Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Dementia care in nursing homes: does race matter?

Award Number: RF1AG063811
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/15/2019
PERIOD OF PERFORMANCE END DATE: 06/30/2024

Group Awards By:

View Award Description

Dementia care in nursing homes: does race matter? - Project Summary. Most persons with Alzheimer's disease or related dementia (ADRD) need nursing home (NH) care during the course of the illness, as they experience a loss of functional independence and develop behavioral and psychiatric symptoms of dementia (BPSD). Studies have indicated that Blacks with ADRD are more likely to have higher levels of cognitive impairment and BPSD than Whites with ADRD, thus intensifying their needs for NH care. However, in spite of potentially higher needs for NH care, there is only limited information on quality of care received by Black residents with ADRD. Many questions left answered. First, although studies have suggested that Blacks in general are less likely to be admitted to higher-quality NHs, which leads to “between-NH” racial differences, it is unknown whether these findings can be generalized to persons with ADRD, considering unique care needs among residents with ADRD. Furthermore, it is unknown whether such racial differences can be affected by government policies aimed at improving NH dementia care (i.e. the CMS's public reporting of antipsychotic use in NHs and state Medicaid dementia/behavioral add-on payment adjustment). Second, it is unknown whether Blacks with ADRD experience different quality outcomes than their White counterparts within the same facility after being admitted into NHs (i.e. “within-NH” differences), whether such racial differences vary with different phases of NH care (i.e. post-acute care, long- term care, and/or end-of-life care), and how much of such differences, if any, can be explained by observed individual characteristics. This proposed research aims to address these gaps in knowledge. The objectives of this proposed research is to understand racial differences in quality of NH care among residents with ADRD, to explore the sources of racial differences and factors that may influence racial differences. By using 2011-2017 national data, the study has two Specific Aims: 1) Examine the extent to which Black residents with ADRD are less likely to be admitted to higher-quality NHs (“between-NH” differences). We hypothesize that Blacks with ADRD are less likely to be admitted to high-quality NHs than their White counterparts, and that such racial difference will be larger following CMS's public reporting of NH antipsychotic use; and smaller in states with Medicaid add-on payment for dementia/behavioral problems; and 2) Examine within-NH racial differences in quality outcomes among residents with ADRD, at each phase of NH care. We hypothesize that that Blacks with ADRD experience poorer quality outcomes than their White counterparts in the same NH. We will also explore how much of the racial differences can be explained by observed individual characteristics. This study is innovative because it will be the first national study to address these questions among persons with ADRD. This proposed research is significant as it addresses a public health concern on NH care received by residents with ADRD. Achieving equity is crucial in quality improvement. Findings from this study will inform future efforts aimed at reducing unwarranted differences and improving dementia care for this vulnerable population.


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: 2025 ( Subtotal = $0 )
2025	2019	UNIVERSITY OF ROCHESTER	910 GENESEE ST	ROCHESTER	NY	14611	MONROE	USA	Aging Research	000	1	10/31/2024	NEW	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2020	UNIVERSITY OF ROCHESTER	910 GENESEE ST	ROCHESTER	NY	14611	MONROE	USA	Aging Research	002	1	1/16/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2020	UNIVERSITY OF ROCHESTER	910 GENESEE ST	ROCHESTER	NY	14611	MONROE	USA	Aging Research	001	1	1/12/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2019	UNIVERSITY OF ROCHESTER	910 GENESEE ST	ROCHESTER	NY	14611	MONROE	USA	Aging Research	000	1	1/8/2024	NEW	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = -$29,260 )
2022	2019	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	000	1	11/16/2021	NEW	-$29,260
														Subtotal = -$29,260

Issue Date FY: 2021 ( Subtotal = -$97,405 )
2021	2019	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	000	1	1/22/2021	NEW	-$89,705
2021	2019	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	001	1	3/15/2021	NEW	-$7,700
														Subtotal = -$97,405

Issue Date FY: 2020 ( Subtotal = $963,854 )
2020	2020	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	001	1	9/9/2020	SUPPLEMENT FOR EXPANSION	$578,879
2020	2020	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	000	1	9/2/2020	SUPPLEMENT FOR EXPANSION	$384,975
														Subtotal = $963,854

Issue Date FY: 2019 ( Subtotal = $1,384,920 )
2019	2019	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	001	1	9/24/2019	NEW	$999,920
2019	2019	UNIVERSITY OF ROCHESTER	500 JOSEPH C WILSON BLVD	ROCHESTER	NY	14627	MONROE	USA	Aging Research	000	1	7/11/2019	NEW	$385,000
														Subtotal = $1,384,920

Grand Total All Awards = $2,222,109

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Dementia care in nursing homes: does race matter?

Award Number: RF1AG063811

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/15/2019

PERIOD OF PERFORMANCE END DATE: 06/30/2024

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer