Charlene Harrington

Summary

Affiliation: University of California
Country: USA

Publications

  1. doi request reprint Do Medicaid home and community based service waivers save money?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California 94118, USA
    Home Health Care Serv Q 30:198-213. 2011
  2. pmc Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    Health Serv Res 47:106-28. 2012
  3. doi request reprint Disparities in service utilization and expenditures for individuals with developmental disabilities
    Charlene Harrington
    Department of Social and Behavioral Science, University of California, San Francisco, CA 94118, USA
    Disabil Health J 1:184-95. 2008
  4. ncbi request reprint Variation in the use of federal and state civil money penalties for nursing homes
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 48:679-91. 2008
  5. doi request reprint Factors associated with living in developmental centers in California
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94118, USA
    Intellect Dev Disabil 47:108-24. 2009
  6. ncbi request reprint Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence
    Charlene Harrington
    Nursing and Health Policy, Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco, CA 94118, USA
    Nurs Outlook 54:236-42. 2006
  7. ncbi request reprint Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    Int J Health Serv 41:725-46. 2011
  8. ncbi request reprint Nursing indicators of quality in nursing homes. A Web-based approach
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Gerontol Nurs 29:5-11. 2003
  9. doi request reprint Medicare and medicaid in long-term care
    Terence Ng
    Department of Social and Behavioral Sciences, University of California, San Francisco, California, USA
    Health Aff (Millwood) 29:22-8. 2010
  10. doi request reprint Long-term care: who gets it, who provides it, who pays, and how much?
    H Stephen Kaye
    Institute for Health and Aging at the University of, California, San Francisco, California, USA
    Health Aff (Millwood) 29:11-21. 2010

Detail Information

Publications81

  1. doi request reprint Do Medicaid home and community based service waivers save money?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California 94118, USA
    Home Health Care Serv Q 30:198-213. 2011
    ..This analysis demonstrates that HCBS waiver programs present significant direct financial savings to Medicaid long-term care (LTC) programs...
  2. pmc Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    Health Serv Res 47:106-28. 2012
    ..To compare staffing levels and deficiencies of the 10 largest U.S. for-profit nursing home chains with five other ownership groups and chain staffing and deficiencies before and after purchase by four private equity (PE) companies...
  3. doi request reprint Disparities in service utilization and expenditures for individuals with developmental disabilities
    Charlene Harrington
    Department of Social and Behavioral Science, University of California, San Francisco, CA 94118, USA
    Disabil Health J 1:184-95. 2008
    ..The factors that affect access to services for individuals with developmental disabilities (DD) have not received much attention...
  4. ncbi request reprint Variation in the use of federal and state civil money penalties for nursing homes
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 48:679-91. 2008
    ..The study examined factors associated with state variations in the use of federal and state civil money penalties (CMPs) for nursing homes...
  5. doi request reprint Factors associated with living in developmental centers in California
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94118, USA
    Intellect Dev Disabil 47:108-24. 2009
    ..Policymakers need to ensure adequate resources and provider supply to reduce the need by individuals with intellectual disability to live in DCs and to transition individuals from DCs into other living arrangements...
  6. ncbi request reprint Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence
    Charlene Harrington
    Nursing and Health Policy, Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco, CA 94118, USA
    Nurs Outlook 54:236-42. 2006
  7. ncbi request reprint Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    Int J Health Serv 41:725-46. 2011
    ..There is a need for greater transparency in ownership and financial reporting and for more government oversight of the largest for-profit chains, including those owned by private equity companies...
  8. ncbi request reprint Nursing indicators of quality in nursing homes. A Web-based approach
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Gerontol Nurs 29:5-11. 2003
    ..g., direct care expenditures, wages, benefits), and complaints and deficiencies. Overall, nursing indicators of quality are a major approach for evaluating nursing home quality and can be used by nurses, consumers, and advocates...
  9. doi request reprint Medicare and medicaid in long-term care
    Terence Ng
    Department of Social and Behavioral Sciences, University of California, San Francisco, California, USA
    Health Aff (Millwood) 29:22-8. 2010
    ..Although growing numbers of people receive home and community-based services paid for by the two programs, there are wide variations across states and among target groups. The system of long-term care is in need of structural reform...
  10. doi request reprint Long-term care: who gets it, who provides it, who pays, and how much?
    H Stephen Kaye
    Institute for Health and Aging at the University of, California, San Francisco, California, USA
    Health Aff (Millwood) 29:11-21. 2010
    ..This suggests that a redistribution of spending across care settings might produce substantial savings or permit service expansions...
