The Division of
Health Care Policy and Research
Long-Term Care and Rehabilitation Policy Program
Under the direction of Andrew M. Kramer, MD, the Long-term Care and
Rehabilitation Policy Program within the Division of Health Care Policy and Research examines
quality and outcomes of care for older persons in long-term care and post-acute care settings.
Research conducted within this program has focused on nursing home quality of care;
rehabilitation after acute episodes for hip fracture, stroke, or medical surgical problems;
the long-term care survey process and state survey agency performance; payment systems for
skilled nursing care; and electronic health information in post-acute and long-term care.
Current and recent projects conducted within the Long-term Care and Rehabilitation Policy
Program include:
Nursing Home Quality of Care: Includes projects examining a wide range of nursing home
quality-related issues, such as quality measurement, nursing home staffing, urinary catheter
use in nursing homes, nursing home physicians’ care patterns, and the effects of do-not-resuscitate
orders on the care of nursing home residents.
- Development, Maintenance, and Implementation of Nursing Home Quality of Care Measures
- Nursing Home Value Based Purchasing Demonstration
- Urinary Catheter Use in Elderly Hip Fracture Patients Discharged to SNF
- Nursing Homes and Life-sustaining Options for Treatment
- Government Reimbursement and Nursing Home Doctors' Patterns of Practice
- Understanding changes in skilled nursing facilities’ rates of discharge to the community and avoidable rehospitalizations
- Small patient population and low frequency event effects on the stability of SNF quality measures
- Development of Nursing Home Staffing Quality Measures for Public Reporting
- Development of Staffing Quality Measures – Phase I: Continuation
Rehabilitation Following Acute Care Episodes: Includes projects that examine outcomes for older persons receiving post-hospital care for stroke in a variety of settings, including skilled nursing facilities, rehabilitation hospitals, and home health.
- Comparative Study of the Outcomes and Costs Associated with Medicare Post Acute Care Services in Skilled Nursing Facilities and Rehabilitation Hospitals/Units
- Data Collection for a Study of Users of Medicare Home Health Care Services and Multiple Post-Acute Settings
- Two-year Outcomes of Older Persons with Stroke
Long-term Care Survey Process and State Survey Agency Performance: Includes projects whose goals are to examine the implementation of a new long-term care survey process and to improve the effectiveness of state survey agency performance.
- Quality Indicator Survey Training and Analysis
- Evaluating the Use of Quality Indicators in the Long-Term Care Survey Process
- Case Studies to Evaluate the Enforcement Process and Nursing Home Care Related to the Nursing Home Initiative
- Improving Nursing Home Enforcement – Phase 2
Payment Systems for Skilled Nursing Care: Includes projects that examine the prospective payment system (PPS) in skilled nursing facilities.
- Skilled Nursing Facilities Prospective Payment System Quality Medical Review Data Analysis PRO
- Redesigning the Medicare Prospective Payment System for Skilled Nursing Facilities
Electronic Health Information in Post-acute and Long-term Care: Includes projects examining the use of electronic health information exchange and health information technology in long-term and post-acute care settings.
- Electronic Health Information in Post-Acute and Long-Term Care
- Health Information Exchange in Post-Acute and Long-Term Care
- Understanding the Costs and Benefits of Health Information Technology in Nursing Homes and Home Health Agencies