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                                                GSA Schedule
Thursday, November 15, 2007

       Phoenix (PHX) Depart 7:00 pm to San Francisco (SFO)
        Arrive 8:06 pm Duration: 2hr 6mn
        Flight: 1599 Operated by: /UNITED FOR TED

Friday November 16, 2007

   9:00am-5:30pm
    Room: Union Square 15 & 16

    Introduction to Structural Equation Modeling
    Applications for Gerontologists Rationale for Topic: The purpose is to provide training in an advanced
    statistical technique and software application (Mplus) for gerontological researchers, including topics such as
    path analysis, confirmatory factor analysis, analysis of dichotomous variables, latent class analysis, and
    longitudinal analysis.

   5:00-7:00pm
    Continental 9

    USC Leonard Davis School of Gerontology Cocktail reception

    Drs. Liz Zelinski, Rita and Edward Polusky Chair in Education and Aging, USC Leonard Davis School of
    Gerontology, Karlene Ball, Director, Center for Translational Research on Aging and Mobility, University of
    Alabama at Birmingham, Mike Merzenich, Co-Founder, Chief Scientific Officer, Posit Science and Henry
    Mahncke, Vice President, Posit Science invite you to be their guest at a cocktail reception to celebrate some
    good news. Please feel welcome to bring a friend or colleague.

   5:30pm-6:30pm
    Franciscan A/B

    John A. Hartford Reception

   7:00pm-8:30pm
    Room: Continental 4-6

    President's Opening Plenary Session: The Seven Continents: Preparing for Longevity and the Triumph
    of Survival

Saturday, November 17, 2007

   8:00am -9:30am
    Room: Union Square 15 & 16

    Social Research, Policy & Practice: Mindful Management Practices in Nursing Homes

        Ruth A. Anderson PhD, RN
 Primary Author

        Mindfulness, defined as attention to unfolding events accompanied by a willingness to act flexibly, has
        been shown to be a requirement for safety and high-quality outcomes. Research in other industries
        suggests that organizational cultures and administrative practices contribute to the ability of care
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       providers to engage in and sustain mindfulness in care delivery. Mindfulness has been little studied in
       nursing homes yet a description of mindfulness among nursing home staff and how mindfulness may vary
       with regulation and professional involvement (jurisdiction) may provide new approaches for safe and
       effective care in nursing homes. This symposium will draw upon research findings from the Duke School
       of Nursing’s Comparative Case Study of Nursing Homes. We will describe ―mindful‖ behaviors
       demonstrated by nursing home staff; describe how mindfulness is influenced by regulation; and how
       mindful actions co-occur with type of jurisdiction (nursing, regulator, and ownership) and in relation to
       quality of resident outcomes. The symposium reports on eight in-depth, comparative case studies of
       management practices in nursing homes. Participants include all residents who agreed to participate and
       who passed screening criteria (n=578) and selected nursing home staff members (approximate n=1173),
       representing all departments (e.g., nursing, social work, dietary). Qualitative data were collected using
       participant-observation, depth interviews, and document review and analyzed using standard techniques
       for open coding, theme analysis and data matrixes. Quantitative data were collected using survey
       techniques and analyzed using descriptive statistics and data matrixes. Hypotheses for future research and
       implications for policy, education and practice will be presented.


   10:00 AM - 11:30 AM
    Room: Union Square 19 & 20

    Social Research, Policy & Practice : CNA-Supervisor Relationships in Nursing Homes: State and
    National Perspectives

       Lauren D. Harris-Kojetin PhD
 Primary Author
 Chief, Long-Term Care Statistics Branch, National
       Center for Health Statistics
       Joshua M. Wiener PhD
 Discussant
 Senior Fellow and Program Director, RTI International

