Leo M. Cooney, Jr, MD
Humana Foundation Professor of Medicine (Geriatrics)
Research Interests
Geriatrics; Nursing Homes; Geriatric Assessment; Housing for the Elderly
Research Organizations
Research Summary
Dr. Leo Cooney established the program in Geriatrics at Yale, coming to this institution in 1976 as the Director of the Continuing Care Unit. This unit is now known as the Yale Acute Care for the Elderly Unit. His career at Yale has focused on assisting elderly individuals to attain the highest level of independence possible. His research interests have focused on efforts to ensure that health care resources are applied to those in most need. Along with Dr. Brandt Fries, he developed the Resource Utilization Groups, which is now used as the method of reimbursing Medicare patients in nursing homes throughout the country. He directs the utilization review efforts at Yale-New Haven Hospital, and is a past President of the American Geriatrics Society. He continues to have a very active clinical and teaching role to ensure that medical residents and students are as prepared as possible to care for the multiple problems of the frail elderly.
Specialized Terms: Geriatric medicine; Assistance in elderly independence; Resource utilization; Transitional models of care for nursing home residents
Selected Publications
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Everyday Decision-making Ability in Older Persons with Cognitive Impairment
Lai JM, Gill TM, Cooney LM, Bradley EH, Hawkins KA, Karlawish JH. Everyday Decision-making Ability in Older Persons with Cognitive Impairment. Am J Geriatr Psychiatry 2008; 16:693-696.
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Access to primary care for Medicare beneficiaries
Chou W, Cooney LM, van Ness P, Alore H, Gill T. Access to primary care for Medicare beneficiaries. J Am Geriatric Society 2007;55:763-768.
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Who can stay at home? Assessing the capacity to choose to live in the community
Cooney LM, Kennedy GJ, Hawkins KA. Who can stay at home? Assessing the capacity to choose to live in the community. Arch Int Med 2004;164:357–360.
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The hospital Elderly Life Program: a model of care to prevent cognitive and functional decline in hospitalized elderly patients
Inouye SK , Bogardus ST , Baker DI, Leo–Summers L, Cooney LM. The hospital Elderly Life Program: a model of care to prevent cognitive and functional decline in hospitalized elderly patients. J Am Geriatrics Soc. 2000.48:1697–1706.
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A Clinical Trial of a Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients
Inouye S, Bogardus S, Charpentier P, Leo–Summers L, Acampora D, Holford TR, Cooney LM. A Clinical Trial of a Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients. The New England Journal Of Medicine. 1999;340:669–675.
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Shoulder Pain in Older People.
Daigneault J, Cooney LM. Shoulder Pain in Older People. Journal of the American Geriatrics Society. 1998. 46:1144–1151.
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The Yale Geriatric Care Program: A Model of Care to Prevent Functional Decline in Hospitalized Elderly Patients
Inouye SK, Acampora D, Miller RL, Fulmer R, Hurst LD, Cooney LM. The Yale Geriatric Care Program: A Model of Care to Prevent Functional Decline in Hospitalized Elderly Patients. Journal of the American Geriatrics Society. 1993. 41:1345–52.
