R Tamara Konetzka
Biographic Data
| ID | 5534079 |
|---|---|
| NAME | R Tamara Konetzka |
| GIVEN NAMES | R Tamara |
| FAMILY NAME | Konetzka |
| SIGNATURE | KONETZKA R T |
| AFFILIATIONS | University of Chicago |
| ORCID | 0000-0003-3016-1318 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 0 |
Improving the Fate of Nursing Homes During the Covid-19 Pandemic
Claims-based Frailty Indices
OBJECTIVE: The objective of this study was to evaluate claims-based frailty indices (CFIs) used to assess frailty on a population-based level. BACKGROUND: Frailty is a key determinant of patient outcomes, independent of demographics and comorbidities. Measuring frailty in large populations has implications for targeted interventions, public reporting, and risk adjustment. Frailty indices based on administrative data in health insurance claims all…
Assessing the Relative Contribution of Resident Versus Facility Characteristics Associated With Antipsychotic Medication Receipt Among Nursing Facility Residents
OBJECTIVE: In 2012 Centers for Medicare and Medicaid Services (CMS) launched a multifaceted initiative aimed at reducing the unnecessary use of antipsychotic medications in nursing facilities due to evidence these medications are associated with little or uncertain benefit and substantial risk. Yet, little is known about whether efforts to reduce antipsychotic medication should be focused on residents with targeted characteristics, or on nursing …
Malpractice Environment vs Direct Litigation
An ongoing concern about medical malpractice litigation is that it may induce provider exit, potentially affecting consumer welfare. The nursing home sector is subject to substantial litigation activity but remains generally understudied in terms of the effects of litigation, due perhaps to a paucity of readily available data. In this article, we estimate the association between litigation and nursing home exit (closure or change in ownership), s…
Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations
Nursing homes' publicly reported star ratings increased substantially since Centers for Medicare & Medicaid Services's Nursing Home Compare adopted a 5-star rating system. Our objective was to test whether the improvements in nursing home 5-star ratings were correlated with reductions in rates of hospitalization. We hypothesized that increased attention to 5-star star ratings motivated nursing homes to make changes that improved their star rating…
Are Home- and Community-Based Services Cost-Effective
Departments of *Public Health Sciences †Medicine, The University of Chicago Biological Sciences, Chicago, IL The author declares no conflict of interest. Reprints: R. Tamara Konetzka, PhD, Department of Public Health Sciences, Department of Medicine, The University of Chicago Biological Sciences, 5841 S. Maryland Avenue, Room W255, MC2000, Chicago, IL 60637. E-mail: [email protected]
Managed Care and Hospital Cost Containment
This study assesses the ability of managed care to contain hospital costs since the managed care backlash, using data from California's Office of Statewide Health Planning and Development for all acute-care hospitals in the state for the period 1991-2001. The analysis employs a long-differences design to examine cost growth before and after the managed care backlash. Results from the early 1990s are consistent with prior evidence that the combina…
Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes
BACKGROUND: Mandatory hospital nurse staffing ratios are under consideration in a number of states without strong empirical evidence of the optimal ratio. OBJECTIVE: To determine whether increases in medical-surgical licensed nurse staffing levels are associated with improvements in patient outcomes for hospitals having different baseline staffing levels. RESEARCH DESIGN: Cross-sectional and fixed-effects regression analyses using a 1993-2001 pan…
Medicare Prospective Payment and Quality of Care for Long-Stay Nursing Facility Residents
BACKGROUND: The Balanced Budget Act of 1997 dramatically changed the way that Medicare pays skilled nursing facilities and also cut per-diem rates. Previous studies have found effects on facility-wide staffing but not on quality for short-stay residents. Because facilities may combine revenue streams to be used where needed, spillover effects on quality of care for long-stay residents are possible. OBJECTIVE: We sought to investigate effects of f…
Effects of Nursing Home Ownership Type and Resident Payer Source on Hospitalization for Suspected Pneumonia
BACKGROUND: Whether to hospitalize residents with suspected pneumonia is a complex decision determined both by clinical and financial considerations. The decision to hospitalize may be different in for-profit and not-for-profit facilities and for different payment sources. OBJECTIVE: The objective of this study was to examine the role of proprietary status in the decision to hospitalize residents with suspected pneumonia, controlling for facility…
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Effects of Nursing Home Ownership Type and Resident Payer Source on Hospitalization for Suspected Pneumonia
BACKGROUND: Whether to hospitalize residents with suspected pneumonia is a complex decision determined both by clinical and financial considerations. The decision to hospitalize may be different in for-profit and not-for-profit facilities and for different payment sources. OBJECTIVE: The objective of this study was to examine the role of proprietary status in the decision to hospitalize residents with suspected pneumonia, controlling for facility…
Medicare Prospective Payment and Quality of Care for Long-Stay Nursing Facility Residents
BACKGROUND: The Balanced Budget Act of 1997 dramatically changed the way that Medicare pays skilled nursing facilities and also cut per-diem rates. Previous studies have found effects on facility-wide staffing but not on quality for short-stay residents. Because facilities may combine revenue streams to be used where needed, spillover effects on quality of care for long-stay residents are possible. OBJECTIVE: We sought to investigate effects of f…
Managed Care and Hospital Cost Containment
This study assesses the ability of managed care to contain hospital costs since the managed care backlash, using data from California's Office of Statewide Health Planning and Development for all acute-care hospitals in the state for the period 1991-2001. The analysis employs a long-differences design to examine cost growth before and after the managed care backlash. Results from the early 1990s are consistent with prior evidence that the combina…
Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes
BACKGROUND: Mandatory hospital nurse staffing ratios are under consideration in a number of states without strong empirical evidence of the optimal ratio. OBJECTIVE: To determine whether increases in medical-surgical licensed nurse staffing levels are associated with improvements in patient outcomes for hospitals having different baseline staffing levels. RESEARCH DESIGN: Cross-sectional and fixed-effects regression analyses using a 1993-2001 pan…
Are Home- and Community-Based Services Cost-Effective
Departments of *Public Health Sciences †Medicine, The University of Chicago Biological Sciences, Chicago, IL The author declares no conflict of interest. Reprints: R. Tamara Konetzka, PhD, Department of Public Health Sciences, Department of Medicine, The University of Chicago Biological Sciences, 5841 S. Maryland Avenue, Room W255, MC2000, Chicago, IL 60637. E-mail: [email protected]
Malpractice Environment vs Direct Litigation
An ongoing concern about medical malpractice litigation is that it may induce provider exit, potentially affecting consumer welfare. The nursing home sector is subject to substantial litigation activity but remains generally understudied in terms of the effects of litigation, due perhaps to a paucity of readily available data. In this article, we estimate the association between litigation and nursing home exit (closure or change in ownership), s…
Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations
Nursing homes' publicly reported star ratings increased substantially since Centers for Medicare & Medicaid Services's Nursing Home Compare adopted a 5-star rating system. Our objective was to test whether the improvements in nursing home 5-star ratings were correlated with reductions in rates of hospitalization. We hypothesized that increased attention to 5-star star ratings motivated nursing homes to make changes that improved their star rating…
Assessing the Relative Contribution of Resident Versus Facility Characteristics Associated With Antipsychotic Medication Receipt Among Nursing Facility Residents
OBJECTIVE: In 2012 Centers for Medicare and Medicaid Services (CMS) launched a multifaceted initiative aimed at reducing the unnecessary use of antipsychotic medications in nursing facilities due to evidence these medications are associated with little or uncertain benefit and substantial risk. Yet, little is known about whether efforts to reduce antipsychotic medication should be focused on residents with targeted characteristics, or on nursing …
Claims-based Frailty Indices
OBJECTIVE: The objective of this study was to evaluate claims-based frailty indices (CFIs) used to assess frailty on a population-based level. BACKGROUND: Frailty is a key determinant of patient outcomes, independent of demographics and comorbidities. Measuring frailty in large populations has implications for targeted interventions, public reporting, and risk adjustment. Frailty indices based on administrative data in health insurance claims all…
Improving the Fate of Nursing Homes During the Covid-19 Pandemic
Medicine (9 works) · Geriatric Care and Nursing Homes (6 works) · Nursing (6 works) · Business (5 works) · Health care (4 works) · Healthcare Policy and Management (4 works) · Emergency Medicine (3 works) · Emergency Medicine (3 works) · Frailty in Older Adults (3 works) · Medicaid (3 works)