrator O, Lee S, Boockvar K.

Health Serv Res. 2018; 53(6): 4066-4086.

Specialty Palliative Care Consultations for Nursing Home Residents With Dementia.

Miller SC, Lima JC, Intrator O, Martin E, Bull J, Hanson LC

Journal of pain and symptom management.. 2017 July 54 (1):9-16.e5. Epub 04/22/2017.

Dementia Evaluation, Management and Outreach (DEMO): A Novel Program Improves Access, Satisfaction for Patients with Cognitive Complaints.

Blementhal JB, Cai S, May C, Scarinzi G, Gernat E, Mordecai K, Loreck D, Brandt N, Inscore A, Intrator O.

Federal Practitioner. 2017; 34(1): 42-48.

Evaluation of A Hospital-in-Home Program Implemented Among Veterans

Cai S, Laurel P, Makineni R, Marks ML, Kinosian B, Phibbs C, Intrator O.

American Journal of Managed Care. 2017; 23(8): 482-487.

Perceived Factors Guiding Nursing Home Search and Selection within the Veterans Health Administration: Quality of Care Often Overshadowed by Other Considerations

Miller EA, Gidmark S,Gadbois E, Rudoph J, Intrator O.

The Gerontologist. 2017; .

Increasing Veterans' Hospice Use: The Veterans Health Administration's Focus On Improving End-Of-Life Care

Miller SC, Intrator O, Scott W, Shreve ST, Phibbs CS, Kinosian B, Allman RM, Edes TE.

Health Affairs. 2017; 36(7): 1274-1282.

HCBS Spending and Nursing Home Admissions for 1915(c) Waiver Enrollees.

Segelman M, Intrator O, Li Y, Mukamel D, Veazie P, Temkin-Greener H

Journal of aging & social policy.. 2017 29 (5):395-412. Epub 04/17/2017.

VA staff perceptions of the role of the extended care referral process in home and community-based services versus nursing home use posthospital discharge.

Miller EA, Intrator O, Gadbois E, Gidmark S, Rudolph JL

Home health care services quarterly.. 2017 36 (2):63-80. Epub 06/12/2017.

Palliative Care Consultations in Nursing Homes and End-of-Life Hospitalizations.

Miller SC, Dahal R, Lima JC, Intrator O, Martin E, Bull J, Hanson LC

Journal of pain and symptom management.. 2016 December 52 (6):878-883. Epub 09/17/2016.

Palliative Care Consultations in Nursing Homes and Reductions in Acute Care Use and Potentially Burdensome End-of-Life Transitions.

Miller SC, Lima JC, Intrator O, Martin E, Bull J, Hanson LC

Journal of the American Geriatrics Society.. 2016 November 64 (11):2280-2287. Epub 09/19/2016.

Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol.

Sales AE, Ersek M, Intrator OK, Levy C, Carpenter JG, Hogikyan R, Kales HC, Landis-Lewis Z, Olsan T, Miller SC, Montagnini M, Periyakoil VS, Reder S

Implementation science : IS.. 2016 September 2911 (1):132. Epub 09/29/2016.

Low-Quality Nursing Homes Were More Likely Than Other Nursing Homes To Be Bought Or Sold By Chains In 1993-2010.

Grabowski DC, Hirth RA, Intrator O, Li Y, Richardson J, Stevenson DG, Zheng Q, Banaszak-Holl J

Health affairs.. 2016 May 135 (5):907-14. Epub 1900 01 01.

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

You K, Li Y, Intrator O, Stevenson D, Hirth R, Grabowski D, Banaszak-Holl J

Medical care.. 2016 March 54 (3):229-34. Epub 1900 01 01.

Cultivating the Role of Nurse Practitioners in Providing Primary Care to Vulnerable Populations in an Era of Health-Care Reform.

Xue Y, Intrator O

Policy, politics & nursing practice.. 2016 February 17 (1):24-31. Epub 05/09/2016.

Trends in Nurse Practitioner and Physician Assistant Practice in Nursing Homes, 2000-2010.

Intrator O, Miller EA, Gadbois E, Acquah JK, Makineni R, Tyler D

Health services research.. 2015 December 50 (6):1772-86. Epub 11/13/2015.

Trends in State Regulation of Nurse Practitioners and Physician Assistants, 2001 to 2010

Gadbois, E; Miller, EA; Tyler, D; Intrator O.

