Featured Publications
Association of Nursing Home Exposure to Hurricane-Related Inundation With Emergency Preparedness
Festa N, Throgmorton K, Heaphy N, Canavan M, Gill T. Association of Nursing Home Exposure to Hurricane-Related Inundation With Emergency Preparedness. JAMA Network Open 2023, 6: e2249937. PMID: 36607635, PMCID: PMC9856665, DOI: 10.1001/jamanetworkopen.2022.49937.Peer-Reviewed Original ResearchConceptsCross-sectional studyNursing homesRate ratioNursing home characteristicsUS nursing homesEmergency preparednessPrevalence of facilitiesStratified associationsExposure statusMAIN OUTCOMEHome exposureHome characteristicsPreparedness standardsMultiple comparisonsPrevalenceAssociationExposureDeficiencyNew York metropolitan areaRiskHomeHealth inspectionPreparednessFindingsRegional heterogeneityEvaluating California nursing homes' emergency preparedness for wildfire exposure
Festa N, Heaphy N, Throgmorton K, Canavan M, Gill T. Evaluating California nursing homes' emergency preparedness for wildfire exposure. Journal Of The American Geriatrics Society 2022, 71: 895-902. PMID: 36541045, PMCID: PMC10023274, DOI: 10.1111/jgs.18142.Peer-Reviewed Original ResearchConceptsNursing homesRisk of exposureNursing home managementCalifornia nursing homesEmergency preparednessFacility preparednessCommunity disaster planningMedian numberExposure statusSignificant associationHome managementMedicaid ServicesRiskGreater percentageExposureDeficiencySample of centresExposure riskAssociationHomePreparednessRisk areasAccuracy of diagnosis and health service codes in identifying frailty in Medicare data
Festa N, Shi SM, Kim DH. Accuracy of diagnosis and health service codes in identifying frailty in Medicare data. BMC Geriatrics 2020, 20: 329. PMID: 32894057, PMCID: PMC7487915, DOI: 10.1186/s12877-020-01739-w.Peer-Reviewed Original ResearchConceptsClinical frailty indexFrailty indexFrailty phenotypeMedicare dataClaims-based frailty indexDeficit-accumulation frailty indexMethodsThis cross-sectional studyPopulation health management strategiesService Medicare enrollmentHigh-risk patientsAdministrative claims dataCross-sectional studyClinical knowledgeClinical reference standardAccuracy of diagnosisFrailty statusClinical criteriaContinuous feeClinical definitionClaims dataStudy subsampleFrailtyMedicare enrollmentHealth management strategiesHospital bedsIdentifying Medicare beneficiaries with dementia
Moura LMVR, Festa N, Price M, Volya M, Benson NM, Zafar S, Weiss M, Blacker D, Normand S, Newhouse JP, Hsu J. Identifying Medicare beneficiaries with dementia. Journal Of The American Geriatrics Society 2021, 69: 2240-2251. PMID: 33901296, PMCID: PMC8373730, DOI: 10.1111/jgs.17183.Peer-Reviewed Original ResearchConceptsClaims-based definitionEligible populationElectronic health recordsAccountable care organizationsMedical recordsDiagnostic codesMedicare beneficiariesReference standardICD-10 diagnostic codesICD-9 definitionRetrospective observational studyIndividual-level linkageService Medicare beneficiariesPatients' medical recordsClaims-based diagnosesClinical reference standardNon-Hispanic whitesPretest likelihoodDementia statusObservational studyInternational ClassificationAverage ageDementia diagnosisStandardized reviewDementiaAssessment of Regional Nursing Home Preparedness for and Regulatory Responsiveness to Wildfire Risk in the Western US
