Charlene Harrington, RN, PhD, FAAN

Professor Emeritus


Honors and Awards

National Academy of Medicine, 1996
American Academy of Nursing, 1987


Ronald LA, McGregor MJ, Harrington C, Pollock A, Lexchin J. Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change? PLoS Med. 2016 Apr; 13(4):e1001995.
Harrington C, Schnelle JF, McGregor M, Simmons SF. The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes. Health Serv Insights. 2016; 9:13-9.
Newcomer RJ, Ko M, Kang T, Harrington C, Hulett D, Bindman AB. Health Care Expenditures After Initiating Long-term Services and Supports in the Community Versus in a Nursing Facility. Med Care. 2016 Mar; 54(3):221-8.
Harrington C, Kang T. Disparities in Service Use and Expenditures for People With Intellectual and Developmental Disabilities in California in 2005 and 2013. Intellect Dev Disabil. 2016 Feb; 54(1):1-18.
Li Y, Harrington C, Mukamel DB, Cen X, Cai X, Temkin-Greener H. Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11. Health Aff (Millwood). 2015 Dec 1; 34(12):2129-37.
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.
Harrington C, Ross L, Kang T. Hidden Owners, Hidden Profits, and Poor Nursing Home Care: A Case Study. Int J Health Serv. 2015; 45(4):779-800.
Li Y, Harrington C, Temkin-Greener H, You K, Cai X, Cen X, Mukamel DB. Deficiencies In Care At Nursing Homes And Racial/Ethnic Disparities Across Homes Fell, 2006-11. Health Aff (Millwood). 2015 Jul; 34(7):1139-46.
Chiu Y, Bero L, Hessol NA, Lexchin J, Harrington C. 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.
Ng T, Stone J, Harrington C. Medicaid home and community-based services: how consumer access is restricted by state policies. J Aging Soc Policy. 2015; 27(1):21-46.
Kaye HS, Harrington C. Long-term services and supports in the community: toward a research agenda. Disabil Health J. 2015 Jan; 8(1):3-8.
Lee HY, Shin JH, Harrington C. Comparing the nurse staffing in Korean and U.S. nursing homes. Nurs Outlook. 2015 Mar-Apr; 63(2):137-43.
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.
Harrington C, Stockton J, Hooper S. 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.
Mukamel DB, Fortinsky RH, White A, Harrington C, White LM, Ngo-Metzger Q. The policy implications of the cost structure of home health agencies. Medicare Medicaid Res Rev. 2014; 4(1).
Ng T, Wong A, Harrington C. State Olmstead litigation and the Affordable Care Act. J Soc Work Disabil Rehabil. 2014; 13(1-2):97-109.
Lee HY, Blegen MA, Harrington C. The effects of RN staffing hours on nursing home quality: a two-stage model. Int J Nurs Stud. 2014 Mar; 51(3):409-17.
Li Y, Cai X, Ye Z, Glance LG, Harrington C, Mukamel DB. 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.
Mukamel DB, Li Y, Weimer DL, Spector WD, Bailey L, Harrington C. 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.
Mukamel DB, Kang T, Collier E, Harrington C. The relationship of California's Medicaid reimbursement system to nurse staffing levels. Med Care. 2012 Oct; 50(10):836-42.
Mukamel DB, Weimer DL, Harrington C, Spector WD, Ladd H, Li Y. The effect of state regulatory stringency on nursing home quality. Health Serv Res. 2012 Oct; 47(5):1791-813.
Naylor MD, Kurtzman ET, Grabowski DC, Harrington C, McClellan M, Reinhard SC. 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.
Bakerjian D, Harrington C. 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.
Mukamel DB, Weimer DL, Li Y, Bailey L, Spector WD, Harrington C. Nursing homes appeals of deficiencies: the informal dispute resolution process. J Am Med Dir Assoc. 2012 Jul; 13(6):512-6.
Dellefield ME, Harrington C, Kelly A. Observing how RNs use clinical time in a nursing home: a pilot study. Geriatr Nurs. 2012 Jul-Aug; 33(4):256-63.
Harrington C, Choiniere J, Goldmann M, Jacobsen FF, Lloyd L, McGregor M, Stamatopoulos V, Szebehely M. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh. 2012 Mar; 44(1):88-98.
Adelman T, Kitchener M, Ng T, Harrington C. 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.