Medical care research and review. 2015; 72(2): 200-219.

Effectiveness of Physicians' Attentiveness and Communication in Nursing Homes

Lima, J; Intrator, O.

JAMDA. 2015; 16(9): 755-61.

Purchasing Nursing Home Care within the Veterans Health Administration: Lessons for Nursing Home Recruitment, Contracting, and Oversight.

Miller e, Gadbois E, Gidmark S, Intrator O.

Journal of Health Administration Education. 2015; 32(2): 165-197.

Medical Staff Involvement in Nursing Homes: Development of a Conceptual Model and Research Agenda

Shield R, Rosenthal M, Tyler D, Wetle T, Clark M, Intrator O.

J Applied Gerontology. 2014; 33(1): 75-96.

Nursing Home Control Of Physician Resources

Intrator O, Lima J, Wetle T.

Journal of the American Medical Directors Association. 2014; 15(4): 273-80.

Finding Gertrude: The Resident's Voice in Minimum Data Set 3.0

Thomas K, Wysoci A, Intrator O, Mor V.

Journal of the American Medical Directors Association. 2014; 15(11): 802-806.

Influence of Hospital and Nursing Home Quality on Hospital Readmissions

Thomas K, MdMotmazur R, Mor V, Intrator O.

American Journal of Managed Care. 2014; 20(11): e523-31.

Serious Mental Illness and Nursing Home Quality of Care

MdMotmazur R, Grabowski D, Intrator O., Cai S, Mor V.

Health Services Research. 2013; 48(4).

Obesity and pressure ulcers among nursing home residents

Cai S, Motmazur R, Intrator O.

Medical Care. 2013; .

Potentially Inappropriate Medication Use in Veterans Residing in Community Living Centers: Have We Gotten Better?

Dosa D, Cai S, Hyde S, Thomas K, Intrator O.

Journal of the American Geriatrics Society. 2013; 61(11): 1994-1999.

ADL trajectories surrounding acute hospitalization of long-stay nursing home residents

Kruse R, Petroski G, Banaszak-Holl J, Mehr D, Intrator O.

Journal of the American Geriatrics Society. 2013; 61(11): 1909-1918.

Trends in Post-Acute Care and Staffing in US Nursing Homes

Tyler D, Feng Z, Leland N, Gozalo P, Intrator O, Mor V.

Journal of the American Medical Directors Association. 2013; 14(11): 817-820.

Response to Regulatory Stringency: The Case of Antipsychotic Medication Use in Nursing Homes

Bowblis J, Crystal S, Intrator O, Lucas J.

Journal of Health Economics. 2012; 21: 977-993.

Veterans' Use of Non-VHA Services: Implications for Policy and Planning

Miller EA, Intrator O.

Social Work in Public Health. 2012; 27(4): 379-391.

Nursing Home Medical Staff Organization and 30-Day Rehospitalizations

Lima J, Intrator O, Karuza J, Wetle T, Mor V, Katz P.

JAMDA. 2012; 13(6): 552-557.

The Effect of State Policies on Nursing Home Resident Outcomes

Mor V, Grunier A, Feng Z, Grabowski D, Intrator O, Zinn J.

J Am Geriatr Soc. 2011; 59(1): 3-9.

The Residential History File: Studying Nursing Home Residents' Long-Term Care Histories

Intrator O, Hiris J, Berg K, Miller S, Mor V.

Health Services Research. 2011; 46(1 Pt 1): 120-137.

Temporal and Geographic variation in the validity and internal consistency of the Nursing Home Resident Assessment Minimum Data Set 2.0

Mor V, Intrator O, Unruh MA, Cai S.

HSR BMC. 2011; 11: 78.

The revolving door of rehospitalization from skilled nursing facilities

Mor V, Intrator O, Feng Z, Grabowski DC.

Health Aff (Millwood). 2010; 29(1): 57-64.

Medicaid Bedhold Policy and Medicare SNF Rehospitalizations

Grabowski D, Feng Z, Intrator O, Mor V.

Health Services Research. 2010; 45(6 Pt2): 1963-80.

Hospital Characteristics Associated with Feeding Tube Placement in Nursing Home Residents with Advanced Cognitive Impairment

Teno J, Mitchell S, Gozalo P, Dosa D, Hsu A, Intrator O, Mor V.

JAMA. 2010; 303(6): 544-550.

