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Documentation of Resident to Resident Elder Mistreatment in Residential Care Facilities, New York City, 2009-2013 (ICPSR 35649)

Released/updated on: 2017-06-29
Geographic coverage: New York City, United States, New York (state)
Time period: 2009-07-01--2013-03-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

The purpose of this study was to investigate violence and aggression committed by nursing home residents that is directed toward other residents, referred to here as resident-to-resident elder mistreatment (R-REM). Resident-to-resident mistreatment (R-REM) was defined as: negative and aggressive physical, sexual, or verbal interactions between long term care residents, that in a community setting would likely be construed as unwelcome and have high potential to cause physical or psychological distress in the recipient.

The goals of this project were to: enhance institutional recognition of R-REM; examine the convergence of R-REM reports across different methodologies; identify the most accurate mechanism for detecting and reporting R-REM; develop profiles of persons involved with R-REM by reporting source; investigate existing R-REM policies, and; develop institutional guidelines for reporting R-REM episodes. Also, the project team sought to answer the following research questions: (1) Will the reporting of R-REM differ by source? (2) Which reporting methods will show the highest level of convergence and accuracy in reporting? (3) What resident characteristics or profiles will predict R-REM across the differing reporting sources? (4) What are the existing guidelines and/or institutional policies for reporting R-REM? To achieve these goals, the researcher conducted this study over a two week period in five urban and five suburban New York City facilities. Resident-to-resident abuse information was derived from five sources: (1) resident interviews (2) staff informants (3) observational data (behavior sheets) (4) resident chart reviews (5) incident and accident reports.

Curated

National Home and Hospice Care Survey, 1992 (ICPSR 6536)

Released/updated on: 2006-01-12
Geographic coverage: United States
The National Home and Hospice Care Survey (NHHCS) for 1992 is the first annual survey of home health agencies and hospices and their patients and discharges. The survey was designed to provide information for those who establish standards for, plan, provide, and assess long-term care services, both in the home and in inpatient settings. Data on agency characteristics were obtained through personal interviews with administrators and include the number of home health and hospice patients served in the last 12 months, type of facility ownership (i.e., profit, nonprofit, government, other), Medicare and Medicaid certification, number and type of staff personnel, and the hours they worked. Data on a sample of patients currently receiving home health and hospice care as well as a sample of discharges were obtained by interviewing staff people most familiar with the care provided to these patients. Respondents were requested to refer to medical or other records whenever necessary. No patient was interviewed directly. Information for patients currently receiving services and discharged patients includes service provided and provider type, type of residence, referral source, medical diagnosis, type of care (home health or hospice), type of aids used (eyeglasses, dentures, walker, cane, oxygen, hospital bed, etc.), daily living activities that required assistance, and billing charges and expected payment source(s). The discharge diagnosis for discharged patients was also recorded. Demographic variables for both types of patients include sex, age, race, Hispanic origin, and marital status.
Curated

National Home and Hospice Care Survey, 1993 (ICPSR 6664)

Released/updated on: 2006-01-12
Geographic coverage: United States
The National Home and Hospice Care Survey (NHHCS) for 1993 is the second annual survey of home health agencies and hospices and their current patients and discharges. This survey was designed to provide information for those who establish standards for, plan, provide, and assess long-term care services, both in the home and in inpatient settings. Data on agency characteristics were obtained through personal interviews with the agency administrators and include the number of home health and hospice patients served in the last 12 months, type of facility ownership (i.e., profit, nonprofit, government, other), Medicare and Medicaid certification, number and type of staff personnel, and the hours they worked. Data on a sample of patients currently receiving home health and hospice care as well as a sample of discharges were obtained by interviewing staff persons most familiar with the care provided to these patients. Respondents were requested to refer to medical or other records whenever necessary. No patient was interviewed directly. Information for patients currently receiving services and discharged patients includes service provided and provider type, type of residence, referral source, medical diagnosis, type of care (home health or hospice), type of aids used (eyeglasses, dentures, walker, cane, oxygen, hospital bed, etc.), daily living activities that required assistance, and billing charges and expected payment source(s). The discharge diagnosis for discharged patients was also recorded. Demographic variables for both types of patients include sex, age, Hispanic origin, race, and marital status.
Curated

National Home and Hospice Care Survey, 1994 (ICPSR 6733)

