Selected Publications
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article
- Multimethod Process Evaluation of a Community Paramedic Delivered Care Transitions Intervention for Older ED Patients.. Prehospital emergency care. 27:1-10. 2022
- Moving beyond disclosure: Stages of care in preclinical Alzheimer's disease biomarker testing.. Alzheimer's & dementia : the journal of the Alzheimer's Association. 18:1969-1979. 2022
- Pathways of care: a qualitative study of barriers and facilitators to engaging dementia care among underserved and minority populations in the US and Germany.. Aging & mental health. 27:1-10. 2022
- Age-Stratified 30-day Rehospitalization and Mortality and Predictors of Rehospitalization Among Patients With Systemic Lupus Erythematosus: A Medicare Cohort Study.. The Journal of rheumatology. 2022
- Association Between Neighborhood Disadvantage and Pediatric Readmissions.. Maternal and child health journal. 26:31-41. 2022
- Association of Neighborhood-Level Disadvantage With Neurofibrillary Tangles on Neuropathological Tissue Assessment.. JAMA network open. 5:-. 2022
- Association of Race, Ethnicity, and Rurality With Major Leg Amputation or Death Among Medicare Beneficiaries Hospitalized With Diabetic Foot Ulcers.. JAMA network open. 5:-. 2022
- Care transitions intervention reduces ED revisits in cognitively impaired patients.. Alzheimer's & dementia (New York, N. Y.). 8:-. 2022
- Diversifying Recruitment Registries: Considering Neighborhood Health Metrics.. The journal of prevention of Alzheimer's disease. 9:119-125. 2022
- Dysphagia Profiles Among Inpatients with Dementia Referred for Swallow Evaluation.. Journal of Alzheimer's disease : JAD. 89:351-358. 2022
- Evaluating How Safety-Net Hospitals Are Identified: Systematic Review and Recommendations.. Health equity. 6:298-306. 2022
- Hospital Characteristics by Proportion of Patients from Disadvantaged Neighborhoods.. Journal of hospital medicine. 17:181-185. 2022
- Improving healthcare value: Addressing the confusing costs of observation hospitalizations.. Journal of hospital medicine. 17:757-759. 2022
- Placing Medicare Beneficiaries at Financial Risk: the Cost of Observation, Inpatient Hospitalization, and Neighborhood Disadvantage.. Journal of general internal medicine. 37:2601-2603. 2022
- A systematic review of geographic indices of disadvantage with implications for older adults.. JCI insight. 6. 2021
- Effectiveness of a care transitions intervention for older adults discharged home from the emergency department: A randomized controlled trial.. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 29:51-63. 2021
- Assessment of Racial/Ethnic Disparities in Timeliness and Comprehensiveness of Dementia Diagnosis in California.. JAMA neurology. 78:657-665. 2021
- A Scoping Review of the Association of Social Disadvantage and Cerebrovascular Disease Confirmed by Neuroimaging and Neuropathology.. International journal of environmental research and public health. 18. 2021
- A framework of social determinants of health for delirium tailored to older adults.. Journal of the American Geriatrics Society. 70:235-242. 2021
- Alzheimer's disease biomarkers in Black and non-Hispanic White cohorts: A contextualized review of the evidence.. Alzheimer's & dementia : the journal of the Alzheimer's Association. 18:1545-1564. 2021
- Association of Neighborhood Context, Cognitive Decline, and Cortical Change in an Unimpaired Cohort.. Neurology. 96:e2500-e2512. 2021
- Bridging the Hospital-Skilled Nursing Facility Information Continuity Divide.. JAMA network open. 4:-. 2021
- Dementia Caregivers' Experiences Engaging Supportive Services While Residing in Under-Resourced Areas.. Journal of Alzheimer's disease : JAD. 84:169-177. 2021
- Feasibility of a human factors work-system designed recruitment method for hospitalized persons with dementia.. Journal of the American Geriatrics Society. 69:1097-1099. 2021