Do Medicaid Wage Pass-Through Payments Increase Staffing

Feng Z, Lee Y, Kuo S, Intrator O, Foster A, Mor V.

Health Services Research. 2010; 45(3): 728-747.

Nursing Home Medical Staff Organization: Correlates with Quality Indicators

Katz P, Karuza J, Lima J, Intrator O.

JAMDA. 2010; 12(9): 655-659.

Determinants of Performance Failure in the Nursing Home Industry

Zinn J, Mor V, Feng Z, Intrator O.

Social Science & Medicine. 2009; 68(5): 933-940.

The Future of Nursing Home Medicine: Who Cares

Katz PR, Karuza J, Mor V, Intrator O.

Annals of Internal Medicine. 2009; 150: 411-413.

Medical Staff Organization in Nursing Homes: Scale Development and Validation

Katz P, Karuza J, Intrator O, Zinn J, Mor V, Caprio T, Caprio A, Dauenhauer J, Lima J.

Journal of the American Medical Association. 2009; : 498-504.

Skinner J. Churning: The Association between Health Care Transitions and Feeding Tube Insertion for Patients with Advanced Cognitive Impairment

Teno J, Fisher E, Rhodes R, Mitchell S, Kuo S, Gozalo P, Intrator O, Mor V.

Journal of Palliative Medicine. 2009; 12(4): 359-62.

Nursing home physician specialists: A response to the workforce crisis in long-term care

Katz PR, Karuza J, Intrator O.

Annals of Internal Medicine. 2009; 150(6): 414-413.

Maintaining continuity of care for nursing home residents: effect of states' Medicaid bed-hold policies and reimbursement rates

Intrator O, Schleinitz M, Grabowski DC, Zinn J, Mor V.

Health services research. 2009; 44(1): 33-55.

Medicaid Payment Rates, Casemix Reimbursement, and Nursing Home Staffing

Feng Z, Grabowski D, Intrator O, Zinn J, Mor V.

Medical Care. 2008; 43(3): 869-881.

Hospice Effect on Government Expenditures Among Nursing Home Residents

Gozalo P, Miller SC, Intrator O, Barber J, Mor V.

Health Services Research. 2008; 46(1): 33-40.

Do financial incentives of introducing case mix reimbursement increase feeding tube use in nursing home residents

Teno, J. M., Z. Feng, Mitchell S, Kuo S, Intrator O, Mor V.

J Am Geriatr Soc. 2008; 43: 134-153.

Restructuring in Response to Case Mix Reimbursement in Nursing Homes: A Contingency Approach

Zinn J, Mor V, Feng Z, Intrator O, Grabowski D.

Health Care Management Review. 2008; 56(5): 887-90.

Nursing Home Medicaid Payment and the Role of Provider Taxes

Grabowski D, Feng Z, Intrator O, Mor V.

Medical Care Research and Review. 2008; 65(4): 514-527.

Maintaining Continuity of Care for Nursing Home Residents: The Effect of States' Medicaid Bed-Hold Policies and Reimbursement Rates

Intrator O, Schleinitz MD, Grabowski D, Zinn J, Mor V.

Health Services Research. 2008; 44(1): 33-55.

Spousal Caregiving in Late Midlife Versus Older Ages: Implications of Work and Family Obligations

Lima J, Allen S, Goldscheider F, Intrator O.

Journal of Gerontology: Social Science. 2008; 63(4): S229-S238.

Doing better to do good: The impact of strategic adaptation on nursing home performance

Zinn J, Mor V, Feng Z, Intrator O.

Health Services Research. 2007; 42(3 Pt 1): 1200-1218.

Hospitalization of Nursing Home Residents: The Effects of States' Medicaid Payment and Bed-hold Policies

Intrator O, Grabowski D, Zinn J, Schleinitz M, Feng Z, Miller S, Mor V.

Health Services Research. 2007; 42(4): 1651-1671.

The Performance Impact of Nursing Home Innovation: A Contingency Perspective

Zinn J, Mor V, Feng Z, Intrator O.

Advances in Health Care Management. 2007; 6: 217-236.

Decisions to Forego Hospitalization in Advanced Dementia: A Nationwide Study

Mitchell S, Teno J, Intrator O, Feng Z, Mor V.

Journal of the American Geriatrics Society. 2007; 55: 432-438.

Preliminary Derivation of a Nursing Home Confusion Assessment Method Based on Data from the Minimum Data Set

Dosa D, Intrator O, McNicoll L, Cang Y, Teno J.