  11. doi request reprint Change and inertia in the New York state Medicaid Personal Care Services program: an institutional case study
    Toby Adelman
    School of Nursing, San Jose State University, San Jose, California 95192 0057, USA
    J Aging Soc Policy 24:309-27. 2012
    ..quot; Dominant stakeholders in New York have ensured a stable personal care program that has resisted change and led to program inertia...
  12. ncbi request reprint Estimating the expense of a mandatory home-and community-based personal assistance services benefit under Medicaid
    Mitchell P LaPlante
    Institute for Health and Aging, University of California, San Francisco, CA 94118, USA
    J Aging Soc Policy 19:47-64. 2007
    ..This study aims to provide an estimate of the expense of a mandatory personal assistance services (PAS) benefit under Medicaid for persons with low incomes, low assets, and significant disability...
  13. ncbi request reprint Medicaid 1915(c) home and community-based services waivers: a national survey of eligibility criteria, caps, and waiting lists
    Martin Kitchener
    Center for Personal Assistance Services, Department of Social and Behavioral Sciences, University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Home Health Care Serv Q 23:55-69. 2004
    ..These findings provide an important basis for comparison between states because the use of these strategies may restrict individuals' choice of services and result in unnecessary institutionalization...
  14. pmc Nurse staffing levels and Medicaid reimbursement rates in nursing facilities
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    Health Serv Res 42:1105-29. 2007
    ..To examine the relationship between nursing staffing levels in U.S. nursing homes and state Medicaid reimbursement rates...
  15. doi request reprint Focus group study of ethnically diverse low-income users of paid personal assistance services
    Joseph T Mullan
    Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California 94143, USA
    Home Health Care Serv Q 28:24-44. 2009
    ..The burden they have in obtaining and maintaining services is substantial...
  16. ncbi request reprint Quality of care in nursing home organizations: establishing a health services research agenda
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Nurs Outlook 53:300-4. 2005
    ....
  17. ncbi request reprint Chain reaction: an exploratory study of nursing home bankruptcy in California
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco 94118, USA
    J Aging Soc Policy 17:19-35. 2005
    ..These findings indicate that, rather than facility characteristics and local market factors, strategic decisions taken at the corporate (chain) level are the major determinants of nursing facility bankruptcy status...
  18. ncbi request reprint Developing personal care programs: national trends and interstate variation, 1992-2002
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California St, Suite 455, San Francisco, CA 94118, USA
    Inquiry 44:69-87. 2007
    ..Negative predictors of personal care development include rates of Medicare home health users and hospital beds...
  19. pmc The effect of state regulatory stringency on nursing home quality
    Dana B Mukamel
    Health Policy Research Institute, University of California, Irvine, 100 Academy, Suite 110, Irvine, CA 92697 5800, USA
    Health Serv Res 47:1791-813. 2012
    ..To test the hypothesis that more stringent quality regulations contribute to better quality nursing home care and to assess their cost-effectiveness...
  20. doi request reprint The relationship of California's Medicaid reimbursement system to nurse staffing levels
    Dana B Mukamel
    Department of Medicine, Health Policy Research Institute, University of California, Irvine, CA 92697 5800, USA
    Med Care 50:836-42. 2012
    ..Policy initiatives at the Federal and state level are aimed at increasing staffing in nursing homes. These include direct staffing standards, public reporting, and financial incentives...
  21. ncbi request reprint Medicaid State Plan personal care services: trends in programs and policies
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California San Francisco, CA 94118, USA
    J Aging Soc Policy 19:9-26. 2007
    ..Findings from the policy survey reveal that between 1999 and 2002 there was a marked decline in the range of services provided, and by 2004, almost half the programs operated a cap on the hours of services provided...
  22. ncbi request reprint Paid personal assistance services:an exploratory study of working-age consumers' perspectives
    Brian R Grossman
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    J Aging Soc Policy 19:27-45. 2007
    ..The respondents strongly preferred consumer-directed care...
  23. ncbi request reprint State Medicaid home care policies: inside the black box
    Martin Kitchener
    University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Home Health Care Serv Q 26:23-38. 2007
    ..The findings advance knowledge of state policy trends within each of the three programs and variations between them...
  24. ncbi request reprint Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 94118, USA
    Inquiry 40:375-89. 2003
    ..Among the results, positive state-level factors related to HCBS participants and expenditures include: higher percentages of aged people, greater incomes per capita, and a larger supply of home health agencies...