Released/updated on: 2006-01-12
Geographic coverage: United States
The National Home and Hospice Care Survey (NHHCS) for 1994 is the third annual survey of home health agencies and hospices and their current patients and discharges. These surveys were designed to provide information for those who establish standards for, plan, provide, and assess long-term care services, both in the home and in inpatient settings. Data on agency characteristics were obtained through personal interviews with the agency administrators and include the number of home health and hospice patients served in the last 12 months, type of facility ownership (i.e., profit, nonprofit, government, other), Medicare and Medicaid certification, number and type of staff personnel, and the hours they worked. Data on a sample of patients currently receiving home health and hospice care as well as a sample of discharges were obtained by interviewing staff persons most familiar with the care provided to these patients. Respondents were requested to refer to medical or other records whenever necessary. No patient was interviewed directly. Information for patients currently receiving services and discharged patients includes services provided and provider type, type of residence, referral source, medical diagnosis, type of care (home health or hospice), type of aids used (eyeglasses, dentures, walker, cane, oxygen, hospital bed, etc.), daily living activities that required assistance, and billing charges and expected payment source(s). The discharge diagnosis for discharged patients was also recorded. Demographic variables for both types of patients include sex, age, race, Hispanic origin, and marital status.
Curated

National Home and Hospice Care Survey, 1996 (ICPSR 2707)

Released/updated on: 2006-01-18
Geographic coverage: United States
The National Home and Hospice Care Survey (NHHCS) for 1996 is the fourth survey of home health agencies and hospices and their current patients and discharges. These surveys were designed to provide information for those who establish standards for, plan, provide, and assess long-term care services, both in the home and in inpatient settings. Data on agency characteristics were obtained through personal interviews with the agency administrators and include the number of home health and hospice patients served in the last 12 months, type of facility ownership (i.e., profit, nonprofit, government, other), Medicare and Medicaid certification, number and type of staff personnel, and the hours they worked. Data on a sample of patients currently receiving home health and hospice care as well as a sample of discharges were obtained by interviewing staff persons most familiar with the care provided to these patients. Respondents were requested to refer to medical or other records whenever necessary. No patient was interviewed directly. Information for patients currently receiving services and discharged patients includes services provided and provider type, type of residence, referral source, medical diagnosis, type of care (home health or hospice), type of aids used (eyeglasses, dentures, walker, cane, oxygen, hospital bed, etc.), daily living activities that required assistance, and billing charges and expected payment source(s). The discharge diagnosis for discharged patients was also recorded. Demographic variables for both types of patients include sex, age, race, Hispanic origin, and marital status.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component (ICPSR 9280)

Released/updated on: 2006-03-30
Geographic coverage: United States
This survey was designed to yield national estimates of the use of and expenditures for care during 1987 by persons who resided in nursing homes or facilities for the mentally retarded. The Facility Questionnaire was completed by administrators of 1,501 participating facilities (810 nursing homes and 691 facilities for the mentally retarded). Data records contain bed size, type of ownership, facility certification, services routinely provided, average cost, and other information. Weights, which must be used to generate nationally representative facility-level estimates, are provided. The Baseline Questionnaire file contains data collected from institutional caregivers and next of kin of 6,965 randomly sampled persons who were living in the sampled facilities on January 1, 1987. Data include sociodemographic information such as age, race, and sex. Information on residences prior to admission, measures of functional limitations and chronic conditions, and the work history of persons in facilities for the mentally retarded is also provided. Person level records can be linked to facility records and include person weights for obtaining national estimates. The documentation file includes an overview of the entire 1987 National Medical Expenditure Survey (NMES), which is expected to produce 15 files of data. The documentation provides frequencies, questionnaires, and technical information on sample design, weights, and variance estimation.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Baseline Questionnaire Data [Public Use Tape 8] (ICPSR 9677)

Released/updated on: 1992-02-17
Geographic coverage: United States
The 1987 National Medical Expenditure Survey (NMES) Public Use Tape 8 contains full-year data from the Baseline Questionnaire of the Institutional Population Component. It updates data in the January 1, 1987, Resident File of Public Use Tape 2, NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: INSTITUTIONAL POPULATION COMPONENT (ICPSR 9280), with the addition of data on admissions to the facilities throughout 1987, as well as a revised sampling weight that adjusts for sampling frame duplication between the two kinds of facilities. The Baseline Questionnaire was administered to the sample residents' primary caregiver(s) in the facility. Other information on the sample residents' health and living experiences was gathered from next-of-kin, case managers, or other staff members. The items covered include residence history for up to five previous admissions, demographic characteristics and family composition of the sampled residents, health and functional status, medical conditions from the medical records, information on facility respondents, and, for the mentally retarded aged 18 and over, employment and training history.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Facility Questionnaire Supplement [Public Use Tape 5] (ICPSR 9678)

