Title of Presentation

Health Services Regulatory Analysis: A Novel Approach to Connect State Regulations to Care Outcomes

Presenter Biography

Lindsey Smith is a doctoral student in the SPH Health Systems & Policy program. As a graduate research assistant, she works with Dr. Paula Carder on a national study investigating what role state regulation of assisted living plays in the health outcomes of older adults.

Institution

OHSU

Program/Major

Health Systems & Policy

Degree

PhD

Presentation Type

Presentation

Start Date

8-4-2021 2:19 PM

End Date

8-4-2021 2:30 PM

Persistent Identifier

https://archives.pdx.edu/ds/psu/35590

Abstract

This presentation will describe a recently published novel approach which extends existing methods to provide more detailed analytic results for research regarding the regulation of licensed health service settings. The study team identified a reliable method for sourcing and analyzing the content of regulatory codes and identifying substantive changes made from one year to the next. By combining legal epidemiology and health policy methods in a health services research context, we were able to identify intrastate regulatory variation resulting from regulatory overlap.

This approach allows researchers to conduct analyses that provide evidence regarding the impact of regulatory requirements on population access to and use of health services. Researchers can use these methods to conduct more sophisticated analyses of state and within state regulatory variation, which can then be used in claims-based research to associate specific regulatory changes with outcomes.

Our application of this approach in the assisted living setting identified previously undocumented within-state variation in regulatory scope and prescriptiveness. These findings have real implications for the older adults living in settings previously thought to be highly regulated. This approach has identified variation that may be important to documenting disparities in health service provision and use in both assisted living and other health service settings.

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Apr 8th, 2:19 PM Apr 8th, 2:30 PM

Health Services Regulatory Analysis: A Novel Approach to Connect State Regulations to Care Outcomes

This presentation will describe a recently published novel approach which extends existing methods to provide more detailed analytic results for research regarding the regulation of licensed health service settings. The study team identified a reliable method for sourcing and analyzing the content of regulatory codes and identifying substantive changes made from one year to the next. By combining legal epidemiology and health policy methods in a health services research context, we were able to identify intrastate regulatory variation resulting from regulatory overlap.

This approach allows researchers to conduct analyses that provide evidence regarding the impact of regulatory requirements on population access to and use of health services. Researchers can use these methods to conduct more sophisticated analyses of state and within state regulatory variation, which can then be used in claims-based research to associate specific regulatory changes with outcomes.

Our application of this approach in the assisted living setting identified previously undocumented within-state variation in regulatory scope and prescriptiveness. These findings have real implications for the older adults living in settings previously thought to be highly regulated. This approach has identified variation that may be important to documenting disparities in health service provision and use in both assisted living and other health service settings.