Kathleen Unroe

  • 1063 Citations
  • 17 h-Index
20032019
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Publications 2003 2019

  • 1063 Citations
  • 17 h-Index
  • 54 Article
  • 1 Chapter
  • 1 Comment/debate
2019

Comfort Measures Orders and Hospital Transfers: Insights From the OPTIMISTIC Demonstration Project

Unroe, K., O'Kelly Phillips, E., Effler, S., Ersek, M. T. & Hickman, S., Jan 1 2019, In : Journal of Pain and Symptom Management.

Research output: Contribution to journalArticle

Interviews
Patient Care Planning
Nursing
Communication
Root Cause Analysis

Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges

The PACRATS Investigators, Jul 1 2019, In : Journal of the American Medical Directors Association. 20, 7, p. 798-803 6 p.

Research output: Contribution to journalArticle

Home Care Services
Nursing Care
Nursing Homes
Research
Research Personnel
Advance Care Planning
Hospitalization
Nursing
Patient Transfer
Physicians
2018
3 Citations (Scopus)
Patient Transfer
Nursing Care
Nursing Models
Nursing
Medicare
1 Citation (Scopus)

Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home

Unroe, K., Stump, T. E., Effler, S., Tu, W. & Callahan, C., Jan 1 2018, (Accepted/In press) In : Journal of the American Geriatrics Society.

Research output: Contribution to journalArticle

Assisted Living Facilities
Hospice Care
Quality of Health Care
Nursing Homes
Hospices
1 Citation (Scopus)

Stakeholder Perspectives on the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) Project

Ersek, M., Hickman, S., Thomas, A. C., Bernard, B. & Unroe, K., Nov 3 2018, In : The Gerontologist. 58, 6, p. 1177-1187 11 p.

Research output: Contribution to journalArticle

Patient Transfer
Nursing Homes
Advance Care Planning
Hospitalization
Patient Care Planning
4 Citations (Scopus)

The Complexity of Determining Whether a Nursing Home Transfer Is Avoidable at Time of Transfer

Unroe, K., Carnahan, J. L., Hickman, S., Sachs, G., Hass, Z. & Arling, G., Jan 1 2018, (Accepted/In press) In : Journal of the American Geriatrics Society.

Research output: Contribution to journalArticle

Nursing Homes
Nursing
Chronic Obstructive Pulmonary Disease
Signs and Symptoms
Heart Failure

To Tailor Solutions, You Must Understand the Problems: Nursing Facility Resident Changes of Condition

Carnahan, J. L. & Unroe, K., Jan 1 2018, (Accepted/In press) In : Journal of the American Geriatrics Society.

Research output: Contribution to journalArticle

Nursing
2017
15 Citations (Scopus)

Caring for Dying Patients in the Nursing Home: Voices From Frontline Nursing Home Staff

Cagle, J. G., Unroe, K., Bunting, M., Bernard, B. L. & Miller, S. C., Feb 1 2017, In : Journal of Pain and Symptom Management. 53, 2, p. 198-207 10 p.

Research output: Contribution to journalArticle

Nursing Staff
Nursing Homes
Terminal Care
Social Work
Emotions
4 Citations (Scopus)

Concordance Between Veterans' Self-Report and Documentation of Surrogate Decision Makers: Implications for Quality Measurement

Garner, K. K., Dubbert, P., Lensing, S., Sullivan, D. H., Aslakson, R. A., Ast, K., Elk, R., Garner, K. K., Gramling, R., Grudzen, C., Kamal, A. H., Lamba, S., LeBlanc, T. W., Rhodes, R. L., Roeland, E., Schulman-Green, D. & Unroe, K., Jan 1 2017, In : Journal of Pain and Symptom Management. 53, 1, p. 1-4 4 p.

Research output: Contribution to journalArticle

Veterans
Advance Directives
Documentation
Self Report
Primary Health Care
6 Citations (Scopus)

Medicare Access and CHIP Reauthorization Act: What do Geriatrics Healthcare Professionals Need to Know About the Quality Payment Program?

Unroe, K., Hollmann, P. A., Goldstein, A. C. & Malone, M. L., Apr 1 2017, In : Journal of the American Geriatrics Society. 65, 4, p. 674-679 6 p.

