Dr. Lepore is an Adjunct Assistant Professor of Health Services, Policy & Practice at Brown and a Senior Health Policy & Health Services Researcher at RTI International. He actively collaborates on national studies of nursing home culture change with colleagues at Brown's Center for Gerontology and Healthcare Research. Dr. Lepore is a leading researcher of unlicensed care homes, Medicaid beneficiaries access to residential care, nursing home inititatied involuntary discharges, and international long-term care measurement. He is Associate Editor of the Gerontological Society of America's (GSA's) Public Policy & Aging Report (PPAR) and chair of the American Public Health Association (APHA) Aging & Public Health policy committee.
|Lepore, Michael, Scales, Kezia, Anderson, Ruth A., Porter, Kristie, Thach, Trini, McConnell, Eleanor, Corazzini, Kirsten Person-directed care planning in nursing homes: A scoping review. International Journal of Older People Nursing/International Journal of Older People Nursing. 2018; 13 (4) : e12212.|
|Miller, Susan C., Schwartz, Margot L., Lima, Julie C., Shield, Renée R., Tyler, Denise A., Berridge, Clara W., Gozalo, Pedro L., Lepore, Michael J., Clark, Melissa A. The Prevalence of Culture Change Practice in US Nursing Homes. Medical Care/Medical Care. 2018; 56 (12) : 985-993.|
|Lepore, Michael, Greene, Angela M., Porter, Kristie, Lux, Linda, Vreeland, Emily, Hawes, Catherine Unlicensed care homes in the United States: a clandestine sector of long-term care. Journal of Aging & Social Policy/Journal of aging & social policy. 2018; 31 (1) : 49-65.|
|Leland, Natalie E., Lepore, Michael, Wong, Carin, Chang, Sun Hwa, Freeman, Lynn, Crum, Karen, Gillies, Heather, Nash, Paul Delivering high quality hip fracture rehabilitation: the perspective of occupational and physical therapy practitioners. Disability and Rehabilitation/Disability and Rehabilitation. 2017; 40 (6) : 646-654.|
|Lepore, Michael, Knowles, Molly, Porter, Kristie A., O'Keeffe, Janet, Wiener, Joshua Medicaid Beneficiaries' Access to Residential Care Settings. Journal of Housing For the Elderly/Journal of Housing For the Elderly. 2017; 31 (4) : 351-366.|
|Scales, Kezia, Lepore, Michael, Anderson, Ruth A., McConnell, Eleanor S., Song, Yuting, Kang, Bada, Porter, Kristie, Thach, Trini, Corazzini, Kirsten N. Person-Directed Care Planning in Nursing Homes: Resident, Family, and Staff Perspectives. Journal of Applied Gerontology/Journal of Applied Gerontology. 2017; 38 (2) : 183-206.|
|Lepore, Michael J., Shield, Renée R., Looze, Jessica, Tyler, Denise, Mor, Vincent, Miller, Susan C. Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change. Journal of aging & social policy. 2015; : 150527102958001.|
|Lepore, M., Leland, N. E. Nursing Homes That Increased The Proportion Of Medicare Days Saw Gains In Quality Outcomes For Long-Stay Residents. Health Affairs. 2015; 34 (12) : 2121-2128.|
|Miller SC, Looze J, Shield R, Clark MA, Lepore M, Tyler D, Sterns S, Mor V. Culture change practice in U.S. Nursing homes: prevalence and variation by state medicaid reimbursement policies.. The Gerontologist. 2014; 54 (3) : 434-45.|
|Miller, Susan C., Lepore, Michael, Lima, Julie C., Shield, Renee, Tyler, Denise A. Does the Introduction of Nursing Home Culture Change Practices Improve Quality?. Journal of the American Geriatrics Society. 2014; 62 (9) : 1675-1682.|
|Shield, R. R., Looze, J., Tyler, D., Lepore, M., Miller, S. C. Why and How Do Nursing Homes Implement Culture Change Practices? Insights From Qualitative Interviews in a Mixed Methods Study. Journal of Applied Gerontology. 2013; 33 (6) : 737-763.|
|Tyler DA, Leland N, Lepore M, Miller SC Effect of increased nursing home hospice use on nursing assistant staffing.. Journal of Palliative Medicine. 2011; 14 (11) : 1236-9.|
|Lepore MJ, Miller SC, Gozalo P Hospice use among urban Black and White U.S. nursing home decedents in 2006.. The Gerontologist. 2011; 51 (2) : 251-60.|
|Ball, Mary M., Lepore, Michael L., Perkins, Molly M., Hollingsworth, Carole, Sweatman, Mark “They are the reason I come to work”: The meaning of resident–staff relationships in assisted living. Journal of Aging Studies/Journal of Aging Studies. 2009; 23 (1) : 37-47.|
National Alzheimer’s and Dementia Resource Center, Technical Expert (MPI, Elizabeth Gould & Sari Shuman). Administration on Aging/Administration Community Living, 2018-date.