Harrington C, Ng T, Laplante M, Kaye HS. Medicaid home- and community-based services: impact of the affordable care act. J Aging Soc Policy. 2012; 24(2):169-87.
Huda A, Newcomer R, Harrington C, Blegen MG, Keeffe EB. High rate of unemployment after liver transplantation: analysis of the United Network for Organ Sharing database. Liver Transpl. 2012 Jan; 18(1):89-99.
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.
Harrington C, Ng T, Kitchener M. Do Medicaid home and community based service waivers save money? Home Health Care Serv Q. 2011 Oct; 30(4):198-213.
Serratt T, Harrington C, Spetz J, Blegen M. Staffing changes before and after mandated nurse-to-patient ratios in California's hospitals. Policy Polit Nurs Pract. 2011 Aug; 12(3):133-40.
Harrington C, Olney B, Carrillo H, Kang T. 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.
Mukamel DB, Li Y, Harrington C, Spector WD, Weimer DL, Bailey L. Does state regulation of quality impose costs on nursing homes? Med Care. 2011 Jun; 49(6):529-34.
Harrington C, Hauser C, Olney B, Rosenau PV. 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.
Li Y, Harrington C, Spector WD, Mukamel DB. State regulatory enforcement and nursing home termination from the medicare and medicaid programs. Health Serv Res. 2010 Dec; 45(6 Pt 1):1796-814.
Brody AA, Ciemins E, Newman J, Harrington C. The effects of an inpatient palliative care team on discharge disposition. J Palliat Med. 2010 May; 13(5):541-8.
Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff (Millwood). 2010 Jan-Feb; 29(1):11-21.
Ng T, Harrington C, Kitchener M. Medicare and medicaid in long-term care. Health Aff (Millwood). 2010 Jan-Feb; 29(1):22-8.
Swan JH, Kitchener M, Harrington C. Medicaid nursing facility rates, capacity, and utilization: a structural analysis. Soc Work Public Health. 2009 Sep-Oct; 24(5):380-400.
Harrington C, Kang T, Chang J. Factors associated with living in developmental centers in California. Intellect Dev Disabil. 2009 Apr; 47(2):108-24.
Kim H, Harrington C, Greene WH. Registered nurse staffing mix and quality of care in nursing homes: a longitudinal analysis. Gerontologist. 2009 Feb; 49(1):81-90.
Kim H, Kovner C, Harrington C, Greene W, Mezey M. 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.
Kaye HS, LaPlante MP, Harrington C. Do noninstitutional long-term care services reduce Medicaid spending? Health Aff (Millwood). 2009 Jan-Feb; 28(1):262-72.
Mullan JT, Grossman BR, Hernandez M, Wong A, Eversley R, Harrington C. Focus group study of ethnically diverse low-income users of paid personal assistance services. Home Health Care Serv Q. 2009; 28(1):24-44.
Harrington C, Tsoukalas T, Rudder C, Mollot RJ, Carrillo H. Variation in the use of federal and state civil money penalties for nursing homes. Gerontologist. 2008 Oct; 48(5):679-91.
Harrington C, Kang T. Disparities in service utilization and expenditures for individuals with developmental disabilities. Disabil Health J. 2008 Oct; 1(4):184-95.
Collier E, Harrington C. Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Res Gerontol Nurs. 2008 Jul; 1(3):157-70.
Black L, Spetz J, Harrington C. Nurses working outside of nursing: societal trend or workplace crisis? Policy Polit Nurs Pract. 2008 Aug; 9(3):143-57.
Kitchener M, Ng T, Lee HY, Harrington C. Assistive technology in medicaid home- and community-based waiver programs. Gerontologist. 2008 Apr; 48(2):181-9.
Miller NA, Elder KT, Kitchener M. Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDS. Med Care Res Rev. 2008 Jun; 65(3):338-55.
Kang T, Harrington C. Variation in types of service use and expenditures for individuals with developmental disabilities. Disabil Health J. 2008 Jan; 1(1):30-41.
Kitchener M, O'Meara J, Brody A, Lee HY, Harrington C. Shareholder value and the performance of a large nursing home chain. Health Serv Res. 2008 Jun; 43(3):1062-84.
Harrington C, Swan JH, Carrillo H. Nurse staffing levels and Medicaid reimbursement rates in nursing facilities. Health Serv Res. 2007 Jun; 42(3 Pt 1):1105-29.
Swan JH, Harrington C. California nursing facility quality and union environments. J Aging Health. 2007 Apr; 19(2):183-99.
