Research Topics
| Susan C MillerSummaryAffiliation: Brown University Country: USA Publications
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Publications
Influence of hospice on nursing home residents with advanced dementia who received Medicare-skilled nursing facility care near the end of lifeSusan C Miller
Department of Health Services, Policy and Practice, Brown University, Providence, Rhode Island, USA
J Am Geriatr Soc 60:2035-41. 2012..To examine differences in outcomes according to hospice status of skilled nursing facility (SNF) care recipients...- Dying in U.S. nursing homes with advanced dementia: how does health care use differ for residents with, versus without, end-of-life Medicare skilled nursing facility care?Susan C Miller
Department of Health Services, Policy and Practice, Brown University, Providence, Rhode Island 02912, USA
J Palliat Med 15:43-50. 2012.... 
Time to nursing home admission for persons with Alzheimer's disease: the effect of health care system characteristicsS C Miller
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
J Gerontol B Psychol Sci Soc Sci 53:S341-53. 1998..To study the influence of state health care system characteristics on time to nursing home admission (NHA) for persons with Alzheimer's disease (AD)...
A model for successful nursing home-hospice partnershipsSusan C Miller
Center for Gerontology and Health Care Research, Brown Medical School, Providence, Rhode Island 02912, USA
J Palliat Med 13:525-33. 2010..Through case studies, this research aimed to characterize the partnerships of successful nursing home-hospice collaborators...- End-of-life care in U.S. nursing homes: nursing homes with special programs and trained staff for hospice or palliative/end-of-life careSusan C Miller
Center for Gerontology and Health Care Research, The Warren Alpert Medical School of Brown University, Providence, Rhode Island 02912, USA
J Palliat Med 11:866-77. 2008..S. nursing homes. Factors associated with the presence of SPTS for hospice or palliative/end-of-life care were identified... - Government expenditures at the end of life for short- and long-stay nursing home residents: differences by hospice enrollment statusSusan 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... - Hospice care in nursing homes: is site of care associated with visit volume?Susan C Miller
Center for Gerontology and Health Care Research and Department of Community Health, Brown University School of Medicine, Providence, Rhode Island 02912, USA
J Am Geriatr Soc 52:1331-6. 2004..To determine factors associated with hospice visit volume and to examine whether visit volume differs by nursing home (NH) versus non-NH setting... - Hospice and palliative care in nursing homesSusan C Miller
Center for Gerontology and Health Care Research, Brown University School of Medicine, 2 Stimson Street, Providence, RI 02912, USA
Clin Geriatr Med 20:717-34, vii. 2004..It is suggested that a stronger physician presence and oversight of physicians knowledgeable in palliative care in nursing homes are needed to improve the quality of end-of-life care in nursing homes... - Hospice care for patients with dementia: does volume make a difference?Susan C Miller
Center for Gerontology and Health Care Research, Department of Community Health, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA
J Pain Symptom Manage 35:283-91. 2008..Further study is needed to understand the nonintuitive negative association between higher volume and lower satisfaction. This study emphasizes the need for examination of quality outcomes by profit status... - Facility and county effects on racial differences in nursing home quality indicatorsSusan C Miller
Brown University Medical School, Center for Gerontology and Health Care Research, 2 Stimson Street, Room 207, Providence, RI 02912, USA
Soc Sci Med 63:3046-59. 2006.... - Factors associated with the high prevalence of short hospice staysSusan C Miller
Center for Gerontology and Health Care Research, Brown University Medical School, Providence, Rhode Island 02912, USA
J Palliat Med 6:725-36. 2003..In this paper we discuss the possible underlying reasons for the increased probability of short hospice stays and we speculate on what this increase may mean in terms of hospice's ability to provide high-quality end-of-life care... - Hospice care for persons with dementia: The growth of access in US nursing homesSusan C Miller
Department of Community Health, Brown University, Providence, RI, USA
Am J Alzheimers Dis Other Demen 25:666-73. 2010..Persons with dementia often die in nursing homes (NHs); however, concerns exist about their low use of Medicare hospice... - Hospice enrollment and hospitalization of dying nursing home patientsS C Miller
Center for Gerontology and Health Care Research, Department of Community Health, Brown University, Providence, Rhode Island, USA
Am J Med 111:38-44. 2001..This study's purpose was to evaluate whether Medicare hospice care provided in nursing homes is associated with lower hospitalization rates... - Does receipt of hospice care in nursing homes improve the management of pain at the end of life?Susan C Miller
Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Box GH 3, Providence, RI 029191