The Accountable Health Communities (AHC) Model Evaluation, Qualitative Investigator and Bridge Organization Lead. Center for Medicare and Medicaid Innovation (CMMI), Centers for Medicare and Medicaid Services (CMS), 2018-date.
Identifying Research and Policy Priorities in Self-Neglect, Principal Investigator. Assistant Secretary for Planning and Evaluation (ASPE), 2018-date.
Impacts of Minimum Wage Increases on Nursing Homes. Principal Investigator. Assistant Secretary for Planning and Evaluation (ASPE), 2018-date.
Analyses of Potentially Inappropriate Discharges in Nursing Homes: Phase I Analysis. Senior Advisor. Assistant Secretary for Planning and Evaluation (ASPE), 2018-date.
Involuntary Discharges in Nursing Facilities, Principal Investigator. Assistant Secretary for Planning and Evaluation (ASPE), 2017-2018.
National Alzheimer’s and Dementia Resource Center, Technical Expert (P.I. Joshua Wiener). Administration on Aging/Administration Community Living (AoA/ACL), 2014-2018.
Logistics and Content Support for National Research Summit on Dementia Care and Services, Senior Advisor (P.I. Joshua Wiener). Assistant Secretary for Planning and Evaluation (ASPE), 2016-201
Impacts of Potential Minimum Wage Increases on Assisted Living and Continuing Care Retirement Communities, Investigator (P.I. Joshua Wiener). Center for Excellence in Assisted Living (CEAL), 2016-2017.
Development and Maintenance of Symptom Management Measures, Task Lead (P.I. Karen Reilly, Laura Smith). Centers for Medicare & Medicaid Services (CMS), 2014-2018.
Unlicensed Care Homes Technical Expert Panel, Senior Advisor (P.I. Sara Karon). Assistant Secretary for Planning and Evaluation (ASPE), 2017.
Medicaid Coverage and Payment Policies for Residential Care Settings, Principal Investigator. Medicaid and CHIP Payment and Access Commission (MACPAC), 2015–2016.
Adaptive Leadership for Person-Directed Care in Nursing Homes, Principal Investigator (Co-P.I. Kirsten Corazzini). Duke University & RTI International, 2015–2016.
Coverage Gaps in the National Study of Long-Term Care Providers (NSLTCP), Task Lead (P.I. Joshua Wiener). National Center for Health Statistics (NCHS), Centers for Disease Control & Prevention (CDC), 2014–2016.
Understanding Unlicensed Care Homes, Task Lead (P.I. Angela Greene). Assistant Secretary for Planning and Evaluation (ASPE), 2014–20
Increasing Veterans’ Use of Community-Based Long-Term Care via Timely Discharge from U.S. Department of Veterans Affairs Community Living Centers, Principal Investigator of subcontract (P.I. Susan Allen, Brown Public Health Program). Veterans Administration (VA), 2013-2014.
Validating the Patient-reported Experiences of Discrimination in Care Tool (PreDict), Principal Investigator of subcontract (P.I. Marcella Nunez Smith, Yale School of Medicine). National Institutes of Health / National Cancer Institute (NIH/NCI), 2012-2014.
The Harvey Picker Center of Innovation and Applied Research in Long-Term Care, Project Director. Picker Foundation, 2013-2014.
Improving the Quality of Health Care in Africa: African Patient Centered Care Initiative, Technical Expert (P.I. Stephen Kinoti, University Research Co). USAID/East Africa, 2011-2012.
Same Page Transitional Care: Creating a Template for Optimal Transitions, Principal Investigator. Picker Foundation, 2011-2012.