       Certified nursing assistants (CNAs) provide 80% of the hands on care received by nursing home
       residents. Previous research—from smaller-scale studies—indicates that the CNA-supervisor relationship
       is an important factor in CNA retention and turnover. Less is known about the factors that drive this
       relationship or about the implications of this relationship for nursing home residents. This symposium
       sheds light on the dynamics of the CNA-supervisor relationship and its implications for residents and
       provides a nationally representative perspective based on findings from the 2004 National Nursing
       Assistant Survey (NNAS). The NNAS, sponsored by the Assistant Secretary for Planning and Evaluation,
       is part of the National Nursing Home Survey conducted by the National Center for Health Statistics. The
       NNAS is the first ever nationally representative survey of CNAs working in nursing homes. The three
       NNAS-based presentations examine a national profile of CNAs; the mediating role of a positive CNA-
       supervisor relationship on CNAs’ abilities to do their jobs in high-turnover work environments; and,
       CNAs’ assessments of their supervisors’ behavior and its relationship to how valued CNAs feel. The
       fourth presentation—part of a larger study of the implications of workplace practices in Massachusetts
       nursing homes on CNAs and residents, funded by Better Jobs Better Care—addresses how CNAs’
       relationships with their supervisors affect CNAs’ job commitment and how greater job commitment, in
       turn, is related to better resident care. The symposium discussant, a noted researcher and leading authority
       on aging and LTC policy, will address policy and practice implications of these findings.

   6:00-7:00pm
    Franciscan D

    Informational session regarding the Policy Fellows in Health and Aging Program

       You are invited to participate in an informational session regarding the Policy Fellows in Health and
       Aging Program, which is being developed with a planning grant from the Atlantic Philanthropies. This
       program will prepare geriatric and gerontology professionals to participate effectively in the
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        policymaking process and serve as change agents in health and aging policy.

        To learn more about this program, or to offer feedback regarding the program's development, please
        attend an informational session on Saturday, November 17, 2007, from 6:00 p.m. to 7:00 p.m. The
        meeting will be held in the Franciscan D Room of the Hilton San Francisco, in conjunction with the
        Gerontological Society of America's 60th Annual Scientific Meeting. You do not need to register for the
        GSA conference to attend this session.

        The Policy Fellows in Health and Aging Program is directed by Harold Alan Pincus, MD, Vice Chair of
        the Department of Psychiatry at Columbia University; Director of Quality and Outcomes Research, New
        York-Presbyterian Hospital; and Senior Scientist, RAND Corporation. For more information prior to the
        November 17th meeting, please contact Dr. Pincus at pincush@pi.cpmc.columbia.edu or (212) 543-5400.

Sunday, November 18, 2007

   7:00 – 8:00 AM
    City Scapes Restaurant in the Hilton
    46th Floor—Tower One

    Informal Breakfast Meeting (to share information and ideas about enhancing nursing home social
    work).(They do not take reservations; look for the table with about 10 people)
    Each person pays for own meal.)

   12:15pm-1:15pm
    TBD
    Meet with Kelsey and Denise for lunch to discuss NASW paper

   1:15 PM - 2:45 PM
    Room: Continental 1
    Behavioral & Social Sciences , Social Research, Policy & Practice: Aging in a Changing World:
    China’s Experience

        Bei Wu Ph.D.
 Primary Author
 Assistant Professor, West Virginia University Center on Aging and
        Department of Community Medicine
        Lee Ann Mjelde-Mossey Ph.D.
 Chair/Co-Chair
 Assistant Professor, Ohio State University
        Jersey Liang PhD
 Discussant
 Professor, School of Public Health, University of Michigan
        James E Lubben 
 Discussant
 Boston College, Graduate School of Social Work


        Increasing social mobility due to rapid economic reforms and demographic changes in the age
        composition of the population, have greatly affected the family support system, the demand for long-term
        care, and the well-being of elders in China. However, the impact of a changing socioeconomic structure
        on the aging experience is less known. This symposium covers a variety of topics related to China’s long-
        term care system and the perception of well-being among older adults in this rapidly changing society.
        While institutional care facilities for elders have been scarce, the institutional care system is increasingly
        in demand in China. One paper has examined factors related to a willingness to live in an old age
        institution and suggested that urban and rural elders exhibit differing attitudes towards institutional care
        and the willingness to live in old age institutions. Another paper found that lack of skilled personnel is a
        major reason that the overwhelming majority of institutional care facilities deny admission to frail and
        demented elders. This paper indicated the need to improve workers’ skills to meet the increasing demand
        for institutional long-term care needs. With respect to elders’ well-being, some papers suggested that
        productive activity and social relationships are significantly associated with a higher sense of well-being.
        Policy suggestions and practical implications were provided in each of these papers.
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   3:00 PM - 4:30 PM
    Room: Union Square 23 & 24