J Am Geriatr Soc 50:507-15. 2002..To compare analgesic management of daily pain for dying nursing home residents enrolled and not enrolled in Medicare hospice... - The effect of Medicaid nursing home reimbursement policy on Medicare hospice use in nursing homesSusan C Miller
Center for Gerontology and Healthcare Research, Alpert Medical School, Brown University, Providence, RI 02912, USA
Med Care 49:797-802. 2011..To understand how changes in Medicaid nursing home (NH) reimbursement policy and rates affect a NH's approach to end-of-life care (ie, its use of hospice)... - The growth of hospice care in U.S. nursing homesSusan C Miller
Center for Gerontology and Healthcare Research, Alpert Medical School, Brown University, Providence, Rhode Island 02889, USA
J Am Geriatr Soc 58:1481-8. 2010..To inform efforts aimed at reducing Medicare hospice expenditures by describing the longitudinal use of hospice care in nursing homes (NHs) and examining how hospice provider growth is associated with use... - The emergence of Medicare hospice care in US nursing homesS C Miller
Center for Gerontology and Health Care Research, Department of Community Health, Brown University, Providence, RI 02912, USA
Palliat Med 15:471-80. 2001..Lengths of stay in the programme are similar to those observed in the community and the average length of stay is substantially shorter than previously estimated by an influential government study... - How does the timing of hospice referral influence hospice care in the last days of life?Susan C Miller
Center for Gerontology and Health Care Research, Department of Community Health, Brown University School of Medicine, Providence, Rhode Island 02912, USA
J Am Geriatr Soc 51:798-806. 2003..To determine factors associated with the type of hospice care received in the last days of life and, in particular, how the timing of referral influences the use of continuous hospice home care and inpatient hospice care... - Nursing home organizational change: the "Culture Change" movement as viewed by long-term care specialistsSusan C Miller
Department of Community Health, Brown University, 121 South Main Street, Providence, RI 02912, USA
Med Care Res Rev 67:65S-81S. 2010..Fundamental changes in the regulatory process together with targeted regulatory changes and payment incentives may also be needed... - Family perspectives on end-of-life care experiences in nursing homesTerrie Wetle
Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
Gerontologist 45:642-50. 2005..The purpose of this study is to expand knowledge regarding end-of-life care received in nursing homes through the use of narrative interviews with family members close to the decedents... - Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009Joan M Teno
Warren Alpert Medical School of Brown University, 121 S Main St, Providence, RI 02912, USA
JAMA 309:470-7. 2013..A recent Centers for Disease Control and Prevention report found that more persons die at home. This has been cited as evidence that persons dying in the United States are using more supportive care... - Driven to tiers: socioeconomic and racial disparities in the quality of nursing home careVincent Mor
Brown University, Providence, RI, USA
Milbank Q 82:227-56. 2004..This article recommends a proactive policy stance to mitigate these consequences of quality competition... - Long-term care market competition and nursing home dementia special care unitsAndrea Gruneir
Department of Community Health, Brown Medical School, Providence, RI 02912, USA
Med Care 45:739-45. 2007..Dementia special care units (SCUs), which provided NHs a competitive edge in the past, are of interest because they have traditionally served residents who now have other options... - Hospitalization of nursing home residents with cognitive impairments: the influence of organizational features and state policiesAndrea 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... - End-of-life hospitalization for African American and non-Latino white nursing home residents: variation by race and a facility's racial compositionVincent Mor
Department of Community Health, Center for Gerontology and Health Care Research, Brown University Medical School, Providence, Rhode Island 02912, USA
J Palliat Med 8:58-68. 2005..Hospitalization of nursing home residents at the end of life is common, more so among African Americans. Whether a nursing home's racial mix is associated with hospitalization is unknown... - Hospice enrollment and evaluation of its causal effect on hospitalization of dying nursing home patientsPedro L Gozalo
Center for Gerontology and Health Care Research, Department of Community Health, Brown University School of Medicine, Box G ST211, 2 Stimson Street, Providence, RI 02912, USA
Health Serv Res 42:587-610. 2007.... - Hospice effect on government expenditures among nursing home residentsPedro 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... - Vigilant at the end of life: family advocacy in the nursing homeRenee R Shield
Center for Gerontology and Healthcare Research, Brown University, Providence, Rhode Island 02912, USA
J Palliat Med 13:573-9. 2010..Increasing numbers of Americans die in nursing homes. Little is known about the roles and experiences of family members of persons who die in nursing homes... - Bereaved family members' evaluation of hospice care: what factors influence overall satisfaction with services?Ramona L Rhodes