Research output: Contribution to journalArticle

Centers for Medicare and Medicaid Services (U.S.)
Medicare
Geriatrics
Delivery of Health Care
Motivation
3 Citations (Scopus)

Nursing Home Regulations Redefined: Implications for Providers

Unroe, K., Ouslander, J. G. & Saliba, D., Jan 1 2017, (Accepted/In press) In : Journal of the American Geriatrics Society.

Research output: Contribution to journalArticle

Nursing Homes
Centers for Medicare and Medicaid Services (U.S.)
Organizations
Infection
5 Citations (Scopus)
Spirituality
Critical Illness
Clergy
Population
Intensive Care Units

Supporting family decision makers for nursing home residents: A promising approach

Carnahan, J. L., Fowler, N. & Unroe, K., Jan 1 2017, In : JAMA Internal Medicine. 177, 1, p. 32-33 2 p.

Research output: Contribution to journalComment/debate

Nursing Homes
2 Citations (Scopus)

The Implementation of Measuring What Matters in Research and Practice: Series Commentary

Unroe, K., Ast, K., Chuang, E., Schulman-Green, D. & Gramling, R., 2017, (Accepted/In press) In : Journal of Pain and Symptom Management.

Research output: Contribution to journalArticle

Hospice Care
Electronic Health Records
Quality of Health Care
Palliative Care
Research
2 Citations (Scopus)
Assisted Living Facilities
Hospices
Nursing Homes
Home Nursing
Hospice Care
2016
8 Citations (Scopus)

Adherence to Measuring What Matters Items When Caring for Patients With Hematologic Malignancies Versus Solid Tumors

LeBlanc, T. W., Ritchie, C. S., Friedman, F., Bull, J., Kutner, J. S., Johnson, K. S., Kamal, A. H., Aslakson, R. A., Ast, K., Elk, R., Garner, K. K., Gramling, R., Grudzen, C., Lamba, S., Rhodes, R. L., Roeland, E., Schulman-Green, D. & Unroe, K., Dec 1 2016, In : Journal of Pain and Symptom Management. 52, 6, p. 775-782 8 p.

Research output: Contribution to journalArticle

Hematologic Neoplasms
Palliative Care
Neoplasms
Hematology
Symptom Assessment
1 Citation (Scopus)

Age Differences in the Association between Body Mass Index Class and Annualized Medicare Expenditures

Clark, D., Lane, K. A., Ambuehl, R., Tu, W., Liu, C. J., Unroe, K. & Callahan, C., Feb 1 2016, In : Journal of Aging and Health. 28, 1, p. 165-179 15 p.

Research output: Contribution to journalArticle

age difference
Health Expenditures
Medicare
Body Mass Index
expenditures
15 Citations (Scopus)

An Interim Analysis of an Advance Care Planning Intervention in the Nursing Home Setting

Hickman, S., Unroe, K., Ersek, M. T., Buente, B., Nazir, A. & Sachs, G., Nov 1 2016, In : Journal of the American Geriatrics Society. 64, 11, p. 2385-2392 8 p.

Research output: Contribution to journalArticle

Advance Care Planning
Nursing Homes
Nurses
8 Citations (Scopus)

Assessing Emotional Suffering in Palliative Care: Use of a Structured Note Template to Improve Documentation

Lamba, S., Berlin, A., Goett, R., Ponce, C. B., Holland, B., Walther, S., Aslakson, R. A., Ast, K., Elk, R., Garner, K. K., Gramling, R., Grudzen, C., Kamal, A. H., Lamba, S., LeBlanc, T. W., Rhodes, R. L., Roeland, E., Schulman-Green, D. & Unroe, K., Jul 1 2016, In : Journal of Pain and Symptom Management. 52, 1, p. 1-7 7 p.

Research output: Contribution to journalArticle

Palliative Care
Psychological Stress
Documentation
Emotions
Psychology
14 Citations (Scopus)

Care Consistency With Documented Care Preferences: Methodologic Considerations for Implementing the “Measuring What Matters” Quality Indicator

AAHPM Research Committee Writing Group, Oct 1 2016, In : Journal of Pain and Symptom Management. 52, 4, p. 453-458 6 p.

