Assistant Professor, Division of Geriatrics and Aging @ur_med - Health services research on the economics of aging
Joined January 2017
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Send @cmommaerts and me your papers on long-term care and caregiving by 7/31/26 for consideration as part of the October @nberpubs meeting on this topic. Details here: nber.org/calls-papers-and-pr…
Brian McGarry retweeted
For our third paper of the morning at #SHESG2024 Ljubica Ristovska (@lj_ristovska - LJ to her friends) presents work on the impact of prior authorization for drugs in Medicaid. (Hiring committees out there: LJ is on the market this year and this excellent work is her JMP.)
Brian McGarry retweeted
Nursing homes that mandated staff vaccination before state and federal mandates saved many residents' lives. Any effects on staff turnover and quality of care were small, from @ashdgandhi, Ian Larkin, @mcgarrybe, @katherinejwen, Huizi Yu, Sarah Berry, Vincent Mor, Maggie Syme, and Elizabeth White nber.org/papers/w33072
Brian McGarry retweeted
EXCITING ANNOUNCEMENT 🎉
On Tues 29 Oct, we're hosting webinar sessions throughout the #InternationalDayofCareAndSupport, covering a range of #Care topics, w/ speakers incl @joselele, @DrShereeHussein, @StefaniaIlinca1, @McGarryBE + more!
REGISTER NOW: lse.zoom.us/meeting/register…
ALT GOLTC Webinar: Towards robust, responsive and equitable long-term care systems around the world
Brian McGarry retweeted
Another hefty #SkilledNursing workforce analysis out today @uwchws!
We looked at occupations *outside* of nursing and found some interesting variability in staffing levels and contractor staffing across the different job roles, based on specific SNF characteristics:
How does staffing for non-nursing roles in skilled nursing facilities differ across the U.S.?
Find out in this new report from @uwchws:
familymedicine.uw.edu/chws/p…
Supported by @HRSAgov
Brian McGarry retweeted
What do we know about speech language pathologists, pharmacists, PTs, OTs and more working in skilled nursing facilities? Not a ton even though many types of occupations are employed in SNFs as @doc_doc_pru unpacks in this @uwchws report!
@JoanneSpetz @DavidCGrabowski @McGarryBE
Another hefty #SkilledNursing workforce analysis out today @uwchws!
We looked at occupations *outside* of nursing and found some interesting variability in staffing levels and contractor staffing across the different job roles, based on specific SNF characteristics:
Brian McGarry retweeted
Been awhile since I've posted an update on employment trends from @BLS_gov. SNFs are hovering close to prepandemic levels. Hospitals' recent growth is on pace w rest of economy. And quite fast growth in home health! How does this track with folks on the ground?
Using @BLS_gov data, nursing/residential care facilities are plateauing at 5% below pre-pandemic #employment levels 3.5 years after the first major peak of the #pandemic while all other sectors in healthcare are growing....
1/2
Brian McGarry retweeted
Nursing homes were greatly impacted by COVID-19 pandemic. Did we learn anything?
In new @Health_Affairs piece with Tamara Konetzka & @themoruknow, we argue nursing home residents & staff will remain at substantial risk unless we undertake systemic changes
healthaffairs.org/doi/10.137…
Brian McGarry retweeted
Great to see this out in print... many of us said admitting COVID-positive patients to nursing homes early in the pandemic was bad policy, this paper confirms it.
New @JAMAInternalMed paper with @McGarryBE @ashdgandhi Jiamin Yin and Afroze Chughtai @HarvardHPM!
We explored if COVID+ hospital admissions to nursing homes early in the pandemic led to COVID outbreaks. Much discussed but never studied!
jamanetwork.com/journals/jam…
brief thread
Brian McGarry retweeted
Norma Coe will be sharing a paper about how the care team mix affects care recipient outcomes (joint w RT Konetzka me and @Basucally) and then I will talk about causal evidence of effects of family care as well as policies showing promise.
THIS WEEK!
Are you interested in home-based care and patient outcomes?
