Research Topics
| J F SchnelleSummaryAffiliation: University of California Country: USA Publications
| Collaborators
|
Detail Information
Publications
Objective and subjective measures of the quality of managed care in nursing homesJ F Schnelle
UCLA Multi campus Program in Geriatric Medicine and Gerontology, Los Angeles, CA, USA
Med Care 37:375-83. 1999..In this study, we evaluated the medical care of residents enrolled in 3 health maintenance organizations (HMO) that developed specific long-term care programs...- Does an exercise and incontinence intervention save healthcare costs in a nursing home population?John F Schnelle
Veterans Administration Hospital, Sepulveda, California, USA
J Am Geriatr Soc 51:161-8. 2003..To determine whether an intervention that combines low-intensity exercise and incontinence care offsets some of its costs by reducing the incidence of selected health conditions in nursing home residents... - Phenotypic and functional characteristics of circulating monocytes of elderly personsH M Sadeghi
Center for Interdisciplinary Research in Immunology and Disease and the Jonsson Comprehensive Cancer Center, UCLA School of Medicine, Los Angeles, CA 90024 1747, USA
Exp Gerontol 34:959-70. 1999..Such age-related alterations in monocytes may contribute to impaired immune competence of aging... - Distinct categories of immunologic changes in frail elderlyJ L Fahey
Center for Interdisciplinary Research in Immunology and Disease CIRID and the UCLA AIDS Institute and Department of Microbiology and Immunology, UCLA School of Medicine, 90095 1747, Los Angeles, CA, USA
Mech Ageing Dev 115:1-20. 2000..These findings emphasize that several different groups of immune parameters but not 33 independent immune changes, occurred in the aged population... - Measurement sensitivity and the Minimum Data Set depression quality indicatorJ F Schnelle
University of California at Los Angeles Department of Medicine, USA
Gerontologist 41:401-5. 2001..The purpose of this study was to determine the accuracy of the prevalence rating of depression in nursing homes as flagged on the Minimum Data Set (MDS) quality indicator report... - The minimum data set depression quality indicator: does it reflect differences in care processes?S F Simmons
Jewish Home for the Aging Borun Center for Gerontological Research, UCLA, 7150 Tampa Ave, Reseda, CA 91335, USA
Gerontologist 44:554-64. 2004..The objective of this work was to determine if nursing homes that score differently on prevalence of depression, according to the Minimum Data Set (MDS) quality indicator, also provide different processes of care related to depression... - The identification of residents capable of accurately describing daily care: implications for evaluating nursing home care qualityS F Simmons
Jewish Home for the Aging, and the UCLA Borun Center for Gerontological Research, Reseda, CA 91335, USA
Gerontologist 41:605-11. 2001..The goal of this study was to develop a method of identifying incontinent nursing home (NH) residents capable of providing accurate interview information about daily NH care... - Strategies to measure nursing home residents' satisfaction and preferences related to incontinence and mobility care: implications for evaluating intervention effectsS F Simmons
Jewish Home for the Aging UCLA Borun Center for Gerontological Research, Reseda, CA 91335, USA
Gerontologist 39:345-55. 1999..Despite high reported rates of met need as assessed by two of the four methods, direct observations revealed low frequencies of care provision... - Improving food intake in nursing home residents with feeding assistance: a staffing analysisS F Simmons
Department of Geriatrics, Borun Center for Gerontological Research, University of California School of Medicine, Los Angeles, CA, USA
J Gerontol A Biol Sci Med Sci 56:M790-4. 2001.... - An intervention to increase fluid intake in nursing home residents: prompting and preference complianceS F Simmons
Department of Geriatrics, Borun Center for Gerontological Research, University of California, Los Angeles, School of Medicine, USA
J Am Geriatr Soc 49:926-33. 2001..Verbal prompting alone was effective in improving fluid intake in the more cognitively impaired residents, whereas preference compliance was needed to increase fluid intake among less cognitively impaired NH residents... - Effects of an exercise and scheduled-toileting intervention on appetite and constipation in nursing home residentsS F Simmons
Department of Geriatrics, Borun Center for Gerontological Research, University of California, Los Angeles, School of Medicine, Los Angeles, CA 91335, USA
J Nutr Health Aging 8:116-21. 2004..To evaluate the effects of an exercise and scheduled-toileting intervention on appetite and constipation in nursing home (NH) residents... 
Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patientsDavid A Ganz
Robert Wood Johnson Clinical Scholars Program, Veterans Affairs Greater Los Angeles Health Care System and University of California, Los Angeles, 911 Broxton Plaza, Los Angeles, CA 90024, USA
BMC Health Serv Res 5:35. 2005..However, the cost-effectiveness of increasing staffing to recommended levels is unknown...- A standardized quality assessment system to evaluate pain detection and management in the nursing homeMary P Cadogan
Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Los Angeles, CA 90095, USA
J Am Med Dir Assoc 6:1-9. 2005..Assessment and management of pain for nursing home residents is frequently reported to be inadequate, yet few studies have used objective criteria to measure the quality of care related to pain... - Using the minimum data set to select nursing home residents for interview about painLily Chu
Department of Medicine, Division of Geriatrics, Los Angeles Jewish Home for the Aging, School of Medicine, CA, USA
J Am Geriatr Soc 52:2057-61. 2004..To determine how many nursing home residents can provide stable responses to a simple pain interview and whether a Minimum Data Set (MDS) cognitive performance measure can be used to identify these residents... - Improving the quality of nursing home care and medical-record accuracy with direct observational technologiesJohn F Schnelle
Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, CA, USA
Gerontologist 45:576-82. 2005..The purpose of this article is to describe the steps to develop a standardized and scientifically defensible observational system to assess nursing home care quality... - Individualized feeding assistance care for nursing home residents: staffing requirements to implement two interventionsSandra F Simmons
University of California, Los Angeles, School of Medicine, Department of Geriatrics, Borun Center for Gerontological Research, 91335, USA
J Gerontol A Biol Sci Med Sci 59:M966-73. 2004..The purpose of this study was to evaluate the effects and staffing requirements of two individualized feeding assistance interventions to improve oral food and fluid intake in NH residents... - Accuracy of nursing home medical record information about care-process delivery: implications for staff management and improvementJohn F Schnelle
Department of Medicine, University of California at Los Angeles, Los Angeles, California, USA
J Am Geriatr Soc 52:1378-83. 2004..This article reviews methods to improve the accuracy of NH medical record documentation and to create data systems useful for staff training and management... - The Minimum Data Set bedfast quality indicator: differences among nursing homesBarbara M Bates-Jensen
Multicampus Program in Geriatric Medicine, School of Medicine, University of California, Los Angeles, CA, USA
Nurs Res 53:260-72. 2004.... - Psychoactive medications and actigraphically scored sleep quality in frail nursing home patientsK Elizabeth Greco
Emory University School of Medicine, Atlanta, GA 30329, USA
J Am Med Dir Assoc 5:223-7. 2004..The effect of individual classes of psychoactive drugs on sleep quality in this patient population requires further study... - The effects of staffing on in-bed times of nursing home residentsBarbara M Bates-Jensen
Department of Geriatrics, School of Medicine, University of California at Los Angeles, 91335, USA
J Am Geriatr Soc 52:931-8. 2004..To examine the effect of staffing level on time observed in bed during the daytime in nursing home (NH) residents... - Sustaining a best-care practice in a nursing homeCornelia Beck
Department of Geriatrics, National Institute on Aging, Alzheime s Disease Center at the University of Arkansas for Medical Sciences, USA
J Healthc Qual 27:5-16. 2005.... - A refined protocol for coding nursing home residents' comments during satisfaction interviewsLENE LEVY-STORMS
Department of Social Welfare and Medicine, University of California, Los Angeles, CA 90095 1656, USA
J Gerontol B Psychol Sci Soc Sci 60:S326-S330. 2005..This study's objective was to refine a method for coding nursing home (NH) residents' comments about their perceptions of care into unmet needs specific to the manner and frequency of care delivery... - Prevention of unintentional weight loss in nursing home residents: a controlled trial of feeding assistanceSandra F Simmons
Division of General Internal Medicine and Public Health, Center for Quality Aging, School of Medicine, Vanderbilt University, Nashville, Tennessee 37232 2400, USA
J Am Geriatr Soc 56:1466-73. 2008..To determine the effects of a feeding assistance intervention on food and fluid intake and body weight... - The nursing home culture-change movement: recent past, present, and future directions for researchAnna N Rahman
Scripps Gerontology Center, Dept of Sociology and Gerontology, Upham Hall Room 396, Miami University, Oxford, OH 45056 1879, USA
Gerontologist 48:142-8. 2008.... 
