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Improvement in Patients' Cognition and Relationship with SNF Quality Measures

通过 SNF 质量措施改善患者的认知和关系

基本信息

批准号：
10535460
负责人：
Brian Gregory Downer
金额：
$ 12.25万
依托单位：
UNIVERSITY OF TEXAS MED BR GALVESTON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-01-01 至 2023-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10535460
关键词：
Address Admission activity Advanced Development Alzheimer&apos s disease related dementia Area Care given by nurses Career Mobility Caring Characteristics Clinical Cognition Cognitive Communities Data Data Files Decision Making Dementia Development Elderly Epidemiology Funding Gerontology Goals Health Health Policy Health care facility Hospitals Impaired cognition Incentives Intervention Knowledge Measures Medical Medical Care Team Medicare Mentors Methodology Nursing Homes Outcome Patient Admission Patients Performance Persons Physical Function Policies Polypharmacy Process Assessment Public Health Recovery Rehabilitation therapy Reporting Research Research Activity Research Personnel Research Project Grants Risk Adjustment Risk Factors Site Skilled Nursing Facilities Study Skills System Texas Training Training Activity Universities Variant acute care care outcomes career development cognitive control experience follow-up functional status improved large datasets leadership development modifiable risk nursing skill professor programs rehabilitation science skills

项目摘要

PROJECT SUMMARY/ABSTRACT I am an assistant professor in the Division of Rehabilitation Sciences at the University of Texas Medical Branch in Galveston, Texas. The purpose of this K01 proposal is to provide me with the knowledge, analytical skill, and experience necessary to become a successful investigator. To me, this means I will develop a funded research program that advances the quality of post-acute care for older adults, in particular for those with cognitive impairment, Alzheimer's disease and related dementias. My K01 application is focused on skilled nursing facilities (SNFs) because they are the most frequent post-acute care site for older adults. My training in gerontology has focused on analyzing cognitive data and using large data sets to identify potentially modifiable risk factors for cognitive impairment and dementia. During the K01 period, I will receive training in four areas that build upon my prior training in gerontology and expertise on the epidemiology of dementia: (1) Health characteristics, assessment process, quality outcomes and follow-up needs associated with older adults receiving SNF care; (2) Operational standards and regulatory (decision making) policies of SNFs; (3) Statistical skills for studying post-acute care outcomes using claims data; and (4) Career advancement and leadership development. Training in these areas will include coursework, shadowing interdisciplinary teams in clinical settings, and experiences accessing, managing, and analyzing Medicare files. This training will make me a researcher with a highly-informed view of healthcare policy and clinical context. My training activities have been integrated with a research project in which I will use national Medicare data files (2012-2014) to complete the following specific aims: (A) Evaluate the change in cognitive status during a SNF stay for older adults with impaired cognition on admission; (B) Examine the variation across SNFs in the percentage of patients with impaired cognition on admission whose cognitive status improves during a SNF stay; and (C) Assess the relationship between cognitive status on admission, improvement in cognitive status during a SNF stay, and performance on SNF quality measures. The expected findings of this research can inform clinical interventions that target patient- and facility-level characteristics associated with improved cognitive status. The findings can also inform healthcare policies meant to incentivize nursing homes to provide high-quality post-acute care. Completion of the K01 mentored training and research plans will provide me with the knowledge and skills necessary to develop a program of research that will advance the quality of post-acute care for older adults, in particular for older adults with cognitive impairment, Alzheimer's disease and related dementias.

项目总结/文摘