- Front-Line innovation: Rapid implementation of a nurse-driven protocol for care of outpatients with COVID-19.. Journal of clinical nursing. 30:1564-1572. 2021
- Machine learning-assisted screening for cognitive impairment in the emergency department.. Journal of the American Geriatrics Society. 70:831-837. 2021
- Mechanistic Health Disparities Research: Aligning Science With Solutions.. WMJ : official publication of the State Medical Society of Wisconsin. 120:333-334. 2021
- One Quarter of Medicare Hospitalizations in Patients with Systemic Lupus Erythematosus Readmitted within Thirty Days.. Seminars in arthritis and rheumatism. 51:477-485. 2021
- Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review.. International journal of environmental research and public health. 18. 2021
- Race, Ethnicity, Neighborhood Characteristics, and In-Hospital Coronavirus Disease-2019 Mortality.. Medical care. 59:888-892. 2021
- The Fundamental Unfairness of Active Life Span Disparity.. JAMA internal medicine. 181:1304-1305. 2021
- The Hospital Readmissions Reduction Program and Observation Hospitalizations.. Journal of hospital medicine. 16:409-411. 2021
- Association between social isolation and outpatient follow-up in older adults following emergency department discharge.. Archives of gerontology and geriatrics. -. 2020
- Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 28:215-225. 2020
- Dementia Diagnosis Documentation in Patients Presenting to the Emergency Department with Chest Pain.. Journal of the American Geriatrics Society. 68:2409-2411. 2020
- "Hopes and wishes": Goals of high-need, high-cost older patients and their caregivers.. Patient education and counseling. 103:1428-1434. 2020
- Conceptualizing caregiving activities for persons with dementia (PwD) through a patient work lens.. Applied ergonomics. -. 2020
- An index of geospatial disadvantage predicts both obesity and unmeasured body weight.. Preventive medicine reports. -. 2020
- Association of Neighborhood-Level Disadvantage With Alzheimer Disease Neuropathology.. JAMA network open. 3:-. 2020
- Association of Neighborhood-Level Disadvantage With Cerebral and Hippocampal Volume.. JAMA neurology. 77:451-460. 2020
- Association of Outpatient Practice-Level Socioeconomic Disadvantage With Quality of Care and Outcomes Among Older Adults With Coronary Artery Disease: Implications for Value-Based Payment.. Circulation. Cardiovascular quality and outcomes. 13:-. 2020
- Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services.. Journal of Alzheimer's disease : JAD. 77:865-875. 2020
- Improving Healthcare Value: COVID-19 Emergency Regulatory Relief and Implications for Post-Acute Skilled Nursing Facility Care.. Journal of hospital medicine. 15:495-497. 2020
- Investigating lupus retention in care to inform interventions for disparities reduction: an observational cohort study.. Arthritis research & therapy. 22:-. 2020
- Mind the Gaps: Supporting Key Social Safety Nets Across the Digital Divide in Rural Wisconsin.. WMJ : official publication of the State Medical Society of Wisconsin. 119:227-228. 2020
- Neighborhood disadvantage and 30-day readmission risk following Clostridioides difficile infection hospitalization.. BMC infectious diseases. 20:-. 2020
- Neighborhood-Level Social Disadvantage and Risk of Delirium Following Major Surgery.. Journal of the American Geriatrics Society. 68:2863-2871. 2020
- Policy in Clinical Practice: Medicare Advantage and Observation Hospitalizations.. Journal of hospital medicine. 15:6-8. 2020
- Precision Health Analytics With Predictive Analytics and Implementation Research: JACC State-of-the-Art Review.. Journal of the American College of Cardiology. 76:306-320. 2020
- Tailored interventions to reduce hospital admissions for individuals with cerebral palsy.. Developmental medicine and child neurology. 62:-. 2020
- The Area Deprivation Index: A novel tool for harmonizable risk assessment in Alzheimer's disease research.. Alzheimer's & dementia (New York, N. Y.). 6:-. 2020
