David Grabowski

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint Who are the innovators? Nursing homes implementing culture change
    David C Grabowski
    Address correspondence to David C Grabowski, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899 E mail
    Gerontologist 54:S65-75. 2014
  2. doi request reprint Culture change and nursing home quality of care
    David C Grabowski
    Address correspondence to David C Grabowski, Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue, Boston, MA 02115 5899 E mail
    Gerontologist 54:S35-45. 2014
  3. pmc Assisted living expansion and the market for nursing home care
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 47:2296-315. 2012
  4. pmc Effect of nursing home ownership on the quality of post-acute care: an instrumental variables approach
    David C Grabowski
    Harvard University, Department of Health Care Policy, Boston, MA 02115 5899, USA
    J Health Econ 32:12-21. 2013
  5. doi request reprint Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care act
    David C Grabowski
    Department of Health Policy, Harvard Medical School, Boston, MA, USA
    J Aging Soc Policy 24:221-32. 2012
  6. pmc Medicare and Medicaid: conflicting incentives for long-term care
    David C Grabowski
    Harvard Medical School, Boston, MA, USA
    Milbank Q 85:579-610. 2007
  7. ncbi request reprint Obesity and mortality in elderly nursing home residents
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115, USA
    J Gerontol A Biol Sci Med Sci 60:1184-9. 2005
  8. pmc Family oversight and the quality of nursing home care for residents with advanced dementia
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Med Care 47:568-74. 2009
  9. ncbi request reprint Systemwide implications of the repeal of the national maximum speed limit
    David C Grabowski
    Department of Health Care Policy, Harvard University, 180 Longwood Avenue, Boston, MA 02115, USA
    Accid Anal Prev 39:180-9. 2007
  10. ncbi request reprint The market for long-term care services
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    Inquiry 45:58-74. 2008

Detail Information

Publications55

  1. doi request reprint Who are the innovators? Nursing homes implementing culture change
    David C Grabowski
    Address correspondence to David C Grabowski, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899 E mail
    Gerontologist 54:S65-75. 2014
    ..If policymakers are to further encourage implementation of culture change, they need to better understand the factors associated with implementation...
  2. doi request reprint Culture change and nursing home quality of care
    David C Grabowski
    Address correspondence to David C Grabowski, Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue, Boston, MA 02115 5899 E mail
    Gerontologist 54:S35-45. 2014
    ..We evaluated the impact of the implementation of nursing home culture change on the quality of care, as measured by staffing, health-related survey deficiencies, and Minimum Data Set (MDS) quality indicators...
  3. pmc Assisted living expansion and the market for nursing home care
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 47:2296-315. 2012
    ..To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity...
  4. pmc Effect of nursing home ownership on the quality of post-acute care: an instrumental variables approach
    David C Grabowski
    Harvard University, Department of Health Care Policy, Boston, MA 02115 5899, USA
    J Health Econ 32:12-21. 2013
    ..After instrumenting for ownership status, we found that post-acute patients in nonprofit facilities had fewer 30-day hospitalizations and greater improvement in mobility, pain, and functioning...
  5. doi request reprint Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care act
    David C Grabowski
    Department of Health Policy, Harvard Medical School, Boston, MA, USA
    J Aging Soc Policy 24:221-32. 2012
    ....
  6. pmc Medicare and Medicaid: conflicting incentives for long-term care
    David C Grabowski
    Harvard Medical School, Boston, MA, USA
    Milbank Q 85:579-610. 2007
    ..With the aging baby boom generation and projected federal and state budget shortfalls, this issue will be a continuing focus of policymakers in the coming decades...
  7. ncbi request reprint Obesity and mortality in elderly nursing home residents
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115, USA
    J Gerontol A Biol Sci Med Sci 60:1184-9. 2005
    ..A number of studies have analyzed the relationship of obesity and mortality in community-dwelling elderly persons, but little work has analyzed this issue within the institutionalized elderly population...
  8. pmc Family oversight and the quality of nursing home care for residents with advanced dementia
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Med Care 47:568-74. 2009
    ..One relatively understudied factor in the provision of NH care is the role of private oversight and monitoring by family members and friends...
  9. ncbi request reprint Systemwide implications of the repeal of the national maximum speed limit
    David C Grabowski
    Department of Health Care Policy, Harvard University, 180 Longwood Avenue, Boston, MA 02115, USA
    Accid Anal Prev 39:180-9. 2007
    ..However, we found very little support for any decrease in rural noninterstate driving or fatalities following the adoption of higher speed limits on rural interstates...
