Zhanlian Feng

Summary

Affiliation: Brown University
Country: USA

Publications

  1. pmc Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences
    Zhanlian Feng
    Health Services, Policy, and practice at the Center for Gerontology and Health Care Research, Brown University, in Providence, Rhode Island, USA
    Health Aff (Millwood) 31:1251-9. 2012
  2. pmc The Care Span: Growth of racial and ethnic minorities in US nursing homes driven by demographics and possible disparities in options
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI, USA
    Health Aff (Millwood) 30:1358-65. 2011
  3. pmc An industry in the making: the emergence of institutional elder care in urban china
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 59:738-44. 2011
  4. pmc Geographic concentration and correlates of nursing home closures: 1999-2008
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    Arch Intern Med 171:806-13. 2011
  5. pmc Use of physical restraints and antipsychotic medications in nursing homes: a cross-national study
    Zhanlian Feng
    Center for Gerontology and Health Care Research, The Warren Alpert Medical School, Brown University, Providence, RI 02903, USA
    Int J Geriatr Psychiatry 24:1110-8. 2009
  6. ncbi request reprint Physician and nurse staffing in nursing homes: the role and limitations of the Online Survey Certification and Reporting (OSCAR) system
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    J Am Med Dir Assoc 6:27-33. 2005
  7. pmc Do Medicaid wage pass-through payments increase nursing home staffing?
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, 121 South Main Street, Providence, RI 02912, USA
    Health Serv Res 45:728-47. 2010
  8. ncbi request reprint Medicaid payment rates, case-mix reimbursement, and nursing home staffing--1996-2004
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    Med Care 46:33-40. 2008
  9. pmc Effect of forced transitions on the most functionally impaired nursing home residents
    Kali S Thomas
    Center for Gerontology and Healthcare Research, Providence, RI 02912, USA
    J Am Geriatr Soc 60:1895-900. 2012
  10. doi request reprint Elderly hispanics more likely to reside in poor-quality nursing homes
    Mary L Fennell
    Brown University in Providence, Rhode Island, USA
    Health Aff (Millwood) 29:65-73. 2010

