Research Topics
| Dana MukamelSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
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...- 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...- 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... - End-of-life quality-of-care measures for nursing homes: place of death and hospiceDana B Mukamel
University of California, Irvine, Health Policy Research Institute, Irvine, CA 92697 5800, USA
J Palliat Med 15:438-46. 2012..This study developed prototype EOL QMs that can be calculated from data sources available for all nursing homes nationally... - Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety IndicatorsLaurent G Glance
Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
BMC Health Serv Res 8:176. 2008..The objective of this study is to examine whether the AHRQ PSIs accurately measure hospital complication rates, using the data with present-on-admission (POA) codes to distinguish between complications and pre-existing conditions.. 
Quality report cards, selection of cardiac surgeons, and racial disparities: a study of the publication of the New York State Cardiac Surgery ReportsDana B Mukamel
Department of Medicine, Division of General Internal Medicine and Primary Care, Center for Health Policy Research, University of California, Irvine, 111 Academy Way, Suite 220, Irvine, CA 92697 5800, USA
Inquiry 41:435-46. 2004..Furthermore, selection of surgeons for black patients is as sensitive to the published information as is the selection for white patients...- Racial variations in the choice of on-pump versus off-pump coronary artery bypass graftingDana Mukamel
Department of Medicine, Center for Health Policy Research, University of California, Irvine, CA, USA
J Health Serv Res Policy 12:31-5. 2007..To examine explanations of differences in utilization rates of a newly reintroduced technique - off-pump coronary artery bypass grafting (CABG) - between racial minorities and Whites... - Does risk adjustment of the CMS quality measures for nursing homes matter?Dana B Mukamel
University of California Irvine, Center for Health Policy Research, Irvine, California 92697 5800, USA
Med Care 46:532-41. 2008..The Centers for Medicare and Medicaid Services (CMS) publish a report card for nursing homes with 19 clinical quality measures (QMs). These measures include minimal risk adjustment... - Nursing homes' response to the nursing home compare report cardDana B Mukamel
Department of Medicine, Center for Health Policy Research, University of California, Irvine, 111 Academy, Suite 220, Irvine, CA 92697 5800, USA
J Gerontol B Psychol Sci Soc Sci 62:S218-25. 2007..The objective of this study was to examine the initial reactions of nursing homes to publication of the report card and to evaluate the impact of the report card on quality-improvement activities... - Team performance and risk-adjusted health outcomes in the Program of All-Inclusive Care for the Elderly (PACE)Dana B Mukamel
University of California, Irvine, 111 Academy Way, Suite 220, Irvine, CA 92697, USA
Gerontologist 46:227-37. 2006..The purpose of this study was to examine the association between the team's overall performance and the risk-adjusted health outcomes of program enrollees... - Interpreting market share changes as evidence for effectiveness of quality report cardsDana B Mukamel
Department of Medicine, Division of General Internal Medicine and Primary Care, Center for Health Policy Research, University of California, Irvine, California 92697-5800, USA
Med Care 45:1227-32. 2007 - Changes in racial disparities in access to coronary artery bypass grafting surgery between the late 1990s and early 2000sDana B Mukamel
Center for Health Policy Research, University of California Irvine, 111 Academy Suite, Irvine, CA 92697, USA
Med Care 45:664-71. 2007..Minorities, African American patients in particular, have lower utilization rates for coronary artery bypass graft surgery (CABG) and, compared with white patients, they receive care from surgeons with worse records of performance... - Cost implications of organizing nursing home workforce in teamsDana B Mukamel
University of California, Irvine, Center for Health Policy Research, Irvine, CA, USA
Health Serv Res 44:1309-25. 2009..To estimate the costs associated with formal and self-managed daily practice teams in nursing homes... - Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE)Dana B Mukamel
University of California at Irvine, Center for Health Policy Research, Irvine, CA 92697, USA
Milbank Q 85:499-531. 2007..Several program characteristics were associated with better functional outcomes. Fewer were associated with long-term self-assessed health, and only one with mortality. These findings offer strategies that may lead to better care... - 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... - Changes in clinical and hotel expenditures following publication of the nursing home compare report cardDana B Mukamel
Department of Medicine, University of California Irvine, Health Policy Research Institute, Irvine, CA 92697 5800, USA
Med Care 48:869-74. 2010..It led to changes in consumers' demand, increasing the relative importance of clinical versus hotel aspects of quality in their search and choice of a nursing home... - Measuring quality for public reporting of health provider quality: making it meaningful to patientsDana B Mukamel
Health Policy Research Institute, University of California Irvine, 100 Theory, Suite 110, Irvine, CA 92697 5800, USA
Am J Public Health 100:264-9. 2010..We demonstrate that 2 properties of shrinkage estimators make them less useful than nonshrinkage estimators for patients making choices in their area of residence... - Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individualsDana B Mukamel