  10. ncbi request reprint The market for long-term care services
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    Inquiry 45:58-74. 2008
    ....
  11. pmc Moral hazard in nursing home use
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    J Health Econ 26:560-77. 2007
    ..From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization...
  12. pmc Quality of mental health care for nursing home residents: a literature review
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    Med Care Res Rev 67:627-56. 2010
    ....
  13. pmc Medicaid bed-hold policy and Medicare skilled nursing facility rehospitalizations
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 45:1963-80. 2010
    ..To analyze the effect of states' Medicaid bed-hold policies on the 30-day rehospitalization of Medicare postacute skilled nursing facility (SNF) residents...
  14. doi request reprint Supporting home- and community-based care: views of long-term care specialists
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Med Care Res Rev 67:82S-101S. 2010
    ..Building on the long-term care specialists' enthusiasm for system-based reforms, we encourage state policy makers to pursue HCBS models that are linked to Medicare, engage primary care physicians, and are based on rigorous evaluations...
  15. pmc Medicare prospective payment and the volume and intensity of skilled nursing facility services
    David C Grabowski
    Harvard Medical School, Boston, MA 02115 5899, USA
    J Health Econ 30:675-84. 2011
    ..Not surprisingly, when subsequent Medicare policy changes increased payment rates, Medicare volume far surpassed the levels seen in the pre-PPS period...
  16. pmc Does information matter? Competition, quality, and the impact of nursing home report cards
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 46:1698-719. 2011
    ....
  17. doi request reprint Sizing up the market for assisted living
    David G Stevenson
    Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 29:35-43. 2010
    ..As this sector evolves, policymakers will have to contend with issues related to access to services, public financing, quality of care, and regulatory oversight...
  18. pmc Ownership conversions and nursing home performance
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 43:1184-203. 2008
    ..To examine the effects of ownership conversions on nursing home performance...
  19. ncbi request reprint The influence of Medicare home health payment incentives: does payer source matter?
    David C Grabowski
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    Inquiry 43:135-49. 2006
    ..However, these changes did not translate into worse discharge outcomes...
  20. doi request reprint Private equity investment and nursing home care: is it a big deal?
    David G Stevenson
    Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 27:1399-408. 2008
    ..Nonetheless, recent nursing home ownership trends raise important questions about oversight and accountability, whose answers extend beyond private equity ownership...
  21. pmc Antipsychotic and benzodiazepine use among nursing home residents: findings from the 2004 National Nursing Home Survey
    David G Stevenson
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Am J Geriatr Psychiatry 18:1078-92. 2010
    ..To document the extent and appropriateness of use of antipsychotics and benzodiazepines among nursing home residents using a nationally representative survey...
  22. pmc Special Needs Plans and the coordination of benefits and services for dual eligibles
    David C Grabowski
    Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:136-46. 2009
    ..Although SNP enrollment is higher in states with such a relationship than in other states, several steps are identified to further expand this market and improve coordination between SNPs and state Medicaid programs...
  23. pmc Ownership status and home health care performance
    David C Grabowski
    Associate Professors of Health Economics, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    J Aging Soc Policy 21:130-43. 2009
    ..These results highlight the importance of organizational and payment factors in the delivery of home health care services...
  24. doi request reprint Long and short hospice stays among nursing home residents at the end of life
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    J Palliat Med 13:957-64. 2010
    ..To identify characteristics of nursing homes and residents associated with particularly long or short hospice stays...
  25. pmc Mental illness in nursing homes: variations across States
    David C Grabowski
    Health Care Policy, at Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:689-700. 2009
    ..Taken together, these results suggest that state-level mental health and nursing home factors may influence the likelihood of long-term nursing home use for people with mental illnesses...
  26. pmc Effect of Medicare home health care payment on informal care
    Ezra Golberstein
    University of Michigan, Department of Health Management and Policy, USA
    Inquiry 46:58-71. 2009
    ..Home care payment policies should recognize these effects, balancing costs of the program with the desire to protect families from the burdens associated with providing informal home care...
  27. pmc Trends in mental health admissions to nursing homes, 1999-2005
    Catherine Anne Fullerton
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Psychiatr Serv 60:965-71. 2009
    ..The study examined 1999-2005 data on first-time nursing home admissions of individuals with mental illness, dementia, or both to identify trends and characteristics...
