Heather Ladd
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View article: Telehealth Use by Home Health Agencies Before, During, and After <scp>COVID</scp>‐19
Telehealth Use by Home Health Agencies Before, During, and After <span>COVID</span>‐19 Open
Objective To examine telehealth adoption and discontinuation by home health agencies (HHAs) during the COVID‐19 pandemic in the context of telehealth pre‐pandemic diffusion into the industry and its continued use once the pandemic abated. …
View article: Incorporating staffing instability in the nursing home Five-Star Staffing Composite
Incorporating staffing instability in the nursing home Five-Star Staffing Composite Open
Staffing is an important indicator of nursing home quality and resident health outcomes. The Five-Star staffing ratings in Nursing Home Care Compare, the report card published by the Centers for Medicare and Medicaid Services, is based on …
View article: Dementia, nurse staffing, and health outcomes in nursing homes
Dementia, nurse staffing, and health outcomes in nursing homes Open
Objective To estimate and contrast the relationships between nurse staffing and health outcomes in nursing homes with low and high dementia census, to understand the association of staffing hours with dementia care quality. Data Sources an…
View article: Dementia Care Is Widespread In US Nursing Homes; Facilities With The Most Dementia Patients May Offer Better Care
Dementia Care Is Widespread In US Nursing Homes; Facilities With The Most Dementia Patients May Offer Better Care Open
More than three million US nursing home residents were diagnosed with Alzheimer's disease and related dementias (ADRD) between 2017 and 2019. This number is expected to increase as the population ages and ADRD prevalence increases. People …
View article: Association of Staffing Instability With Quality of Nursing Home Care
Association of Staffing Instability With Quality of Nursing Home Care Open
Importance Recent work suggests that instability in nursing home staffing levels may be an important marker of nursing home quality. Whether that association holds when controlling for average staffing levels is unknown. Objective To exami…
View article: Daily Variation in Nursing Home Staffing and Its Association With Quality Measures
Daily Variation in Nursing Home Staffing and Its Association With Quality Measures Open
These findings highlight the importance of reporting daily variation in staffing to improve understanding of the relationship between staffing and quality. They suggest that 2 facilities with the same average staffing achieve different qua…
View article: Identifying Associations between Quality Initiatives and Quality Measures among Home Health Agencies: Findings from a National Study
Identifying Associations between Quality Initiatives and Quality Measures among Home Health Agencies: Findings from a National Study Open
Home health performance gained visibility with the publication of Home Health Compare and the Home Health Value-Based Payment demonstration. Both provide incentives for home health agencies (HHA) to invest in quality improvements. The obje…
View article: Home Health Care Quality, Its Costs and Implications for Home Health Value-Based Purchasing
Home Health Care Quality, Its Costs and Implications for Home Health Value-Based Purchasing Open
The Home Health Value-based Purchasing (HHVBP) demonstration, incorporating a payment formula designed to incentivize both high-quality care and quality improvement, is expected to become a national program after 2022, when the demonstrati…
View article: Comparison of Consumer Rankings With Centers for Medicare & Medicaid Services Five-Star Rankings of Nursing Homes
Comparison of Consumer Rankings With Centers for Medicare & Medicaid Services Five-Star Rankings of Nursing Homes Open
Current nursing home report cards might not reflect consumers' values and the relative importance consumers place on each of the quality indicators that compose the overall Five-Star measure. Quality report cards might be more relevant to …
View article: Patients’ preferences over care settings for minor illnesses and injuries
Patients’ preferences over care settings for minor illnesses and injuries Open
Objectives To identify consumers’ preferences over care settings, such as physicians’ offices, emergency rooms ( ER s), urgent care centers, retail clinics, and virtual physicians on smartphones, for minor illnesses. Data Sources A survey …
View article: Using contingent valuation to develop consumer‐based weights for health quality report cards
Using contingent valuation to develop consumer‐based weights for health quality report cards Open
Objective The current 5‐Star composite measure for nursing homes uses expert‐driven weights to combine elements of quality into a single score. We assessed the feasibility of using the contingent valuation method ( CVM ) to derive consumer…
View article: A Randomized Experiment Testing Inmate Classification Systems *
A Randomized Experiment Testing Inmate Classification Systems * Open
In California, incarceration in the state prison system is in part organized by security level. The higher the security level, the more restrictive the setting. Upon arrival at a reception center, new inmates are scored within a classifica…
View article: Rationale and study protocol for the Patient-Centered Outcome Aid (PCOA) randomized controlled trial: A personalized decision tool for newly diagnosed ovarian cancer patients
Rationale and study protocol for the Patient-Centered Outcome Aid (PCOA) randomized controlled trial: A personalized decision tool for newly diagnosed ovarian cancer patients Open
"The purpose of this study was to develop and test the effectiveness of a Patient-Centered Outcome Aid (PCOA) compared to a control condition of usual care, as patients chose between IV or IP therapy for advanced ovarian cancer. We develop…
View article: Personalizing Nursing Home Compare and the Discharge from Hospitals to Nursing Homes
Personalizing Nursing Home Compare and the Discharge from Hospitals to Nursing Homes Open
Objective To test whether use of a personalized report card, Nursing Home Compare Plus ( NHCP lus), embedded in a reengineered discharge process, can lead to better outcomes than the usual discharge process from hospitals to nursing homes.…
View article: When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government’s Version
When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government’s Version Open
Report cards currently published by the Centers for Medicare and Medicaid Services (CMS) offer composite (summary) quality measures based on a five-star ratings system, such as the one featured on the Nursing Home Compare website. These ra…