Kitchener M, Ng T, Harrington C. Medicaid State Plan personal care services: trends in programs and policies. J Aging Soc Policy. 2007; 19(3):9-26.
Grossman BR, Kitchener M, Mullan JT, Harrington C. Paid personal assistance services:an exploratory study of working-age consumers' perspectives. J Aging Soc Policy. 2007; 19(3):27-45.
Kitchener M, Ng T, Harrington C. State Medicaid home care policies: inside the black box. Home Health Care Serv Q. 2007; 26(3):23-38.
Kitchener M, Ng T, Carrillo H, Miller N, Harrington C. Developing personal care programs: national trends and interstate variation, 1992-2002. Inquiry. 2007; 44(1):69-87.
LaPlante MP, Kaye HS, Harrington C. 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.
Tsoukalas T, Rudder C, Mollot RJ, Shineman M, Lee HY, Harrington C. The collection and use of funds from civil money penalties and fines from nursing homes. Gerontologist. 2006 Dec; 46(6):759-71.
Kaye HS, Chapman S, Newcomer RJ, Harrington C. The personal assistance workforce: trends in supply and demand. Health Aff (Millwood). 2006 Jul-Aug; 25(4):1113-20.
Harrington C, Beverly CJ, Maas ML, Buckwalter KC, Bennett JA, Young HM, Sochalski J, Naylor M. 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.
Kitchener M, Hernandez M, Ng T, Harrington C. Residential care provision in Medicaid home- and community-based waivers: a national study of program trends. Gerontologist. 2006 Apr; 46(2):165-72.
Harrington C. Reflections on research and policy. The Doris Schwartz Award Lecture. J Gerontol Nurs. 2006 Mar; 32(3):6-8.
Harrington C, O'Meara J. Assessing California's nursing home staffing standards. Policy Polit Nurs Pract. 2006 Feb; 7(1):11-3.
Miller NA, Rubin A, Elder KT, Kitchener M, Harrington C. Strengthening home and community-based care through Medicaid waivers. J Aging Soc Policy. 2006; 18(1):1-16.
Kitchener M, Ng T, Miller N, Harrington C. Institutional and community-based long-term care: a comparative estimate of public costs. J Health Soc Policy. 2006; 22(2):31-50.
Miller NA, Kitchener M, Elder KT, Kang Y, Rubin A, Harrington C. Variation by disability in state predictors of Medicaid 1915c waiver use and expenditures. Gerontologist. 2005 Dec; 45(6):764-72.
Harrington C. Quality of care in nursing home organizations: establishing a health services research agenda. Nurs Outlook. 2005 Nov-Dec; 53(6):300-4.
Harrington C. Addressing the dramatic decline in RN staffing in nursing homes. Am J Nurs. 2005 Sep; 105(9):25.
Boltz M, Harrington C, Kluger M. Nurses Improving Care for Health System Elders (NICHE). Am J Nurs. 2005 May; 105(5):101-2.
Harrington C, Crider MC, Benner PE, Malone RE. Advanced nursing training in health policy: designing and implementing a new program. Policy Polit Nurs Pract. 2005 May; 6(2):99-108.
Collier EJ, Harrington C. Discharge planning, nursing home placement, and the Internet. Nurs Outlook. 2005 Mar-Apr; 53(2):95-103.
Harrington C. Nurse staffing in nursing homes in the United States: Part II. J Gerontol Nurs. 2005 Mar; 31(3):9-15.
Harrington C. Nurse staffing in nursing homes in the United States. J Gerontol Nurs. 2005 Feb; 31(2):18-23.
Kitchener M, Ng T, Miller N, Harrington C. Medicaid home and community-based services: national program trends. Health Aff (Millwood). 2005 Jan-Feb; 24(1):206-12.
Kitchener M, O'neill C, Harrington C. Chain reaction: an exploratory study of nursing home bankruptcy in California. J Aging Soc Policy. 2005; 17(4):19-35.
O'Meara J, Kitchener M, Collier E, Lyons M, de Billwiller-Kiss A, Simon LP, Harrington C. 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.
Kitchener M, Ng T, Grossman B, Harrington C. Medicaid waiver programs for traumatic brain and spinal cord injury. J Health Soc Policy. 2005; 20(3):51-66.
Mezey M, Harrington C, Kluger M. Nursing expertise in caring for older adults. Am J Nurs. 2004 Sep; 104(9):72.
