Brown To Create Most Comprehensive Long-Term Care Database
The National Institute on Aging has awarded members of Brown University's Center for Gerontology and Health Care Research a major grant to create a first-ever national database that will allow researchers to study the impact of state policies and market forces on the quality of long-term care. The award comes at a time of increasing demand for the services of nursing homes and other long-term care providers; By 2020, an estimated 12 million U.S. elderly will need some form of long-term care.
LTCFocUS.org is a new website from the Shaping Long-Term Care in America Project being conducted at the Brown University Center for Gerontology and Healthcare Research and supported, in part, by the NIA. LTCFocUS.org provides users with research abstracts and publications and allows users to create their own tables and maps to gather information by state, county, or facility, including information on facility characteristics, geo-coded facility locations, resident characteristics, market characteristics, and state long-term care policies.
Pragmatic Trial of Video Education in Nursing Homes (PROVEN), Providence, RI; Professor Vince Mor. This trial will evaluate video education as a tool for decision-making for the patient, family, and health care team about advanced care planning in nursing homes, where residents typically have multiple chronic conditions. The videos will be tested to see how they help patients and staff address difficult decisions about resuscitation, use of ventilators in the last stages of illness, and similar important care issues. The study will be conducted in partnership with two large nursing home systems — Genesis and UHS-Pruitt. This project will be primarily overseen by the National Institute on Aging and secondarily by the National Institute of Nursing Research.
Faculty in the News
- On August 24, 2015, Professor Vince Mor has research published in the Journal of the American Geriatrics Society (JAGS). Amid debate about whether flu vaccination really helps the elderly, a new study provides fresh evidence that it does. Brown public health and infectious disease experts took a different approach to assess whether vaccination helps.
- On August 18, 2015, Professor Richard Besdine is featured at News from Brown, Promoting a better way to treat trauma in the elderly. Elderly patients under the stress of a trauma such as a hip fracture are highly vulnerable to delirium, heart or kidney failure, and other complications. Researchers, including Dr. Besdine, have shown that when an orthopaedist and a geriatrician co-manage care, results improve. With a new grant, Dr. Besdine will lead an effort to disseminate this idea to make it a national standard of care.
- On August 3, 2015, Associate Professor Amal Trivedi is lead author of a new study – the first on the topic in a long while – finds that when Medicare Advantage plans have waived a rule requiring a minimum of three days in the hospital before skilled nursing care can be covered, the effect was less time in the hospital, which can save money and reduce potential hospital complications for patients. Potentially negative implications were not in evidence. Hospital and skilled nursing care have changed a lot.
- On May 7, 2015, Associate Professor Pedro Gozalo is lead author of the study in the New England Journal of Medicine that examines the impact of growth in Medicare's hospice benefit among nursing home residents between 2004-2009. The researchers documented improvement in indicators of care quality, such as less reliance on intensive care and feeding tubes, but also found increased costs to Medicare.
- On May 6, 2015, Professor Joan Teno is lead author of study in the Journal of Palliative Medicine that surveys of loved ones who lost elderly relatives show that the perception of the quality of care for the dying in the US has worsened over the last decade. For all the health care industry has done to try to make progress, huge gaps remain between how care is delivered and what patients and their loved ones want.
- On March 20, 2015, Professor Susan Miller is lead author of the study in the Journal of Palliative Medicine, worked with colleagues to survey nursing directors at more than 1,900 nursing homes around the country between July 2009 and June 2010 to assess their knowledge of palliative care and their facility's implementation of key palliative care practices. The study is the first nationally representative sample of palliative care familiarity at nursing homes.
- On March 17, 2015, Professor Richard Besdine recently published an article in The Huffington Post on elder abuse. the piece "Why Elder Abuse is Everyone's Problem", which is featured on The Huffington Posts's 'Post 50' blog.
- On March 2, 2015, Assistant Professor Kali Thomas has shown that meal deliveries can help seniors stay in their homes and save some states money, but in a new report she documents that the service also provides psychological and health benefits, particularly for seniors who live alone. Meals on Wheels America asked Thomas to conduct a study, with funding from AARP.
- On February 5, 2015, Associate Professor Linda Resnik announced that The Foundation for Physical Therapy has awarded Brown University a $2.5-million, five-year grant for a new center of excellence to spur research in the field. In the Center on Health Services Training and Research (CoHSTAR), Brown, Boston University, and the University of Pittsburgh will train researchers and seed new studies to build the evidence base for physical therapy care and to improve how care is delivered.
- On January 29, 2015, Assistant Professor Becky Genberg has a study published in the journal Lancet HIV. A sweeping effort in a rural region of Kenya to test all adults for HIV discovered and reports that the campaign yielded more than 1,300 new positive diagnoses, but few of those new patients sought health care.
- On December 11, 2014, Associate Professor Amal Trivedi has special article published in The New England Journal of Medicine titled, "Quality and Equity of Care in U.S. Hospitals".
- On November 14, 2014, Assistant Professor Omar Galarraga has study published in the Journal of the International Aids Society. His team conducted interviews and infection tests with 267 male sex workers who come to the city's Clinica Especializada Condesa.
- On November 7, 2014, Terrie Fox Wetle, Dean, School of Public Health and Professor of Health Services Policy & Practice will be awarded the Irving S. Wright Award from the American Federation for Aging Research.