Transitioning residents from nursing facilities to community living: who wants to leave?Christy M Nishita
Andrus Gerontology Center, University of Southern California, Los Angeles, California 90089, USA
J Am Geriatr Soc 56:1-7. 2008....- A preliminary evaluation of the paid feeding assistant regulation: impact on feeding assistance care process quality in nursing homesSandra F Simmons
Vanderbilt University, 1310 24th Avenue South, GRECC 4 A131, Nashville, TN 37212, USA
Gerontologist 47:184-92. 2007..Organizers designed the PFA regulation to increase the number of staff available to provide assistance with eating and improve nutritional care process quality... - What do family members notice following an intervention to improve mobility and incontinence care for nursing home residents? An analysis of open-ended commentsLENE LEVY-STORMS
Department of Social Welfare, School of Public Affairs, Box 951656, 5226 Public Policy Building, Los Angeles, CA 90095 1656, USA
Gerontologist 47:14-20. 2007..The purpose of this study was to evaluate the sensitivity of family members' responses to open-ended interview questions about an intervention to improve incontinence and mobility care for their relative in a nursing home... - Direct observations of nursing home care quality: Does care change when observed?John F Schnelle
Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, Los Angeles, CA, USA
J Am Med Dir Assoc 7:541-4. 2006..This paper provides information about one important measurement issue (reactivity) that is often cited as a limitation of observational procedures in measuring usual care practices accurately... - A continuous quality improvement pilot study: impact on nutritional care qualitySandra F Simmons
University of California, Los Angeles, School of Medicine, Department of Geriatrics, Borun Center for Gerontological Research, Los Angeles, CA 91335, USA
J Am Med Dir Assoc 7:480-5. 2006..The purpose of this pilot study was to teach long-term care staff how to conduct continuous quality improvement (CQI) related to nutritional care... - Feeding assistance needs of long-stay nursing home residents and staff time to provide careSandra F Simmons
UCLA Borun Center for Gerontological Research, 7150 Tampa Avenue, Reseda, CA 91335, USA
J Am Geriatr Soc 54:919-24. 2006.... - CMS guidelines and improving continence care in nursing homes: the role of the medical directorJohn F Schnelle
J Am Med Dir Assoc 7:131-2. 2006 - A nonpharmacological intervention to improve sleep in nursing home patients: results of a controlled clinical trialJoseph G Ouslander
Division of Geriatric Medicine and Gerontology, Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA
J Am Geriatr Soc 54:38-47. 2006..To improve nighttime sleep in nursing home patients... - Evaluating the accuracy of minimum data set bed-mobility ratings against independent performance assessments: systematic error and directions for improvementBarbara M Bates-Jensen
Borun Center for Gerontological Research, School of Medicine, University of California, Los Angeles, 91335, USA
Gerontologist 45:731-8. 2005..The purpose of this study was to evaluate the accuracy of the MDS ADL bed-mobility item as completed by nursing home nurses with independent performance assessments conducted by research staff... - The minimum data set prevalence of restraint quality indicator: does it reflect differences in care?John F Schnelle
Borun Center for Gerontological Research, Department of Medicine, University of California Los Angeles, 7150 Tampa Avenue, Reseda, CA 91335, USA
Gerontologist 44:245-55. 2004.... - 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... - A minimum data set prevalence of pain quality indicator: is it accurate and does it reflect differences in care processes?Mary P Cadogan
Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Reseda, CA, USA