The Warren Alpert Medical School of Brown University, Brown University, Providence, RI 02912, USA
J Pain Symptom Manage 35:365-71. 2008..02, CI=1.92-2.13). These four key processes of care appear to significantly influence an "excellent" rating of overall satisfaction with hospice care... - Hospice use among urban Black and White U.S. nursing home decedents in 2006Michael J Lepore
Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
Gerontologist 51:251-60. 2011..This study identifies factors associated with hospice use among urban Black and White nursing home (NH) decedents in the United States... - How valid are the responses to nursing home survey questions? Some issues and concernsDenise A Tyler
Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Box G S121 6, Providence, RI 02912, USA
Gerontologist 51:201-11. 2011..Cognitive-based interviews were conducted with 45 participants. We took detailed notes during all interviews, and 2 researchers independently coded these notes for key themes... - Impact of cognitive function on assessments of nursing home residents' painNing Wu
Department of Community Health, Brown University School of Medicine, Providence, Rhode Island, USA
Med Care 43:934-9. 2005..We sought to examine the impact of residents' cognitive function on the quality of Minimum Data Set (MDS) pain data using the latent variable approach... - 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.... - Is dementia special care really special? A new look at an old questionAndrea Gruneir
Department of Community Health, Brown University, Providence, Rhode Island, USA
J Am Geriatr Soc 56:199-205. 2008..To quantify differences in care provided to nursing home (NH) residents with dementia living on and off dementia special care units (SCUs)... - Antipsychotic use and the risk of diabetes in nursing home residents with dementiaJessica J Jalbert
Department of Community Health Epidemiology, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA
Am J Geriatr Pharmacother 9:153-63. 2011..Growing evidence suggests an association between antipsychotic use and diabetes onset in schizophrenia, but little is known about this association among patients with dementia... - The problem of assessment bias when measuring the hospice effect on nursing home residents' painNing Wu
Department of Community Health, Brown University School of Medicine, Providence, Rhode Island 02912, USA
J Pain Symptom Manage 26:998-1009. 2003..These counterintuitive findings suggest that there is differential documentation of pain on the MDS when hospice is involved in care, perhaps because of superior pain assessment by hospice... - Medicare hospice care in US nursing homes: a 2006 updateSamantha Sterns
Center for Gerontology and Health Care Research, Brown University, Rhode Island, USA
Palliat Med 25:337-44. 2011..This research examines 2006 population-based data on persons who died in US nursing homes (NHs) and received hospice in the NH... - Antipsychotic use and the risk of hip fracture among older adults afflicted with dementiaJessica J Jalbert
Department of Community Health Epidemiology, Brown University Warren Alpert Medical School, Providence, RI, USA
J Am Med Dir Assoc 11:120-7. 2010..To quantify the association between use of antipsychotic (AP) medications and the risk of hip fracture among older adults residing in a nursing home (NH) and afflicted with dementia... - Late referral to hospice and bereaved family member perception of quality of end-of-life careErica R Schockett
Center for Gerontology and Health Care Research, and Department of Community Health, Brown Medical School, Providence, Rhode Island, USA
J Pain Symptom Manage 30:400-7. 2005..These results indicate a need for improved services for shorter-stay hospice patients/families and for physicians to help facilitate earlier hospice admission... - Hospice care in the nursing home: changes in visit volume from enrollment to discharge among longer-stay residentsAndrea Gruneir
Department of Community Health, Brown Medical School, Providence, Rhode Island 02912, USA
J Pain Symptom Manage 32:478-87. 2006..These patterns of visit volume and configuration confirm that care is most expensive in the earliest and the latest days... - The opportunity for collaborative care provision: the presence of nursing home/hospice collaborations in the U.S. statesSusan C Miller
Department of Community Health, and Center for Gerontology and Health Care Research, Brown University School of Medicine, Providence, Rhode Island 02912, USA
J Pain Symptom Manage 28:537-47. 2004..S. NHs. Findings suggest the rural composition of a state as well as its policies and healthcare market characteristics either foster or discourage NH/hospice collaboration... - Physicians "missing in action": family perspectives on physician and staffing problems in end-of-life care in the nursing homeRenee R Shield
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
J Am Geriatr Soc 53:1651-7. 2005..To understand the roles of physicians and staff in nursing homes in relation to end-of-life care through narrative interviews with family members close to a decedent... - Hospice enrollment and pain assessment and management in nursing homesSusan C Miller
