|Vincent Mor, Ph.D.|
|Department of Community Health||
Last Updated: 09/22/2005
Dr. Vincent Mor is Chair of the Department of Community Health at the Brown University School of Medicine and formerly served as the Director of the Brown University Center for Gerontology and Health Care Research for 10 years. Dr. Mor has been on the faculty of the Department of Community Health since 1981 as a research Assistant Professor, becoming tenured in 1987. Together with Professor Alan Morrison, Dr. Mor began the Department's graduate program in 1986 and directed it after Dr. Morrison's death in the early 1990's until becoming chair.
Dr. Mor has been Principal Investigator of over 20 NIH funded grants focusing on the organizational and health care delivery system factors associated with variation in use of health services and the outcomes frail and chronically ill persons experience. He has had multiple grants from the Robert Wood Johnson Foundation, the Pew Memorial Trust and the Retirement Research Foundation as well as contracts from the Centers for Medicare and Medicaid Services (CMS) and the Office of the Assistant Secretary for Planning and Evaluation to evaluate the impact of programs and policies in aging and long term care including Medicare funding of hospice, the costs and benefits of day hospital treatment of cancer, patient outcomes in nursing homes, the impact of short term case management for cancer patients, several studies documenting age discrimination in cancer treatment and use of home care services, and a national study of residential care facilities.
Dr. Mor was one of the authors of the Congressionally mandated Minimum Data Set (MDS) for Nursing Home Resident Assessment and evaluated its implementation, focusing particularly on the manner it was implemented. Dr. Mor has conducted extensive research on the reliability and validity of the MDS data as used in the field and has pioneered the use of these data to characterize nursing home residents' physical, cognitive and psycho-social functioning, all of which have been used in resident and facility level analyses of the quality of nursing home care in US and international populations. Dr. Mor directed the Brown University component of a CMS contract to develop and validate risk adjusted quality indicators for nursing homes that are currently being tested for public reporting throughout the country.
He recently completed the second 5 years of a MERIT award from NIA for his research on nursing home organizational factors related to facility quality and residents' outcomes and has subsequently received several NIA grants to examine the policy and organizational determinants of hospitalization of nursing home residents and other indicators of the quality of care provided. Dr. Mor was the recipient of a Robert Wood Johnson Foundation Health Policy Investigator award to examine the influence of managed care and integrated delivery systems on the strategic decisions of nursing homes and their quality consequences for residents. Presently, he is examining the effect of state policies and market factors on the quality of care provided nursing home residents, including rehospitalization, merging primary and secondary data from all facilities throughout the United States. Dr. Mor is seeking to determine whether quality is worse in the states with consistently poor and disjointed long term care policies.
Dr. Mor was a member of the Secretary of HHS's National Committee on Vital and Health Statistics and the Institute of Medicine Committee on Long Term Care Quality. He is a member of the Secretary's Advisory Committee on Health Services Research for the Department of Veteran Affairs. He is currently the Chair of the Long Term Care Interest group of AcademyHealth, seeking to expand that organization's interest in and fostering of research on long term care. He was recently appointed to serve as the Executive Director of the National Commision for Quality Long Term Care, co-chaired by former Senator Bob Kerry and former Speaker Newt Gingrich.
He has published over 250
peer reviewed articles and numerous books and book chapters on nursing home
quality, hospice, physical functioning, long term care and cancer treatment
patterns among the elderly as well as the organization of AIDS health services.
Dr. Mor has published widely on the measurement of quality of life and physical
functioning in various chronically ill populations using both previously standardized
as well as novel measures of functioning. He has published models pertaining
to the measurement of quality in long term care facilities and lectures widely
on this topic. He is a fellow of the American Gerontological Society and is
on the editorial board of Health Services Research.
Feng, Z., Grabowski, D.C., Intrator, O., V. Mor. 2006. “The Effect of State Medicaid Case-Mix Payment on Nursing Home Resident Acuity” Health Services Research 41:4, Part 1, 1317-1336.
