Research Topics
| Charlene HarringtonSummaryAffiliation: University of California Country: USA Publications
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Publications
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...
Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companiesCharlene 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...- Disparities in service utilization and expenditures for individuals with developmental disabilitiesCharlene 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... 
Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing ExcellenceCharlene 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- Factors associated with living in developmental centers in CaliforniaCharlene 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... - Variation in the use of federal and state civil money penalties for nursing homesCharlene 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... - Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United StatesCharlene 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... - Medicare and medicaid in long-term careTerence 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... - 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... - Change and inertia in the New York state Medicaid Personal Care Services program: an institutional case studyToby 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... - Estimating the expense of a mandatory home-and community-based personal assistance services benefit under MedicaidMitchell 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... - Medicaid 1915(c) home and community-based services waivers: a national survey of eligibility criteria, caps, and waiting listsMartin 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... - Developing personal care programs: national trends and interstate variation, 1992-2002Martin 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... - Nurse staffing levels and Medicaid reimbursement rates in nursing facilitiesCharlene 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... - Chain reaction: an exploratory study of nursing home bankruptcy in CaliforniaMartin 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... - Focus group study of ethnically diverse low-income users of paid personal assistance servicesJoseph 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... - Quality of care in nursing home organizations: establishing a health services research agendaCharlene 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.... - Nursing indicators of quality in nursing homes. A Web-based approachCharlene 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... - The effect of state regulatory stringency on nursing home qualityDana 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... - The relationship of California's Medicaid reimbursement system to nurse staffing levelsDana 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... - Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilizationMartin 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... - Medicaid State Plan personal care services: trends in programs and policiesMartin 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... - Paid personal assistance services:an exploratory study of working-age consumers' perspectivesBrian 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... - State Medicaid home care policies: inside the black boxMartin 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... - Variation in types of service use and expenditures for individuals with developmental disabilitiesTaewoon 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... - 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... - Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rulesMartin 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... - Assistive technology in medicaid home- and community-based waiver programsMartin 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... - Case study: development of and stakeholder responses to a nursing home consumer information systemJanis 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... - Smoke without fire: nursing facility closures in California, 1997-2001Martin Kitchener
Department of Social and Behavioral Sciences, University of California, San Francisco 94118, USA
Inquiry 41:189-202. 2004.... - Residential care provision in Medicaid home- and community-based waivers: a national study of program trendsMartin 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... - The personal assistance workforce: trends in supply and demandH Stephen Kaye
Institute for Health and Aging, University of California, San Francisco UCSF, USA
Health Aff (Millwood) 25:1113-20. 2006.... - Discharge planning, nursing home placement, and the InternetEric 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... - Trends in state certificate of need and moratoria programs for long term care providersCharlene 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... - Nursing homes appeals of deficiencies: the informal dispute resolution processDana 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... - Emergency department use by nursing home residents: effect of severity of cognitive impairmentCaroline 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)... - Nursing home staffing, turnover, and case mixCharlene 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... - Designing a report card for nursing facilities: what information is needed and whyCharlene 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... - Staffing characteristics, turnover rates, and quality of resident care in nursing facilitiesEric 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... - Medicaid home and community-based services: national program trendsMartin Kitchener
Department of Social and Behavioral Sciences, University of California, San Francisco UCSF, USA
Health Aff (Millwood) 24:206-12. 2005.... - Nurse staffing in nursing homes in the United StatesCharlene 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... - Addressing the dramatic decline in RN staffing in nursing homesCharlene Harrington
School of Nursing, University of California, San Francisco, USA