- The Association Between Neighborhood Socioeconomic Disadvantage and Chronic Obstructive Pulmonary Disease.. International journal of chronic obstructive pulmonary disease. 981-993. 2020
- The Association Between Neighborhood Socioeconomic Disadvantage and Readmissions for Patients Hospitalized With Sepsis.. Critical care medicine. 48:808-814. 2020
- The U-ARE Protocol: A Pragmatic Approach to Decisional Capacity Assessment for Clinical Research.. Journal of Alzheimer's disease : JAD. 73:431-442. 2020
- Thirty-Day Re-observation, Chronic Re-observation, and Neighborhood Disadvantage.. Mayo Clinic proceedings. 95:2644-2654. 2020
- What Is an Observation Stay? Evaluating the Use of Hospital Observation Stays in Medicare.. Journal of the American Geriatrics Society. 68:1568-1572. 2020
- A Case Study on A University-Community Partnership to Eliminate Racial Disparities in Infant Mortality: Effective Strategies and Lessons Learned.. Social work in public health. 34:673-685. 2019
- Adjusting for social risk factors impacts performance and penalties in the hospital readmissions reduction program.. Health services research. 54:327-336. 2019
- Coordinated-Transitional Care for Veterans with Heart Failure and Chronic Lung Disease.. Journal of the American Geriatrics Society. 67:1502-1507. 2019
- In Pursuit of Meaningful Performance Measures for Postacute Care.. JAMA network open. 2:-. 2019
- Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland's All-Payer Program: An Observational Study.. Annals of internal medicine. 171:91-98. 2019
- Improving the ED-to-Home Transition: The Community Paramedic-Delivered Care Transitions Intervention-Preliminary Findings.. Journal of the American Geriatrics Society. 66:2213-2220. 2018
- A randomized controlled trial testing the effectiveness of a paramedic-delivered care transitions intervention to reduce emergency department revisits.. BMC geriatrics. 18:-. 2018
- Qualitative Evaluation of the Coach Training within a Community Paramedicine Care Transitions Intervention.. Prehospital emergency care. 22:527-534. 2018
- Adaptation and Implementation of a Transitional Care Protocol for Patients Undergoing Complex Abdominal Surgery.. Joint Commission journal on quality and patient safety. 44:741-750. 2018
- Area Deprivation Index Predicts Readmission Risk at an Urban Teaching Hospital.. American journal of medical quality : the official journal of the American College of Medical Quality. 33:493-501. 2018
- Geographic and Racial Disparities in Infant Hearing Loss.. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. -. 2018
- Identifying Observation Stays In Medicare Data: Policy Implications of a Definition.. Journal of hospital medicine. 14:96-100. 2018
- Impact Of Risk Adjustment For Socioeconomic Status On Medicare Advantage Plan Quality Rankings.. Health affairs (Project Hope). 37:1065-1072. 2018
- Impact of Hospital Context on Transitioning Patients From Hospital to Skilled Nursing Facility: A Grounded Theory Study.. The Gerontologist. 58:521-529. 2018
- Linking Neighborhood Context and Health in Community-Dwelling Older Adults in the Medicare Advantage Program.. Journal of the American Geriatrics Society. 66:1158-1164. 2018
- Making Neighborhood-Disadvantage Metrics Accessible - The Neighborhood Atlas.. The New England journal of medicine. 378:2456-2458. 2018
- Neighborhood disadvantage and chronic disease management.. Health services research. 206-216. 2018
- Procedural Framework to Facilitate Hospital-Based Informed Consent for Dementia Research.. Journal of the American Geriatrics Society. 66:2243-2248. 2018
- Sepsis Survivors Admitted to Skilled Nursing Facilities: Cognitive Impairment, Activities of Daily Living Dependence, and Survival.. Critical care medicine. 46:37-44. 2018
- Social Determinants of Health: Fundamental Drivers of Health Inequity.. WMJ : official publication of the State Medical Society of Wisconsin. 117:231-232. 2018
