Geoffrey J. Hoffman

Associations between specialty registered nurse certification and patient outcomes: A nurse–patient-level analysis

David Ryamukuru, Lara Khadr, Kathryn A. Lee, Deanna Marriott et autres

BACKGROUND: Specialty registered nurse (RN) certification signifies advanced clinical expertise, yet evidence linking certified RNs providing direct patient care to outcomes is lacking. PURPOSE: To examine the association between specialty RN certification and patient outcomes and the moderating effect of nurses' formal …

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Hospital Readmission Reduction Program Penalties for Hospitals With High Medicare Advantage Penetration

Zoey Chopra, Andrew M. Ryan, Geoffrey J. Hoffman

Importance: Since 2012, the Hospital Readmissions Reduction Program (HRRP) has penalized hospitals for excess, risk-adjusted 30 day readmissions among traditional Medicare (TM) beneficiaries. While risk adjustment may address observable differences in patient severity, it cannot account for unobservable differences. Medicare Advantage (MA) …

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Associations Between Specialty Registered Nurse Certification and Patient Outcomes: A Nurse–Patient Level Analysis

David Ryamukuru, Lara Khadr, Kathryn A. Lee, Deanna J. Marriott et autres

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D-SNP Enrollee Healthcare Access and Satisfaction: Does Insurance Level of Integration Make a Difference?

Morgan Perry, Ishrat Z Alam, Geoffrey J. Hoffman

Abstract Dual Eligible Special Needs Plans (D-SNPs) range from less integrated, coordination-only plans (CO D-SNPs) with enhanced communication between Medicare Advantage and Medicaid to fully integrated plans (FIDE-SNPs) managed under a single entity. Using restricted Medicare Current Beneficiary Survey data (2015-2020) and …

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The Consequences of the Kennedy v. Braidwood Supreme Court Ruling on Fall Prevention

Geoffrey J. Hoffman, A. Mark Fendrick

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Medicare Advantage Plan Disenrollment: Beneficiaries Cite Access, Cost, And Quality Among Reasons For Leaving

Geoffrey J. Hoffman, Lianlian Lei, Ishrat Z Alam, Myra Kim et autres

Medicare Advantage (MA) is growing in popularity, but it is seeing substantial plan disenrollments among high-risk Medicare beneficiaries. Understanding and addressing factors associated with disenrollment are crucial for improving MA access and quality but are complicated by data issues, including the inability …

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Older adults living with dementia enrolled in similar Medicare Advantage plans compared to those without dementia

Lianlian Lei, Donovan T. Maust, Claire K. Ankuda, Geoffrey J. Hoffman et autres

Abstract INTRODUCTION Medicare Advantage (MA) plan selection may differ between older adults with or without dementia in unexplored ways. This study aims to characterize MA plan choice among those with dementia. METHODS We used the 2010 to 2018 waves of the Health …

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A BMI-based Guideline for Setting PEEP in Obese Patients Did Not Impact Initial Ventilator Settings

Connor Holthouse, Yamini Vepa, Geoffrey J. Hoffman, Amelia N. Deitchman et autres

Abstract RATIONALE: Obesity is common and presents unique challenges in the intensive care unit (ICU). A standard approach to setting positive end-expiratory pressure (PEEP) is titration based on a PEEP/fraction of inspired oxygen (FiO2) table. However, given the inverse relationship between body …

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Changes in Long-term Services and Supports Among Adults With and Without Dementia During the First Year of the COVID-19 Pandemic

Yulya Truskinovsky, Vicki A. Freedman, Geoffrey J. Hoffman, Amanda N. Leggett et autres

Abstract Background and Objectives This study draws upon local coronavirus disease 2019 (COVID-19) mortality rates as a proxy for pandemic severity to determine if the COVID-19 pandemic disrupted long-term services and supports (LTSS) for adults with dementia, relative to adults with care …

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Hospitals serving high concentrations of patients with dementia are associated with lower mortality rates for patients with dementia

Geoffrey J. Hoffman, Ketlyne Sol, Thuy Dieu Nguyen

Abstract INTRODUCTION While hospital‐related spending is substantially higher for ADRD populations, it is unknown whether differences exist in the use of hospital services in those hospitals serving high proportions of patients with dementia. METHODS We used 2014–2019 Medicare claims to compare hospitals …

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Associations between rural hospital closures and acute and post‐acute care access and outcomes

Geoffrey J. Hoffman, Jinkyung Ha, Zhaohui Fan, Jun Li

OBJECTIVE: To determine whether rural hospital closures affected hospital and post-acute care (PAC) use and outcomes. STUDY SETTING AND DESIGN: Using a staggered difference-in-differences design, we evaluated associations between 32 rural hospital closures and changes in county-level: (1) travel distances to and …

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CHANGES IN CARE TRAJECTORIES DURING THE COVID-19 PANDEMIC AMONG OLDER ADULTS WITH CARE NEEDS

Amanda N. Leggett, Yulya Truskinovsky, Vicki A. Freedman, Emily Wiemers et autres

Abstract Background and Objectives This study examined whether the progression of care after the onset of an activity limitation changed during the COVID-19 pandemic. Because the pandemic caused widespread disruptions in care, we considered changes in care type and intensity. Research Design …

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