Festa N, Throgmorton K, Davis-Plourde K, Dosa D, Chen K, Zang E, Kelly J, Gill T. Assessment of Regional Nursing Home Preparedness for and Regulatory Responsiveness to Wildfire Risk in the Western US. JAMA Network Open 2023, 6: e2320207. PMID: 37358851, PMCID: PMC10293909, DOI: 10.1001/jamanetworkopen.2023.20207.Peer-Reviewed Original ResearchConceptsCross-sectional studyNursing homesNursing home characteristicsMean survival timeUS nursing homesGreater mean numberPrimary outcomeUS CentersExposure statusMAIN OUTCOMEElevated riskSurvival timeSurvival analysisPresence of deficienciesMore deficienciesRisk statusEmergency preparednessHome characteristicsMean numberRiskPreparedness standardsDeficiencyResponsivenessHigh percentageOutcomesIdentifying Medicare Beneficiaries With Delirium
Moura LMVR, Zafar S, Benson NM, Festa N, Price M, Donahue MA, Normand SL, Newhouse JP, Blacker D, Hsu J. Identifying Medicare Beneficiaries With Delirium. Medical Care 2022, 60: 852-859. PMID: 36043702, PMCID: PMC9588515, DOI: 10.1097/mlr.0000000000001767.Peer-Reviewed Original ResearchComparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement
Shi S, Festa N, Afilalo J, Popma JJ, Khabbaz KR, Laham RJ, Guibone K, Kim DH. Comparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement. BMC Geriatrics 2020, 20: 38. PMID: 32013890, PMCID: PMC6998298, DOI: 10.1186/s12877-020-1440-4.Peer-Reviewed Original ResearchConceptsAortic valve replacementTranscatheter aortic valve replacementFrailty indexLee indexPoor outcomeValve replacementSAVR cohortTAVR cohortC-statisticFunctional declineSevere symptomsDeficit-accumulation frailty indexSingle academic medical centerProspective cohort studyHighest c-statisticAcademic medical centerBackgroundCurrent guidelinesSAVR patientsTAVR patientsCohort studyGeriatric assessmentOverall cohortPrognostic scoreMedical CenterCohortNursing home infection control strategies during the COVID‐19 pandemic
Festa N, Katz‐Christy N, Weiss M, Lisk R, Normand S, Grabowski D, Newhouse J, Hsu J. Nursing home infection control strategies during the COVID‐19 pandemic. Journal Of The American Geriatrics Society 2023, 71: 2593-2600. PMID: 37218116, PMCID: PMC10702332, DOI: 10.1111/jgs.18402.Peer-Reviewed Original ResearchPromise and peril of claims-based dementia ascertainment in causal inference
Festa N, Moura L, Blacker D, Newhouse J, Hsu J. Promise and peril of claims-based dementia ascertainment in causal inference. BMJ Evidence-Based Medicine 2023, 28: 222-225. PMID: 37130742, PMCID: PMC10486140, DOI: 10.1136/bmjebm-2022-112134.Peer-Reviewed Original ResearchPromising Administrative Measures of Heart Failure and Future Directions
Festa N, Wasfy J, Moura L. Promising Administrative Measures of Heart Failure and Future Directions. Circulation Cardiovascular Quality And Outcomes 2023, 16: e009833. PMID: 36688300, PMCID: PMC9975022, DOI: 10.1161/circoutcomes.122.009833.Peer-Reviewed Original ResearchReappraising the public health benefits conferred by environmental policy: Considerations for an aging society
Festa N, Hsu J, Hammitt J, Gill T. Reappraising the public health benefits conferred by environmental policy: Considerations for an aging society. Journal Of The American Geriatrics Society 2022, 71: 1291-1299. PMID: 36585900, PMCID: PMC10089964, DOI: 10.1111/jgs.18219.Peer-Reviewed Original ResearchEvaluating The Accuracy Of Medicare Risk Adjustment For Alzheimer’s Disease And Related Dementias
Festa N, Price M, Weiss M, Moura LMVR, Benson NM, Zafar S, Blacker D, Normand ST, Newhouse JP, Hsu J. Evaluating The Accuracy Of Medicare Risk Adjustment For Alzheimer’s Disease And Related Dementias. Health Affairs 2022, 41: 1324-1332. PMID: 36067434, PMCID: PMC9973227, DOI: 10.1377/hlthaff.2022.00185.Peer-Reviewed Original ResearchEvaluation of Claims-Based Ascertainment of Alzheimer Disease and Related Dementias Across Health Care Settings
