Charlene Harrington, RN, PhD, FAAN

Professor Emeritus



Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11. Health Aff (Millwood). 2015 Dec 1; 34(12):2129-37.
Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life. Curr Gerontol Geriatr Res. 2015; 2015:893062.
Hidden Owners, Hidden Profits, and Poor Nursing Home Care: A Case Study. Int J Health Serv. 2015; 45(4):779-800.
Deficiencies In Care At Nursing Homes And Racial/Ethnic Disparities Across Homes Fell, 2006-11. Health Aff (Millwood). 2015 Jul 1; 34(7):1139-46.
A literature review of clinical outcomes associated with antipsychotic medication use in North American nursing home residents. Health Policy. 2015 Jun; 119(6):802-13.
Medicaid home and community-based services: how consumer access is restricted by state policies. J Aging Soc Policy. 2015; 27(1):21-46.
Long-term services and supports in the community: Toward a research agenda. Disabil Health J. 2015 Jan; 8(1):3-8.
Comparing the nurse staffing in Korean and U.S. nursing homes. Nurs Outlook. 2015 Mar-Apr; 63(2):137-43.
The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations. Alzheimers Dement. 2014 Nov; 10(6):835-43.
The effects of regulation and litigation on a large for-profit nursing home chain. J Health Polit Policy Law. 2014 Aug; 39(4):781-809.
State olmstead litigation and the affordable care act. J Soc Work Disabil Rehabil. 2014; 13(1-2):97-109.
The effects of RN staffing hours on nursing home quality: a two-stage model. Int J Nurs Stud. 2014 Mar; 51(3):409-17.
Satisfaction with Massachusetts nursing home care was generally high during 2005-09, with some variability across facilities. Health Aff (Millwood). 2013 Aug; 32(8):1416-25.
What factors contribute to successful appeals of nursing homes' deficiencies in the informal dispute resolution process? J Am Med Dir Assoc. 2013 Feb; 14(2):101-4.
The relationship of California's Medicaid reimbursement system to nurse staffing levels. Med Care. 2012 Oct; 50(10):836-42.
The effect of state regulatory stringency on nursing home quality. Health Serv Res. 2012 Oct; 47(5):1791-813.
Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults. Health Aff (Millwood). 2012 Jul; 31(7):1623-32.
Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians. Res Gerontol Nurs. 2012 Jul; 5(3):163-73.
Nursing homes appeals of deficiencies: the informal dispute resolution process. J Am Med Dir Assoc. 2012 Jul; 13(6):512-6.
Observing how RNs use clinical time in a nursing home: a pilot study. Geriatr Nurs. 2012 Jul-Aug; 33(4):256-63.
Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh. 2012 Mar; 44(1):88-98.
Change and inertia in the New York state Medicaid Personal Care Services program: an institutional case study. J Aging Soc Policy. 2012; 24(3):309-27.
Medicaid home- and community-based services: impact of the affordable care act. J Aging Soc Policy. 2012; 24(2):169-87.
High rate of unemployment after liver transplantation: analysis of the United Network for Organ Sharing database. Liver Transpl. 2012 Jan; 18(1):89-99.
Emergency department use by nursing home residents: effect of severity of cognitive impairment. Gerontologist. 2012 Jun; 52(3):383-93.
Do Medicaid home and community based service waivers save money? Home Health Care Serv Q. 2011 Oct; 30(4):198-213.
Staffing changes before and after mandated nurse-to-patient ratios in California's hospitals. Policy Polit Nurs Pract. 2011 Aug; 12(3):133-40.
Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies. Health Serv Res. 2012 Feb; 47(1 Pt 1):106-28.
Does state regulation of quality impose costs on nursing homes? Med Care. 2011 Jun; 49(6):529-34.
Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States. Int J Health Serv. 2011; 41(4):725-46.
State regulatory enforcement and nursing home termination from the medicare and medicaid programs. Health Serv Res. 2010 Dec; 45(6 Pt 1):1796-814.
The effects of an inpatient palliative care team on discharge disposition. J Palliat Med. 2010 May; 13(5):541-8.
Long-term care: who gets it, who provides it, who pays, and how much? Health Aff (Millwood). 2010 Jan-Feb; 29(1):11-21.
Medicare and medicaid in long-term care. Health Aff (Millwood). 2010 Jan-Feb; 29(1):22-8.
