Melanie J Cozad

  • Citations Per Year
Learn More
The cost of hospice care is rising. Although providing care for children at end of life may be costly for hospices, it is unclear whether or not gaining pediatric knowledge and even establishing a pediatric program may be done cost effectively. The purpose of our study was to examine the effect of possessing pediatric knowledge (i.e., pediatric program,(More)
Using the oil price increase of 1979 as a natural experiment and several event study specifications, this paper finds evidence that the oil spike induced significant decreases in carbon emissions on both the intensive (miles driven) and extensive (auto fuel efficiency) margins. Further, it appears that substitution on the intensive margin occurred(More)
OBJECTIVE To examine the relationship between nurse knowledge, work environment, and registered nurse (RN) turnover in perinatal hospice and palliative care organizations. METHODS Using nurse intellectual capital theory, a multivariate analysis was conducted with 2007 National Home and Hospice Care Survey data. RESULTS Perinatal hospice and palliative(More)
CONTEXT Children with intellectual disability (ID) are at risk for adverse end-of-life outcomes including high emergency room utilization and hospital readmissions, along with low hospice enrollment. OBJECTIVES The objective of this study was to compare the effectiveness of usual source of care approaches to improve end-of-life outcomes for children with(More)
Comparative effectiveness research (CER) involves comparing alternative treatments in “real-world” settings. As is typical in CER, a researcher’s objective is to assess the effectiveness of a treatment (T) to an alternative treatment (A). In the real world different objectives are possible when comparing the effectiveness of T to A. Is the researcher(More)
The use of agency nurses offers flexibility in filling registered nurse (RN) openings during times of shortage, yet little is known about their use in specialized palliative care. In an effort to fill this knowledge gap, this study determined whether significant relationships existed between full-time and part-time RN vacancies and the use of agency RNs(More)
This study provided the first examination of staff efficiency trends among pediatric hospices. Although pediatric staff efficiency demonstrated large variability from 2002 to 2011, the general trend in efficiency from 2003 to 2010. The decline in efficiency means, on average, pediatric hospices had higher operating expenses and used more capacity, but(More)
The nursing shortage is projected to intensify in the United States. Organizations providing specialized hospice and palliative care will be particularly hard hit. The purpose of our study was to examine the influence of the nursing unit on registered nurse (RN) vacancies and test the moderating role of recruitment strategies in perinatal hospices. We(More)
  • 1