J Gerontol A Biol Sci Med Sci 59:281-5. 2004..The purpose of this study was to compare pain-related care processes between NHs that scored in the lower 25th percentile (low pain prevalence) or upper 75th percentile (high pain prevalence) based on this indicator... - Incidence and costs of acute medical conditions in long-stay incontinent nursing home residentsCathy A Alessi
University of California at Los Angeles Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California 91343, USA
J Am Med Dir Assoc 4:S4-S18. 2003..To determine the incidence of acute medical conditions in incontinent nursing home residents, and associated costs of diagnostic testing and treatment.. - Improving nursing home quality assessment: capturing the voice of cognitively impaired eldersJohn F Schnelle
J Gerontol A Biol Sci Med Sci 58:238-9. 2003 - The effects of an exercise and incontinence intervention on skin health outcomes in nursing home residentsBarbara M Bates-Jensen
Division of Geriatrics, University of California at Los Angeles School of Medicine, Los Angeles, CA, USA
J Am Geriatr Soc 51:348-55. 2003..To examine skin health outcomes of an exercise and incontinence intervention... - 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... - Family members' preferences for nutrition interventions to improve nursing home residents' oral food and fluid intakeSandra F Simmons
University of California at Los Angeles, School of Medicine, Department of Geriatrics and The Los Angeles Jewish Home for the Aging, Borun Center for Gerontological Research, Reseda, California 91335, USA
J Am Geriatr Soc 51:69-74. 2003..To measure family members' preferences for nutrition interventions to improve the oral food and fluid intake of their relatives in a nursing home... - Effects of a controlled exercise trial on pain in nursing home residentsSandra F Simmons
Department of Geriatrics, Borun Center for Gerontological Research, University of California, Los Angeles, School of Medicine, USA
Clin J Pain 18:380-5. 2002..To report preliminary data relevant to the effects of an exercise and toileting intervention on pain among incontinent nursing home (NH) residents... - Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care with nursing home residentsJohn F Schnelle
UCLA Multicampus Program in Geriatric Medicine and Gerontology, Los Angeles, California 91335, USA
J Am Geriatr Soc 50:1476-83. 2002..To examine clinical outcomes and describe the staffing requirements of an incontinence and exercise intervention... - Quality assessment in nursing homes by systematic direct observation: feeding assistanceSandra F Simmons
Department of Geriatrics, School of Medicine, Borun Center for Gerontological Research, University of California, Los Angeles, CA 91335, USA
J Gerontol A Biol Sci Med Sci 57:M665-71. 2002..This protocol is replicable and shows significant differences between facilities with respect to accuracy of oral intake documentation and the adequacy and quality of feeding assistance during mealtimes... - Indicators of the quality of nursing home residential careDebra Saliba
Geriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
J Am Geriatr Soc 50:1421-30. 2002..To identify quality indicators (QIs) that can be used to measure nursing home (NH) residential care processes... - Effects of an exercise intervention on immunologic parameters in frail elderly nursing home residentsZoher F Kapasi
Division of Physical Therapy, Department of Rehabilitation Medicine and Center for Health in Aging, Emory University School of Medicine, Atlanta, Georgia 30322, USA
J Gerontol A Biol Sci Med Sci 58:636-43. 2003.... - The minimum data set urinary incontinence quality indicators: do they reflect differences in care processes related to incontinence?John F Schnelle
Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, and Department of Medicine, Division of Geriatrics, UCLA, and Veterans Administration Hospital Sepulveda, Los Angeles, California, USA
