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.
To view a list of all the variables and their definitions, please see the data dictionary.
Three NIH Collaboratory Multiple Chronic Condition Demonstration Projects transition to implementation phase - September 14, 2015
Please see the following new posting on the NIH Collaboratory Website. After completing a planning phase, the three NIH Collaboratory Multiple Chronic Condition Demonstration Projects have transitioned to the implementation phase. https://www.nihcollaboratory.org/Pages/default.aspx
Faculty in the News
- On December 7, 2015, Assistant Professor Kali Thomas is featured at News from Brown. A randomized controlled trial showing that meal deliveries combat loneliness among seniors. "This continues to build the body of evidence that home-delivered meals provide more than nutrition and food security," says study lead author Kali Thomas.
- On October 19, 2015, Professor Vince Mor, Florence Pirce Grant University Professor, Professor of Health Services, Policy and Practice has been newly elected regular member of the National Academy of Medicine. The National Academy of Medicine, formerly the Institute of Medicine, announced today the election of 70 regular members and 10 international members during its annual meeting. Election to the Academy is considered one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.
- On October 5, 2015, Assistant Professor Momotazur 'Shantu'Rahman is featured at News from Brown. A new study finds that when elderly patients use more costly services such as nursing home, at-home, or acute hospital care they become more likely to find that private Medicare Advantage plans no longer serve their needs, driving them to transfer their coverage - and their costs - to traditional public medicare. Our results raise questions about whether current medicare Advantage regulations and payment formulas are designed to meed the needs of Medicare Advantage Members, October issue of the journal Health Affairs.
- 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.