Released/updated on: 1992-02-17
Geographic coverage: United States
The 1987 National Medical Expenditure Survey (NMES) Public Use Tape 5 contains data from the Facility Questionnaire Supplement, which was administered during Phase 3 (early 1988) of the Survey in Institutions, a major part of the Institutional Population Component of the NMES. The Facility Questionnaire Supplement (FQS) included questions on the existence of any special Alzheimer's units in nursing homes and characteristics of these units, such as their capacity and plans for future expansion. The FQS also included some questions on nursing homes that had been asked previously only of facilities for the mentally retarded. These questions included accreditation status of the facility and provision of training for residents.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Facility Questionnaire Weight Update [Public Use Tape 6] (ICPSR 9676)

Released/updated on: 1992-02-17
Geographic coverage: United States
The 1987 National Medical Expenditure Survey (NMES) Public Use Tape 6 contains data from a survey of two kinds of long-term care facilities: those for the mentally retarded, and nursing and personal care homes. The Facility Questionnaire was completed by administrators or designated staff of the participating facilities. The items include number of beds, type of ownership, facility certification, services routinely provided, staffing, average cost, sources of payment for residents, and levels of basic costs. Additional variables were collected on the facilities for the mentally retarded: education and habilitation services, licensure and accreditation, and sources of revenue in addition to direct client fees. Public Use Tape 6 differs from the data in the Facility Questionnaire file of Public Use Tape 2, National Medical Expenditure Survey, 1987: Institutional Population Component (ICPSR 9280) only in the provision of a revised sampling weight variable. The new sampling weight includes adjustment not only for different probabilities of a facility being selected, nonresponse, and stratification measures, but also for duplication in the sampling frame.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Facility Use and Expenditure Data for Nursing and Personal Care Home Residents [Public Use Tape 17] (ICPSR 6158)

Released/updated on: 2006-03-30
Geographic coverage: United States
Time period: 1987-01-01--1987-12-31
The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Institutional Population Component (IPC) is a survey of nursing and personal care homes and facilities for the mentally retarded and residents admitted to those facilities. Information was collected on facilities and their residents at several points during 1987. Use and expenditure estimates for institutionalized persons can be combined with those from the Household component for composite estimates covering most of the civilian population. Information on facilities and residents was collected from facility administrators and caregivers, with additional information collected from next of kin or other knowledgeable respondents. These data were supplemented by Medicare claims information for covered sample persons. Public Use Tape 17 is the first release of expenditure and use data from the IPC. It provides demographic information such as race, age, sex, education, veteran status, medical history, income, family, date of admission, vital status, residence history, use of long-term care, insurance coverage, and home ownership. Additional information covers the respondent's institutional stays in 1987, dates and lengths of stays, and characteristics of the institution, including size, type, ownership, and certification status. Also provided are data on expenses and sources of payments for services rendered in nursing and personal care homes.
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National Medical Expenditure Survey, 1987: Institutional Population Component, Facility Use and Expenditure Data for Residents of Facilities for Persons with Mental Retardation [Research File 22r] (ICPSR 6467)

Released/updated on: 2006-01-12
Geographic coverage: United States
Time period: 1987-01-01--1987-12-31
The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The NMES Research File 22R contains use and expenditure data on a nationally representative sample of persons who spent any time in facilities for persons with mental retardation during 1987. These data are from the NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: INSTITUTIONAL POPULATION COMPONENT (ICPSR 9280), which is a survey of nursing/personal care homes and facilities for the mentally retarded and residents admitted to those facilities. Variables from the person-level data include demographic characteristics (age, race, sex), admission dates, vital status during 1987 (living or deceased), residence history, spouse characteristics (age, health), insurance coverage, income, and medical conditions (epilepsy, mental retardation, schizophrenia). The institutional stay data contain one record per stay for stays associated with a formal admission and/or discharge. Variables include information on episodes of institutional care, dates of stays (beginning date and ending date), and institutional characteristics such as size, ownership, and certification status. The expenditures and sources of payment billing data contain one record per bill for each eligible facility.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Health Care Provider Utilization Data from the Institutional Use and Expenditure Questionnaire for Residents of Nursing and Personal Care Homes and Facilities for Persons with Mental Retardation [Research File 28R] (ICPSR 6732)