Full List of PubMed Publications
- Cooney LM Jr: Pioneers in Geriatrics - Passing It On. J Am Geriatr Soc. 2017 Jul; 2017 May 8. PMID: 28481412
- Alexandre M, Wang'ondu R, Cooney LM Jr: Group A Streptococcal Bacteremia following Streptococcal Pharyngitis in an Older Patient with Diabetes: A Case Report . Yale J Biol Med. 2017 Jun; 2017 Jun 23. PMID: 28656020
- Ouellet JA, Cooney LM Jr: Hip Fracture: Can We Do Better? J Am Geriatr Soc. 2017 Jan; 2016 Nov 14. PMID: 27858982
- Leder SB, Suiter DM, Agogo GO, Cooney LM Jr: An Epidemiologic Study on Ageing and Dysphagia in the Acute Care Geriatric-Hospitalized Population: A Replication and Continuation Study. Dysphagia. 2016 Oct; 2016 Jul 6. PMID: 27384436
- Thomas JM, Cooney LM Jr, Fried TR: Systematic review: Health-related characteristics of elderly hospitalized adults and nursing home residents associated with short-term mortality. J Am Geriatr Soc. 2013 Jun; 2013 May 20. PMID: 23692412
- Lai JM, Gill TM, Cooney LM, Bradley EH, Hawkins KA, Karlawish JH: Everyday decision-making ability in older persons with cognitive impairment. Am J Geriatr Psychiatry. 2008 Aug. PMID: 18669948
- Chou WC, Cooney LM Jr, Van Ness PH, Allore HG, Gill TM: Access to primary care for Medicare beneficiaries. J Am Geriatr Soc. 2007 May. PMID: 17493198
- Cooney LM Jr: Commentary: the evolution of American geriatrics. J Gerontol A Biol Sci Med Sci. 2004 Nov. PMID: 15602063
- Cooney LM Jr, Kennedy GJ, Hawkins KA, Hurme SB: Who can stay at home? Assessing the capacity to choose to live in the community. Arch Intern Med. 2004 Feb 23. PMID: 14980985
- Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM Jr: Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch Intern Med. 2001 Nov 12. PMID: 11700159
- Inouye SK, Bogardus ST Jr, Baker DI, Leo-Summers L, Cooney LM Jr: The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc. 2000 Dec. PMID: 11129764
- Inouye SK, Bogardus ST Jr, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, Cooney LM Jr: A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 1999 Mar 4. PMID: 10053175
- Daigneault J, Cooney LM Jr: Shoulder pain in older people. J Am Geriatr Soc. 1998 Sep. PMID: 9736111
- Inouye SK, Wagner DR, Acampora D, Horwitz RI, Cooney LM Jr, Tinetii ME: A controlled trial of a nursing-centered intervention in hospitalized elderly medical patients: the Yale Geriatric Care Program. J Am Geriatr Soc. 1993 Dec. PMID: 8227919
- Inouye SK, Acampora D, Miller RL, Fulmer T, Hurst LD, Cooney LM Jr: The Yale Geriatric Care Program: a model of care to prevent functional decline in hospitalized elderly patients. J Am Geriatr Soc. 1993 Dec. PMID: 8227918
- Inouye SK, Wagner DR, Acampora D, Horwitz RI, Cooney LM Jr, Hurst LD, Tinetti ME: A predictive index for functional decline in hospitalized elderly medical patients. J Gen Intern Med. 1993 Dec. PMID: 8120679
- Solomon DH, Wagner DR, Marenberg ME, Acampora D, Cooney LM Jr, Inouye SK: Predictors of formal home health care use in elderly patients after hospitalization. J Am Geriatr Soc. 1993 Sep. PMID: 8409182
- Marottoli RA, Ostfeld AM, Merrill SS, Perlman GD, Foley DJ, Cooney LM Jr: Driving cessation and changes in mileage driven among elderly individuals. J Gerontol. 1993 Sep. PMID: 8366274
- Marottoli RA, Berkman LF, Cooney LM Jr: Decline in physical function following hip fracture. J Am Geriatr Soc. 1992 Sep. PMID: 1512379
- Bonar SK, Tinetti ME, Speechley M, Cooney LM: Factors associated with short- versus long-term skilled nursing facility placement among community-living hip fracture patients. J Am Geriatr Soc. 1990 Oct. PMID: 2172352
- Lachs MS, Feinstein AR, Cooney LM Jr, Drickamer MA, Marottoli RA, Pannill FC, Tinetti ME: A simple procedure for general screening for functional disability in elderly patients. Ann Intern Med. 1990 May 1. PMID: 2334082
- Murtaugh CM, Cooney LM, DerSimonian RR, Smits HL, Fetter RB: Nursing home reimbursement and the allocation of rehabilitation therapy resources. Health Serv Res. 1988 Oct. PMID: 3141313
