A Methodological Approach for Documenting Multi-Component Interventions Targeting Family Caregivers

Griffin, Joan M.; Vanderboom, Catherine E.; Gustavson, Allison M; Kaufman, Brystana G.; Ingram, Cory; Wild, Ellen; Dose, Ann Marie; Mandrekar, Jay; Holland, Diane E.

doi:10.1177/07334648221137882

Cited by 4 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Omaha System Guidelines approach is ideal for describing and monitoring the fidelity of interventions used in research, especially in electronic documentation format. 60 Each study using the Omaha System as an instrument in coding intervention content should validate the intervention mapping as a necessary step for rigorous intervention research. 1 Such increased attention to intervention fidelity has been noted as necessary for advancing nursing science.…”

Section: Discussionmentioning

confidence: 99%

“…Given the successful encoding of multiple diverse EBP guidelines shown in this study, there are clear implications for describing and documenting intervention details for both research and practice. The Omaha System Guidelines approach is ideal for describing and monitoring the fidelity of interventions used in research, especially in electronic documentation format 60 . Each study using the Omaha System as an instrument in coding intervention content should validate the intervention mapping as a necessary step for rigorous intervention research 1 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Discovering Patterns in the Corpus of Omaha System Evidence-Based Guidelines

Martin,

Austin,

Alexander

et al. 2024

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Discovering Patterns in the Corpus of Omaha System Evidence-Based Guidelines

Martin,

Austin,

Alexander

et al. 2024

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

“…Although linked Medicare-Medicaid data illustrate the diverse patient experiences within the FBDE population, information on other services and supports that impact access to health care and quality of life are still not available. For example, documenting caregiver availability, opportunity costs, and use of respite care to relieve family members [19][20][21] is particularly relevant for dualeligible beneficiaries living with serious illness or disability. Additional patient-centered measures such as patient engagement, whole-person care, and out-of-pocket spending 22 could be measured by linking to additional sources such as Medical Expenditures Panel Survey and Medicare Beneficiary Survey.…”

Section: Discussionmentioning

confidence: 99%

Linking Medicare-Medicaid Claims for Patient-Centered Outcomes Research Among Dual-Eligible Beneficiaries

Jones,

Clark,

Greiner

et al. 2023

Medical Care

View full text Add to dashboard Cite

Background: Evaluation of Medicare-Medicaid integration models’ effects on patient-centered outcomes and costs requires multiple data sources and validated processes for linkage and reconciliation. Objective: To describe the opportunities and limitations of linking state-specific Medicaid and Centers for Medicare & Medicaid Services administrative claims data to measure patient-centered outcomes for North Carolina dual-eligible beneficiaries. Research Design: We developed systematic processes to (1) validate the beneficiary ID linkage using sex and date of birth in a beneficiary ID crosswalk, (2) verify dates of dual enrollment, and (3) reconcile Medicare-Medicaid claims data to support the development and use of patient-centered outcomes in linked data. Participants: North Carolina Medicaid beneficiaries with full Medicaid benefits and concurrent Medicare enrollment (FBDE) between 2014 and 2017. Measures: We identified need-based subgroups based on service use and eligibility program requirements. We calculated utilization and costs for Medicaid and Medicare, matched Medicaid claims to Medicare service categories where possible, and reported outcomes by the payer. Some services were covered only by Medicaid or Medicare, including Medicaid-only covered home and community-based services (HCBS). Results: Of 498,030 potential dual enrollees, we verified the linkage and FBDE eligibility of 425,664 (85.5%) beneficiaries, including 281,174 adults enrolled in Medicaid and Medicare fee-for-service. The most common need-based subgroups were intensive behavioral health service users (26.2%) and HCBS users (10.8%) for adults under age 65, and HCBS users (20.6%) and nursing home residents (12.4%) for adults age 65 and over. Medicaid funded 42% and 49% of spending for adults under 65 and adults 65 and older, respectively. Adults under 65 had greater behavioral health service utilization but less skilled nursing facility, HCBS, and home health utilization compared with adults 65 and older. Conclusions: Linkage of Medicare-Medicaid data improves understanding of patient-centered outcomes among FBDE by combining Medicare-funded acute and ambulatory services with Medicaid-funded HCBS. Using linked Medicare-Medicaid data illustrates the diverse patient experience within FBDE beneficiaries, which is key to informing patient-centered outcomes, developing and evaluating integrated Medicare and Medicaid programs, and promoting health equity.

show abstract