Research output: Contribution to journalArticle

Delivery of Health Care
Patient Preference
Palliative Care
Research
Documentation
18 Citations (Scopus)

Concordance of Advance Care Plans With Inpatient Directives in the Electronic Medical Record for Older Patients Admitted From the Emergency Department

and the AAHPM Research Committee Writing Group, Apr 1 2016, In : Journal of Pain and Symptom Management. 51, 4, p. 647-651 5 p.

Research output: Contribution to journalArticle

Electronic Health Records
Living Wills
Hospital Emergency Service
Inpatients
Proxy
4 Citations (Scopus)

Effect of Hospice Use on Costs of Care for Long-Stay Nursing Home Decedents

Unroe, K., Sachs, G., Dennis, M. E., Hickman, S., Stump, T. E., Tu, W. & Callahan, C., Apr 1 2016, In : Journal of the American Geriatrics Society. 64, 4, p. 723-730 8 p.

Research output: Contribution to journalArticle

Hospices
Nursing Homes
Costs and Cost Analysis
Medicaid
Medicare
8 Citations (Scopus)

Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting

Gramling, R., Stanek, S., Ladwig, S., Gajary-Coots, E., Cimino, J., Anderson, W., Norton, S. A., Aslakson, R. A., Ast, K., Elk, R., Garner, K. K., Grudzen, C., Kamal, A. H., Lamba, S., Leblanc, T. W., Rhodes, R. L., Roeland, E., Schulman-Green, D. & Unroe, K., Feb 1 2016, In : Journal of Pain and Symptom Management. 51, 2, p. 150-154 5 p.

Research output: Contribution to journalArticle

Palliative Care
Inpatients
Emotions
Self Report
Point-of-Care Systems
28 Citations (Scopus)

Hospital Readmission Penalties: Coming Soon to a Nursing Home Near You!

Carnahan, J. L., Unroe, K. & Torke, A., Mar 1 2016, In : Journal of the American Geriatrics Society. 64, 3, p. 614-618 5 p.

Research output: Contribution to journalArticle

Skilled Nursing Facilities
Patient Readmission
Nursing Homes
Facility Regulation and Control
Patient Protection and Affordable Care Act
3 Citations (Scopus)

OPTIMISTIC transition visits: A model to improve hospital to nursing facility transfers

Nazir, A., Unroe, K., Buente, B., Sachs, G. & Arling, G., Jul 1 2016, In : Annals of Long-Term Care. 24, 7, p. 31-36 6 p.

Research output: Contribution to journalArticle

Patient Transfer
Nursing
Medication Errors
Aftercare
Nurse Practitioners
10 Citations (Scopus)

Patterns of Emergency Department Use Among Long-Stay Nursing Home Residents With Differing Levels of Dementia Severity

LaMantia, M. A., Lane, K. A., Tu, W., Carnahan, J. L., Messina, F. & Unroe, K., Jun 1 2016, In : Journal of the American Medical Directors Association. 17, 6, p. 541-546 6 p.

Research output: Contribution to journalArticle

Nursing Homes
Dementia
Hospital Emergency Service
Comorbidity
Statistical Factor Analysis
5 Citations (Scopus)

Sex and race differences in the relationship between obesity and C-reactive protein

Clark, D., Unroe, K., Xu, H., Keith, N. R., Callahan, C. & Tu, W., Mar 1 2016, In : Ethnicity and Disease. 26, 2, p. 197-204 8 p.

Research output: Contribution to journalArticle

Sex Characteristics
C-Reactive Protein
Obesity
Linear Models
Body Mass Index
6 Citations (Scopus)

The experiences of family members in the nursing home to hospital transfer decision

Abrahamson, K., Bernard, B., Magnabosco, L., Nazir, A. & Unroe, K., Nov 15 2016, In : BMC Geriatrics. 16, 1, p. 1-7 7 p.

