The Long-Term Care Data Cooperative: The Next Generation of Data Integration

Dore, David D.; Myles, Lonnita; Recker, Amy; Burns, D.; Murray, Catherine Rogers; Gifford, David; Mor, Vincent

doi:10.1016/j.jamda.2022.09.006

Cited by 9 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To work towards addressing this potential issue of generalizability, future work from our research team aims to scale up the EHR data by leveraging linked EHR, MDS, and Medicare insurance claims data through a partnership between our institution, the Long‐Term Care Data Cooperative, and other stakeholders. Any interested researcher can apply to use the Long‐Term Care Data Cooperative data 54 . Second, our EHR data are generated in the course of usual care and have not yet been extensively validated.…”

Section: Discussionmentioning

confidence: 99%

Use of electronic health record data to examine administrations of pro re nata analgesics during hip fracture post‐acute care

Riester,

Zhang,

Hayes

et al. 2024

Pharmacoepidemiology and Drug

View full text Add to dashboard Cite

PurposeMedications prescribed to older adults in US skilled nursing facilities (SNF) and administrations of pro re nata (PRN) “as needed” medications are unobservable in Medicare insurance claims. There is an ongoing deficit in our understanding of medication use during post‐acute care. Using SNF electronic health record (EHR) datasets, including medication orders and barcode medication administration records, we described patterns of PRN analgesic prescribing and administrations among SNF residents with hip fracture.MethodsEligible participants resided in SNFs owned by 11 chains, had a diagnosis of hip fracture between January 1, 2018 to August 2, 2021, and received at least one administration of an analgesic medication in the 100 days after the hip fracture. We described the scheduling of analgesics, the proportion of available PRN doses administered, and the proportion of days with at least one PRN analgesic administration.ResultsAmong 24 038 residents, 57.3% had orders for PRN acetaminophen, 67.4% PRN opioids, 4.2% PRN non‐steroidal anti‐inflammatory drugs, and 18.6% PRN combination products. The median proportion of available PRN doses administered per drug was 3%–50% and the median proportion of days where one or more doses of an ordered PRN analgesic was administered was 25%–75%. Results differed by analgesic class and the number of administrations ordered per day.ConclusionsEHRs can be leveraged to ascertain precise analgesic exposures during SNF stays. Future pharmacoepidemiology studies should consider linking SNF EHRs to insurance claims to construct a longitudinal history of medication use and healthcare utilization prior to and during episodes of SNF care.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of electronic health record data to examine administrations of pro re nata analgesics during hip fracture post‐acute care

Riester,

Zhang,

Hayes

et al. 2024

Pharmacoepidemiology and Drug

View full text Add to dashboard Cite

show abstract

“…Partnerships with qualified third‐parties to support intensive data collection may enhance the evaluation of nursing home interventions, without detracting from the primary patient care responsibilities of staff. The Long‐Term Care Data Cooperative, a collaboration linking electronic health record information to nursing home census and facility characteristics, provides one model for future data collection efforts 24 …”

Section: Discussionmentioning

confidence: 99%

“…The Long-Term Care Data Cooperative, a collaboration linking electronic health record information to nursing home census and facility characteristics, provides one model for future data collection efforts. 24…”

Section: When Randomization Is Difficultmentioning

confidence: 99%

Nursing home infection control strategies during the COVID‐19 pandemic

Festa

Katz-Christy

Weiss

et al. 2023

J American Geriatrics Society

View full text Add to dashboard Cite

Background The American Rescue Plan Act of 2021 awarded $500 million toward scaling “strike teams” to mitigate the impact of Coronavirus Disease 2019 (COVID‐19) within nursing homes. The Massachusetts Nursing Facility Accountability and Support Package (NFASP) piloted one such model during the first weeks of the pandemic, providing nursing homes financial, administrative, and educational support. For a subset of nursing homes deemed high‐risk, the state offered supplemental, in‐person technical infection control support. Methods Using state death certificate data and federal nursing home occupancy data, we examined longitudinal all‐cause mortality per 100,000 residents and changes in occupancy across NFASP participants and subgroups that varied in their receipt of the supplemental intervention. Results Nursing home mortality peaked in the weeks preceding the NFASP, with a steeper increase among those receiving the supplemental intervention. There were contemporaneous declines in weekly occupancy. The potential for temporal confounding and differential selection across NFASP subgroups precluded estimation of causal effects of the intervention on mortality. Conclusions We offer policy and design suggestions for future strike team iterations that could inform the allocation of state and federal funding. We recommend expanded data collection infrastructure and, ideally, randomized assignment to intervention subgroups to support causal inference as strike team models are scaled under the direction of state and federal agencies.

show abstract

“…Of recent note, investigators considering the use of EHR data may avoid these issues by utilizing the LTC Data Cooperative, a national repository of multiyear EHR data sets linked with Medicare claims, established in 2022. 41 …”

Section: Discussionmentioning

confidence: 99%

The Burden and Treatment of Chronic Constipation Among US Nursing Home Residents

Zhang,

Zullo,

James

et al. 2023

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

The Long-Term Care Data Cooperative: The Next Generation of Data Integration

Cited by 9 publications

References 8 publications

Use of electronic health record data to examine administrations of pro re nata analgesics during hip fracture post‐acute care

Use of electronic health record data to examine administrations of pro re nata analgesics during hip fracture post‐acute care

Nursing home infection control strategies during the COVID‐19 pandemic

The Burden and Treatment of Chronic Constipation Among US Nursing Home Residents

Contact Info

Product

Resources

About