Join our webinar on #HomeCareTeams
When: This Thursday 6 June
Where: Zoom
Register now! 👉 lse.zoom.us/meeting/register…
#HomeCare
#EconomicPolicy
ALT GOLTC Webinar: Home Care Teams - Effect on Patients and Economic Policies to keep them in Place and Thriving GOLTC Economics of LTC Interest Group webinar 1. Introduction to the Global Observatory of Long-Term care and the Economics of LTC and welcome (Adelina Comas-Herrera, Care Policy and Evaluation Centre, LSE, UK). 2. Introduction to the GOLTC Interest Group Sedighe Hosseini-Jebeli, Newcastle University, UK. 3. Presentation “Home Care Teams: Effect on Patients and Economic Policies to keep them in Place and Thriving “ Dr. Norma Coe , University of Pennsylvania, Dr. Courtney Van Houtven , Duke University, USA. 4. Questions and answers: led by Dr. Elizabeth Lemmon, Edinburgh University, UK. 5. Discussion around the policy making solutions led by Cassandra Simmons, WHO, Europe regional office. Date: Thurs 6 June 2024 Time: 14:00 - 15:00 BST Link: Register to join on Zoom Picture of home and people. Picture of money. GOLTC Logo
Brian McGarry retweeted
New @JAMAInternalMed paper with @McGarryBE @ashdgandhi Jiamin Yin and Afroze Chughtai @HarvardHPM!
We explored if COVID+ hospital admissions to nursing homes early in the pandemic led to COVID outbreaks. Much discussed but never studied!
jamanetwork.com/journals/jam…
brief thread
Brian McGarry retweeted
Nursing homes accepting Covid-positive admissions experienced increased resident Covid-19 cases & deaths relative to facilities without. The associations were larger in facilities w/ personal protective equipment & potential staff shortages. ja.ma/3Rc5Oah @ml_barnett
Brian McGarry retweeted
Most viewed in the last 7 days from @JAMAHealthForum:
Between home-based and facility-based settings, what are the postacute care preferences of patients and caregivers?
ja.ma/3WrhAkh
Brian McGarry retweeted
NEW @JAMAHealthForum paper led by @FangliGeng. In a discrete choice experiment, we found patients were willing to pay an additional $58.08 per day for home health care compared with a shared skilled nursing facility room, while caregivers would pay $45.54 per day
Patients and caregivers strongly prefer high-quality, home-based post-acute care vs facility-based care. Targeted support for disadvantaged groups facing constraints is essential to ensure equitable access. ja.ma/4bcyo2J @DavidCGrabowski
Brian McGarry retweeted
Patients and caregivers strongly prefer high-quality, home-based post-acute care vs facility-based care. Targeted support for disadvantaged groups facing constraints is essential to ensure equitable access. ja.ma/4bcyo2J @DavidCGrabowski
Brian McGarry retweeted
One month later, and we made it into the text of the new minimum staffing rule!
🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it!
🧵1/17
Paper: nber.org/papers/w32258
Brian McGarry retweeted
I spoke to @sam__fields @NPR @Marketplace about the new federal rule mandating staff levels in nursing homes. Although the rule is far from perfect, "This is the biggest reform in nursing home policy in decades.”
marketplace.org/2024/04/24/n…
Brian McGarry retweeted
NEW @JAMANetworkOpen paper led by @amanda_c_chen
What happened when star ratings were introduced for home health agencies? HHA-reported measures showed improvement but more objective measures did not, raising concern about use of HHA-reported measures jamanetwork.com/journals/jam…
Brian McGarry retweeted
🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it!
🧵1/17
Paper: nber.org/papers/w32258
Brian McGarry retweeted
Tomorrow @DavidCGrabowski will present at @GlobaObLTC webinar on COVID-19 Lessons for Care Home Regulatory Approaches, with a reflection of what we needs to learn from COVID & challenges for US Nursing Home reforms on:
👉Staff ratios
👉Financial/ownership transparency
👉Quality – at Ruhpolding, Germany
WEBINAR: What did #Covid19 teach us about #CareHome regulation?🏠
Join us on 19 March with @DavidCGrabowski (@harvardmed) as we unpack ways to improve #longTermCare facilities.
REGISTER NOW:👉lse.zoom.us/meeting/register…
#CareHomes @CareHomeAwards @TCHEMagazine @careuk @carehomepro
ALT GOLTC webinar: COVID-19 Lessons for Care Home Standards and Regulatory Approaches