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Organizational Factors and the Delivery of Nursing Home Care

Award Number: K01AG038481
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/15/2011
PERIOD OF PERFORMANCE END DATE: 07/31/2016

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Organizational Factors and the Delivery of Nursing Home Care - DESCRIPTION (provided by applicant): David G. Stevenson, PhD. is an Associate Professor in the Department of Health Care Policy at Harvard Medical School with interdisciplinary training in ethics and health policy and a strong commitment to research in aging and long-term care. His previous work has focused on a broad range of topics in long-term care, including long-term-care financing options for the future, the influence of corporate structure on nursing home care, and the rising use of hospice care among nursing home residents. In the attached resubmission, Dr. Stevenson seeks training and research support through the National Institute on Aging Mentored Research Scientist Development Award (K01) mechanism. In collaboration with his mentors for this award - Drs. Michael Chernew (primary), Rob Huckman, Susan Mitchell, and David Grabowski - Dr. Stevenson has developed a training and research plan to address important gaps in his current knowledge base and to pursue newly- focused research. In particular, the broad goal of his K01 proposal is to gain the theoretical and methodological skills needed to become a national leader on how organizational factors influence the delivery of nursing home care and, importantly, to investigate how these insights might be used to assure, improve, and achieve high quality care. Specific to those goals, in the course of the K01 award, he will obtain further training in organizational analysis and management principles of health care organizations and in more applied dimensions such as the organization and delivery of care in the nursing home, particularly for residents at the end of life. The career development activities consist of a strategy and management component supervised by Dr. Huckman, a clinical and end of life component supervised by Dr. Mitchell, and an overarching data and methods component supervised by Drs. Chernew and Grabowski. As detailed in the proposal, Dr. Stevenson would address some of his deficits in knowledge in the context of formal coursework (e.g., coursework in organizational theory and related research methods) and would address others in the context of more informal, practically-oriented activities (e.g., observing care planning activities at a local nursing home and participating in palliative care grand rounds). The career development award includes a research plan that will enable Dr. Stevenson to apply the knowledge gained in the training activities. As outlined in the proposal, he will rely on a mixed-methods approach to pursue studies in three areas that have particular relevance for the role of organizational factors in shaping nursing home care in the United States: i) the scope and relevance of nursing home chain ownership in the United States; ii) the delivery of hospice care in nursing homes; and iii) the growing role of post-acute care in nursing homes. Research aims included in the first, generally-focused area are largely descriptive and will inform research into the other, more applied topics.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2017 ( Subtotal = -$52 )
2017	2015	VANDERBILT UNIVERSITY MEDICAL CENTER	1161 21ST AVE S STE D3300 MCN	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	000	6	12/20/2016	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$52
														Subtotal = -$52

Issue Date FY: 2016 ( Subtotal = $0 )
2016	2015	VANDERBILT UNIVERSITY MEDICAL CENTER	1161 21ST AVE S STE D3300 MCN	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	001	6	6/16/2016	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$4,163
2016	2015	VANDERBILT UNIVERSITY HOSPITAL, CHILDREN'S REHAB UNIT	1161 21ST AVENUE SOUTH	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	000	5	6/16/2016	NON-COMPETING CONTINUATION	-$4,163
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $120,015 )
2015	2015	VANDERBILT UNIVERSITY HOSPITAL, CHILDREN'S REHAB UNIT	1161 21ST AVENUE SOUTH	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	000	5	7/3/2015	NON-COMPETING CONTINUATION	$120,015
														Subtotal = $120,015

Issue Date FY: 2014 ( Subtotal = $120,015 )
2014	2014	VANDERBILT UNIVERSITY HOSPITAL, CHILDREN'S REHAB UNIT	1161 21ST AVENUE SOUTH	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	000	4	7/17/2014	NON-COMPETING CONTINUATION	$120,015
														Subtotal = $120,015

Issue Date FY: 2013 ( Subtotal = $120,015 )
2013	2013	VANDERBILT UNIVERSITY HOSPITAL, CHILDREN'S REHAB UNIT	1161 21ST AVENUE SOUTH	NASHVILLE	TN	37232	DAVIDSON	USA	Aging Research	000	3	7/26/2013	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$120,015
														Subtotal = $120,015

Issue Date FY: 2012 ( Subtotal = $125,477 )
2012	2012	HARVARD UNIVERSITY MEDICAL SCHOOL	643 HUNTINGTON AVENUE	BOSTON	MA	02115	SUFFOLK	USA	Aging Research	000	2	7/18/2012	NON-COMPETING CONTINUATION	$125,477
														Subtotal = $125,477

Issue Date FY: 2011 ( Subtotal = $125,736 )
2011	2011	HARVARD UNIVERSITY MEDICAL SCHOOL	643 HUNTINGTON AVENUE	BOSTON	MA	02115	SUFFOLK	USA	Aging Research	000	1	8/12/2011	NEW	$125,736
														Subtotal = $125,736

Grand Total All Awards = $611,206

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Organizational Factors and the Delivery of Nursing Home Care

Award Number: K01AG038481

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/15/2011

PERIOD OF PERFORMANCE END DATE: 07/31/2016

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