University of California, Department of Medicine, Irvine, USA
Int J Qual Health Care 16:293-301. 2004..To develop and investigate the properties of three performance measures based on risk-adjusted health outcomes for a frail, elderly, community-dwelling population enrolled in a managed, acute, and long-term care program... - The costs of turnover in nursing homesDana B Mukamel
Department of Medicine, University of California, Irvine, California, USA
Med Care 47:1039-45. 2009..Turnover rates in nursing homes have been persistently high for decades, ranging upwards of 100%... - Is there evidence of cream skimming among nursing homes following the publication of the Nursing Home Compare report card?Dana B Mukamel
Health Policy Research Institute, University of California, Irvine, Irvine, CA 92697 5800, USA
Gerontologist 49:793-802. 2009..The objective of this study was to test empirically the hypothesis that nursing homes have responded to the publication of the report by adopting cream skimming admission policies... - Are patients with coexisting mental disorders more likely to receive CABG surgery from low-quality cardiac surgeons? The experience in New York StateYue Li
Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, 461 Grider Street, Buffalo, NY 14215, USA
Med Care 45:587-93. 2007..Presence of a mental disorder has been shown to be associated with reduced access to medical and surgical services. Little is known, however, about the relationship between mental disorders and the quality of medical/surgical care received... - Nursing home spending patterns in the 1990s: the role of nursing home competition and excess demandDana B Mukamel
Department of Medicine, University of California, Irvine, CA, USA
Health Serv Res 40:1040-55. 2005..CONCLUSIONS: Nursing home expenditures are sensitive to competition and excess demand conditions. Policies that influence competition in nursing home markets are therefore likely to have an impact on expenditures as well... - The volume-outcome relationship in nursing home care: an examination of functional decline among long-term care residentsYue Li
Health Policy Research Institute, and Department of Medicine, University of California, Irvine, CA 92697, USA
Med Care 48:52-7. 2010..This study sought to determine whether a similar association exists between nursing home volume of long-term care residents and rates of decline in physical function... - National release of the nursing home quality report cards: implications of statistical methodology for risk adjustmentYue Li
Department of Medicine, University of California, Irvine, CA 92697, USA
Health Serv Res 44:79-102. 2009..DATA SOURCES/STUDY SETTINGS: Secondary data from the national Minimum Data Set files of 2004 and 2005 that include 605,433 long-term residents in 9,336 facilities... - Mental illness and hospitalization for ambulatory care sensitive medical conditionsYue Li
Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York, USA
Med Care 46:1249-56. 2008..It is unknown whether patients with mental disorders have higher ACS admission rate, compared with patients without mental disorders... - Publication of quality report cards and trends in reported quality measures in nursing homesDana B Mukamel
Center for Health Policy Research, 111 Academy, University of California, Suite 220, Irvine, CA 92697 5800, USA
Health Serv Res 43:1244-62. 2008.... - Adverse hospital events for mentally ill patients undergoing coronary artery bypass surgeryYue Li
Department of Medicine, ECMC, Clinical Center CC 163, State University of New York at Buffalo, 462 Grider Street, Buffalo, NY 14215, USA
Health Serv Res 43:2239-52. 2008..Patients with mental disorders show higher burden of coronary heart disease, and may face special safety issues during in-hospital cardiac care... - Racial disparities in receipt of influenza and pneumococcus vaccinations among US nursing-home residentsYue Li
Health Policy Research Institute and the Department of Medicine, University of California, Irvine, USA
Am J Public Health 100:S256-62. 2010..We examined racial disparities in receipt and documentation of influenza and pneumococcus vaccinations among nursing-home residents... - Referrals to high-quality cardiac surgeons: patients' race and characteristics of their physiciansDana B Mukamel
Center for Health Policy Research, University of California, 111 Academy Suite 220, Irvine, CA 92697-5800, USA
Health Serv Res 41:1276-95. 2006..CONCLUSIONS: Several different pathways lead blacks to cardiac surgeons of lower quality. Further research is needed to understand the causes and inform policies designed to minimize disparities in access to high-quality providers... - Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderlySusan M Friedman
Department of Medicine, University of Rochester, Highland Hospital, Box 58, 1000 South Avenue, Rochester, NY 14620, USA
Gerontologist 46:456-63. 2006..We sought to determine whether participants in the Program of All-Inclusive Care for the Elderly (PACE) with an informal caregiver have a higher or lower risk of nursing home admission than those without caregivers... - Characteristics predicting nursing home admission in the program of all-inclusive care for elderly peopleSusan M Friedman
Department of Medicine, University of Rochester, NY, USA
Gerontologist 45:157-66. 2005..This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE)... - Gender differences in healthcare-seeking behavior for urinary incontinence and the impact of socioeconomic status: a study of the Medicare managed care populationYue Li
Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, 462 Grider Street, New York, NY 14215, USA
Med Care 45:1116-22. 2007..Despite the gender difference in etiology, prevalence and management of urinary incontinence (UI) among community-living older adults, little is known about the effect of gender on their healthcare-seeking behaviors... - Estimating the potential impact of regionalizing health care delivery based on volume standards versus risk-adjusted mortality rateLaurent G Glance
Department of Anesthesiology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
Int J Qual Health Care 19:195-202. 2007..To examine whether basing regionalization on risk-adjusted mortality would lead to better population outcomes than basing regionalization on procedure volume... - Purchasing or providing nursing home care: can quality of care data provide guidanceDan R Berlowitz
Center for Health Quality, Outcomes, and Economic Research, Bedford Veterans Affairs Hospital, 200 Springs Road, Bedford, MA 01730, USA
J Am Geriatr Soc 53:603-8. 2005.... - Nursing home costs and quality of care outcomesLanis L Hicks
School of Medicine, University of Missouri-Columbia, Columbia, MO, USA
Nurs Econ 22:178-92, 175. 2004..While each individual quality measure makes only small contributions to costs, when considered across the facility, quality could have a substantial financial impact on the operations of the home... - Social support and risk-adjusted mortality in a frail older populationHelena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
Med Care 42:779-88. 2004..The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services... - The growing pains of integrated health care for the elderly: lessons from the expansion of PACEDiane L Gross
University of Rochester, USA
Milbank Q 82:257-82. 2004..This experience offers important lessons for providing integrated health care to the frail elderly... - Is the hospital volume-mortality relationship in coronary artery bypass surgery the same for low-risk versus high-risk patients?Laurent G Glance
Department of Anesthesiology, University of Rochester Medical Center, School of Medicine and Dentistry, New York, Rochester 14642, USA
Ann Thorac Surg 76:1155-62. 2003..The objective of this study was to determine whether the volume-outcome association for CABG surgery is modified by patient risk... - Quality report cards and nursing home qualityDana B Mukamel
Department of Community and Preventive Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA
Gerontologist 43:58-66. 2003..This study examined the potential role that publicly disseminated quality report cards can play in improving quality of care in nursing homes... - Development of a risk-adjusted urinary incontinence outcome measure of quality for nursing homesDana B Mukamel
Department of Community and Preventive Medicine, University of Rochester Medical Center, New York 14642, USA
Med Care 41:467-78. 2003..Quality of nursing home care is of ongoing concern. The availability of uniform, patient-level information-the Minimum Data Set (MDS)-offers the opportunity to assess quality based on risk-adjusted health outcomes... - Quality of cardiac surgeons and managed care contracting practicesDana B Mukamel
University of Rochester Medical Center, NY 14642, USA
Health Serv Res 37:1129-44. 2002..CONCLUSIONS: In some, but not all cases, MCOs are seeking higher-quality providers. Further research is required to understand regional variability and the effect of market structure on the quality profile of MCOs... - Health care services utilization at the end of life in a managed care program integrating acute and long-term careDana B Mukamel
Department of Community and Preventive Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA
Med Care 40:1136-48. 2002..The period preceding death is often characterized by increased utilization of medical resources. There is an ongoing debate on the reasons for and the appropriateness of increased utilization at the end of life... - Use of resident-origin data to define nursing home market boundariesJack Zwanziger
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, NY 14642, USA
Inquiry 39:56-66. 2002..This shows that nursing home markets tend to be more concentrated than those that result from assuming countywide markets. These results suggest that studies of nursing home markets should not use counties as markets... - Predicting place of death in the program of all-inclusive care for the elderly (PACE): participant versus program characteristicsHelena Temkin-Greener
Community Coalition for Long Term Care, Inc, Rochester, New York 14604, USA
J Am Geriatr Soc 50:125-35. 2002..The PACE end-of-life practice style could potentially be applied to other populations and may have important public policy implications... - Impact of the present-on-admission indicator on hospital quality measurement: experience with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality IndicatorsLaurent G Glance
University of Rochester School of Medicine, Rochester, New York, USA
Med Care 46:112-9. 2008..The extent to which the lack of a POA indicator biases quality assessment based on the AHRQ mortality measures is unknown... - Are high-quality cardiac surgeons less likely to operate on high-risk patients compared to low-quality surgeons? Evidence from New York StateLaurent G Glance
Department of Anesthesiology, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 604, Rochester, NY 14642, USA
