Orna Intrator

Summary

Affiliation: Brown University
Country: USA

Publications

  1. ncbi 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
  2. ncbi 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
  3. ncbi Nursing home characteristics and potentially preventable hospitalizations of long-stay residents
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 52:1730-6. 2004
  4. ncbi 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
  5. ncbi The residential history file: studying nursing home residents' long-term care histories(*)
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, PO Box G S121 6, Providence, RI 02912, USA
    Health Serv Res 46:120-37. 2011
  6. ncbi Maintaining continuity of care for nursing home residents: effect of states' Medicaid bed-hold policies and reimbursement rates
    Orna Intrator
    Brown University, Box G S121 6, Providence, RI 02912, USA
    Health Serv Res 44:33-55. 2009
  7. ncbi Effect of state Medicaid reimbursement rates on hospitalizations from nursing homes
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 52:393-8. 2004
  8. ncbi 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
  9. ncbi 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
  10. ncbi Hospitalization of nursing home residents with cognitive impairments: the influence of organizational features and state policies
    Andrea Gruneir
    Department of Community Health, Brown Medical School, Box G S120, Providence, RI 02912, USA
    Gerontologist 47:447-56. 2007

Research Grants

  1. Billing Based Measures of Nursing Home Medical Staff Organization
    Orna Intrator; Fiscal Year: 2007

Detail Information

Publications33

  1. ncbi 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...
  2. ncbi 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...
  3. ncbi Nursing home characteristics and potentially preventable hospitalizations of long-stay residents
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 52:1730-6. 2004
    ....
  4. ncbi 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
    ....
  5. ncbi The residential history file: studying nursing home residents' long-term care histories(*)
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, PO Box G S121 6, Providence, RI 02912, USA
    Health Serv Res 46:120-37. 2011
    ....
  6. ncbi Maintaining continuity of care for nursing home residents: effect of states' Medicaid bed-hold policies and reimbursement rates
    Orna Intrator
    Brown University, Box G S121 6, Providence, RI 02912, USA
    Health Serv Res 44:33-55. 2009
    ....
  7. ncbi Effect of state Medicaid reimbursement rates on hospitalizations from nursing homes
    Orna Intrator
    Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
    J Am Geriatr Soc 52:393-8. 2004
    ..To estimate the effect of state Medicaid nursing home reimbursement rates on hospitalizations of nursing home residents...
  8. ncbi 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...
  9. ncbi 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...
  10. ncbi Hospitalization of nursing home residents with cognitive impairments: the influence of organizational features and state policies
    Andrea Gruneir
    Department of Community Health, Brown Medical School, Box G S120, Providence, RI 02912, USA
    Gerontologist 47:447-56. 2007
    ..The purpose of this study was to quantify the effect of specific nursing home features and state Medicaid policies on the risk of hospitalization among cognitively impaired nursing home residents...
  11. ncbi 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. ncbi 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. ncbi Nursing home medical staff organization and 30-day rehospitalizations
    Julie C Lima
    Center for Gerontology and Health Care Research, Alpert Medical School of Brown University, Providence, RI 02903, USA
    J Am Med Dir Assoc 13:552-7. 2012
    ..To examine the relationship between features of nursing home (NH) medical staff organization and residents' 30-day rehospitalizations...
  14. ncbi Churning: the association between health care transitions and feeding tube insertion for nursing home residents with advanced cognitive impairment
    Joan M Teno
    Center for Gerontology and Health Care Research, Department of Community Health, The Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA
    J Palliat Med 12:359-62. 2009
    ..The goal of this study was to examine whether regions with higher rates of health care transitions at the end of life are more likely to use feeding tubes in patients with severe cognitive impairment...
  15. ncbi Hospital characteristics associated with feeding tube placement in nursing home residents with advanced cognitive impairment
    Joan M Teno