Medicaid nursing facility rates, capacity, and utilization: a structural analysis. Soc Work Public Health. 2009 Sep-Oct; 24(5):380-400.
Factors associated with living in developmental centers in California. Intellect Dev Disabil. 2009 Apr; 47(2):108-24.
Registered nurse staffing mix and quality of care in nursing homes: a longitudinal analysis. Gerontologist. 2009 Feb; 49(1):81-90.
A panel data analysis of the relationships of nursing home staffing levels and standards to regulatory deficiencies. J Gerontol B Psychol Sci Soc Sci. 2009 Mar; 64(2):269-78.
Do noninstitutional long-term care services reduce Medicaid spending? Health Aff (Millwood). 2009 Jan-Feb; 28(1):262-72.
Focus group study of ethnically diverse low-income users of paid personal assistance services. Home Health Care Serv Q. 2009; 28(1):24-44.
Variation in the use of federal and state civil money penalties for nursing homes. Gerontologist. 2008 Oct; 48(5):679-91.
Disparities in service utilization and expenditures for individuals with developmental disabilities. Disabil Health J. 2008 Oct; 1(4):184-95.
Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Res Gerontol Nurs. 2008 Jul; 1(3):157-70.
Nurses working outside of nursing: societal trend or workplace crisis? Policy Polit Nurs Pract. 2008 Aug; 9(3):143-57.
Assistive technology in medicaid home- and community-based waiver programs. Gerontologist. 2008 Apr; 48(2):181-9.
Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDS. Med Care Res Rev. 2008 Jun; 65(3):338-55.
Variation in types of service use and expenditures for individuals with developmental disabilities. Disabil Health J. 2008 Jan; 1(1):30-41.
Shareholder value and the performance of a large nursing home chain. Health Serv Res. 2008 Jun; 43(3):1062-84.
Nurse staffing levels and Medicaid reimbursement rates in nursing facilities. Health Serv Res. 2007 Jun; 42(3 Pt 1):1105-29.
California nursing facility quality and union environments. J Aging Health. 2007 Apr; 19(2):183-99.
Medicaid State Plan personal care services: trends in programs and policies. J Aging Soc Policy. 2007; 19(3):9-26.
Paid personal assistance services:an exploratory study of working-age consumers' perspectives. J Aging Soc Policy. 2007; 19(3):27-45.
State Medicaid home care policies: inside the black box. Home Health Care Serv Q. 2007; 26(3):23-38.
Developing personal care programs: national trends and interstate variation, 1992-2002. Inquiry. 2007; 44(1):69-87.
Estimating the expense of a mandatory home-and community-based personal assistance services benefit under Medicaid. J Aging Soc Policy. 2007; 19(3):47-64.
The collection and use of funds from civil money penalties and fines from nursing homes. Gerontologist. 2006 Dec; 46(6):759-71.
The personal assistance workforce: trends in supply and demand. Health Aff (Millwood). 2006 Jul-Aug; 25(4):1113-20.
Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence. Nurs Outlook. 2006 Jul-Aug; 54(4):236-42.
Residential care provision in Medicaid home- and community-based waivers: a national study of program trends. Gerontologist. 2006 Apr; 46(2):165-72.
Reflections on research and policy. The Doris Schwartz Award Lecture. J Gerontol Nurs. 2006 Mar; 32(3):6-8.
Assessing California's nursing home staffing standards. Policy Polit Nurs Pract. 2006 Feb; 7(1):11-3.
Strengthening home and community-based care through Medicaid waivers. J Aging Soc Policy. 2006; 18(1):1-16.
Institutional and community-based long-term care: a comparative estimate of public costs. J Health Soc Policy. 2006; 22(2):31-50.
Variation by disability in state predictors of Medicaid 1915c waiver use and expenditures. Gerontologist. 2005 Dec; 45(6):764-72.
Quality of care in nursing home organizations: establishing a health services research agenda. Nurs Outlook. 2005 Nov-Dec; 53(6):300-4.
Addressing the dramatic decline in RN staffing in nursing homes. Am J Nurs. 2005 Sep; 105(9):25.
Nurses Improving Care for Health System Elders (NICHE). Am J Nurs. 2005 May; 105(5):101-2.
Advanced nursing training in health policy: designing and implementing a new program. Policy Polit Nurs Pract. 2005 May; 6(2):99-108.
Discharge planning, nursing home placement, and the Internet. Nurs Outlook. 2005 Mar-Apr; 53(2):95-103.
