Hari Sharma, PhD
RUPRI Center for Rural Health Policy Analysis
Phone: 319.384.4368
Email: hari-sharma@uiowa.edu
Health Management and Policy
University of Iowa
College of Public Health
Iowa City, IA 52242
- Current Projects - (1)
- Completed Projects - (3)
- Publications - (4)
Current Projects - (1)
-
Rural Nursing Home Staffing, and Resident Health, Closure, and Financial Performance
There are concerns about availability and quality of care provided in nursing homes in rural areas. This project aims to evaluate staffing levels and shortages, the health status of residents, closures, and financial performance of rural nursing homes both before and during the COVID-19 pandemic.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Aging, Long-term care, Post-acute care
Completed Projects - (3)
-
Location and Characteristics of Nursing Homes in the Rural and Urban U.S.
This project examined rural and urban nursing home availability; assessed the nursing home bed supply relative to the elderly population in rural and urban counties; summarized resident and nursing home characteristics; and analyzed the relationship between the rural location of nursing homes and resident and nursing home characteristics.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Aging, Health services, Healthcare access, Healthcare financing, Long-term care, Medicare
-
Rural Nursing Home Closures - Trends, Characteristics, and Impact on Access
This project built a database of nursing home closures across rural and urban areas in the U.S. and evaluated the changes in access to post-acute and/or long-term care providers. It also described the differences in organizational, financial, and market characteristics between open vs. closed nursing homes in rural vs. urban areas.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Aging, Healthcare access, Long-term care, Medicare
-
Rural-Urban Differences in Performance of Clinicians Participating in MIPS
This project used quantitative methods to compare MIPS performance and reported measures for clinicians working in rural and urban areas, overall, and by practice size; evaluated differences in spending per beneficiary, overall, and stratified by drugs and medical services for rural and urban clinicians participating in MIPS; and compared MIPS performance and spending for clinicians serving a large proportion of racial/ethnic minorities in rural and urban areas.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health disparities and health equity, Healthcare financing, Physicians, Quality
Publications - (4)
2024
-
Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Journal Article
RUPRI Center for Rural Health Policy Analysis
Date: 01/2024
Nursing home closures have raised concerns about access to post-acute care (PAC) and long-term care (LTC) services. In this study, researchers estimate the additional distance rural residents had to travel to access PAC and LTC services because of nursing home closures.
2023
-
Differences in the Merit-Based Incentive Payment System (MIPS) Performance of Clinicians in Metropolitan and Nonmetropolitan Counties in 2018
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 06/2023
This brief describes rural clinician performance in the Merit-based Incentive Payment System in 2018, testing the supposition that they did not do as well as their urban counterparts.
2022
-
Nursing Homes in Rural America: A Chartbook
Chartbook
RUPRI Center for Rural Health Policy Analysis
Date: 07/2022
Closure of nursing homes and hospitals with swing beds in recent years has changed the availability of post-acute and long-term care services in rural areas. This study examines the availability of post-acute and long-term care services as well as characteristics of residents and nursing homes in noncore, micropolitan, and metropolitan counties.
2021
-
Trends in Nursing Home Closures in Metropolitan and Nonmetropolitan Counties in the United States, 2008-2018
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 02/2021
Nursing home closures have raised concerns about access to long-term services and supports in rural areas. This study examines trends in closures and characteristics of open and closed nursing homes in metropolitan and nonmetropolitan counties. Furthermore, this study identifies metropolitan and nonmetropolitan counties without any nursing homes.