• Current Projects - (2)
• Completed Projects - (3)
• Publications - (4)

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Current Projects - (2)

• Causal Effect of Nursing Home Closure on Resident Outcomes in Rural Areas
  We will evaluate the causal impact of nursing home closure on two key outcomes: distance to the transitioned nursing home, and resident physical and mental health outcomes. We will compare the effect of closures on outcomes for rural and urban areas using resident-level data from 2010-2019 and advanced difference-in-differences regression methods.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Aging, Health services, Healthcare access, Long-term care, Post-acute care, Quality
  
• Rural Nursing Home Staffing, and Resident Health, Closure, and Financial Performance
  There are concerns about availability and quality of care provided in nursing homes in rural areas. This project aims to evaluate staffing levels and shortages, the health status of residents, closures, and financial performance of rural nursing homes both before and during the COVID-19 pandemic.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Aging, Long-term care, Post-acute care
  

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Completed Projects - (3)

• Location and Characteristics of Nursing Homes in the Rural and Urban U.S.
  This project examined rural and urban nursing home availability; assessed the nursing home bed supply relative to the elderly population in rural and urban counties; summarized resident and nursing home characteristics; and analyzed the relationship between the rural location of nursing homes and resident and nursing home characteristics.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Aging, Health services, Healthcare access, Healthcare financing, Long-term care, Medicare
  
• Rural Nursing Home Closures - Trends, Characteristics, and Impact on Access
  This project built a database of nursing home closures across rural and urban areas in the U.S. and evaluated the changes in access to post-acute and/or long-term care providers. It also described the differences in organizational, financial, and market characteristics between open vs. closed nursing homes in rural vs. urban areas.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Aging, Healthcare access, Long-term care, Medicare
  
• Rural-Urban Differences in Performance of Clinicians Participating in MIPS
  This project used quantitative methods to compare MIPS performance and reported measures for clinicians working in rural and urban areas, overall, and by practice size; evaluated differences in spending per beneficiary, overall, and stratified by drugs and medical services for rural and urban clinicians participating in MIPS; and compared MIPS performance and spending for clinicians serving a large proportion of racial/ethnic minorities in rural and urban areas.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Health disparities and health equity, Healthcare financing, Physicians, Quality
  

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Publications - (4)