Healthcare Policy Research

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A Closer Look at Filipina Women Immigrants’ Role as State Welfare Replacements

The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. The public-private welfare state has led to the continued displacement of some of our most disenfranchised groups in need of long-term care. Situated after the U.S. deinstitutionalization era, this study, published in The International Journal of Health Services, is the first to examine how immigrant Filipino women emerged as owners of de facto mental health care facilities that cater to the displaced, impoverished, severely mentally ill population. Jennifer Nazareno, Brown University Presidential Diversity Postdoctoral Fellow in Public Health and the Jonathan M. Nelson Center for Entrepreneurship, sought to explain the onset of these businesses and the challenges that one immigrant group faces as owners, the meanings of care associated with their de facto mental health care enterprises, and the conditions under which they have operated for more than 40 years. READ MORE

Hospital Readmissions for Severe Dysglycemia, Its Potential Predictors, and the Impact of Severe Hypoglycemic and Hyperglycemic Events

Andrew Zullo, assistant professor of health services, policy, and practice, published a commentary in the Journal of General Internal Medicineon a recently published retrospective cohort study by McCoy et al. (2017). This study utilized administrative data from commercially insured and Medicare Advantage beneficiaries with diabetes to describe the relative frequency of hospital readmissions for severe dysglycemia (hypoglycemia and hyperglycemia) and other causes. It also examined potential predictors of such events. READ MORE

Hospitals in Medicare ACOs reduced readmissions faster

Hospitals in Medicare Accountable Care Organizations outpaced non-ACO hospitals in reducing the rate at which patients discharged to skilled nursing facilities (SNFs) needed to return to the hospital, according to a new study in the January issue of Health AffairsThe new study suggests that while all hospitals reduced their readmission rates following the adoption of readmission penalties, ACO hospitals reduced them at a faster rate.

“This is about understanding whether ACOs work or not,” said Momotazur Rahman, a study co-author and assistant professor of health services, policy and practice. “It seems like they are doing slightly but significantly better than non-ACO hospitals.” READ MORE

Innovative Methodology to Identify Medicare Beneficiaries Residing in Large Assisted Living Facilities

The purpose of this study, published in Medical Careand led by Kali Thomas, Assistant Professor of Health Services, Policy and Practice, and faculty member in the Center for Gerontology and Healthcare Research, was to develop and test a novel methodology to identify residents in large assisted living facilities using secondary data sources, specifically the 9-digit ZIP code reported in Medicare enrollment records. READ MORE

Palliative Care in Nursing Homes Found to Cut Hospitalizations

The purpose of this study, published in the Journal of the American Geriatrics Society and led by Susan Miller, professor of health services, policy and practice, was to evaluate how receipt and timing of nursing home palliative care consultations are associated with end-of-life care transitions and acute care use. read more

The Food and Activity Environments of Childcare Found to Be Promising Areas for Improving Nutrition and Activity for Children

This study, published in BMC Nutrition, by Patricia Markham Risica, Assistant Professor of Epidemiology and Behavioral and Social Sciences, was to assess the current state of food served and physical activity practices of Rhode Island childcare centers to identify potential areas for improvement in the DCYF regulations and implementation, by comparing centers with and without USDA Child and Adult Care Food Program participation to assess the potential influence of guidelines in the environments of childcare centers. read more