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The Center for Health Policy Evaluation in Long-Term Care


Who we are:

The Center for Health Policy Evaluation in Long-Term Care is a collaborative research effort aimed at improving the quality of care for our nation’s elderly and disabled populations. Our multidisciplinary team has expertise in public health, medicine, nursing, epidemiology, policy, nutrition, economics, health services research, quality improvement, long-term care workforce, measure development, quality of life, dementia, customer satisfaction, program implementation, and healthcare administration, management, and leadership.

What we do:

Our faculty leverage their range of skills, experiences, and partnerships to translate health policies and legislation into a real-world understanding of their impact on the lives of post-acute and long-term care residents and providers. Working across a range of stakeholders, we use this understanding and a systems-thinking approach to improve lives by providing solutions for quality care.



Our Senior Research Fellow, Dr. Lindsay Schwartz, has been selected as a 2019 Gerontological Society of America Fellow. Congratulations, Dr. Schwartz!
Fellowship is the highest class of membership within the Society and is an honor recognizing outstanding and continuing work in gerontology. You may read more about the announcement at AAAS’s EurekAlert! website:
Marsida Domi, a Center Researcher, participated in generating an important action brief on incorporating information on social determinants of health into datasets used to measure healthcare outcomes.
This work was done through Ms. Domi’s participation on the National Quality Partners™ Social Determinants of Health Data Integration Action Team:
The Center for Health Policy Evaluation in Long-Term Care presented at the 2019 Annual Research Meeting (ARM) for AcademyHealth:
CoreQ: Development of a Universal Satisfaction Score for SNF and AL Residents and Families – Lindsay Schwartz: Senior Research Fellow, PhD, FGSA
This poster discusses the development of CoreQ, a set of five long-term care customer satisfaction measures for both residents and families, highlighting the importance of a standard, short customer satisfaction measures to allow providers to benchmark their performance, help residents and families in decision-making, and let states and others use the information for accountability.
All CoreQ measures have the same three core questions, with an additional question for SNF short-stay discharge and assisted living resident surveys. Existing literature and satisfaction surveys were reviewed, and cognitive testing was conducted with residents and family members on questions and responses. Psychometric testing identified three core questions that when combined into an aggregate score resulted in a stable score ranging from 0 to 100. The researched showed that CoreQ scores were correlated with important quality measures, such as the Five-Star Quality Rating System and staff turnover, in the direction as expected and statistically significant (p=<0.05). Scores were distributed across the possible range and reflected meaningful differences in quality by sorting facilities from high to low quality. Similar to satisfaction measures in other settings, the CoreQ has been endorsed by the National Quality Forum.
To learn more about this research and how to incorporate the CoreQ questions into your customer satisfaction surveys, visit Dr. Schwartz’s poster abstract may be viewed here.
The Characteristics of Nursing Homes That Stop the Baldrige Journey and the Impact Stopping Has on Quality – Kiran Sreenivas: Associate Center Director, MS, CPHQ
This study looks at the relationship between quality and a facility’s Baldrige journey. Prior matched case-control studies have shown that nursing homes following the Baldrige journey for excellence have significantly better quality than those that do not. Those following the Baldrige journey may apply for recognition through a Baldrige-based Quality Award at the American Health Care Association/National Center for Assisted Living. Quality Awards remains in active status for three years, after which reapplication is required to maintain status or move to the next level. Facilities that stop the Baldrige journey by allowing their award to lapse compared to those actively continuing on their journey by reapplying show worse performance on Five-Star, hospitalization, and staffing, despite other facility characteristics being similar.
Kiran Sreenivas’s poster abstract may be viewed here.