Released/updated on: 2006-03-30
Geographic coverage: United States
The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Institutional Population Component (IPC) is a survey of nursing and personal care homes and facilities for the mentally retarded and residents admitted to those facilities. Information was collected on facilities and their residents at several points during 1987. Use and expenditure estimates for institutionalized persons can be combined with those from the Household component for composite estimates covering most of the civilian population. Information on facilities and residents was collected from facility administrators and caregivers, with additional information collected from next of kin or other knowledgeable respondents. These data were supplemented by Medicare claims information for covered sample persons. Research File 28R provides information collected in the Institutional Use and Expenditure Questionnaire (IUEQ) regarding health care providers, including Medicaid providers. The IUEQ was administered during each round of the IPC to eligible facilities in which sample persons had one or more stays. Part 1, Summary Data, includes demographic characteristics such as age, race, sex, date of admission to sampled facility, and vital status. Part 2, IUEQ Administration and Medical Provider Probes Data, supplies information on what types of medical providers were seen, frequency of any private duty nursing or attendant care services received, and whether the provider of that service was an employee or contractor of the facility, as well as frequency of emergency room and outpatient department visits. Part 3, Medical Provider Utilization Data, includes information about the type of provider, the number of times the provider was seen in total and the number of times in the facility, the number of times the sample person was seen by a provider paid by the facility, and whether that provider was an employee or a contractor of the facility.
Curated

National Medical Expenditure Survey, 1987: Institutional Population Component, Linked MADRS Data for Medicare Beneficiaries Sampled in Nursing and Personal Care Homes and Facilities for Persons With Mental Retardation [Research File 36R] (ICPSR 6586)

Released/updated on: 2006-03-30
Geographic coverage: United States
The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Institutional Population Component (IPC) is a survey of nursing and personal care homes and facilities for the mentally retarded and residents admitted to those facilities. Information was collected on facilities and their residents at several points during 1987. Use and expenditure estimates for institutionalized persons can be combined with those from the Household Component for composite estimates covering most of the civilian population. Information on facilities and residents was collected from facility administrators and caregivers, with additional information collected from next-of-kin or other knowledgeable respondents. These data were supplemented by Medicare claims information for covered sample persons. Research File 36 provides information from the Medicare Automated Data Retrieval System (MADRS) for a subset of persons from File 1 of NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: INSTITUTIONAL POPULATION COMPONENT, FACILITY USE AND EXPENDITURE DATA FOR NURSING AND PERSONAL CARE HOME RESIDENTS [PUBLIC USE TAPE 17] (ICPSR 6158) and a subset of persons from File 1 of NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: INSTITUTIONAL POPULATION COMPONENT, FACILITY USE AND EXPENDITURE DATA FOR RESIDENTS OF FACILITIES FOR PERSONS WITH MENTAL RETARDATION [RESEARCH FILE 22R] (ICPSR 6467). Six data files are provided for Research File 36R, all of which contain demographic data such as age, sex, and race. Other variables common to all parts are facility type, person number, sample person identifier, reimbursement amount by Medicare, and total charges reported by provider. Parts 1-6 cover, respectively, Part B Payment Records, Part B Outpatient Bill Records, Part B Home Health Bill Records, Part A Inpatient/Skilled Nursing Facilities Bill Records, Part A Home Health Bill Records, and Part A Hospice Bill Records.
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National Medical Expenditure Survey, 1987: Institutional Population Component, Personal History Questionnaire for Residents of Nursing and Personal Care Homes and End-of-Year Questionnaire for Residents of Nursing and Personal Care Homes and Facilities for Persons With Mental Retardation [Research File 19r] (ICPSR 6632)

Released/updated on: 2006-03-30
Geographic coverage: United States
The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Institutional Population Component (IPC) is a survey of nursing and personal care homes and facilities for the mentally retarded and residents admitted to those facilities. Information was collected on facilities and their residents at several points during 1987. Use and expenditure estimates for institutionalized persons can be combined with those from the Household Component for composite estimates covering most of the civilian population. Information on facilities and residents was collected from facility administrators and caregivers, with additional information collected from next-of-kin or other knowledgeable respondents. These data were supplemented by Medicare claims information for covered sample persons. Research File 19R provides information collected from two IPC questionnaires, the Personal History Questionnaire (PHQ) and the End-of-Year Questionnaire (EYQ). The PHQ was administered once as part of the surveys of next-of-kin. These data are primarily concerned with the characteristics of the sample person just prior to admission. The EYQ was administered once in either the surveys of next-of-kin or the surveys of institutions and focuses on health status. Research File 19R also includes items from the Baseline Questionnaire and the Baseline Questionnaire Supplement. Data from these questionnaires were released on NMES Public Use Tapes 8, 17, and 22R (ICPSR 9677, 6158, and 6467). Part 1 of this collection, Summary Data, includes demographic characteristics such as age, race, sex, date of admission to sampled facility, and vital status. Part 2, 1987 Personal History Questionnaire (PHQ) Data, supplies information on condition prior to admission to facility, chronic disease history, whether respondent needed help with activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs), usage of assistive technology, and behavioral history. Part 3, End-of-Year Questionnaire (EYQ) Data, includes characteristics of the sample person, limitations and help with ADLs and IADLs, health and behavioral history, and condition codes reported by either the respondent or the facility medical records.