Mezey M, Harrington C, Kluger M. NPs in nursing homes: an issue of quality. Am J Nurs. 2004 Sep; 104(9):71.
Kitchener M, Beynon M, Harrington C. Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rules. Health Care Manag Sci. 2004 Aug; 7(3):237-44.
Schnelle JF, Simmons SF, Harrington C, Cadogan M, Garcia E, M Bates-Jensen B. Relationship of nursing home staffing to quality of care. Health Serv Res. 2004 Apr; 39(2):225-50.
LaPlante MP, Kaye HS, Kang T, Harrington C. 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.
Harrington C, Mullan JT, Carrillo H. State nursing home enforcement systems. J Health Polit Policy Law. 2004 Feb; 29(1):43-73.
Kitchener M, Ng T, Harrington C. 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.
Kitchener A, Harrington C. The U.S. long-term care field: a dialectic analysis of institution dynamics. J Health Soc Behav. 2004; 45 Suppl:87-101.
Harrington C, Anzaldo S, Burdin A, Kitchener M, Miller N. Trends in state certificate of need and moratoria programs for long term care providers. J Health Soc Policy. 2004; 19(2):31-58.
Kitchener M, Bostrom A, Harrington C. Smoke without fire: nursing facility closures in California, 1997-2001. Inquiry. 2004; 41(2):189-202.
O'Neill C, Harrington C, Kitchener M, Saliba D. Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownership. Med Care. 2003 Dec; 41(12):1318-30.
Harrington C, O'Meara J, Collier E, Schnelle JF. Nursing indicators of quality in nursing homes. A Web-based approach. J Gerontol Nurs. 2003 Oct; 29(10):5-11.
Harrington C, Swan JH. Nursing home staffing, turnover, and case mix. Med Care Res Rev. 2003 Sep; 60(3):366-92; discussion 393-9.
Rosenfeld P, Harrington C. Hospital care for elderly. Am J Nurs. 2003 May; 103(5):115.
Harrington C, O'Meara J, Kitchener M, Simon LP, Schnelle JF. Designing a report card for nursing facilities: what information is needed and why. Gerontologist. 2003 Apr; 43 Spec No 2:47-57.
Tonner MC, Harrington C. Nursing facility and home and community based service need criteria in the United States. Home Health Care Serv Q. 2003; 22(4):65-83.
Harrington C, Collier E, O'Meara J, Kitchener M, Simon LP, Schnelle JF. Federal and state nursing facility websites: just what the consumer needs? Am J Med Qual. 2003 Jan-Feb; 18(1):21-37.
Kitchener M, Carrillo H, Harrington C. Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization. Inquiry. 2003; 40(4):375-89.
Kovner CT, Harrington C. Nursing care in assisted living facilities. Am J Nurs. 2003 Jan; 103(1):97-8.
Newcomer R, Harrington C, Kane R. Challenges and accomplishments of the second-generation social health maintenance organization. Gerontologist. 2002 Dec; 42(6):843-52.
Kovner CT, Mezey M, Harrington C. Who cares for older adults? Workforce implications of an aging society. Health Aff (Millwood). 2002 Sep-Oct; 21(5):78-89.
Kovner CT, Harrington C. CMS study: correlation between staffing and quality. Am J Nurs. 2002 Sep; 102(9):65-6.
Walshe K, Harrington C. 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.
Kovner CT, Harrington C. The changing picture of hospital nurses. Am J Nurs. 2002 May; 102(5):93-4.
LaPlante MP, Harrington C, Kang T. 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.
Miller NA, Harrington C, Goldstein E. Access to community-based long-term care: Medicaid's role. J Aging Health. 2002 Feb; 14(1):138-59.
Harrington C, Woolhandler S, Mullan J, Carrillo H, Himmelstein DU. Does investor-ownership of nursing homes compromise the quality of care? Int J Health Serv. 2002; 32(2):315-25.
Harrington CA, Geraedts M, Heller GV. Germany's long-term care insurance model: lessons for the United States. J Public Health Policy. 2002; 23(1):44-65.
Newcomer RJ, Fox PJ, Harrington CA. 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.
Newcomer RJ, Fox PJ, Harrington CA. Health and long-term care for people with Alzheimer's disease and related dementias: Policy research issues. Aging Ment Health. 2001 May; 5(sup1):124-137.
Harrington CA. 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 California Street, Rm 455U
UCSF Box 0612
San Francisco, CA 94118
United States