    Center for Gerontology and Health Care Research, Warren Alpert School of Medicine, Brown University, 121 S Main St, Providence, RI 02912, USA
    JAMA 303:544-50. 2010
    ..Tube-feeding is of questionable benefit for nursing home residents with advanced dementia. Approximately two-thirds of US nursing home residents who are tube fed had their feeding tube inserted during an acute care hospitalization...
  16. ncbi Hospice effect on government expenditures among nursing home residents
    Pedro L Gozalo
    Center for Gerontology and Health Care Research, Department of Community Health, Brown University School of Medicine, 2 Stimson Street, Providence, RI 02912, USA
    Health Serv Res 43:134-53. 2008
    ..To examine the effect of the Medicare hospice benefit on Medicare and Medicaid expenditures by dual-eligible Medicare-Medicaid nursing home (NH) residents...
  17. ncbi 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
    ..3 to 1.4 percent increase in the acuity of long-stay residents, following the introduction of case-mix payment. CONCLUSIONS: The adoption of case-mix payment increased access to care for higher acuity Medicaid residents...
  18. ncbi Government expenditures at the end of life for short- and long-stay nursing home residents: differences by hospice enrollment status
    Susan C Miller
    Center for Gerontology and Health Care Research, Brown University School of Medicine, Providence, Rhode Island 02919, USA
    J Am Geriatr Soc 52:1284-92. 2004
    ..To examine end-of-life government expenditures for short- and long-stay Medicare- and Medicaid-eligible (dual-eligible) nursing home (NH) hospice and nonhospice residents...
  19. ncbi Temporal and Geographic variation in the validity and internal consistency of the Nursing Home Resident Assessment Minimum Data Set 2.0
    Vincent Mor
    Department of Community Health and Center for Gerontology and Health Care Research, Brown University Medical School, Box G S121, Providence, Rhode Island, USA
    BMC Health Serv Res 11:78. 2011
    ..The purpose of this paper is to summarize a series of analyses examining the internal consistency and predictive validity of the MDS data as used in the "real world" in all U.S. nursing homes between 1999 and 2007...
  20. ncbi 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...
  21. ncbi 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...
  22. ncbi 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...
  23. ncbi Access to postacute nursing home care before and after the BBA. Balanced Budget Act
    Joseph Angelelli
    Center for Gerontology and Health Care Research, Brown University, USA
    Health Aff (Millwood) 21:254-64. 2002
    ..However, reduced rates of admission were concentrated in specific types of nursing facilities, suggesting a need to closely monitor the effects of ongoing post-BBA policy updates...
  24. ncbi Spousal caregiving in late midlife versus older ages: implications of work and family obligations
    Julie C Lima
    Brown University Center for Gerontology and Health Care Research, 2 Stimson Avenue, Box G S1, Providence, RI 02912, USA
    J Gerontol B Psychol Sci Soc Sci 63:S229-S238. 2008
    ..This study examined life-stage differences in the provision of care to spouses with functional impairment...
  25. ncbi Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set
    David Dosa
    Department of Medicine, Brown University, Providence, Rhode Island, USA
    J Am Geriatr Soc 55:1099-105. 2007
    ....
  26. ncbi 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
    ..Unintended quality and access consequences need to be carefully monitored by the Medicare program...
  27. ncbi 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...
  28. ncbi 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...
  29. ncbi 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...
  30. ncbi 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...
  31. ncbi 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...
  32. ncbi 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...
  33. ncbi The effects of introducing prospective payments to general hospitals on length of stay, quality of care, and hospitals' income: the early experience of Israel
    Amir Shmueli
    Department of Health Management, School of Public Health, the Hebrew University Hadassah, Jerusalem, Israel
    Soc Sci Med 55:981-9. 2002
    ..Further analysis will be required to examine the long-run implications of the change as well as its effect on the rest of the general inpatient sector in Israel...

Research Grants2

  1. Billing Based Measures of Nursing Home Medical Staff Organization
    Orna Intrator; Fiscal Year: 2007
    ..The project will test the developed measures comparing to survey responses of medical directors, and to hospitalization and ER use experiences of residents in NHs. ..