Nancy Sharp
Dados Biográficos
| ID | 5542376 |
|---|---|
| NOME | Nancy Sharp |
| PRENOMES | Nancy |
| SOBRENOME | Sharp |
| ASSINATURA | SHARP N |
| AFILIAÇÕES | University of Washington |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 9 |
| TOTAL DE CITAÇÕES | 1 |
| TOTAL COMO AUTOR | 9 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1991 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2011 |
| ÍNDICE H | 1 |
Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
OBJECTIVE: To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS: We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,520 Medicare-eligible veterans who used VA primary care in FY2000. Reliance on VA outpatient care was defined as the proportion o…
Nurse Staffing and Patient Care Costs in Acute Inpatient Nursing Units
OBJECTIVE: Studies suggest that a business case for improving nurse staffing can be made to increase registered nurse (RN) skill mix without changing total licensed nursing hours. It is unclear whether a business case for increasing RN skill mix can be justified equally among patients of varying health needs. This study evaluated whether nursing hours per patient day (HPPD) and skill mix are associated with higher inpatient care costs within acut…
Line Authority for Nurse Staffing and Costs for Acute Inpatient Care
There is little empirical evidence evaluating the effects of recent, widespread changes in nurse executive roles and nursing management structures on the costs of patient care. This retrospective cross-sectional study examined the relationship between line authority for nurse staffing and patient care costs (total, nursing, and non-nursing cost) using data from 124 Department of Veterans Affairs (VA) medical centers. After controlling for patient…
Medicare Managed Care Enrollment by Disability-Eligible and Age-Eligible Veterans
OBJECTIVE: To assess factors associated with enrollment in a Medicare advantage (MA) plan versus Medicare fee-for-service plan in 2000-2004 by Medicare-eligible veterans. We also assessed whether these factors differed between disability-eligible veterans and age-eligible veterans. METHODS: Medicare claims data, VA administrative data, and 2000 census data were constructed in a retrospective cohort study of 20,581 age-eligible veterans and 7541 d…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Predicting Costs of Care Using a Pharmacy-Based Measure Risk Adjustment in a Veteran Population
BACKGROUND: Although most widely used risk adjustment systems use diagnosis data to classify patients, there is growing interest in risk adjustment based on computerized pharmacy data. The Veterans Health Administration (VHA) is an ideal environment in which to test the efficacy of a pharmacy-based approach. OBJECTIVE: To examine the ability of RxRisk-V to predict concurrent and prospective costs of care in VHA and compare the performance of RxRi…
Construction and Characteristics of the RxRisk-V
BACKGROUND: Assessment of disease burden is the key to many aspects of health care management. Patient diagnoses are commonly used for case-mix assessment. However, issues pertaining to diagnostic data availability and reliability make pharmacy-based strategies attractive. Our goal was to provide a reliable and valid pharmacy-based case-mix classification system for chronic diseases found in the Veterans Health Administration (VHA) population. OB…
Caknernarqutet
This personal narrative documents my struggle as a student and as a teacher. English was the language of instruction when I was a student, although all the students were Yup'ik speakers. This was a barrier to my learning. Later, as a teacher, I had to use English even though the students were Yup'ik speakers and my English was not strong. This was another struggle. Even today our Yup'ik students continue to struggle; some students get placed in s…
[Diversity, Continuity and Change in the History of the Bismarck Archipelago] Lapita as Test
[Diversity, Continuity and Change in the History of the Bismarck Archipelago] Lapita as Test
Caknernarqutet
This personal narrative documents my struggle as a student and as a teacher. English was the language of instruction when I was a student, although all the students were Yup'ik speakers. This was a barrier to my learning. Later, as a teacher, I had to use English even though the students were Yup'ik speakers and my English was not strong. This was another struggle. Even today our Yup'ik students continue to struggle; some students get placed in s…
Predicting Costs of Care Using a Pharmacy-Based Measure Risk Adjustment in a Veteran Population
BACKGROUND: Although most widely used risk adjustment systems use diagnosis data to classify patients, there is growing interest in risk adjustment based on computerized pharmacy data. The Veterans Health Administration (VHA) is an ideal environment in which to test the efficacy of a pharmacy-based approach. OBJECTIVE: To examine the ability of RxRisk-V to predict concurrent and prospective costs of care in VHA and compare the performance of RxRi…
Construction and Characteristics of the RxRisk-V
BACKGROUND: Assessment of disease burden is the key to many aspects of health care management. Patient diagnoses are commonly used for case-mix assessment. However, issues pertaining to diagnostic data availability and reliability make pharmacy-based strategies attractive. Our goal was to provide a reliable and valid pharmacy-based case-mix classification system for chronic diseases found in the Veterans Health Administration (VHA) population. OB…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Line Authority for Nurse Staffing and Costs for Acute Inpatient Care
There is little empirical evidence evaluating the effects of recent, widespread changes in nurse executive roles and nursing management structures on the costs of patient care. This retrospective cross-sectional study examined the relationship between line authority for nurse staffing and patient care costs (total, nursing, and non-nursing cost) using data from 124 Department of Veterans Affairs (VA) medical centers. After controlling for patient…
Medicare Managed Care Enrollment by Disability-Eligible and Age-Eligible Veterans
OBJECTIVE: To assess factors associated with enrollment in a Medicare advantage (MA) plan versus Medicare fee-for-service plan in 2000-2004 by Medicare-eligible veterans. We also assessed whether these factors differed between disability-eligible veterans and age-eligible veterans. METHODS: Medicare claims data, VA administrative data, and 2000 census data were constructed in a retrospective cohort study of 20,581 age-eligible veterans and 7541 d…
Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
OBJECTIVE: To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS: We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,520 Medicare-eligible veterans who used VA primary care in FY2000. Reliance on VA outpatient care was defined as the proportion o…
Nurse Staffing and Patient Care Costs in Acute Inpatient Nursing Units
OBJECTIVE: Studies suggest that a business case for improving nurse staffing can be made to increase registered nurse (RN) skill mix without changing total licensed nursing hours. It is unclear whether a business case for increasing RN skill mix can be justified equally among patients of varying health needs. This study evaluated whether nursing hours per patient day (HPPD) and skill mix are associated with higher inpatient care costs within acut…
Medicine (7 obras) · Health care (6 obras) · Family medicine (5 obras) · Primary Care and Health Outcomes (4 obras) · Chronic Disease Management Strategies (3 obras) · Healthcare Policy and Management (3 obras) · Nursing (3 obras) · Political science (3 obras) · Acute care (2 obras) · Emergency Medicine (2 obras)