Am J Nurs 105:25. 2005 - Medicaid home- and community-based services: impact of the affordable care actCharlene 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... - Nursing facility and home and community based service need criteria in the United StatesM 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... - Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequencesMitchell P LaPlante
Disability Statistics Center, University of California, San Francisco, CA 94118, USA
J Gerontol B Psychol Sci Soc Sci 59:S98-S108. 2004.... - The effects of an inpatient palliative care team on discharge dispositionAbraham 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... - Medicaid waiver programs for traumatic brain and spinal cord injuryMartin 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... - 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... - 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 Electronic address
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... - 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... - Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physiciansDebra 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... - Nursing home staffing standards and staffing levels in six countriesCharlene 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... - State nursing home enforcement systemsCharlene 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... - Nurse staffing in nursing homes in the United States: Part IICharlene 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... - Assessing California's nursing home staffing standardsCharlene Harrington
UCSF John A. Harford Center of Geriatric Nursing Excellence, University of California, San Francisco, USA
Policy Polit Nurs Pract 7:11-3. 2006 - The U.S. long-term care field: a dialectic analysis of institution dynamicsArtin 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.... - The collection and use of funds from civil money penalties and fines from nursing homesTheodore 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..IMPLICATIONS: Funds from federal and state penalties and fines vary widely across states. These funds are a resource for improving the quality of nursing home care that needs more attention from policy makers and stakeholder groups... - Institutional and community-based long-term care: a comparative estimate of public costsMartin 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... - 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... - Advanced nursing training in health policy: designing and implementing a new programCharlene 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... - Reflections on research and policy. The Doris Schwartz Award LectureCharlene Harrington
School of Nursing, University of California, San Francisco, USA
J Gerontol Nurs 32:6-8. 2006.... - Challenges and accomplishments of the second-generation social health maintenance organizationRobert 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... - CMS study: correlation between staffing and qualityChristine Tassone Kovner
Hartford Institute for Geriatric Nursing, Division of Nursing, New York University, NY, USA
Am J Nurs 102:65-6. 2002 - Who cares for older adults? Workforce implications of an aging societyChristine 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... - California nursing facility quality and union environmentsJames H Swan
University of North Texas, Denton, USA
J Aging Health 19:183-99. 2007.... - Relationship of nursing home staffing to quality of careJohn F Schnelle
UCLA Borun Center, 7150 Tampa Avenue Reseda, CA 91335, USA
Health Serv Res 39:225-50. 2004..CONCLUSION: The highest-staffed NHs reported significantly lower resident care loads on all staffing reports and provided better care than all other homes... - Strengthening home and community-based care through Medicaid waiversNancy 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... - Estimating paid and unpaid hours of personal assistance services in activities of daily living provided to adults living at homeMitchell 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..This study begins to articulate the division of labor in the provision of personal assistance. Estimates of paid and unpaid hours of help by number of ADLs should inform policy concerning eligibility boundaries in long term care... - The changing picture of hospital nursesChristine Tassone Kovner
Hartford Institute for Geriatric Nursing, CT, USA
Am J Nurs 102:93-4. 2002 - Access to community-based long-term care: Medicaid's roleNancy A Miller
University of Maryland, Baltimore County, USA
J Aging Health 14:138-59. 2002..The most consistent relationships that are amenable to policy intervention relate to state fiscal resources and long-term care supply regulation... - 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 - Variation by disability in state predictors of Medicaid 1915c waiver use and expendituresNancy 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... - NPs in nursing homes: an issue of qualityMathy 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 - Shareholder value and the performance of a large nursing home chainMartin 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... - Nursing expertise in caring for older adultsMathy 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 - Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownershipCiaran 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... - Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDSNancy 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... - Regulation of nursing facilities in the United States: an analysis of resources and performance of state survey agenciesKieran Walshe
Health Services Management Centre, University of Birmingham, UK
Gerontologist 42:475-87. 2002.... - Long-term commitment and change: one nurse focuses on nursing home reformLoretta Hunt
Am J Nurs 105:111. 2005 - Hospital care for elderlyPeri Rosenfeld
Division of Nursing, Steinhardt School of Education, New York University, New York City, USA
Am J Nurs 103:115. 2003 - Nursing care in assisted living facilitiesChristine Tassone Kovner
Hartford Institute for Geriatric Nursing, New York University, NY, USA
Am J Nurs 103:97-8. 2003