Developing Systems to Support Person-Centered Care: Optimizing Planetree’s Continuing Care Designation Criteria and Measurement Strategies, Investigator (P.I. Heidi Gil). The Commonwealth Fund, 2010-2011.
Analysis of Planetree’s Long-Term Care Resident and Staff Focus Groups, Investigator (P.I. Susan Miller). The Hulda B. and Maurice L. Rothschild Foundation, 2009-2010.
Satisfaction and Retention of Direct Care Staff in Assisted Living, Investigator (P.I. Mary Ball), National Institute on Aging (NIA), 2004-2007.
An Evaluation of Kinship Care Services in Georgia, Investigator (P.I. Sharon King). Georgia Division of Aging Services, 2007.
Caregiver Burden and the Rehab of Aging Visually Impaired Veterans, Investigator (P.I. Michael Williams). Department of Veterans Affairs, 2004-2007.
Assessing Help-Seeking Behavior as a Predictor for Participation in Visual Impairment Rehabilitation, Investigator (P.I. Michael Williams). Department of Veterans Affairs, 2004-2007.
Social Relationships of Direct-Care Staff in Assisted Living. Investigator (P.I. Mary Ball), National Institute on Aging (NIA), 2003-2004.
Club Drugs: Ecstasy Use Patterns and HIV Risk. Recruiter/Interviewer (P.I. Clare Sterk). National Institute on Drug Abuse (NIH), 2002-2003.
Caregiver Demonstration Project. Project Manager (P.I. Molly Perkins). Georgia Division of Aging Services, 2002-2003.
Measuring Long-Term Care Work. Investigator (P.I. Lauren Harris-Kojetin). Assistant Secretary for Planning and Evaluation (ASPE), 2002-2003.
Edvardsson, D., Baxter, R., Corneliusson, L., Anderson, R, Beeber, A., Boas, P. V., Corazzini, K., Gordon, A., Hanratty, B., Jacinto, A., Lepore, M., et al (2019). Advancing long-term care science through using common data elements: Candidate measures for care outcomes of personhood, well-being, and quality of life. Gerontology & Geriatric Medicine. https://doi.org/10.1177/2333721419842672
Wang, J., Wu, B., Bowers, B., Lepore, M. J., Ding, D., McConnell, E. S., & Corazzini, K. (2019). Person-centered dementia care in China: A bilingual literature review. Gerontology & Geriatric Medicine. https://doi.org/10.1177/2333721419844349
Corazzini, K. N…. & Lepore, M. J. (2019). Toward common data elements for international research in long-term care homes: Advancing person-centered care. Journal of the American Medical Directors Association, 20(5) 598-603. https://www.jamda.com/article/S1525-8610(19)30150-1/fulltext
Lepore, M., Greene, A. M., Porter, K., Lux, L., Vreeland, E., & Hawes, C. (2019). Unlicensed care homes in the United States: A clandestine sector of long-term care. Journal of Aging & Social Policy, 31(1), 49-65. https://doi.org/10.1080/08959420.2018.1485397
Scales, K., Lepore, M., Anderson, R. A., McConnell, E. S., Song, Y., Kang, B., Porter, K., Thach, T., & Corazzini, K. N. (2019). Person-directed care planning in nursing homes: Resident, family, and staff perspectives. Journal of Applied Gerontology 38(2): 183-206. https://doi.org/10.1177/0733464817732519
Lepore, M., Scales, K., Anderson, R. A., Porter, K. A., Thach, T., McConnell, E. S., & Corazzini, K. N. (2018). Person-directed care planning in nursing homes: A scoping review. International Journal of Older People Nursing, 13(4): e12212. https://doi.org/10.1111/opn.12212
Leland, N. E., Lepore, M., Wong, C., Chang, S. H., Freeman, L., Crum, K., ... Nash, P. (2018). Delivering high quality hip fracture rehabilitation: The perspective of occupational and physical therapy practitioners. Disability & Rehabilitation, 40(6), 646-654. https://doi.org/10.1080/09638288.2016.1273973
Miller, S. C., Schwartz, M. L., Lima, J. C., Shield, R. R., Tyler, D. A., Berridge, C. W., Gozalo, P. L., Lepore, M. J., & Clark, M. A. (2018). The prevalence of culture change practice in US nursing homes: Findings from a 2016/2017 nationwide survey. Medical Care, 56(12), 985-993. DOI: 10.1097/MLR.0000000000000993
Lepore, M., Knowles, M., Porter, K. A., O’Keeffe, J. O., & Wiener, J. (2017). Medicaid beneficiaries’ access to residential care settings. Journal of Housing for the Elderly, 31(4), 351-366. https://doi.org/10.1080/02763893.2017.1335669
Tyler, D. A. & Lepore, M. J. (2017). Barriers and facilitators to adopting nursing home culture change. Journal of Clinical Outcomes Management, 24(11).