Detail Information

Publications33

  1. pmc Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences
    Zhanlian Feng
    Health Services, Policy, and practice at the Center for Gerontology and Health Care Research, Brown University, in Providence, Rhode Island, USA
    Health Aff (Millwood) 31:1251-9. 2012
    ..Additional research is needed to pinpoint the drivers and consequences of this phenomenon, as is more clarity in clinical practice and Medicare policy guidelines regarding observation care...
  2. pmc The Care Span: Growth of racial and ethnic minorities in US nursing homes driven by demographics and possible disparities in options
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI, USA
    Health Aff (Millwood) 30:1358-65. 2011
    ..When designing initiatives to balance institutional and noninstitutional long-term care, policy makers should take steps to reduce racial and ethnic disparities...
  3. pmc An industry in the making: the emergence of institutional elder care in urban china
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 59:738-44. 2011
    ..These findings portray the emergence and rapid growth of a nascent industry of institutional long-term care in urban China and a fundamental shift in institutional ownership, financing, and clientele...
  4. pmc Geographic concentration and correlates of nursing home closures: 1999-2008
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    Arch Intern Med 171:806-13. 2011
    ..We examine whether nursing home closures are geographically concentrated and related to local community characteristics such as the racial and ethnic population mix and poverty...
  5. pmc Use of physical restraints and antipsychotic medications in nursing homes: a cross-national study
    Zhanlian Feng
    Center for Gerontology and Health Care Research, The Warren Alpert Medical School, Brown University, Providence, RI 02903, USA
    Int J Geriatr Psychiatry 24:1110-8. 2009
    ....
  6. ncbi request reprint Physician and nurse staffing in nursing homes: the role and limitations of the Online Survey Certification and Reporting (OSCAR) system
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    J Am Med Dir Assoc 6:27-33. 2005
    ..To assess nursing home staffing data reported in the Online Survey Certification and Reporting (OSCAR) system database for research and policy...
  7. pmc Do Medicaid wage pass-through payments increase nursing home staffing?
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, 121 South Main Street, Providence, RI 02912, USA
    Health Serv Res 45:728-47. 2010
    ..To assess the impact of state Medicaid wage pass-through policy on direct-care staffing levels in U.S. nursing homes...
  8. ncbi request reprint Medicaid payment rates, case-mix reimbursement, and nursing home staffing--1996-2004
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    Med Care 46:33-40. 2008
    ..We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes...
  9. pmc Effect of forced transitions on the most functionally impaired nursing home residents
    Kali S Thomas
    Center for Gerontology and Healthcare Research, Providence, RI 02912, USA
    J Am Geriatr Soc 60:1895-900. 2012
    ..To examine the hospitalization rate and mortality associated with forced mass transfer of nursing home (NH) residents with the highest levels of functional impairment...
  10. doi request reprint Elderly hispanics more likely to reside in poor-quality nursing homes
    Mary L Fennell
    Brown University in Providence, Rhode Island, USA
    Health Aff (Millwood) 29:65-73. 2010
    ....
  11. pmc Do financial incentives of introducing case mix reimbursement increase feeding tube use in nursing home residents?
    Joan M Teno
    Center for Gerontology and Health Care Research, Department of Community Health, The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 56:887-90. 2008
    ..To determine whether adoption of Medicaid case mix reimbursement is associated with greater prevalence of feeding tube use in nursing home (NH) residents...
  12. pmc The effect of state policies on nursing home resident outcomes
    Vincent Mor
    Center for Gerontology and Health Care Research and Department of Community Health, Alpert Medical School, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 59:3-9. 2011
    ..To test the effect of changes in Medicaid reimbursement on clinical outcomes of long-stay nursing home (NH) residents...
  13. pmc The effect of state medicaid case-mix payment on nursing home resident acuity
    Zhanlian Feng
    Center for Gerontology and Health Care Research, Brown University, 2 Stimson Avenue, Providence, RI 02912, USA
    Health Serv Res 41:1317-36. 2006
    ..To examine the relationship between Medicaid case-mix payment and nursing home resident acuity...
  14. pmc Hospitalization of nursing home residents: the effects of states' Medicaid payment and bed-hold policies
    Orna Intrator
    Brown University, Box G ST2, Providence, RI 02912, USA
    Health Serv Res 42:1651-71. 2007
    ..Economic constraints imposed by payers of care, predominantly Medicaid policies, are hypothesized to impact hospitalizations...
  15. pmc The revolving door of rehospitalization from skilled nursing facilities
    Vincent Mor
    Department of Community Health at the Brown University Warren Alpert School of Medicine, Providence, Rhode Island, USA
    Health Aff (Millwood) 29:57-64. 2010
    ..Payment incentives in Medicare do not encourage providers to coordinate beneficiaries' care. Revising these incentives could achieve major savings for providers and improved quality of life for beneficiaries...
  16. ncbi request reprint Prospects for transferring nursing home residents to the community
    Vincent Mor
    Brown University Medical School in Providence, Rhode Island, USA
    Health Aff (Millwood) 26:1762-71. 2007
    ..States with lower investment in community alternatives had higher proportions of low-care nursing home residents...
  17. pmc Effect of influenza on functional decline
    Pedro L Gozalo
    Department of Health Services, Policy and Practice, Brown University, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 60:1260-7. 2012