  25. doi request reprint Variation in types of service use and expenditures for individuals with developmental disabilities
    Taewoon Kang
    Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94143 0612, USA
    Disabil Health J 1:30-41. 2008
    ..this study examined the types of services and expenditures for 8 service categories provided by regional centers to 138,336 individuals with developmental disabilities living at home and in the community in California in 2004-2005...
  26. pmc What factors contribute to successful appeals of nursing homes' deficiencies in the informal dispute resolution process?
    Dana B Mukamel
    Department of Medicine, University of California, Irvine, Health Policy Research Institute, Irvine, CA 92697 5800, USA
    J Am Med Dir Assoc 14:101-4. 2013
    ..To determine what factors contribute to successful appeals of nursing home deficiencies in the Informal Dispute Resolution (IDR) process...
  27. ncbi request reprint Federal and state nursing facility websites: just what the consumer needs?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, Calif 94118, USA
    Am J Med Qual 18:21-37. 2003
    ..Although many states are making progress toward providing consumers with information, there are gaps that exist, which if filled, could provide consumers with a better tool for facility selection and monitoring the quality of care...
  28. ncbi request reprint Case study: development of and stakeholder responses to a nursing home consumer information system
    Janis O'Meara
    Department of Social and Behavioral Sciences, University of California, San Francisco 94118, USA
    Am J Med Qual 20:40-50. 2005
    ..Most discharge planners and care managers do not use Internet resources to find facilities. Feedback, modifications, updates, and outreach are needed on a continuous basis to ensure the site is a helpful tool for all stakeholders...
  29. ncbi request reprint Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rules
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Health Care Manag Sci 7:237-44. 2004
    ..Second, for analysts generating evidence for health policy, VPRS provides a rigorous data mining tool and acknowledges inherent analytical uncertainty in the field...
  30. ncbi request reprint Assistive technology in medicaid home- and community-based waiver programs
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 48:181-9. 2008
    ..This article presents the latest available national AT expenditure and participation trends (1999-2002) for Medicaid 1915(c) waivers, the largest Medicaid home- and community-based service program...
  31. ncbi request reprint Smoke without fire: nursing facility closures in California, 1997-2001
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco 94118, USA
    Inquiry 41:189-202. 2004
    ....
  32. ncbi request reprint Residential care provision in Medicaid home- and community-based waivers: a national study of program trends
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 46:165-72. 2006
    ..This study describes participation and expenditure trends for residential care services funded by Medicaid waivers and examines variation across programs...
  33. ncbi request reprint Trends in state certificate of need and moratoria programs for long term care providers
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Fransisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Health Soc Policy 19:31-58. 2004
    ..Where limits are placed on home and community service providers, however, access could be negatively impacted...
  34. ncbi request reprint Discharge planning, nursing home placement, and the Internet
    Eric J Collier
    Department of Social and Behavorial Sciences, School of Nursing, University of California, San Francisco 94118, USA
    Nurs Outlook 53:95-103. 2005
    ..Effective discharge planning and well-coordinated case management related to nursing home (NH) placement are key services in acute-care hospitals...
  35. ncbi request reprint The personal assistance workforce: trends in supply and demand
    H Stephen Kaye
    Institute for Health and Aging, University of California, San Francisco UCSF, USA
    Health Aff (Millwood) 25:1113-20. 2006
    ....
  36. pmc Nursing homes appeals of deficiencies: the informal dispute resolution process
    Dana B Mukamel
    Department of Medicine, University of California, Irvine, Health Policy Research Institute, Irvine, CA 92697, USA
    J Am Med Dir Assoc 13:512-6. 2012
    ..This study presents for the first time national statistics about the IDR process and an analysis of the factors that influence nursing homes' decisions to request an IDR...
  37. doi request reprint Emergency department use by nursing home residents: effect of severity of cognitive impairment
    Caroline E Stephens
    Department of Social and Behavioral Sciences, University of California, San Francisco, 94143 0612, USA
    Gerontologist 52:383-93. 2012
    ..To examine the 1-year prevalence and risk of emergency department (ED) use and ambulatory care-sensitive (ACS) ED use by nursing home (NH) residents with different levels of severity of cognitive impairment (CI)...