    Behavioral & Social Sciences , Social Research, Policy & Practice: Hospitalization of Nursing Home
    Residents: The New York State Experience

       David C. Grabowski PhD
 Primary Author
 Associate Professor, Harvard Medical School
       Mary Jane Koren M.D., M.P.
 Chair/Co-Chair
 Commonwealth Fund
       Vincent Mor Ph.D.
 Discussant
 Professor, Chair, Brown University


       Hospitalization of nursing home residents is costly and potentially exposes residents to iatrogenic disease
       and psychological harm. Over 15% of long-stay nursing home residents hospitalized within any given 6-
       month period are hospitalized. A significant number of these hospitalizations are for conditions such as
       respiratory infection, urinary tract infection and congestive heart failure, which could potentially be
       prevented or treated in the nursing home. The New York State Department of Health (NYSDOH) has
       received support from The Commonwealth Fund to explore the development of a new Medicare/Medicaid
       payment structure and resident-focused patient care system for nursing homes in order to prevent
       potentially avoidable hospitalizations. This initiative is expected to provide a model program that can be
       replicated nationally.

       In a partnership with researchers at Harvard Medical School, the NYSDOH has undertaken a research
       agenda to learn more about hospitalizations from the nursing home setting. The main research objectives
       are to determine appropriate measures of preventable hospitalizations of nursing home residents and to
       explore possible ways of incorporating these measures in a case mix adjustment payment methodology; to
       calculate the annual costs of preventable nursing home resident hospitalizations, by payer and in total; to
       identify the facility-level factors associated with preventable hospitalizations; to examine the quality
       implications for individuals who are hospitalized relative to those who remain in the nursing home; and to
       conduct simulations which will evaluate the cost-effectiveness of alternative incentive-based payment
       systems. This symposium will review the results of this research and place these results into a policy
       context.

   Dinner with Tanya Fitzpatrick sometime tonight.

   7:00-9:00pm
    Yosemite Room B

    UW Gerontology Consortium Reception

Monday, November 19, 2007

   8:00am-9:30am
    Room: Union Square 15 & 16

       Mercedes Bern-Klug Ph.D
 Primary Author, Assistant Professor, University of Iowa
       Joan Levy Zlotnik PhD, ACSW, Discussant, Executive Director, Institute for the Advancement of SW
       Research

       The U.S. Code of Federal Regulations (CFR) states that nursing homes accepting Medicare and/or
       Medicaid funding are responsible for the ―medically related psychosocial‖ needs of residents. Over 90%
       of the 16,000 nursing homes are Medicare and/or Medicaid certified. The CFR also has a section on
       ―quality of life,‖ within which it states that if a nursing has more than 120 beds that home is required to
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       employ at least one full-time qualified social worker. The CFR ties the employment of a qualified social
       worker with resident quality of life. Despite the fact that federal and state governments and social work
       organizations disagree on the definition of a qualified social worker, there is consensus that more
       attention to psychosocial issues would enhance resident quality of life.

       The small but growing literature on the role of nursing home social worker reveals that a key task should
       be to identify and address the ―medically related psychosocial‖ needs of residents and family members.
       The literature is silent as to the extent to which social workers’ jobs actually focus on psychosocial issues.
       Anecdotal evidence abounds as to the many directions in which nursing home social workers are pulled.

       This symposium features papers that focus on the role of the nursing home social worker by reviewing the
       evidence base for how social workers spend their time and attention, psychosocial care outcomes, setting
       a realistic social worker–to-resident ratio, and factors that affect intentions to leave the job.

              Advancing the Evidence Base for Social Work in Long-Term Care: The Disconnect between
               Practice and Research
               Kelsey Simons

             Multi-level Factors Influencing Psychosocial Care Outcomes in Washington State Skilled
              Nursing Facilities
           Robin Bonifas

              Nursing Home Social Workers Report Unrealistic Staff Ratios
               Mercedes Bern-Klug

              Factors Influencing Turnover Intentions among Nursing Home Social Workers
               Kelsey Simons

   San Francisco (SFO) Depart 1:05 pm to Phoenix (PHX)
    Arrive 4:05 pm Duration: 2hr 0mn
    Flight: 1506

				
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