Roy J, Mor V. The effect of provider-level ascertainment bias on profiling nursing homes. Stat Med. 2005 Sep 12.
Wu N, Miller SC, Lapane K, Roy J, Mor V. Impact of cognitive function on assessments of nursing home residents' pain. Med Care. 2005 Sep;43(9):934-9.
Welch LC, Teno JM, Mor V. End-of-life care in black and white: race matters for medical care of dying patients and their families. J Am Geriatr Soc. 2005 Jul;53(7):1145-53.
Intrator O, Feng Z, Mor V, Gifford D, Bourbonniere M, Zinn J. The employment of nurse practitioners and physician assistants in U.S. nursing homes. Gerontologist. 2005 Aug;45(4):486-95.
Wu N, Miller SC, Lapane K, Roy J, Mor V. The quality of the quality indicator of pain derived from the minimum data set. Health Serv Res. 2005 Aug;40(4):1197-216.
Barry TT, Brannon D, Mor V. Nurse aide empowerment strategies and staff stability: effects on nursing home resident outcomes. Gerontologist. 2005 Jun;45(3):309-17.
Liperoti R, Gambassi G, Lapane KL, Chiang C, Pedone C, Mor V, Bernabei R. Conventional and atypical antipsychotics and the risk of hospitalization for ventricular arrhythmias or cardiac arrest. Arch Intern Med. 2005 Mar 28;165(6):696-701.
Mitchell SL, Teno JM, Miller SC, Mor V. A national study of the location of death for older persons with dementia. J Am Geriatr Soc. 2005 Feb;53(2):299-305. Erratum in: J Am Geriatr Soc. 2005, Apr;53(4):741.
Grabowski DC, Feng Z, Intrator O, Mor V. Recent trends in state nursing home payment policies. Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-363-73.
Intrator O, Zinn J, Mor V. Nursing home characteristics and potentially preventable hospitalizations of long-stay residents. J Am Geriatr Soc. 2004 Oct;52(10):1730-6.
Grabowski DC, Angelelli JJ, Mor V. Medicaid payment and risk-adjusted nursing home quality measures. Health Aff (Millwood). 2004 Sep-Oct;23(5):243-52.
Mor V, Zinn J, Angelelli J, Teno JM, Miller SC. Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care. Milbank Q. 2004;82(2):227-56.
Mor V, Perls TT. Robine and Michel's "Looking forward to a general theory on population aging: measuring functional decline in population aging in a changing world and an evolving biology" J Gerontol A Biol Sci Med Sci. 2004 Jun;59(6):M609-11; author reply M616-20.
Mor V. A comprehensive clinical assessment tool to inform policy and practice: applications of the minimum data set. Med Care. 2004 Apr;42(4 Suppl):III50-9.
Intrator O, Mor V. Effect of state Medicaid reimbursement rates on hospitalizations from nursing homes. J Am Geriatr Soc. 2004 Mar;52(3):393-8.
Zinn JS, Mor V, Intrator O, Feng Z, Angelelli J, Davis JA. The impact of the prospective payment system for skilled nursing facilities on therapy service provision: a transaction cost approach. Health Serv Res. 2003 Dec;38(6 Pt 1):1467-85.
Mitchell SL, Teno JM, Roy J, Kabumoto G, Mor V. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. JAMA. 2003 Jul 2;290(1):73-80.
Angelelli J, Mor V, Intrator O, Feng Z, Zinn J. Oversight of nursing homes: pruning the tree or just spotting bad apples? Gerontologist. 2003 Apr;43 Spec No 2:67-75.
Mor V, Berg K, Angelelli J, Gifford D, Morris J, Moore T. The quality of quality measurement in U.S. nursing homes. Gerontologist. 2003 Apr;43 Spec No 2:37-46.
Quilliam BJ, Lapane KL, Eaton CB, Mor V. Effect of antiplatelet and anticoagulant agents on risk of hospitalization for bleeding among a population of elderly nursing home stroke survivors. Stroke. 2001 Oct;32(10):2299-304.