  28. ncbi request reprint Differences in hospice care between home and institutional settings
    David G Stevenson
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    J Palliat Med 10:1040-7. 2007
    ..To compare hospice care delivered at home with hospice care delivered in institutional settings, such as the nursing home...
  29. ncbi request reprint The costs and potential savings associated with nursing home hospitalizations
    David C Grabowski
    Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 26:1753-61. 2007
    ..These data highlight the potential for cost savings associated with programs designed to reduce these potentially avoidable hospitalizations from the nursing home setting...
  30. ncbi request reprint Medicaid payment and risk-adjusted nursing home quality measures
    David C Grabowski
    Department of Health Care Policy, Harvard University, USA
    Health Aff (Millwood) 23:243-52. 2004
    ..Higher payment was associated with lower incidence of pressure ulcers and physical restraints but not daily pain. Quality of nursing home care may suffer if budget shortfalls force state legislatures to freeze or reduce Medicaid rates...
  31. pmc Predictors of nursing home residents' time to hospitalization
    A James O'Malley
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    Health Serv Res 46:82-104. 2011
    ..To model the predictors of the time to first acute hospitalization for nursing home residents, and accounting for previous hospitalizations, model the predictors of time between subsequent hospitalizations...
  32. doi request reprint Predictors of nursing home hospitalization: a review of the literature
    David C Grabowski
    Harvard Medical School, USA
    Med Care Res Rev 65:3-39. 2008
    ..Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies...
  33. ncbi request reprint The cost-effectiveness of noninstitutional long-term care services: review and synthesis of the most recent evidence
    David C Grabowski
    Harvard Medical School, USA
    Med Care Res Rev 63:3-28. 2006
    ....
  34. 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...
  35. 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...
  36. pmc The relationship of Medicaid payment rates, bed constraint policies, and risk-adjusted pressure ulcers
    David C Grabowski
    Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294, USA
    Health Serv Res 39:793-812. 2004
    ..To examine the effect of Medicaid reimbursement rates on nursing home quality in the presence of certificate-of-need (CON) and construction moratorium laws...
  37. ncbi request reprint Nursing homes with persistent high and low quality
    David C Grabowski
    University of Alabama at Birmingham, Alabama, USA
    Med Care Res Rev 61:89-115. 2004
    ..Their results further show that public reimbursement and asymmetric information are both important factors in explaining why low quality persists over time in certain facilities...
  38. ncbi request reprint Nursing home staffing and quality under the nursing home reform act
    Xinzhi Zhang
    Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
    Gerontologist 44:13-23. 2004
    ..We examine whether the Nursing Home Reform Act (NHRA) improved nursing home staffing and quality...
  39. ncbi request reprint The effects of CON repeal on Medicaid nursing home and long-term care expenditures
    David C Grabowski
    Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, 35294 0022, USA
    Inquiry 40:146-57. 2003
    ..In the context of declining occupancy rates within the nursing home market, this study provides strong evidence that states have little to fear in terms of increased expenditures with the repeal of CON and moratorium laws...
  40. ncbi request reprint Competitive spillovers across non-profit and for-profit nursing homes
    David C Grabowski
    Department of Health Care Organization and Policy, University of Alabama at Birmingham, 330 RPHB 1655 University Boulevard, Birmingham, AL 35294, USA
    J Health Econ 22:1-22. 2003
    ..These findings are consistent with the hypothesis that non-profits serve as a quality signal for uninformed nursing home consumers...
  41. ncbi request reprint The economic implications of case-mix Medicaid reimbursement for nursing home care
    David C Grabowski
    Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294 0022, USA
    Inquiry 39:258-78. 2002
    ....
  42. 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...
  43. ncbi request reprint The strength of graduated drivers license programs and fatalities among teen drivers and passengers
    Michael A Morrisey
    Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, Injury Control Research Center, University of Alabama at Birmingham, Birmingham, AL, USA
    Accid Anal Prev 38:135-41. 2006
    ....
  44. pmc Medicaid nursing home payment and the role of provider taxes
    David C Grabowski
    Harvard Medical School
    Med Care Res Rev 65:514-27. 2008
    ..A recent proposal to cap provider taxes, if enacted, may lead to a decrease in Medicaid payment rates for nursing home care...
  45. 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...