Corazzini, K. N., Meyer, J., McGilton, K. S., Scales, K., McConnell, E. S., Anderson, R. A., Lepore, M., & Ekman, I. (2016). Person-centered nursing home care in the United States, United Kingdom, and Sweden: Why building cross-comparative capacity may help us radically rethink nursing home care and the role of the RN. Nordic Journal of Nursing Research, 36, 59-61.
Lepore, M., & Leland, N. E. (2015). Nursing homes that increased the proportion of Medicare days saw gains in quality outcomes for long-stay residents. Health Affairs, 34, 2121–2128.
Lines, L. M., Lepore, M. J., & Wiener, J. M. (2015). Patient-centered, person-centered, and person-directed care: They are not the same. Medical Care, 53(7), 561–563.
Zimmerman, S., Allen, J., Cohen, L., Pinkowitz, J., Reed, D. A., Coffey, W., Reed, P. S., Lepore, M., et al. (2015). A measure of person-centered practices in assisted living: The PC-PAL. Journal of the American Medical Directors Association, 16(2), 132–137.
Lepore, M. J., Shield, R., Looze, J., Tyler, D., Mor, V., & Miller, S. C. (2015). Medicare and Medicaid reimbursement rates for nursing homes motivate select culture change practices but not comprehensive culture change. Journal of Aging and Social Policy. Advance online publication. doi:10.1080/08959420.2015.1022102
Zimmerman, S., Allen, J., Cohen, L., Pinkowitz, J., Reed, D. A., Coffey, W., Reed, P. S., Lepore, M., et al. (2015). A measure of person-centered practices in assisted living: The PC-PAL. Journal of the American Medical Directors Association, 16(2), 132–137. doi:10.1016/j.jamda.2014.07.016
Miller, S. C, Lepore, M. J., Lima, J. C, Shield, R., & Tyler, D. (2014). Does the introduction of nursing home culture change practices improve quality? Journal of the American Geriatric Society, 62(9), 1675–1982. doi:10.1111/jgs.12987
Miller, S. C., Looze, J., Shield, R., Clark, M. A., Lepore, M. J., Tyler, D., et al. (2014). Culture change practice in U.S. nursing homes: State Medicaid reimbursement policies and organizational attributes of practice implementers. The Gerontologist, 54(3), 434–445. doi:10.1093/geront/gnt020
Shield, R., Looze, J., Tyler, D., Lepore, M. J., & Miller, S. C. (2014). Why and how do nursing homes implement culture change practices? Insights from qualitative interviews in a mixed methods study. Journal of Applied Gerontology, 33(6), 737–763. doi:10.1177/0733464813491141
Shield, R., Tyler, D., Lepore, M. J., Looze, J., & Miller, S. C. (2014). “Would you do that in your home?” Making nursing homes homelike in culture change implementation. Journal of Housing for the Elderly, 28(4), 383–398. doi:10.1080/02763893.2014.930369
Tyler, D., Lepore, M. J., Shield, R., Looze, J., & Miller, S. C. (2014). Overcoming resistance to culture change initiatives: Nursing home administrators’ use of education and communication. Gerontology & Geriatrics Education, 35(4), 321–336. doi:10.1080/02701960.2013.837049
Van Hyfte, G., Kozak, L., & Lepore, M. J. (2013). A survey of the use of complementary and alternative medicine in Illinois Hospice organizations. American Journal of Hospice and Palliative Care, 31(5), 553–561. doi:10.1177/1049909113500378
Frampton, S. B., Guastello, S., & Lepore, M. J. (2013). Compassion as the foundation of patient-centered care: The Importance to patients of experiencing compassion in action. Journal of Comparative Effectiveness Research, 2(5), 443–455. doi:10.2217/cer.13.54
Guastello, S., Jesusco, C., Harrison, J., & Lepore, M. J. (2013). The critical role of food in patient-centered health care. Food Studies, 1(3), 9–20.