    ..To examine the relationship between influenza and activity of daily living (ADL) decline and other clinical indicators in nursing home (NH) residents...
  18. pmc To evacuate or shelter in place: implications of universal hurricane evacuation policies on nursing home residents
    David Dosa
    Division of Primary Care, Providence VA Medical Center, Providence, RI, USA
    J Am Med Dir Assoc 13:190.e1-7. 2012
    ..To examine the differential morbidity/mortality associated with evacuation versus sheltering in place for nursing home (NH) residents exposed to the 4 most recent Gulf hurricanes...
  19. pmc Effects of Hurricane Katrina on nursing facility resident mortality, hospitalization, and functional decline
    David Dosa
    Department of Biology and Medicine, Brown University, Providence, RI 02912, USA
    Disaster Med Public Health Prep 4:S28-32. 2010
    ....
  20. doi request reprint Despite small improvement, black nursing home residents remain less likely than whites to receive flu vaccine
    Shubing Cai
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
    Health Aff (Millwood) 30:1939-46. 2011
    ..Blacks were also more likely to be noted as refusing vaccination. Strategies are needed to ensure that facilities offer vaccination to all residents and to make vaccination more acceptable to black residents and their families...
  21. ncbi request reprint The employment of nurse practitioners and physician assistants in U.S. nursing homes
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, Box G ST, Providence, RI 02912, USA
    Gerontologist 45:486-95. 2005
    ....
  22. pmc Prevalence of nursing assistant training and certification programs within nursing homes, 1997-2007
    Denise A Tyler
    Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    Gerontologist 50:550-5. 2010
    ....
  23. pmc Trends in Observation Care Among Medicare Fee-for-Service Beneficiaries at Critical Access Hospitals, 2007-2009
    Brad Wright
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island
    J Rural Health 29:s1-6. 2013
    ..While the use of observation care has increased recently, critical access hospitals (CAHs) face different policies than prospective payment (PPS) hospitals, which may influence their observation care use...
  24. ncbi request reprint Oversight of nursing homes: pruning the tree or just spotting bad apples?
    Joseph Angelelli
    Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
    Gerontologist 43:67-75. 2003
    ..This study investigated whether higher rates of nursing home quality citations are associated with increased risk of voluntary and involuntary facility terminations from the Medicare/Medicaid certification process...
  25. pmc State regulation and the delivery of physical therapy services
    Linda Resnik
    Department of Community Health, Brown University, 2 Stimson Avenue, Providence, RI 02912, USA
    Health Serv Res 41:1296-316. 2006
    ..We evaluated regulations governing licensure of PTAs, PT/PTA ratio, frequency of PT re-evaluation, and PTA supervision...
  26. ncbi request reprint Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes
    David Barton Smith
    Temple University, Philadelphia, Pennsylvania, USA
    Health Aff (Millwood) 26:1448-58. 2007
    ..Changing health care providers' behavior will not be sufficient to eliminate disparities in medical treatment in nursing homes. Persistent segregation among homes poses a substantial barrier to progress...
  27. pmc Doing better to do good: the impact of strategic adaptation on nursing home performance
    Jacqueline S Zinn
    Fox School of Business and Management, Temple University, 413 Ritter Annex, Philadelphia, PA 19122, USA
    Health Serv Res 42:1200-18. 2007
    ..To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance...
  28. ncbi request reprint Decisions to forgo hospitalization in advanced dementia: a nationwide study
    Susan L Mitchell
    Hebrew SeniorLife, Institute for Aging Research and Beth Israel Deaconess Medical Center, Boston, Massachusetts 02131, USA
    J Am Geriatr Soc 55:432-8. 2007
    ..To examine the prevalence and factors associated with decisions to forgo hospitalization in nursing home (NH) residents with advanced dementia...
  29. pmc Restructuring in response to case mix reimbursement in nursing homes: a contingency approach
    Jacqueline Zinn
    Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PA, USA
    Health Care Manage Rev 33:113-23. 2008
    ..In addition, as of 2004, 35 state Medicaid programs had implemented some form of case mix reimbursement...
  30. ncbi request reprint The use of contract licensed nursing staff in U.S. nursing homes
    Meg Bourbonniere
    Yale University, USA
    Med Care Res Rev 63:88-109. 2006
    ..Nursing homes increasingly rely on contract nurses. The failure of nursing homes to attract and retain a competent, stable workforce creates a vicious cycle of staffing practices, which may lead to decline in quality of care...
  31. pmc Relationship between state medicaid policies, nursing home racial composition, and the risk of hospitalization for black and white residents
    Andrea Gruneir
    Kunin Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Toronto, ON M6A 2E1, Canada
    Health Serv Res 43:869-81. 2008
    ..To examine racial differences in the risk of hospitalization for nursing home (NH) residents...
  32. ncbi request reprint Recent trends in state nursing home payment policies
    David C Grabowski
    Department of Health Care Organization and Policy, University of Alabama at Birmingham, USA
    Health Aff (Millwood) . 2004
    ..Although these findings can be interpreted with some optimism from a nursing home financing perspective, areas of concern remain for state nursing home policy during the next several years...
  33. pmc The impact of the prospective payment system for skilled nursing facilities on therapy service provision: a transaction cost approach
    Jacqueline S Zinn
    Temple University, Philadelphia, PA 19122, USA
    Health Serv Res 38:1467-85. 2003
    ..To examine skilled nursing facilities (SNFs) "make-or-buy" decisions with respect to rehabilitation therapy service provision in the 1990s, both before and after implementation of Medicare's Prospective Payment System (PPS) for SNFs...