Nurse staffing in nursing homes in the United States: Part II. J Gerontol Nurs. 2005 Mar; 31(3):9-15.
Nurse staffing in nursing homes in the United States. J Gerontol Nurs. 2005 Feb; 31(2):18-23.
Medicaid home and community-based services: national program trends. Health Aff (Millwood). 2005 Jan-Feb; 24(1):206-12.
Chain reaction: an exploratory study of nursing home bankruptcy in California. J Aging Soc Policy. 2005; 17(4):19-35.
Case study: development of and stakeholder responses to a nursing home consumer information system. Am J Med Qual. 2005 Jan-Feb; 20(1):40-50.
Medicaid waiver programs for traumatic brain and spinal cord injury. J Health Soc Policy. 2005; 20(3):51-66.
Nursing expertise in caring for older adults. Am J Nurs. 2004 Sep; 104(9):72.
NPs in nursing homes: an issue of quality. Am J Nurs. 2004 Sep; 104(9):71.
Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rules. Health Care Manag Sci. 2004 Aug; 7(3):237-44.
Relationship of nursing home staffing to quality of care. Health Serv Res. 2004 Apr; 39(2):225-50.
Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences. J Gerontol B Psychol Sci Soc Sci. 2004 Mar; 59(2):S98-S108.
State nursing home enforcement systems. J Health Polit Policy Law. 2004 Feb; 29(1):43-73.
Medicaid 1915(c) home and community-based services waivers: a national survey of eligibility criteria, caps, and waiting lists. Home Health Care Serv Q. 2004; 23(2):55-69.
The U.S. long-term care field: a dialectic analysis of institution dynamics. J Health Soc Behav. 2004; 45 Suppl:87-101.
Trends in state certificate of need and moratoria programs for long term care providers. J Health Soc Policy. 2004; 19(2):31-58.
Smoke without fire: nursing facility closures in California, 1997-2001. Inquiry. 2004; 41(2):189-202.
Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownership. Med Care. 2003 Dec; 41(12):1318-30.
Nursing indicators of quality in nursing homes. A Web-based approach. J Gerontol Nurs. 2003 Oct; 29(10):5-11.
Nursing home staffing, turnover, and case mix. Med Care Res Rev. 2003 Sep; 60(3):366-92; discussion 393-9.
Hospital care for elderly. Am J Nurs. 2003 May; 103(5):115.
Designing a report card for nursing facilities: what information is needed and why. Gerontologist. 2003 Apr; 43 Spec No 2:47-57.
Nursing facility and home and community based service need criteria in the United States. Home Health Care Serv Q. 2003; 22(4):65-83.
Federal and state nursing facility websites: just what the consumer needs? Am J Med Qual. 2003 Jan-Feb; 18(1):21-37.
Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization. Inquiry. 2003; 40(4):375-89.
Nursing care in assisted living facilities. Am J Nurs. 2003 Jan; 103(1):97-8.
Challenges and accomplishments of the second-generation social health maintenance organization. Gerontologist. 2002 Dec; 42(6):843-52.
Who cares for older adults? Workforce implications of an aging society. Health Aff (Millwood). 2002 Sep-Oct; 21(5):78-89.
CMS study: correlation between staffing and quality. Am J Nurs. 2002 Sep; 102(9):65-6.
Regulation of nursing facilities in the United States: an analysis of resources and performance of state survey agencies. Gerontologist. 2002 Aug; 42(4):475-87.
The changing picture of hospital nurses. Am J Nurs. 2002 May; 102(5):93-4.
Estimating paid and unpaid hours of personal assistance services in activities of daily living provided to adults living at home. Health Serv Res. 2002 Apr; 37(2):397-415.
Access to community-based long-term care: Medicaid's role. J Aging Health. 2002 Feb; 14(1):138-59.
Does investor-ownership of nursing homes compromise the quality of care? Int J Health Serv. 2002; 32(2):315-25.
Germany's long-term care insurance model: lessons for the United States. J Public Health Policy. 2002; 23(1):44-65.
Health and long-term care for people with Alzheimer's disease and related dementias: policy research issues. Aging Ment Health. 2001 May; 5 Suppl 1:S124-37.
A national health care program: has its time come? Nurs Outlook. 1988 Sep-Oct; 36(5):214-6, 255.
Charlene Harrington
+1 415 476-4030
3333 Calif. St,Laurel Heights, Rm 455
UCSF Box 0612
San Francisco, CA 94118
United States
United States