- The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.. Health services research. 53:3770-3789. 2018
- Treatment decision making involving patients with dementia in acute care: A scoping review.. Patient education and counseling. 101:1884-1891. 2018
- A Pilot Study of Perceived Mouth Dryness, Perceived Swallowing Effort, and Saliva Substitute Effects in Healthy Adults Across the Age Range.. Dysphagia. 33:200-205. 2017
- A Scoping Review of Health Disparities in Autism Spectrum Disorder.. Journal of autism and developmental disorders. 47:3380-3391. 2017
- Apples and Oranges: Four Definitions of Multiple Chronic Conditions and their Relationship to 30-Day Hospital Readmission.. Journal of the American Geriatrics Society. 65:712-720. 2017
- Improving Patient-Centered Transitional Care after Complex Abdominal Surgery.. Journal of the American College of Surgeons. 225:259-265. 2017
- Initiation of a Transitions Program: "Two Million Melvins".. Journal of nursing care quality. 32:99-103. 2017
- Neighborhood Disadvantage is Associated with High Cytomegalovirus Seroprevalence in Pregnancy.. Journal of racial and ethnic health disparities. 5:782-786. 2017
- Transitions From Hospitals to Skilled Nursing Facilities for Persons With Dementia: A Challenging Convergence of Patient and System-Level Needs.. The Gerontologist. 57:867-879. 2017
- Effects of Change in Tongue Pressure and Salivary Flow Rate on Swallow Efficiency Following Chemoradiation Treatment for Head and Neck Cancer.. Dysphagia. 31:687-96. 2016
- Design and Hospitalwide Implementation of a Standardized Discharge Summary in an Electronic Health Record.. Joint Commission journal on quality and patient safety. 42:555-AP11. 2016
- Development and preliminary evaluation of the resident coordinated-transitional care (RC-TraC) program: A sustainable option for transitional care education.. Gerontology & geriatrics education. 39:160-169. 2016
- Harnessing Protocolized Adaptation in Dissemination: Successful Implementation and Sustainment of the Veterans Affairs Coordinated-Transitional Care Program in a Non-Veterans Affairs Hospital.. Journal of the American Geriatrics Society. 64:409-16. 2016
- Missing Warfarin Discharge Communication and Risk of 30-Day Rehospitalization and/or Death: Retrospective Cohort Study.. Journal of the American Geriatrics Society. 64:2394-2396. 2016
- Overcoming the Challenges of Unstructured Data in Multisite, Electronic Medical Record-based Abstraction.. Medical care. 54:e65-72. 2016
- Preventing Opioid Prescription Theft and Ensuring SeCure Transfer of Personal Health Information when Patients Transition from the Hospital to a Nursing Home.. Journal of the American Geriatrics Society. 64:e23-5. 2016
- Trajectories and Prognosis of Older Patients Who Have Prolonged Mechanical Ventilation After High-Risk Surgery.. Critical care medicine. 44:1091-7. 2016
- Hospice Enrollment, Local Hospice Utilization Patterns, and Rehospitalization in Medicare Patients.. Journal of palliative medicine. 18:601-12. 2015
- Omission of Physical Therapy Recommendations for High-Risk Patients Transitioning From the Hospital to Subacute Care Facilities.. Archives of physical medicine and rehabilitation. 96:1966-72.e3. 2015
- Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery.. Journal of the American College of Surgeons. 221:810-20. 2015
- Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives.. Research in social & administrative pharmacy : RSAP. 11:517-30. 2014
- Development and Implementation of the Coordinated-Transitional Care (C-TraC) Program.. Federal practitioner : for the health care professionals of the VA, DoD, and PHS. 31:30-34. 2014
- Documented lifestyle education among young adults with incident hypertension.. Journal of general internal medicine. 30:556-64. 2014
- Far too easy: opioid diversion during the transition from hospital to nursing home.. Journal of the American Geriatrics Society. 62:2229-31. 2014