Research output: Contribution to journalArticle

Nursing Homes
Family Nursing
Interviews
Decision Making
Hand
2015
5 Citations (Scopus)
Sample Size
Self Report
Health Services
Alzheimer Disease
Clinical Trials
11 Citations (Scopus)

Implementation of a heart failure quality initiative in a skilled nursing facility: Lessons learned

Nazir, A., Dennis, M. E. & Unroe, K., 2015, In : Journal of Gerontological Nursing. 41, 5, p. 26-33 8 p.

Research output: Contribution to journalArticle

Skilled Nursing Facilities
Heart Failure
Quality Improvement
Job Satisfaction
Administrative Personnel
4 Citations (Scopus)

Music Therapy Clinical Practice in Hospice: Differences Between Home and Nursing Home Delivery

Liu, X., Burns, D. S., Hilliard, R. E., Stump, T. E. & Unroe, K., Sep 1 2015, In : Journal of Music Therapy. 52, 3, p. 376-393 18 p.

Research output: Contribution to journalArticle

Music Therapy
Home Nursing
Hospices
Nursing Homes
Referral and Consultation
15 Citations (Scopus)

Nursing Home Staff Palliative Care Knowledge and Practices: Results of a Large Survey of Frontline Workers

Unroe, K., Cagle, J. G., Lane, K. A., Callahan, C. & Miller, S. C., Nov 1 2015, In : Journal of Pain and Symptom Management. 50, 5, p. 622-629 8 p.

Research output: Contribution to journalArticle

Nursing Staff
Nursing Homes
Palliative Care
Nurses
Nursing

Response to Dr. Fernandez-Viadero and Colleagues and Drs. Flaschner and Katz

Rhodes, R., Shega, J., Vitale, C., Malone, M., Unroe, K., Blaum, C. & Wald, H., Jul 1 2015, In : Journal of the American Geriatrics Society. 63, 7, p. 1491-1492 2 p.

Research output: Contribution to journalArticle

Gastrointestinal Intubation
Enteral Nutrition
Geriatrics
Dementia

Response to Dr Raider's JAMDA letter to the editor

Unroe, K., Cagle, J. G. & Miller, S. C., May 1 2015, In : Journal of the American Medical Directors Association. 16, 5, p. 435-436 2 p.

Research output: Contribution to journalArticle

Attitude of Health Personnel
Hospices
Nursing Staff
Nursing Homes
Social Work
12 Citations (Scopus)

The iom report on dying in America: A call to action for nursing homes

Unroe, K., Ersek, M. & Cagle, J., Feb 1 2015, In : Journal of the American Medical Directors Association. 16, 2, p. 90-92 3 p.

Research output: Contribution to journalArticle

National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Terminal Care
Quality of Health Care
Health Services Needs and Demand
Nursing Homes
36 Citations (Scopus)
Centers for Medicare and Medicaid Services (U.S.)
Patient Transfer
Nursing
Quality Improvement
Hospitalization
21 Citations (Scopus)

Transitions in Care in a Nationally Representative Sample of Older Americans with Dementia

Callahan, C., Tu, W., Unroe, K., LaMantia, M. A., Stump, T. E. & Clark, D., Aug 1 2015, In : Journal of the American Geriatrics Society. 63, 8, p. 1495-1502 8 p.

Research output: Contribution to journalArticle

Dementia
Retirement
Health
Cognition
Nursing
2014
17 Citations (Scopus)

Hospice in the Nursing Home: Perspectives of Front Line Nursing Home Staff

Unroe, K., Cagle, J. G., Dennis, M. E., Lane, K. A., Callahan, C. & Miller, S. C., Dec 1 2014, In : Journal of the American Medical Directors Association. 15, 12, p. 881-884 4 p.

Research output: Contribution to journalArticle

Hospice and Palliative Care Nursing
Hospices
Nursing Staff
Nursing Homes
Hospice Care
10 Citations (Scopus)

Hospice Use Among Nursing Home and Non-Nursing Home Patients

Unroe, K., Sachs, G., Dennis, M. E., Hickman, S., Stump, T. E., Tu, W. & Callahan, C., 2014, In : Journal of General Internal Medicine. 30, 2, p. 193-198 6 p.