Lepore, M. J., Wild, D., Gil, H., Lattimer, C., Harrison, J., Woddor, N., & Wasson, J. (2013). Two useful tools to improve patient engagement and transition from the hospital. Journal of Ambulatory Care Management, 36(4), 338–344. doi:10.1097/JAC.0b013e3182a3317a
Lepore, M. J., Miller, S. C., & Gozalo, P. (2011). Hospice use among urban black and white U.S. nursing home decedents in 2006. The Gerontologist, 51(2), 251–260.
Feng, Z., Lepore, M. J., Clark, M. A., Tyler, D., Smith, D. B., Mor, V., & Fennell, M. L. (2011). Geographic concentration and correlates of nursing home closures: 1999–2008. Archives of Internal Medicine, 9, 806–813.
Tyler, D., Leland, N., Lepore, M. J., & Miller, S. (2011). Effect of increased nursing home hospice use on nursing assistant staffing. Journal of Palliative Medicine, 14(11), 1236–1239.
Ball, M. M., Lepore, M. J., Perkins, M. M., Hollingsworth, C., & Sweatman, M. (2009). ‘They are the reason I come to work’: The meaning of resident-staff relationships in assisted living. Journal of Aging Studies, 23(1), 37–47.
Kemp, C. L., Ball, M. M., Perkins, M. M., Hollingsworth, C., & Lepore, M. J. (2009). ‘I get along with most of them’: Direct care workers’ relationships with residents’ families in assisted living. The Gerontologist, 49(2), 224–235.
King, S., Kropf, N. P., Perkins, M., Sessley, L., Burt, C., & Lepore, M. J. (2009). Kinship care in rural Georgia communities: Responding to needs and challenges of grandparent caregivers. Journal of Intergenerational Relations, 7(2–3), 225–242.
Outstanding Graduate Alumni Award, Sociology Department, Georgia State University, 2019.
Distinguished Alumni Award, Gerontology Institute, Georgia State University, 2018.
Highly Published Author Award, RTI International, 2018.
Agency for Healthcare Research and Quality National Research Service Award Postdoctoral Training Fellowship, 2011.
Ollie Randall Symposium Award, Gerontological Society of America 64th Annual Meeting, 2011.
First Place Presentation Award for “Geographic Concentration and Correlates of Nursing Home Closures: 1999–2008,” International Conference on Aging in the Americas, 2010.
Youth, Aging, and the Life Course Graduate Student Paper Award for “High-retention Direct Care Workers’ Experiences and Views of Racism among Assisted Living Residents with Dementia,” Society for the Study of Social Problems, 200
Outstanding PhD Student Award, Sociology Department, Georgia State University, 2007.
Outstanding Research Award for “Assisted Living Facilities versus Nursing Homes: Long-term Care Workers’ Motivations for Employment,” Southeastern Regional Student Mentoring Conference in Gerontology and Geriatrics, 2007.
AARP Scholar, AARP, 2005.
Outstanding Graduate Student Award, Gerontology, Georgia State University, 2005.
Social Research, Policy, & Practice Research Award for “Staff Retention in Assisted Living: Redefining Job Status,” Gerontological Society of America, 2005.
Virginia M. Smyth Graduate Scholarship Award, Georgia Gerontological Society, 2005.
National Academy of Social Insurance, Somers Aging and Long-Term Care Research Internship, placement at the Institute for the Future of Aging Services, American Association of Homes and Services for the Aging (LeadingAge), 2003.
Anne M. Eaton Endowed Scholarship in Gerontology, 2003.
Fulton County Residential Care Facilities for the Elderly Scholarship, 2002
|Clark, Melissa||Professor of Health Services, Policy and Practice, Associate Dean of School of Public Health, Professor of Obstetrics and Gynecology|
|Gozalo, Pedro||Professor of Health Services, Policy and Practice (Research)|
|Lima, Julie||Investigator in Health Services, Policy and Practice|
|Miller, Susan||Professor of Health Services, Policy and Practice|
|Mor, Vincent||Florence Pirce Grant University Professor, Professor of Health Services, Policy and Practice|
|Shield, Renee||Clinical Professor of Health Services, Policy and Practice|