A Profile of Home and Community-Based Services in Ohio
The report tracks the changes in home care use in the state over the past 30 years.
Ian Matt Nelson • Robert A. Applebaum • Oksana Dikhtyar • John R. Bowblis
John R. Bowblis: Reports and Publications
Search for Publications, Reports, and Presentations
A Profile of Nursing Homes in Ohio
This study provides a comprehensive overview of the nursing home industry in Ohio.
Robert A. Applebaum • Ian Matt Nelson • Oksana Dikhtyar • Negar Nik Bakht • John R. Bowblis • MaKenna McClure
The Federal Proposed Standard for Nursing Home Staffing
In response to concerns about direct care staffing challenges in nursing homes across the nation, on September 6, 2023, the Centers for Medicare and Medicaid Services (CMS) proposed new federal rul...
Ian Matt Nelson • John R. Bowblis • Amy E. Elliot • Robert A. Applebaum
Current Workforce and Quality Challenges in New York State Nursing Homes
This study provides background information about the current workforce and quality challenges faced by New York’s nursing homes.
Evaluation of Ohio’s MyCare Demonstration
Impact evaluation of Ohio's MyCare Program
Katherine M. Abbott • John R. Bowblis • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston) • Ian Matt Nelson
Exploring the Criterion Validity of Pragmatic Person-Centered Care/Culture Change Measures
This study aims to assess the criterion validity of the Preferences for Everyday Living Inventory (PELI) Implementation Indicator with other culture change measures.
John R. Bowblis • Reese Moore • Jane Straker • Caroline Madrigal • Kimberly Van Haitsma • Miranda C. Kunkel • Katherine M. Abbott • Ian Matt Nelson
Prevalence of COVID-19 in Ohio nursing homes: What's quality got to do with it?
With nursing homes being hit hard by the COVID-19 pandemic, it is important to know whether facilities that have any cases, or those with particularly high caseloads, are different from nursing hom...
Low retention of direct care workers (DCWs), either certified nursing assistants in nursing homes (NH) or personal care assistants in assisted living (AL), continues to be an unresolved problem.
Jane Straker • Robert A. Applebaum • John R. Bowblis • Katherine A. Kennedy
The Preferences Assessment Tool (PAT) in the Minimum Data Set (MDS) 3.0 assesses 16 resident preferences for daily routines and activities.
Odichinma Akosionu • Beth A. Virnig • Yunfei Duan • Jasjit S. Ahluwalia • Weiwen Ng • Joseph E. Gaugler • Mark Woodhouse • John R. Bowblis • Haitao Chu • Teyana T. Shippee
Certified nursing assistant (CNA) turnover and retention are critical aspects of facilities’ ability to provide cost-effective, high-quality person-centered care.
John R. Bowblis • Katherine A. Kennedy • Robert A. Applebaum
This is a test Medicaid nursing home (NH) reimbursement rates and bed-hold policies have been shown to be associated with hospitalization of urban NH residents, but their relationships with emergen...
Yue Li • John R. Bowblis • Thomas V. Caprio • Huiwen Xu • Orna Intrator
The purpose of this study was to investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities.
Joseph E. Gaugler • Jasjit S. Ahluwalia • John R. Bowblis • Haitao Chu • Beth A. Virnig • Weiwen Ng • Mark Woodhouse • Yinfei Duan • Teyana T. Shippee • Odichinma Akosionu
Primary care competition and quality of care: Empirical evidence from Medicare
This paper explores the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medi...
Christopher Brunt • Joshua Hendrickson • John R. Bowblis
Prevalence of COVID-19 in Ohio Nursing Homes
This study examines the Prevalence of COVID-19 cases in Ohio nursing homes in the context of the Centers for Medicare and Medicaid Services (CMS) 5-star quality ratings.
The proportion of racial/ethnic minority older adults in nursing homes (NHs) has increased dramatically and will surpass the proportion of white adults by 2030.
Teyana T. Shippee • John R. Bowblis • Weiwen Ng
COVID-19 pandemic: Exacerbating racial/ethnic disparities in long-term services and supports
What services are available and where racial and ethnic minorities receive long-term services and supports (LTSS) have resulted in a lower quality of care and life for racial/ethnic minority users.
Teyana T. Shippee • Weiwen Ng • John R. Bowblis
Nursing homes (NHs) are serving greater proportions of residents with serious mental illness (SMI), and it is unclear whether this affects NH quality.