Journal of the American Geriatrics Society. 2007; 55(7): 2007.

Hospitalization of Nursing Home Residents with Cognitive Impairments: The Influence of Organizational Features and State Policies

Gruneir A, Miller S, Intrator O, Mor V.

The Gerontologist. 2007; 47: 447-456.

Prospects of Transferring Nursing Home Residents to the Community

Mor V, Zinn J, Gozalo P, Feng Z, Intrator O, Grabowski D.

Health Affairs. 2007; 26: 1762-1771.

The Use of Contract Licensed Nursing Staff in U.S. Nursing Homes

Bourbonniere M, Feng Z, Intrator O, Angelelli J, Mor V, Zinn J.

Medical Care Research and Review. 2006; 63(1): 88-109.

The Effect of state Medicaid case-mix payment on nursing home resident acuity

Feng Z, Grabowski D, Mor V, Intrator O.

Health Services Research. 2006; 41(4 Pt 1): 1317-1336.

Physician and nurse staffing in nursing homes: the role and limitations of the Online Survey Certification and Reporting (OSCAR) system

Feng Z, Katz P, Intrator O, Karuza J, Mor V.

Journal of the American Medical Directors Association. 2005; 6(1): 27-33.

The employment of nurse practitioners and physician assistants in U.S. nursing homes

Intrator O, Feng Z, Mor V, Gifford D, Bourbonierre M, Zinn, J.

The Gerontologist. 2005; 45(4): 486-495.

Effect of state Medicaid reimbursement rates on hospitalizations from nursing homes

Intrator O, Mor V.

Journal of the American Geriatrics Society. 2004; 52(3): 393-398.

Government Expenditures at the End of Life for Short- and Long-Stay Nursing Home Residents: Differences by Hospice Enrollment Status.

Miller SC, Intrator O, Gozalo P, Roy J, Barber J, Mor V.

Journal of the American Geriatrics Society. 2004; : 1284-1292.

Recent Trends in Medicaid Payment and State Nursing Home Policies.

Grabowski DC, Feng Z, Intrator O, Mor V.

Health Affairs. 2004; 23(4): W365-W373.

Nursing Home Characteristics and Potentially Preventable Hospitalization of Long-Stay Residents

Intrator O, Mor V, Zinn J.

Journal of the American Geriatrics Society. 2004; 52(10): 1730-1736.

Nursing Homes Characteristics and Potentially Preventable Hospitalization of Long-Stay Residents

Intrator O, Mor V, Zinn J.

Journal of the American Geriatrics Society. 2004; 52: 1730-1736.

Oversight of Nursing Homes: Pruning the Tree or Just Spotting Bad Apples?

Angelelli J, Mor V, Intrator O, Feng Z, Zinn J.

The Gerontologist. 2003; 43: 67-75.

MDS (Minimum Data Set) Assessments for Policy Making and Evaluations in Israel.

Gindin J, Levi S, Intrator O, Stessman.

Milbank Quarterly. 2003; .

The Impact of the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs) on Therapy Service Provision: A Transaction Cost Approach.

Zinn J, Mor V, Intrator O, Angelelli J, Feng Z, Davis, J.

Health Services Research. 2003; 38(6): 1467-1485.

The effects of introducing prospective payments to general hospitals on length of stay, quality of care, and hospitals' income: the early experience of Israel

Shmueli A, Intrator O, Yisraeli A.

Social Science and Medicine. 2002; 55(6): 981-989.

The impact of the BBA on access to post acute nursing home care.

Angelelli J, Gifford D, Intrator O, Gozalo P, Laliberte L, Mor V.

Health Affairs. 2002; 21(5): 254-264.

Interpreting Neural-Network Results: A Simulation Study

Intrator O, Intrator N.

Computational Statistics and Data Analysis. 2001; 37(3): 373-393.

The diagnostic utility of lactate dehydrogenase (LDH) isoenzymes profile in the CSF of patients with central nervous system involvement by lymphomas and leukemia.

Lossos IS., Lossos A, Intrator O, Breuer R, Siegal T.

Neurology. 2000; 52(6): A198.

Cerebrospinal fluid lactate dehydrogenase isoenzyme analysis for the diagnosis of central nervous system involvement in hematooncologic patients.

Lossos IS, Breuer R, Intrator O, Lossos A.

