Update Your ProfileAcademic Title:
Professor
Primary Appointment:
School of Nursing
Secondary Appointment(s):
Medicine
Additional Title:
Co-Director, Center for Health Equity and Outcomes Research, University of Maryland School of Nursing
Email:
Location:
655 West Lombard Street, Rm 402K
Education and Training
- PhD, Sociology, Georgia State University
- Graduate Certificate, Gerontology, Georgia State University
- MA, Sociology, Georgia State University
- BA, Philosophy & Psychology, Assumption University
Research/Clinical Keywords
Long-term care, Dementia, Quality measurement, Health policy
Highlighted Publications
Lepore, M., & Barch, D. H. (2022). Medicare usage changes in nursing homes and their impacts on long-stay resident outcomes. Journal of Applied Gerontology, 41(3), 826-830.
Lepore, M., Edvardsson, D., Igarashi, A., Meyer, J. (2021). How long-term care quality assurance measures address dementia in Australia, England, Japan, and the United States. Aging and Health Research, 1(2), 100013.
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.
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.
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.
Additional Publication Citations
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.
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.
Miller, S. C., Looze, J., Shield, R., Clark, M. A., Lepore, M., Tyler, D., ... & Mor, V. (2013). Culture change practice in US nursing homes: Prevalence and variation by state Medicaid reimbursement policies. The Gerontologist, 54(3), 434-445.
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.
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.
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.
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.
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.
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.
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.
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.
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, 27(3), 215-231.
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.
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.
Tyler, D. A. & Lepore, M. J. (2017). Barriers and facilitators to adopting nursing home culture change. Journal of Clinical Outcomes Management, 24(11).
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.
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.
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.
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.
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.
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.
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.
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.
Lepore, M. J. & Corazzini, K. C. (2019). Advancing international research on long-term residential care: Using adaptive leadership to build consensus on international measurement priorities and common data elements. Gerontology & Geriatric Medicine.
Lepore, M. J., Yuen, P., & Zepeda, S. (2019). Nursing home facility-initiated involuntary discharge. Journal of Gerontological Nursing 45(8), 23-31.
Kang, B., Scales, K., McConnell, E. S., Song, Y., Lepore, M., & Corazzini, K. (2020). Nursing home residents’ perspectives on their social relationships. Journal of Clinical Nursing, 29(7-8), 1162-1174.
Lepore, M. J., Lima, J. C., & Miller, S. C. (2020). Nursing home culture change practices and survey deficiencies: A national longitudinal panel study. The Gerontologist, 60(8), 1411-1423.
Monin, J. K., Ali, T., Syed, S., Piechota, A., Lepore, M., Mourgues, C., ... & David, D. (2020). Family communication in long-term care during a pandemic: lessons for enhancing emotional experiences. The American Journal of Geriatric Psychiatry, 28(12), 1299-1307.
McGilton, K., Escrig-Pinol, A., Gordon, A., Chu, C. H., Zúñiga, F., Sanchez, M. G., Boscart, V., Meyer, J., Corazzini, K., Jacnito, A. F., Spilsbury, K., Backman, A., Scales, K., Fagertun, A., Wu, B., Edvardsson, D., Lepore, M. J., Leung, A., Siegal, E., Noguchi-Watanabe, M., Wang, J., Bowers, B. (2020). Uncovering the devaluation of nursing home staff during COVID-19: Are we fuelling the next health care crisis?. Journal of the American Medical Directors Association, 21(7), 962-965.
Lepore, M., Shivers, S., & DeFrancesco, E. (2021). Virtual Cognitive Stimulation Therapy: Perspectives of people living with dementia. Geriatrics, Gerontology and Aging, 15, e0210042.
Lepore, M., Edvardsson, D., Igarashi, A., Meyer, J. (2021). How long-term care quality assurance measures address dementia in Australia, England, Japan, and the United States. Aging and Health Research, 1(2), 100013.
Bowers, B., Chu, C. H., Wu, B., Lepore, M. J., Thompson, R. A., Leung, A., Brunkert, T., Shrew, N. T., Sharew, Yamamoto-Mitani, N., Mateos, J., McGilton, K. S. (2021). What COVID-19 innovations can teach us about improving quality of life in long-term care. Journal of the American Medical Directors Association, 22(5), 929-932.
Howard, J., Voltmer, H., Ferrell, A, Croteau-Johnson, N., & Lepore, M. (2022). Self-neglect: A Review of Opportunities and Barriers to Federal Policy and Research Priorities. The Journal of Adult Protection, 24(3/4), 149-160.
Scales, K., & Lepore, M. (2022). Structured care protocols for people living with dementia in nursing homes: Reflections for research. Journal of the American Medical Directors Association 23(7), 1127-1128.
Grants and Contracts
- PI: “Cognitive Stimulation Therapy for dementia: A two-armed pragmatic trial" NIA AD/ADRD Health Care Systems Research Collaboratory
- PI: “Advancing Person-Centered Dementia Care in Low-Resource Contexts”, Alzheimer’s Association
- PI: “Medicaid Coverage and Payment Policies for Residential Care Settings”, Medicaid and CHIP Payment and Access Commission (MACPAC)
- PI: “Same Page Transitional Care: Creating a Template for Optimal Transitions”, Picker Foundation
In the News
Researchers Report Crimes of 'Imprisonment,' 'Risk Of Death To Residents' By Unlicensed Care Homes. 7/27/18. Forbes (International).
Abusive Unlicensed Care Homes Are 'Hidden In Plain Sight' In America, Researcher Says. 7/27/18. Forbes (International).