Festa N, Price M, Moura L, Blacker D, Normand S, Newhouse J, Hsu J. Evaluation of Claims-Based Ascertainment of Alzheimer Disease and Related Dementias Across Health Care Settings. JAMA Health Forum 2022, 3: e220653. PMID: 35977320, PMCID: PMC9034399, DOI: 10.1001/jamahealthforum.2022.0653.Peer-Reviewed Original Research
2021
Goals of Care Documentation: Insights from A Pilot Implementation Study
Haverfield M, Garcia A, Giannitrapani K, Walling A, Rigdon J, Bekelman D, Lo N, Lehmann L, Jacobs J, Festa N, Lorenz K. Goals of Care Documentation: Insights from A Pilot Implementation Study. Journal Of Pain And Symptom Management 2021, 63: 485-494. PMID: 34952172, DOI: 10.1016/j.jpainsymman.2021.12.023.Peer-Reviewed Original ResearchConceptsPatient care experiencesGoals of careCare documentationCare experiencesLife-Sustaining Treatment Decisions InitiativeCare Assessment Need (CAN) scoreLikelihood of documentationVeterans Affairs sitesVeterans Health AdministrationLife-threatening eventsPilot implementation studySerious health conditionsRace/ethnicityQuality improvement analysisFrail patientsIll patientsOverall careCare assessmentCare conversationsWhite raceHigh riskHealth AdministrationPatientsSurvey scoresRural statusAssociation Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons
Gill TM, Zang EX, Murphy TE, Leo-Summers L, Gahbauer EA, Festa N, Falvey JR, Han L. Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons. JAMA Internal Medicine 2021, 181: 1297-1304. PMID: 34424276, PMCID: PMC8383163, DOI: 10.1001/jamainternmed.2021.4260.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedFemaleFunctional StatusHealthy Life ExpectancyHousing QualityHumansIndependent LivingLongitudinal StudiesMaleMental HealthNeighborhood CharacteristicsPrognosisPsychosocial FunctioningQuality of LifeSocial Determinants of HealthSocioeconomic FactorsUnited StatesConceptsProspective longitudinal cohort studyCommunity-living older personsAge 70 yearsActive life expectancyLongitudinal cohort studyOlder personsCohort studyPrognostic factorsLife expectancyArea deprivation index scoreCommunity-living personsPrecipitating Events ProjectDeprivation index scoreDisabled life expectancyAge 90 yearsArea Deprivation IndexPublic health initiativesPublic health interventionsNeighborhood disadvantageGreater percentageResource-poor environmentsIndividual-level socioeconomic characteristicsMean ageMAIN OUTCOMEDaily living
2020
Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness
Giannitrapani KF, Walling AM, Garcia A, Foglia M, Lowery JS, Lo N, Bekelman D, Brown-Johnson C, Haverfield M, Festa N, Shreve ST, Gale RC, Lehmann LS, Lorenz KA. Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness. American Journal Of Hospice And Palliative Medicine® 2020, 38: 68-76. PMID: 32383388, DOI: 10.1177/1049909120923595.Peer-Reviewed Original ResearchConceptsIll patientsDecision-making capacityLife-Sustaining Treatment Decisions InitiativeLST decisionsLarge integrated health care systemIntegrated health care systemProspective observational studyRisk of hospitalizationGoals of careFamilies/caregiversQuality of lifeDecisions InitiativeHealth care systemChart abstractionPatient demographicsObservational studyCare conversationsProlong lifePatientsSerious illnessVeterans AffairsCare systemStandardizing practicesPilot periodGOCC
2016
Anchoring Bias as a Limiting Factor in High-Value Care: A Case of Fever of Unknown Origin in a Hospitalized Child
Festa N, Park KT, Schwenk H. Anchoring Bias as a Limiting Factor in High-Value Care: A Case of Fever of Unknown Origin in a Hospitalized Child. Hospital Pediatrics 2016, 6: 699-701. PMID: 27789539, DOI: 10.1542/hpeds.2016-0027.Peer-Reviewed Original Research