Caroline Stephens, RN, PhD, GNP

Associate Professor

Overview

My program of research focuses on vulnerable populations at high risk for poor care transitions, particularly in the long term care setting. Using national CMS claims and resident assessment data, I recently completed a series of studies examining key factors associated with Emergency Department (ED) use by high risk nursing home residents, such as those with cognitive impairment, a history of falls and feeding tubes. While much of my work to date has involved large data set analyses, I am currently looking at innovative ways we can use emerging health technologies to promote greater interdisciplinary collaborative work processes across care settings and more actively engage nursing home residents, families, nursing home staff and EDs to reduce unnecessary acute care transfers and promote better care coordination.

Clinically, I am a Gerontological Nurse Practitioner and Geropsychiatric Advanced Practice Nurse, and I have cared for frail older adults across the care continuum, including the provision of geropsychiatric consultations in over 100 nursing homes in 3 states. I still maintain a geropsychiatric faculty practice in the nursing home setting.

From a teaching perspective, I am passionate about, and locally and nationally involved in, figuring out innovative ways to infuse more gerontological and geropsychiatric content into the generalist APN curriculum and across disciplines.

Interests

Honors and Awards

Clinical Translational Sciences Institute (CTSI) KL2 Scholar, UCSF, 2013-2018
National Veteran's Administration Quality Scholar (VAQS), San Francisco VA Medical Center, 2010-2012
John A. Hartford Foundation/Atlantic Philanthropies Claire M. Fagin Fellow, UCSF, 2010-2012
Sigma Theta Tau International Nursing Honors Society Research Award, Alpha Eta Chapter - UCSF, 2010
9th Annual UCSF Outstanding Health Policy Paper Award, UCSF, 2008
John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Scholar, UCSF, 2007-2009
Cota Robles Fellow, UCSF, 2006-2007
University of Pennsylvania Dean's Award, University of Pennsylvania, 2002
University of Pennsylvania Nightingale Award, University of Pennsylvania, 1999
Sigma Theta Tau, International Nursing Honors Society, Xi & Alpha Eta Chapters, 1999

Publications

Linnen DT, Kornak J, Stephens C. The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California? Perm J. 2018 Mar 28; 22.
Hunt LJ, Coombs LA, Stephens CE. Emergency Department Use by Community-Dwelling Individuals With Dementia in the United States: An Integrative Review. J Gerontol Nurs. 2018 Mar 01; 44(3):23-30.
Stephens CE, Hunt LJ, Bui N, Halifax E, Ritchie CS, Lee SJ. Palliative Care Eligibility, Symptom Burden, and Quality-of-Life Ratings in Nursing Home Residents. JAMA Intern Med. 2018 Jan 01; 178(1):141-142.
Stephens CE, Harris M, Buron B. The Current State of U.S. Geropsychiatric Graduate Nursing Education: Results of the National Geropsychiatric Graduate Nursing Education Survey. J Am Psychiatr Nurses Assoc. 2015 Nov-Dec; 21(6):385-94.
Stephens C, Halifax E, Bui N, Lee SJ, Harrington C, Shim J, Ritchie C. 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.
Hunt LJ, Covinsky KE, Yaffe K, Stephens CE, Miao Y, Boscardin WJ, Smith AK. Pain in Community-Dwelling Older Adults with Dementia: Results from the National Health and Aging Trends Study. J Am Geriatr Soc. 2015 Aug; 63(8):1503-11.
Newman, J., Sudore, R., Stephens, C., Miller, BJ, Ritchie, C.. Advance Care Planning: A Community-Based Initiative in San Francisco. SFMS Journal: San Francisco Medicine. 2015.
Hunt, L.J., Covinsky, K.E., Yaffe, K., Stephens, C., Miao, Y., Boscardin, J., Smith, A.K.. Pain in Community-Dwelling Older Adults with Dementia: Results from the National Health and Aging Trends Study. J Amer Geriatr Soc, in press. 2015.
Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C. The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations. Alzheimers Dement. 2014 Nov; 10(6):835-43.
Stephens, C. Confusion in the Elderly: Common Clinical Questions. In C.S. Landefeld, A. Chang, & B. Williams (Eds.), Current Geriatrics Diagnosis & Treatment. 2014.
Stephens CE, Sackett N, Govindarajan P, Lee SJ. Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study. BMC Geriatr. 2014 Mar 20; 14:35.
Harrington, C., Stephens, C., Wagner, L.M. . Long Term Services and Supports Policy Issues. In D.J. Mason, J.K. Leavitt, M.W. Chaffee (Eds.), Policy & Politics in Nursing and Healthcare (7th ed.). Elsevier. In press. 2014.
Brownell J, Wang J, Smith A, Stephens C, Hsia RY. Trends in emergency department visits for ambulatory care sensitive conditions by elderly nursing home residents, 2001 to 2010. JAMA Intern Med. 2014 Jan; 174(1):156-8.
Stephens C, Sackett N, Pierce R, Schopfer D, Schmajuk G, Moy N, Bachhuber M, Wallhagen MI, Lee SJ. Transitional care challenges of rehospitalized veterans: listening to patients and providers. Popul Health Manag. 2013 Oct; 16(5):326-31.
Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C. Emergency department use by nursing home residents: effect of severity of cognitive impairment. Gerontologist. 2012 Jun; 52(3):383-93.
Stephens, C. . Evolving Case Studies as a Learning Resource - Evaluating Acute Confusion: A CNS Perspective. In "Transitioning to the New Model for Regulation of APRNs: Ensuring the APRN Workforce is Prepared to Care for Older Adults". 2011.
Harrington, C., O'Meara, J., Collier, E., Kang, T., Stephens, C., Chang, J.. Impact of California's Medi-cal Long Term Care Reimbursement Act on Access, Quality & Costs. Report Prepared for the California HealthCare Foundation. San Francisco, CA: University of California. 2008.
Naylor MD, Hirschman KB, Bowles KH, Bixby MB, Konick-McMahan J, Stephens C. Care coordination for cognitively impaired older adults and their caregivers. Home Health Care Serv Q. 2007; 26(4):57-78.
Naylor MD, Stephens C, Bowles KH, Bixby MB. Cognitively impaired older adults: from hospital to home. Am J Nurs. 2005 Feb; 105(2):52-61; quiz 61-2.
Caroline Stephens
+1 415 502-6340
2 Koret Way, Rm 531E
UCSF Box 0608
San Francisco, CA 94143
United States