AcademyHealth
$149,619
The Commonwealth Fund/AcademyHealth Long-Term Care Colloquium, Year 3
Picker Program Grant
The first Commonwealth Fund Long-Term Care Colloquium, held in 2004, explored ways to measure the quality of long-term care in the United States as well as issues surrounding care for people who are dually eligible for Medicare and Medicaid. The 2005 colloquium focused attention on consumer-directed care and on ways to link housing with long-term care services. Between meetings, follow-up workgroups helped to ensure that participants collaborated on actions to address the issues raised during the colloquia. The third colloquium, to be held in June 2006, will address two new topics to be determined, with workgroups following the meeting. In addition, project staff will convene a half-day, follow-through session on consumer-directed care for policymakers in February 2006.
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Deborah L. Rogal
Senior Manager
1801 K Street, Suite 701-L
Washington, DC 20006-1301
(202) 292-6700
deborah.rogal@academyhealth.org
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Harris Interactive, Inc.
$334,000
The Commonwealth Fund 2006 National Survey of Culture Change in Nursing Homes
Picker Program Grant
Awareness of the culture change movement in nursing home care has been growing, but the number of facilities that have implemented resident-centered practices is unknown. This project will prepare national estimates of the prevalence of resident-centered practices and indicators of culture change by surveying nursing home administrators and nursing directors. The findings will provide a first look at the reach of culture change in the United States and will enable researchers and policy experts to track changes in resident-centered nursing home care. In addition, survey results will inform the Fund's national health care performance scorecard; elucidate areas for further work by providers, researchers, and others; and help assess the effectiveness of dissemination activities under way by the Quality Improvement Organizations.
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Jordon Peugh
Research Directorv
161 Sixth Avenue
New York, NY 10013
(212) 539-9706
jpeugh@harrisinteractive.com
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Health Research, Inc.
$395,848
Using Incentives to Reduce Hospitalizations and Enhance Quality for Nursing Home Residents in New York State
Picker Program Grant
Preliminary research suggests that the uneven availability and quality of clinical services in many nursing facilities is a primary reason for high rates of hospitalization among residents. Many costly hospital stays could be avoided if appropriate clinical resources were in place. For this project, the New York State Department of Health (DOH) proposes to: 1) further study the relationship among hospitalizations, availability of clinical resources in nursing homes, and costs; and 2) design a new payment model that rewards better management of at-risk or acutely ill patients. The study team will seek agreement by the Centers for Medicare and Medicaid Services (CMS) to test the payment model. Project results will be of interest not only to New York and CMS officials, but to the many other states struggling with hospitalization costs and poor medical care in nursing homes.
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Nancy R. Barhydt
Director, Office of Continuing Care
Empire State Plaza
Corning Tower Building
Albany, NY 12237
(518) 402-5914
nrb01@health.state.ny.us
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League 1199 SEIU Training and Upgrading Fund
$179,763
Engaging Workers in Improving Nursing Home Care: A Case Study
Picker Program Grant
In 2003, Local 1199 of the Service Employees International Union forged a partnership with senior management at 40 New York City nursing homes to promote resident-centered care. Through data review, field work, and interviews with union and nursing home officials, the project investigators will study the impetus for this initiative, how the usual barriers to cooperation were addressed, and how the nursing homes implemented the plan for culture change. These findings will inform efforts to recruit other New York nursing homes to the partnership and will be disseminated nationally to other unions, associations representing direct-care workers, quality improvement organizations, and the Pioneer Network.
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Deborah King
Executive Director
330 West 42 Street, Floor 2
New York, NY 10136
(212) 494-4364
Dking@1199etjsp.org
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Pioneer Network
$159,784
Supporting the Nursing Home Culture Change Movement
Picker Program Grant
Since its inception a decade ago, the Pioneer Network has spearheaded a grass-roots movement to bring "culture change" and resident-centered care to the nursing home industry. This grant will enable the organization to keep pace with the demand for resources and information on culture change from the Quality Improvement Organizations, Centers for Medicare and Medicaid Services, providers, researchers, and others. In the coming year, project staff will host a second summit meeting of key leaders; conduct a survey of past trainees to assess its effectiveness; develop a speakers bureau; and continue to upgrade the Pioneer Network Web site, an important resource and "home base" for far-flung practitioners.
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Rose Marie Fagan
Executive Director
1900 South Clinton Avenue
P.O. Box 18648
Rochester, New York 14618
(585) 272-7570
rosemarie.fagan@pioneernetwork.net
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University of South Florida
$222,343
Assessing Florida's Innovations to Improve Nurse Staffing and Quality of Care in Nursing Homes
Picker Program Grant
Nursing home residents and their families know that the quality of care a home provides depends greatly on the number and type of staff employed. Indeed, a report by the Centers for Medicare and Medicaid Services provided strong evidence of the link between very low staffing and poor quality outcomes, with Florida cited as a state where staffing inadequacies were particularly evident. This study will examine how nursing home providers in Florida responded to financial incentives and legislative mandates to increase nurse staffing. It will also assess the impact that these changes have had on quality outcomes. Not only will the findings give Florida legislators important feedback about the effectiveness of their intervention, they will help policymakers in other states considering similar reforms.
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Kathryn Hyer, Ph.D.
Associate Professor
4202 E Fowler Avenue, MHC 1340
Tampa, Florida 33612
(813) 974-3323
khyer@cas.usf.edu
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Small Grants—Quality of Care for Frail Elders
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Health Policy Alternatives, Inc.
$16,400
Evaluation of the Picker/Commonwealth Program on Quality of Care for Frail Elders
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Michael M. Hash
Principal
400 North Capitol Street, N.W., Suite 799
Washington, DC 20001-1536
(202) 737-3390
mh.hpa@sso.org
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Health Policy Alternatives, Inc.
$21,400
Evaluation of the Picker/Commonwealth Program on Quality of Care for Frail Elders
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Michael M. Hash
Principal
400 North Capitol Street, N.W., Suite 799
Washington, DC 20001-1536
(202) 737-3390
mh.hpa@sso.org
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New York University
$10,000
Health Care Professional Training in Nursing Homes
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Mathy Mezey, Ed.D.
Director
2456 Greene Street, 606W
New York, NY 10003
(212) 998-5337
mathy.mezey@nyu.edu
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Northwestern University
$18,803
Patient-Centered Safety in Long-Term Care Facilities
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Linda L. Emanuel, M.D.
Director and Buehler Professor of Geriatric Medicine
750 North Lake Shore Drive, Suite 601
Chicago, IL 60611-2611
(312) 503-2772
I-emanuel@northwestern.edu
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Quality Partners of Rhode Island
$27,674
Assessing the Impact of 'Improving Nursing Home Culture' Pilot
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Richard Besdine, M.D.
Chief Medical Officer
235 Promendade Street, 500 #18
Providence, RI 02908
T(401) 528-3212
richard_besdine@brown.edu
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Regents of the University of Minnesota
$29,985
Full-Scale Implementation and Sustainability of Small Group Nursing Homes in Tupelo, MS: Lessons for Replication
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Rosalie A. Kane, Ph.D.
Professor
School of Public Health
420 Delaware St SE
D-527, MMC 197
Minneapolis, MN 55455-0381
(612) 624-5171
kanex002@umn.edu
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The Regents of the University of California
$36,592
Identifying Culture Change Nursing Homes
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Dana B. Mukamel, Ph.D.
Professor and Senior Fellow
111 Academy, Room 220
Irvine, CA 92697-5800
(949) 824-8873
dmukamel@uci.edu
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