- Neighborhood socioeconomic disadvantage and 30-day rehospitalization: a retrospective cohort study.. Annals of internal medicine. 161:765-74. 2014
- Performance-based assessment of falls risk in older veterans with executive dysfunction.. Journal of rehabilitation research and development. 51:263-74. 2014
- Rehospitalization to primary versus different facilities following abdominal aortic aneurysm repair.. Journal of vascular surgery. 59:1502-10, 1510.e1-2. 2014
- The consequences of poor communication during transitions from hospital to skilled nursing facility: a qualitative study.. Journal of the American Geriatrics Society. 61:1095-102. 2013
- Causes and implications of readmission after abdominal aortic aneurysm repair.. Annals of surgery. 256:595-605. 2012
- Lipid testing in patients with rheumatoid arthritis and key cardiovascular-related comorbidities: a medicare analysis.. Seminars in arthritis and rheumatism. 42:9-16. 2012
- Low-cost transitional care with nurse managers making mostly phone contact with patients cut rehospitalization at a VA hospital.. Health affairs (Project Hope). 31:2659-68. 2012
- Monitoring diabetes in patients with and without rheumatoid arthritis: a Medicare study.. Arthritis research & therapy. 14:-. 2012
- Receipt of monitoring of diabetes mellitus in older adults with comorbid dementia.. Journal of the American Geriatrics Society. 60:644-51. 2012
- Superior outcomes for rural patients after abdominal aortic aneurysm repair supports a systematic regional approach to abdominal aortic aneurysm care.. Journal of vascular surgery. 56:608-13. 2012
- Failure to rescue and mortality after reoperation for abdominal aortic aneurysm repair.. Journal of vascular surgery. 54:346-51; discussion 351-2. 2011
- Low frequency of primary lipid screening among medicare patients with rheumatoid arthritis.. Arthritis and rheumatism. 63:1221-30. 2011
- Provider characteristics, clinical-work processes and their relationship to discharge summary quality for sub-acute care patients.. Journal of general internal medicine. 27:78-84. 2011
- Discharge destination's effect on bounce-back risk in Black, White, and Hispanic acute ischemic stroke patients.. Archives of physical medicine and rehabilitation. 91:189-95. 2010
- For-profit hospital status and rehospitalizations at different hospitals: an analysis of Medicare data.. Annals of internal medicine. 153:718-27. 2010
- Omission of dysphagia therapies in hospital discharge communications.. Dysphagia. 26:49-61. 2010
- Pending laboratory tests and the hospital discharge summary in patients discharged to sub-acute care.. Journal of general internal medicine. 26:393-8. 2010
- Senescent swallowing: impact, strategies, and interventions.. Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 24:395-413. 2009
- The quality of diabetes care following hospitalization for ischemic stroke.. Cerebrovascular diseases (Basel, Switzerland). 27:235-40. 2009
- Declining patient functioning and caregiver burden/health: the Minnesota stroke survey--quality of life after stroke study.. The Gerontologist. 48:573-83. 2008
- Predictors of hospice utilization among acute stroke patients who died within thirty days.. Journal of palliative medicine. 11:1249-57. 2008
- The price of bouncing back: one-year mortality and payments for acute stroke patients with 30-day bounce-backs.. Journal of the American Geriatrics Society. 56:999-1005. 2008
- Bouncing back: patterns and predictors of complicated transitions 30 days after hospitalization for acute ischemic stroke.. Journal of the American Geriatrics Society. 55:365-73. 2007
- Bouncing-back: rehospitalization in patients with complicated transitions in the first thirty days after hospital discharge for acute stroke.. Home health care services quarterly. 26:37-55. 2007
- Rhabdomyolysis from the combination of a statin and gemfibrozil: an uncommon but serious adverse reaction.. WMJ : official publication of the State Medical Society of Wisconsin. 101:53-6. 2002