John R. Bowblis • Kathryn Hyer • Dylan J. Jester
An increasing number of post-acute care patients are admitted to skilled nursing facilities (SNFs) with behavioral symptoms such as wandering and rejecting care, which can interfere with care and p...
Amy Restorick Roberts • John R. Bowblis • Austin C. Smith
Long-stay nursing home (NH) residents are at high risk of having emergency department (ED) visits, but current knowledge regarding risk-adjusted ED rates is limited.
Orna Intrator • Huiwen Xu • Thomas V. Caprio • John R. Bowblis • Yue Li
This report provides findings from a study of long-term services and supports utilization trends from 1993 to 2017.
Ian Matt Nelson • John R. Bowblis • Robert A. Applebaum • Jane Straker • A. Katherine Harrington
This research brief compares the quality of Ohio's nursing homes to the nation over three time periods from 2013 to 2017.
Dedicated Memory Care Units in Ohio's Long-Term Services Settings: Structure and Practices
This report provides information about memory care units in Ohio's nursing homes and residential care facilties.
Jane Straker • John R. Bowblis • Katherine A. Kennedy • A. Katherine Harrington
This study examines the associations between the motivation to learn, basic skills, and organized adult education and training participation among the middle-aged and older adults in the USA.
John R. Bowblis • Austin C. Smith
The impact of long-term care ombudsman presence on nursing home survey deficiencies
This study examines whether deficiency outcomes from nursing home annual survey inspections vary with the presence of a long-term care ombudsman at the survey.
Josh Bornstein • John R. Bowblis • Diane Berish
Impact of social service staffing on nursing home quality and resident outcomes
Social service staff play a key role in nursing homes and are responsible for providing psychosocial services to residents and their families.
John R. Bowblis • Austin C. Smith • Amy Restorick Roberts
Is the quality of nursing homes countercyclical? Evidence from 2001 through 2015
This study examines whether nursing homes (NHs) provide better quality when unemployment rates rise (countercyclical) and explores mechanisms contributing to the relationship between quality and un...
Sean Shenghsiu Huang • John R. Bowblis
Private equity ownership and nursing home quality: An instrumental variable approach
There is a concern that when private equity firms purchase nursing homes, they will lower quality of care in order to increase profits.
John R. Bowblis • Sean Shenghsiu Huang
Workforce retention and wages in nursing homes: An analysis of managerial ownership
Healthcare providers can be managed by salaried managers or owner-managers that have a significant equity stake in their facility.
Sean Shenghsiu Huang • John R. Bowblis
Family satisfaction with nursing home care: Findings and implications from two state comparison
Most studies of family satisfaction are restricted to one state. This study compares the organizational and structural factors associated with higher family satisfaction in the states of Minnesota ...
John R. Bowblis • Amy Restorick Roberts • Teyana T. Shippee • Weiwen Ng
This paper expands the literature on the heterogeneity among nursing home facilities by determining whether quality at for-profit nursing homes managed by owner-managers is different from those ope...
John R. Bowblis • Sean Shenghsiu Huang
Cost-effective adjustments to nursing home staffing to improve quality
This study holistically examines which type of nursing home staffing (nursing, social service, activities) yields better quality as measured by number of deficiencies and deficiency scores.
This paper uses a sample of California nursing homes to causally identify whether higher staff turnover leads to worse quality.
Yaa Akosa Antwi • John R. Bowblis
Typically thought of as a long-term care option for older residents, the proportion of Ohio’s long-stay Medicaid nursing home residents under the age of 65 has tripled over the last 20 years.
Managerial ownership in nursing homes: Staffing, quality, and financial performance
This paper uses facility-level data to determine whether staffing levels, quality, and financial performance is different among nursing homes operated as a nonprofit, a for-profit with an owner-man...
John R. Bowblis • Sean Shenghsiu Huang
Using National Data to Examine the Quality of Care in Ohio's Skilled Nursing Facilities
This study compares the quality of Ohio's skilled nursing facilities to the nation overall.
Although nurse staffing has been extensively studied within nursing homes (NHs), social services has received less attention.
How does rurality influence the staffing of social service departments in nursing homes?
This paper examines how social service departments in nursing homes are staffed by rurality.
How Does Medicaid Reimbursement Impact the Quality of Ohio Nursing Homes?
Study examines the changes in Medicaid nursing home reimbursement between 2007 and 2012 as Ohio moved to a "new price system".