The NC Rural Health Research Program’s Findings Brief, Discharge to Swing Bed or Skilled Nursing Facility: Who Goes Where, examines health conditions of patients discharged from rural Prospective Payment System (PPS) hospitals and Critical Access Hospitals (CAHs) to swing beds and skilled nursing facilities (SNFs). Patients discharged to facility-based, post-acute care from CAHs are sent… Read more »
Program on Health Workforce Nursing Data System Briefs for Robert Wood Johnson Foundation’s Interdisciplinary Nursing Quality Research Initiative (INQRI)
A new set of three briefs, developed by a team of researchers funded by the Robert Wood Johnson Foundation’s Interdisciplinary Nursing Quality Research Initiative (INQRI), provides information and guidance to help states build and maintain nursing workforce data systems that will help answer questions about the current and future supply, distribution, diversity, and demand for… Read more »
Study to evaluate Mouth Care Without a Battle finds that as little as 8 weeks of mouth care can significantly improve oral hygiene outcomes
Program on Aging, Disability, and Long-term Care team members Philip Sloane, Sheryl Zimmerman, Lauren Cohen, and David Reed have published the results of a pilot study to evaluate the Mouth Care Without a Battle training program. Findings indicate that as few as 8 weeks of mouth care can significantly improve oral hygiene outcomes in older… Read more »
Morrissey JP, Thomas KC, Ellis AR, Konrad TR. Development of a New Methodology for Mental Health Professional Shortage Designation. Unpublished report prepared under contract HHSH-230200532038C with the Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 2007.
This recent Findings Brief from the North Carolina Rural Health Research Program finds that Medicare beneficiaries who are admitted to rural hospitals tend to have lower outpatient costs than Medicare beneficiaries admitted to urban hospitals. These differences are due to multiple factors, some of which were adjusted in the comparisons included in the Brief. The… Read more »
The NC Rural Health Research Program’s Findings Brief, Implications for Beneficiary Travel Time if Financially Vulnerable Critical Access Hospitals Close, examines how changes to Critical Access Hospitals reimbursement that may spur some CAHs to close, with the most financially vulnerable more likely to close. The average resident of these communities would experience an 80 percent… Read more »
Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement
The North Carolina Rural Health Research Program released their Findings Brief, . It looks at how changes to Critical Access Hospitals (CAHs) reimbursement – notably a reversion to prospective payment – would have marked negative effects on CAH profitability and financial health. Roughly three quarters of CAHs would operate at a loss. The number of CAHs… Read more »
The NC Rural Health Research Program’s Findings Brief, Geographic Variation in the Profitability of Critical Access Hospitals, examines how the profitability of Critical Access Hospitals (CAHs) varies greatly across states and U.S. Census divisions. The decertification of CAHs and the loss of cost-based reimbursement are likely to reduce hospital profitability, with some states and regions… Read more »
The North Carolina Rural Health Research Program recently released Profitability in Rural Hospitals, authored by George H. Pink, PhD; Victoria Freeman, RN, DrPH; Randy Randolph, MRP; and G. Mark Holmes, PhD. This new findings brief compares the profitability between 2010 and 2012 for urban and rural hospitals paid under the Medicare Prospective Payment System (PPS),… Read more »
The debate on how best to reform and fund Graduate Medical Education (GME) is moving up the health policy agenda. Most of the proposals are coming from national organizations offering national solutions. Often absent from the discussion is the important role states play in reforming GME. The Program on Health Workforce Research and Policy, part… Read more »
New recommendations have been issued by key stakeholders regarding the future of public reporting for assisted living and similar non-nursing home residential care.
Mouth Care Without a Battle© is an evidence-based approach to person-centered daily mouth care for persons with cognitive and physical impairment.
Therapeutic Environment Screening Survey For Nursing Homes (TESS-NH) The TESS-NH is an observational instrument that gathers systematic data on the physical environment of a long-term care facility. The TESS-NH contains over 80 specific items measuring characteristics that are believed to be of importance to persons with Alzheimer’s disease and related disorders. The TESS-NH was designed… Read more »
A Manual for Community-Based Participatory Research: Using Research to Improve Practice and Inform Policy in Assisted Living-Based Participatory Research
In partnership with the Center for Excellence in Assisted Living (CEAL), researchers in the Program on Aging, Disability, and Long-Term Care are announcing publication of a first-of-its-kind manual to improving practices and informing policies in assisted living communities through the use of a collaborative method of research – community-based participatory research (CBPR). A Manual for… Read more »
The NC Health Profession Data System has released a report entitled, Trends in Graduate Medical Education In North Carolina: Challenges and Next Steps