Department of Community Health, Center for Gerontology and Health Care Research, Brown University School of Medicine, 23 Stimson Street, Providence, RI 02912, USA
J Pain Symptom Manage 26:791-9. 2003..7; 95% CI 0.9, 7.7; P=0.07). Study results suggest that hospice enrollment improves pain assessment and management for nursing home residents; they also document the need for continued improvement of pain management in nursing homes... - Effect of increased nursing home hospice use on nursing assistant staffingDenise A Tyler
Center for Gerontology and Health Care Research, Warren Alpert Medical School, Brown University, Providence, Rhode Island 02912, USA
J Palliat Med 14:1236-9. 2011..The purpose of this study was to determine if changes in nursing home hospice volume were related to changes in certified nursing assistant (CNA) staffing... - The complexity of implementing culture change practices in nursing homesSamantha Sterns
Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
J Am Med Dir Assoc 11:511-8. 2010..Furthermore, it examines differences in adoption by whether a CC practice is considered less versus more complex, using complexity theory as the theoretical framework for this classification... - Nursing home admission for African Americans with Alzheimer's diseaseS C Miller
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, USA
J Gerontol A Biol Sci Med Sci 54:M365-9. 1999..Using Consortium To Establish a Registry for Alzheimer's Disease (CERAD) data, this study provides information on NHA for African Americans... - Facility effects on racial differences in nursing home quality of careM L Fennell
Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
Am J Med Qual 15:174-81. 2000..We also briefly describe plans for multilevel modeling to test variation in racial/ethnic disparities in care as a function of nursing home structures and processes and community context... - The role of hospice care in the nursing home settingSusan C Miller
Center for Gerontology and Health Care Research, Department of Community Health, Brown University School of Medicine, 141 Morris Avenue, Providence, RI 02912, USA
J Palliat Med 5:271-7. 2002..Access may be increased to some extent by changing government policies, and conflicting regulations and interpretive guidelines, so they support and encourage the nursing home/hospice collaboration... - Advance care planning decisions of women with cancer: provider recognition and stability of choicesDon S Dizon
Department of Obstetrics and Gynecology, Medicine, Warren Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, Providence, RI, USA
J Psychosoc Oncol 27:383-95. 2009..Understanding the network of people who serve ACP and support roles may be important as we seek to improve the process of ACP and surrogate decision making... - The quality of the quality indicator of pain derived from the minimum data setNing Wu
Health Research and Evaluation, Abt Associates Inc, Cambridge, MA 02138, USA
Health Serv Res 40:1197-216. 2005..To ensure the integrity of QI comparison in the NH setting, the government may need to institute regular audits of MDS data quality... - "Obstacles to palliation and end-of-life care in a long-term care facility"Susan C Miller
Gerontologist 42:576; author reply 576. 2002 - Hospice and nonhospice nursing home residentsSusan C Miller
J Palliat Med 6:771. 2003 - A national study of the location of death for older persons with dementiaSusan L Mitchell
Hebrew Rehabilitation Center for Aged Research and Training Institute, Boston, Massachusetts 02131, USA
J Am Geriatr Soc 53:299-305. 2005..To describe where older Americans with dementia die and to compare the state health system factors related to the location of dementia-related deaths with those of cancer and all other conditions in this population... - Relationship between state medicaid policies, nursing home racial composition, and the risk of hospitalization for black and white residentsAndrea 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... - Using data to inform future direction and meet community needs: through a unique research partnershipJames Burrill
Med Health R I 90:377. 2007 - Improving access to hospice: the Physician Feedback and Reminders to Improve Access to Hospice (PFRIAH) studyW Edward Martin
Home and Hospice Care of Rhode Island, Pawtucket 02860, USA
Med Health R I 90:388-90. 2007 - Hospice care for patients with dementiaSusan L Mitchell
Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
J Pain Symptom Manage 34:7-16. 2007..These data suggest that the evaluation of hospice care for older patients is generally high, and does not vary with respect to terminal diagnoses... - Referral and timing of referral to hospice care in nursing homes: the significant role of staff membersLisa C Welch
Department of Sociology and Criminal Justice Studies, Southern Illinois University Edwardsville, Edwardsville, IL 62026, USA
Gerontologist 48:477-84. 2008..Given concerns about end-of-life care for many nursing home (NH) residents, this study sought to understand factors influencing hospice referral or nonreferral as well as timing of referral...
Research Grants
- Hospice Enrollment and LTC Policy (HELP)Susan Miller; Fiscal Year: 2007....