  38. ncbi request reprint Nursing home staffing, turnover, and case mix
    Charlene Harrington
    University of California, USA
    Med Care Res Rev 60:366-92; discussion 393-9. 2003
    ..For-profit facilities and high-occupancy rate facilities had lower total nurse and RN staffing hours. Medicaid reimbursement rates and multifacility organizations were positively associated with RN staffing hours...
  39. doi request reprint Staffing characteristics, turnover rates, and quality of resident care in nursing facilities
    Eric Collier
    Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, 3333 California Street, San Francisco, CA 94118, USA
    Res Gerontol Nurs 1:157-70. 2008
    ..The findings were used to develop three staffing interventions that need to be further evaluated in an effort to improve the quality of care in nursing facilities...
  40. ncbi request reprint Designing a report card for nursing facilities: what information is needed and why
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 43:47-57. 2003
    ..Such information can meet the needs of various stakeholder groups, including consumers, family/friends, health professionals, providers, advocates, ombudsman, payers, and policy makers...
  41. ncbi request reprint Medicaid home and community-based services: national program trends
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco UCSF, USA
    Health Aff (Millwood) 24:206-12. 2005
    ....
  42. ncbi request reprint Nurse staffing in nursing homes in the United States
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Gerontol Nurs 31:18-23. 2005
    ..Thirteen states had increased their state standards in the 1999 to 2001 period. Federal standards for nursing homes lag behind those in many states...
  43. ncbi request reprint Addressing the dramatic decline in RN staffing in nursing homes
    Charlene Harrington
    School of Nursing, University of California, San Francisco, USA
    Am J Nurs 105:25. 2005
  44. doi request reprint Medicaid home- and community-based services: impact of the affordable care act
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA
    J Aging Soc Policy 24:169-87. 2012
    ..Wide variations in access to HCBS can be expected to continue, while HCBS will continue to compete for funding with mandated institutional services...
  45. ncbi request reprint Nursing facility and home and community based service need criteria in the United States
    M Christine Tonner
    Institute for Health and Aging, University of California, San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, USA
    Home Health Care Serv Q 22:65-83. 2003
    ..Wide variability in screening procedures creates potential inequities to LTC services across the states. Within states, more restrictive screening procedures for HCBS than for NF may limit access to community based long term care...
  46. ncbi request reprint Medicaid waiver programs for traumatic brain and spinal cord injury
    Martin Kitchener
    University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Health Soc Policy 20:51-66. 2005
    ..g., eligibility criteria and cost controls) used on these waiver programs in 2002, and compares the Medicaid cost of serving this target group through institutional care and waiver programs...
  47. ncbi request reprint Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences
    Mitchell P LaPlante
    Disability Statistics Center, University of California, San Francisco, CA 94118, USA
    J Gerontol B Psychol Sci Soc Sci 59:S98-S108. 2004
    ....
  48. doi request reprint The effects of an inpatient palliative care team on discharge disposition
    Abraham Aizer Brody
    Department of Social and Behavioral Sciences, Sutter Health Institute for Research and Education, University of California San Francisco, San Francisco, California 94104, USA
    J Palliat Med 13:541-8. 2010
    ..Yet few studies have examined the specific effect of an inpatient PCT on discharge disposition, despite evidence of an association between hospice enrollment, decreased rehospitalization, and improved resource utilization...
  49. doi request reprint Do noninstitutional long-term care services reduce Medicaid spending?
    H Stephen Kaye
    Institute for Health and Aging at University of California, San Francisco, USA
    Health Aff (Millwood) 28:262-72. 2009
    ..Expansion of HCBS appears to entail a short-term increase in spending, followed by a reduction in institutional spending and long-term cost savings...
  50. ncbi request reprint Assessing California's nursing home staffing standards
    Charlene Harrington
    UCSF John A Harford Center of Geriatric Nursing Excellence, University of California, San Francisco, USA
    Policy Polit Nurs Pract 7:11-3. 2006
  51. doi request reprint Does state regulation of quality impose costs on nursing homes?
    Dana B Mukamel
    Department of Medicine, University of California, Irvine, Health Policy Research Institute, Irvine, CA 92697 5800, USA
    Med Care 49:529-34. 2011
    ..Government regulation is intended to enhance quality, safety, fairness, or competition in the regulated industry. Such regulation entails both direct and indirect costs...
  52. doi request reprint Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians
    Debra Bakerjian
    Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, USA
    Res Gerontol Nurs 5:163-73. 2012
    ..APN/PAs provide a substantial amount of care, but regional variations occur, and Medicare regulations constrain the ability of APN/PAs to substitute for physician visits...