Med Care 41:909-22. 2003..nursing homes that score in the lower 25th percentile (low prevalence) versus the upper 75th percentile (high prevalence) on each of two Minimum Data Set (MDS) incontinence quality indicators provide different incontinence care processes.. - Standardized quality-assessment system to evaluate pressure ulcer care in the nursing homeBarbara M Bates-Jensen
Division of Geriatrics, School of Medicine, University of California, Los Angeles, California, USA
J Am Geriatr Soc 51:1194-202. 2003..To demonstrate reliability and feasibility of a standardized protocol to assess and score quality indicators relevant to pressure ulcer (PU) care processes in nursing homes (NHs)... - Prescription analgesic and antidepressant utilization and cost among elderly Medicaid beneficiaries before and after nursing home admissionLily Chu
Department of Medicine, Division of Geriatrics, University of California at Los, Los Angeles School of Medicine, Los Angeles, CA 91335, USA
J Am Med Dir Assoc 5:75-81. 2004.... - Urinary and fecal incontinence in nursing homesJohn F Schnelle
Division of Geriatrics, UCLA David Geffen School of Medicine, Borun Center for Gerontological Research, USA
Gastroenterology 126:S41-7. 2004..The scientific documentation of the efficacy of such a noninvasive intervention and the labor costs of implementing these measures can lead to major changes in how nursing home care is funded and provided... - The minimum data set pressure ulcer indicator: does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?Barbara M Bates-Jensen
Division of Geriatrics, School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA
J Am Geriatr Soc 51:1203-12. 2003..To determine whether nursing homes (NHs) that score in the extreme quartiles of pressure ulcer (PU) prevalence as reported on the Minimum Data Set (MDS) PU quality indicator provide different PU care... - Determining the relationship between staffing and qualityJohn F Schnelle
Gerontologist 44:10-2. 2004 - A comparison of methods to assess nursing home residents' unmet needsLENE LEVY-STORMS
University of California, Los Angeles, School of Medicine, and the Los Angeles Jewish Home for the Aging Borun Center for Gerontological Research, Reseda 91335, USA
Gerontologist 42:454-61. 2002..This paper compares three interview methodologies to assess nursing home (NH) residents' unmet needs with regard to activity of daily living (ADL) care... - A standardized quality assessment system to evaluate incontinence care in the nursing homeJohn F Schnelle
Los Angeles Jewish Home for the Aging, UCLA Borun Center for Gerontological Research, Los Angeles, California, USA
J Am Geriatr Soc 51:1754-61. 2003..To demonstrate the reliability and feasibility of a standardized protocol to assess and score urinary incontinence care in nursing homes... - The quality of medical care provided to vulnerable community-dwelling older patientsNeil S Wenger
RAND Health, Santa Monica, California, USA
Ann Intern Med 139:740-7. 2003..Previous studies have focused on general medical conditions aimed at prolonging life, not on geriatric issues important for quality of life... - 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 minimum data set weight-loss quality indicator: does it reflect differences in care processes related to weight loss?Sandra F Simmons
Department of Geriatrics, University of California at Los Angeles School of Medicine, Borun Center for Gerontological Research, Los Angeles, California 91335, USA
J Am Geriatr Soc 51:1410-8. 2003..To determine whether nursing homes (NHs) that score differently on prevalence of weight loss, according to a Minimum Data Set (MDS) quality indicator, also provide different processes of care related to weight loss... - Continuous quality improvement in nursing homes: public relations or a reality?John F Schnelle
Vanderbilt Center for Quality Aging, Vanderbilt University, Nashville, TN 37232 8300, USA
J Am Med Dir Assoc 8:S2-5. 2007 - 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... - Developing innovative models to translate guidelines into practiceJohn F Schnelle
J Am Med Dir Assoc 5:55-6. 2004