Health Serv Res 43:300-12. 2008..It is unknown whether high-risk cardiac surgical patients have less access to high-quality surgeons compared with lower-risk patients... - Use of a matching algorithm to evaluate hospital coronary artery bypass grafting performance as an alternative to conventional risk adjustmentLaurent G Glance
University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
Med Care 45:292-9. 2007..Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown... - Impact of changing the statistical methodology on hospital and surgeon ranking: the case of the New York State cardiac surgery report cardLaurent G Glance
Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
Med Care 44:311-9. 2006..Risk adjustment is central to the generation of health outcome report cards. It is unclear, however, whether risk adjustment should be based on standard logistic regression, fixed-effects or random-effects modeling... - Strategic orientation and nursing home response to public reporting of quality measures: an application of the miles and snow typologyJacqueline S Zinn
Department of Risk, Insurance and Healthcare Management, Temple University, 413 Ritter Annex, Philadelphia, PA 19122, USA
Health Serv Res 43:598-615. 2008.... - Disenrollment from an acute/long-term managed care program (PACE)Helena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York 14642, USA
Med Care 44:31-8. 2006..To our knowledge, this is a first study to examine patterns and predictors of disenrollment from PACE... - Variations in service use in the Program of All-Inclusive Care for the Elderly (PACE): is more better?Helena Temkin-Greener
Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
J Gerontol A Biol Sci Med Sci 63:731-8. 2008..We examine variation in the risk-adjusted utilization of acute, rehabilitative, and supportive services in PACE, and assess whether use of these services is associated with risk-adjusted functional outcomes... - Hospital competition, resource allocation and quality of careDana B Mukamel
University of Rochester Medical Center, Rochester, New York 14642, USA
BMC Health Serv Res 2:10. 2002.... - Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York StateLaurent G Glance
University of Rochester School of Medicine, Rochester, NY, USA
J Thorac Cardiovasc Surg 134:53-8. 2007..Complications are associated with increased risk of death. The objective of this study is to quantify the increased odds of dying from complications after isolated coronary artery bypass grafting surgery... - Racial differences in the use of epidural analgesia for laborLaurent G Glance
University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
Anesthesiology 106:19-25; discussion 6-8. 2007..There is strong evidence that pain is undertreated in black and Hispanic patients. The association between race and ethnicity and the use of epidural analgesia for labor is not well described... - Accuracy of hospital report cards based on administrative dataLaurent G Glance
Department of Anesthesiology, University of Rochester School of Medicine, 601 Elmwood Avenue, Box 601, Rochester, NY 14642, USA
Health Serv Res 41:1413-37. 2006..However, the CPAA modifier will need to be further validated before date stamped administrative data can be used as the basis for health quality report cards... - Do trends in the reporting of quality measures on the nursing home compare web site differ by nursing home characteristics?Jacqueline Zinn
Department of Risk, Insurance and Healthcare Management, Fox School of Business and Management, Temple University, Philadelphia PA 19122, USA
Gerontologist 45:720-30. 2005.... - Trends in geographic disparities in allocation of health care resources in the USTuvia Horev
Department of Health Policy and Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, Israel
Health Policy 68:223-32. 2004..CONCLUSIONS: Rates per capita might not be sufficient in determining availability of resources. Further research is needed to determine implications for health outcomes... - Does date stamping ICD-9-CM codes increase the value of clinical information in administrative data?Laurent G Glance
Department of Anesthesiology, University of Rochester Medical Center, Rochester, NY 14642, USA
Health Serv Res 41:231-51. 2006..The use of data fields that indicates whether each secondary diagnosis was present at the time of hospital admission may lead to the more accurate identification of preexisting conditions... - The relation between surgeon volume and outcome following off-pump vs on-pump coronary artery bypass graft surgeryLaurent G Glance
University of Rochester School of Medicine, Rochester, NY, USA
Chest 128:829-37. 2005....
Research Grants
- Nursing Homes Quality and Variations in State RegulationsDana Mukamel; Fiscal Year: 2009..S. population. ..
- Nursing Homes Response to Quality Indictors PublicationDana Mukamel; Fiscal Year: 2007..Statistical regression techniques will be used to analyze the data and test specific hypotheses. ..
- Nursing Homes Quality and Variations in State RegulationsDana Mukamel; Fiscal Year: 2007..S. population. ..
- Racial Disparity in Access High Quality Cardiac SurgeonsDana Mukamel; Fiscal Year: 2005..The knowledge gained in this project is essential for development of targeted programs that could successfully address the disparity in access to high quality cardiac care among elderly racial minorities. ..
- STRUCTURE, PROCESS AND OUTCOMES IN THE PACE PROGRAMDana Mukamel; Fiscal Year: 2003..The knowledge gained from this study would have direct bearing on efforts to improve care in PACE programs, as well as implications for other programs serving frail, non-institutionalized elderly. ..
- Nursing Homes Quality and Variations in State RegulationsDana B Mukamel; Fiscal Year: 2010..S. population. ..