  53. doi request reprint Nursing home staffing standards and staffing levels in six countries
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94143 0612, USA
    J Nurs Scholarsh 44:88-98. 2012
    ..This study was designed to collect and compare nurse staffing standards and staffing levels in six counties: the United States, Canada, England, Germany, Norway, and Sweden...
  54. ncbi request reprint Nurse staffing in nursing homes in the United States: Part II
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, California 94118, USA
    J Gerontol Nurs 31:9-15. 2005
    ..Considerable new federal and state resources are needed to bring the state staffing standards and the actual nursing home staffing levels up to the levels recommended by experts...
  55. ncbi request reprint The U.S. long-term care field: a dialectic analysis of institution dynamics
    Artin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94118, USA
    J Health Soc Behav 45:87-101. 2004
    ....
  56. ncbi request reprint The collection and use of funds from civil money penalties and fines from nursing homes
    Theodore Tsoukalas
    Department of Social and Behavioral Sciences, University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 46:759-71. 2006
    ..This study examined federal and state civil money penalties and fines collected from nursing homes and how states used the collected funds...
  57. ncbi request reprint State nursing home enforcement systems
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, USA
    J Health Polit Policy Law 29:43-73. 2004
    ..Many federal policies and resource constraints were identitied as barriers to effective regulation. The findings identified nursing facility survey and enforcement issues that need to be addressed by policy makers...
  58. ncbi request reprint Institutional and community-based long-term care: a comparative estimate of public costs
    Martin Kitchener
    Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    J Health Soc Policy 22:31-50. 2006
    ..This analysis estimates that when compared with Medicaid institutional care in 2002, HCBS waivers produced a national average public expenditure saving of $43,947 per participant. doi:10.1300/J045v22n02_03...
  59. ncbi request reprint Does investor-ownership of nursing homes compromise the quality of care?
    Charlene Harrington
    Department of Social and Behavioral Sciences, University of California, San Francisco, USA
    Int J Health Serv 32:315-25. 2002
    ..In the multivariate analysis, investor-ownership predicted 0.679 additional deficiencies per home; chain-ownership predicted an additional 0.633 deficiencies per home. Nurse staffing ratios were markedly lower at investor-owned homes...
  60. ncbi request reprint Advanced nursing training in health policy: designing and implementing a new program
    Charlene Harrington
    Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco, USA
    Policy Polit Nurs Pract 6:99-108. 2005
    ..The program is supported through funding by the Department of Health and Human Services Health Resources and Services Administration, Advanced Nurse Training program...
  61. ncbi request reprint Reflections on research and policy. The Doris Schwartz Award Lecture
    Charlene Harrington
    School of Nursing, University of California, San Francisco, USA
    J Gerontol Nurs 32:6-8. 2006
    ....
  62. ncbi request reprint Challenges and accomplishments of the second-generation social health maintenance organization
    Robert Newcomer
    Department of Social and Behavioral Sciences, University of California San Francisco, 3333 California Street, Suite 455, San Francisco, CA 94118, USA
    Gerontologist 42:843-52. 2002
    ..This study traces the implementation of the second-generation Social HMO demonstration program within the Health Plan of Nevada among more than 35,000 Las Vegas members...
  63. ncbi request reprint NPs in nursing homes: an issue of quality
    Mathy Mezey
    Hartford Institute for Geriatric Nursing, Division of Nursing, Steinhardt School of Education, New York University, New York City, USA
    Am J Nurs 104:71. 2004
  64. ncbi request reprint CMS study: correlation between staffing and quality
    Christine Tassone Kovner
    Hartford Institute for Geriatric Nursing, Division of Nursing, New York University, NY, USA
    Am J Nurs 102:65-6. 2002
  65. ncbi request reprint Who cares for older adults? Workforce implications of an aging society
    Christine Tassone Kovner
    Division of Nursing, Steinhardt School of Education, New York University, USA
    Health Aff (Millwood) 21:78-89. 2002
    ..We argue that every health care worker must have some education in geriatrics and access to geriatrics care experts...
  66. ncbi request reprint Access to community-based long-term care: Medicaid's role
    Nancy A Miller
    University of Maryland, Baltimore County, USA
    J Aging Health 14:138-59. 2002
    ..The authors explore state variation in expenditures for Medicaid community-based care services for the period 1990 to 1997...