Research output: Contribution to journalArticle

Home Nursing
Hospices
Nursing Homes
Patient Transfer
Costs and Cost Analysis
37 Citations (Scopus)

Redesigning systems of care for older adults with Alzheimer's disease

Callahan, C., Sachs, G., LaMantia, M. A., Unroe, K., Arling, G. & Boustani, M., 2014, In : Health Affairs. 33, 4, p. 626-632 7 p.

Research output: Contribution to journalArticle

Dementia
Alzheimer Disease
Practice Guidelines
Caregivers
Patient Care Team
2013
21 Citations (Scopus)

Hospice Use Among Nursing Home Patients

Unroe, K., Sachs, G., Hickman, S., Stump, T. E., Tu, W. & Callahan, C., Apr 2013, In : Journal of the American Medical Directors Association. 14, 4, p. 254-259 6 p.

Research output: Contribution to journalArticle

Hospices
Nursing Homes
Patient Acceptance of Health Care
Medicaid
Activities of Daily Living
2 Citations (Scopus)

Multidisciplinary Models of Care

Unroe, K. & Cohen, H. J., Jan 2 2013, Cancer and Aging Handbook: Research and Practice. John Wiley and Sons, p. 487-497 11 p.

Research output: Chapter in Book/Report/Conference proceedingChapter

9 Citations (Scopus)

Quality of hospice care for individuals with dementia

Unroe, K. & Meier, D. E., Jul 2013, In : Journal of the American Geriatrics Society. 61, 7, p. 1212-1214 3 p.

Research output: Contribution to journalArticle

Hospice Care
Health Care Quality Indicators
Quality of Health Care
Dementia
18 Citations (Scopus)

Research priorities in geriatric palliative care: Policy initiatives

Unroe, K. & Meier, D. E., Dec 1 2013, In : Journal of Palliative Medicine. 16, 12, p. 1503-1508 6 p.

Research output: Contribution to journalArticle

Palliative Care
Geriatrics
Research
Hospices
Health Care Reform
42 Citations (Scopus)

Systematic Review of Interdisciplinary Interventions in Nursing Homes

Nazir, A., Unroe, K., Tegeler, M., Khan, B., Azar, J. & Boustani, M., Jul 2013, In : Journal of the American Medical Directors Association. 14, 7, p. 471-478 8 p.

Research output: Contribution to journalArticle

Nursing Homes
Randomized Controlled Trials
Communication
Epidemiologic Research Design
Pharmacists
2012
28 Citations (Scopus)

Associations between published quality ratings of skilled nursing facilities and outcomes of medicare beneficiaries with heart failure

Unroe, K., Greiner, M. A., Colón-Emeric, C., Peterson, E. D. & Curtis, L. H., Feb 2012, In : Journal of the American Medical Directors Association. 13, 2

Research output: Contribution to journalArticle

Skilled Nursing Facilities
Medicare
Heart Failure
Mortality
Nursing Homes
28 Citations (Scopus)

Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure

Unroe, K., Greiner, M. A., Johnson, K. S., Curtis, L. H. & Setoguchi, S., Jun 2012, In : American Heart Journal. 163, 6

Research output: Contribution to journalArticle

Hospices
Medicare
Heart Failure
Hospital Emergency Service
Cohort Studies
2011
115 Citations (Scopus)

Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007

Unroe, K., Greiner, M. A., Hernandez, A. F., Whellan, D. J., Kaul, P., Schulman, K. A., Peterson, E. D. & Curtis, L. H., Feb 14 2011, In : Archives of Internal Medicine. 171, 3, p. 196-203 8 p.

Research output: Contribution to journalArticle

Medicare
Heart Failure
Durable Medical Equipment
Skilled Nursing Facilities
Costs and Cost Analysis
2010
106 Citations (Scopus)

Inpatient medication reconciliation at admission and discharge: A retrospective cohort study of age and other risk factors for medication discrepancies

Unroe, K., Pfeiffenberger, T., Pharm, S. R., Jastrzembski, J., Lokhnygina, Y. & Colón-Emeric, C., Apr 2010, In : American Journal Geriatric Pharmacotherapy. 8, 2, p. 115-126 12 p.

Research output: Contribution to journalArticle

Medication Reconciliation
Inpatients
Cohort Studies
Retrospective Studies
Logistic Models