Cancer. 2000; 88(7): 1599-1604.

Sonographically thick placenta: a marker for increased perinatal mortality-- a prospective cross sectional study

Elchalal U, Ezra Y, Levi Y, Bar-Oz B, Yanai N, Intrator O, Nadjari M.

Placenta. 2000; 21(2-3): 268-272.

First psychotic episodes among Israeli youth during military service

Knobler HY, Dycian A, Katz G, Intrator O, Abramowitz MZ, Lerner Y, Kron S.

Military Medicine. 2000; 165(3): 169-172.

Impact of breast cancer treatment guidelines on physician practice patterns: Results of a hospital based intervention.

Mor V, Laliberte L, Petrisek A, Intrator O, Wachtel T, Bland K.

Surgery. 2000; 128(5): 847-861.

Postacute Care Following Stroke or Hip Fracture: Single Services and Combinations Used by Medicare Beneficiaries (1987-1992)

Berg K, Intrator O.

Journal of Aging and Health. 1999; 11(1): 27-48.

Facility Characteristics Associated With Hospitalization of Nursing Home Residents: Results of a National Study.

Intrator O, Castle N, Mor V.

Medical Care. 1999; 37(3): 228-237.

Organizational and Environmental Factors Associated with Nursing Home Participation in Managed Care

Zinn JS, Mor V, Castle N, Intrator O, Brannon D.

Health Services Research. 1999; 33(6): 1753-1767.

Lactate Dehydrogenase Isoenzyme Analysis for the Diagnosis of Pleural Effusion in Hemato-oncological Patients.

Lossos IS, Intrator O, Berkman N, Breuer R.

Respiratory Medicine. 1999; 93(5): 338-341.

Symptom severity among chronic schizophrenics in hospital and in the community (In Hebrew).

Knobler HY, Ben Ami D, Intrator O, Katz S, Daiela M, Lerner Y.

Harefuah. 1999; 137: 284-287.

Quality assurance in the mental health department of the Israel Defense Forces

Mark M, Abramowitz MZ, Intrator O, Bodner E, Shkar R, Knobler H.

Harefua (In Hebrew). 1999; 136(5): 349-352.

Panel Data With Survival: Hospitalization of HIV-Positive Patients

Lancaster T, Intrator O.

Journal of the American Statistical Association. 1998; 93(441): 46-53.

Benefits of home health care after inpatient rehabilitation for hip fracture: health service use by Medicare beneficiaries, 1987-1992

Intrator O, Berg K.

Archives of physical medicine and rehabilitation. 1998; 79(10): 1195-1199.

Differential Diagnosis of Pleural Effusion by Lactate Dehydrogenase Isoenzyme Analysis

Lossos IS, Breuer R, Intrator O, Sonenblick M.

Chest. 1997; 111(3): 648-651.

Impact of the Medicare Catastrophic Coverage Act on the Long-Term Care System

Laliberte L, Mor V, Berg K, Intrator O, Calore K, Hiris J.

The Milbank Quarterly. 1997; 75(2): 203-233.

Changes in hospitalization associated with introducing the Resident Assessment Instrument

Mor V, Intrator O, Fries BE, Phillips C, Teno J, Hiris J, Hawes C, Morris J.

Journal of the American Geriatrics Society. 1997; 45(8): 1002-1010.

Effect of the Medicare Catastrophic Coverage Act on payer source changes among nursing home residents.

Intrator O, Mor V, Hines MA, Lancaster T, Laliberte LL, Freiberger W

Inquiry : a journal of medical care organization, provision and financing.. 1996 33 (1):42-52. Epub 1900 01 01.

Trees and splines in survival analysis

Intrator O, Kooperberg C.

Statistical methods in medical research. 1995; 4(3): 237-261.

The outcomes of patients newly admitted to nursing homes after hip fracture

Kiel DP, Eichorn A, Intrator O, Silliman RA, Mor V.

American journal of public health. 1994; 84(8): 1281-1286.

Factors affecting conversion rates to Medicaid among new admissions to nursing homes.

Mor V, Intrator O, Laliberte L

Health services research.. 1993 April 28 (1):1-25. Epub 1900 01 01.

An exploratory analysis of survival with AIDS using a nonparametric tree-structured approach

Piette JD, Intrator O, Zierler S, Mor V, Stein MD.

Epidemiology. 1992; 3(4): 310-318.