  46. ncbi request reprint Graduated drivers license programs and rural teenage motor vehicle fatalities
    Michael A Morrisey
    Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
    J Rural Health 22:300-7. 2006
    ..Graduated drivers license (GDL) programs have been shown to reduce motor vehicle fatalities among 15- to 17-year-olds. However, the 20 most rural states have been the least likely to enact more stringent GDL policies...
  47. 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...
  48. ncbi request reprint Graduated driver licensing and teen traffic fatalities
    Thomas S Dee
    Department of Economics, Swarthmore College, PA 19081, USA
    J Health Econ 24:571-89. 2005
    ..And we find no evidence that these benefits were attenuated by an increase in fatality risks during the full-licensure period available to older teens...
  49. ncbi request reprint The admission of blacks to high-deficiency nursing homes
    David C Grabowski
    Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Med Care 42:456-64. 2004
    ..Deficiencies are evaluations of poor quality made by state surveyors under the federal nursing home certification regulations...
  50. ncbi request reprint A longitudinal study of Medicaid payment, private-pay price and nursing home quality
    David C Grabowski
    Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
    Int J Health Care Finance Econ 4:5-26. 2004
    ..When compared to the earlier literature, these new findings are attributed to changes over time in the market for nursing home care related to the growth in nursing home substitutes...
  51. ncbi request reprint Elderly licensure laws and motor vehicle fatalities
    David C Grabowski
    Lister Hill Center for Health Policy, School of Public Health, University of Alabama, Birmingham, USA
    JAMA 291:2840-6. 2004
    ..Little is known about how state-level driver licensure laws, such as in-person renewal, vision tests, road tests, and the frequency of license renewal relate to the older driver traffic fatality rate...
  52. pmc Effect of educational level and minority status on nursing home choice after hospital discharge
    Joseph Angelelli
    The Pennsylvania State University, University Park, PA 1680 2500, USA
    Am J Public Health 96:1249-53. 2006
    ..We examine the validity of this assumption by testing whether minority/less educated Medicare patients are at greater risk of being discharged from a hospital to the lowest-quality nursing homes in a geographic area...
  53. ncbi request reprint Factor substitution in nursing homes
    John Cawley
    Department of Policy Analysis and Management, College of Human Ecology, Cornell University, Ithaca, NY 14853 4401, USA
    J Health Econ 25:234-47. 2006
    ..The results from the IV models yield evidence of factor substitution: higher nursing home wages are associated with greater use of psychoactive drugs and lower quality...
  54. ncbi request reprint State motor vehicle laws and older drivers
    Michael A Morrisey
    Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294 0022, USA
    Health Econ 14:407-19. 2005
    ....
  55. ncbi request reprint Consumer complaints and nursing home quality
    David C Grabowski
    Med Care 43:99-101. 2005

Research Grants8

  1. Disparties in Nursing Home Care by Race and Payer Status
    David Grabowski; Fiscal Year: 2007
    ..The results will allow providers, advocates, clinicians, consumers and policymakers to better evaluate and address within-facility disparities in nursing home care. ..
  2. Leveraging Medicare Payment & Reporting Policies to Improve Nursing Home Quality
    David Grabowski; Fiscal Year: 2009
    ..Thus, the information derived from this study has the potential to make important research and policy-relevant contributions aimed at improving the quality of care for all nursing home residents. ..
  3. Selection and the Quality Impact of Nursing Home Ownership
    David Grabowski; Fiscal Year: 2009
    ..By examining this relationship using a novel empirical strategy, this study provides an opportunity to improve the quality of care for the millions of Americans receiving care in the nursing home setting. ..
  4. Leveraging Medicare Payment & Reporting Policies to Improve Nursing Home Quality
    David C Grabowski; Fiscal Year: 2010
    ..Thus, the information derived from this study has the potential to make important research and policy-relevant contributions aimed at improving the quality of care for all nursing home residents. ..
  5. Selection and the Quality Impact of Nursing Home Ownership
    David C Grabowski; Fiscal Year: 2010
    ..By examining this relationship using a novel empirical strategy, this study provides an opportunity to improve the quality of care for the millions of Americans receiving care in the nursing home setting. ..
  6. Selection and the Quality Impact of Nursing Home Ownership
    David C Grabowski; Fiscal Year: 2010
    ..By examining this relationship using a novel empirical strategy, this study provides an opportunity to improve the quality of care for the millions of Americans receiving care in the nursing home setting. ..