  67. ncbi request reprint Strengthening home and community-based care through Medicaid waivers
    Nancy A Miller
    Department of Public Policy, University of Maryland, 1000 Hilltop Circle, Baltimore, MD 21250, USA
    J Aging Soc Policy 18:1-16. 2006
    ..Federal policies that address state resource issues may also spur growth in community-based LTC, which, in most states, continues to be limited...
  68. ncbi request reprint Variation by disability in state predictors of Medicaid 1915c waiver use and expenditures
    Nancy A Miller
    Department of Public Policy, University of Maryland, Baltimore County, Public Policy Building, 21250, USA
    Gerontologist 45:764-72. 2005
    ..A substantially greater share of long-term-care dollars supports community-based care for individuals with intellectual and developmental disabilities, relative to older and working-age persons with primarily physical disabilities...
  69. pmc Estimating paid and unpaid hours of personal assistance services in activities of daily living provided to adults living at home
    Mitchell P LaPlante
    Disability Statistics Center, Institute for Health and Aging, University of California at San Francisco, 94118, USA
    Health Serv Res 37:397-415. 2002
    ..To estimate the total hours of paid and unpaid personal assistance of daily living provided to adults living at home in the United States using nationally representative household survey data...
  70. ncbi request reprint California nursing facility quality and union environments
    James H Swan
    University of North Texas, Denton, USA
    J Aging Health 19:183-99. 2007
    ....
  71. ncbi request reprint The changing picture of hospital nurses
    Christine Tassone Kovner
    Hartford Institute for Geriatric Nursing, CT, USA
    Am J Nurs 102:93-4. 2002
  72. pmc Relationship of nursing home staffing to quality of care
    John F Schnelle
    UCLA Borun Center, 7150 Tampa Avenue Reseda, CA 91335, USA
    Health Serv Res 39:225-50. 2004
    ..To compare nursing homes (NHs) that report different staffing statistics on quality of care...
  73. ncbi request reprint Nursing expertise in caring for older adults
    Mathy Mezey
    Hartford Institute for Geriatric Nursing, Division of Nursing, Steinhardt School of Education, New York University, New York City, USA
    Am J Nurs 104:72. 2004
  74. pmc Shareholder value and the performance of a large nursing home chain
    Martin Kitchener
    Cardiff Business School, Cardiff University, Aberconway Building, Colum Drive, Cardiff CF10 3EU, UK
    Health Serv Res 43:1062-84. 2008
    ..To analyze corporate governance arrangements and quality and financial performance outcomes among large multi-facility nursing home corporations (chains) that pursue stakeholder value (profit maximization) strategies...
  75. ncbi request reprint Nurses Improving Care for Health System Elders (NICHE)
    Marie Boltz
    Practice Initiatives at the John A Hartford Foundation Institute for Geriatric Nursing, Division of Nursing, The Steinhardt School of Education, New York University, USA
    Am J Nurs 105:101-2. 2005
  76. doi request reprint Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDS
    Nancy A Miller
    University of Maryland, Baltimore County
    Med Care Res Rev 65:338-55. 2008
    ..Medicaid community-based care has been found to be related to improved outcomes and reduced costs of care. Ways to foster 1915(c) waiver expansion are important so as to increase access to care for PLWHA...
  77. ncbi request reprint Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownership
    Ciaran O'Neill
    RAND Corporation, Santa Monica, California 90407 2138, USA
    Med Care 41:1318-30. 2003
    ..This relationship might be explained by the context in which proprietary homes operate. However, another possible explanation is that some proprietary homes take excessive profit to the detriment of care quality...
  78. ncbi request reprint Long-term commitment and change: one nurse focuses on nursing home reform
    Loretta Hunt
    Am J Nurs 105:111. 2005
  79. ncbi request reprint Regulation of nursing facilities in the United States: an analysis of resources and performance of state survey agencies
    Kieran Walshe
    Health Services Management Centre, University of Birmingham, UK
    Gerontologist 42:475-87. 2002
    ..Design and Methods: A telephone and fax survey of survey agencies in all 50 states and the District of Columbia was used, supplemented by secondary data collected from CMS's On-Line Certification and Reporting (OSCAR) system...
  80. ncbi request reprint Hospital care for elderly
    Peri Rosenfeld
    Division of Nursing, Steinhardt School of Education, New York University, New York City, USA
    Am J Nurs 103:115. 2003
  81. ncbi request reprint Nursing care in assisted living facilities
    Christine Tassone Kovner
    Hartford Institute for Geriatric Nursing, New York University, NY, USA
    Am J Nurs 103:97-8. 2003