Kathleen T. Unroe, MD
Professor of Medicine
Research Scientist, Indiana University Center for Aging Research
Bio
Dr. Kathleen Unroe’s research, clinical and policy interests are focused on improving quality of care — particularly access to palliative and end-of-life care — for nursing home residents. Dr. Unroe is co-PI of UPLIFT, an NIH R01 clinical trial to test a robust model of palliative care for nursing home residents. She is principal investigator of OPTIMISTIC, a novel 8-year, $30.3 million CMS-funded demonstration project aimed at improving quality of care and reducing unnecessary hospitalizations in 40 Indiana nursing homes. The second phase of OPTIMISTIC is testing payment reform that reimburses facilities for providing on-site treatment of qualifying conditions common in elderly people, including pneumonia, urinary tract infections, congestive heart failure, dehydration, skin ulcers, chronic obstructive pulmonary disease and asthma. It also includes practitioner payments under Medicare Part B for the treatment of conditions onsite and for care coordination and caregiver engagement. She was awarded a 2014 Paul B. Beeson K23 Career Development Award to examine hospice use in nursing homes.Dr. Unroe is vice-chair of the American Geriatrics Society Public Policy Committee. She was a 2009-2010 Health and Aging Policy Fellow and had a placement in Health and Human Services ASPE Office of Disability, Aging, and Long-Term Care Policy.
Dr. Unroe is the founder and CEO of Probari, a business designed to disseminate the successful OPTIMISTIC clinical care model.
Year | Degree | Institution |
---|---|---|
2009 | Fellowship | Geriatric Medicine, Duke University Medical Center and Durham VA Medical Center, Durham, NC |
2008 | Residency | Internal Medicine, Duke University Medical Center, Durham, NC |
2005 | MHA-2 | The Ohio State University |
2005 | MD | The Ohio State University |
1999 | BA | Miami University |
Dr. Unroe is focused on health policy relevant research in long term care, including the use of palliative care and hospice in this setting, transitions of care, quality of medical care in nursing homes, and staffing models in long term care.
Stakeholder Perspectives on the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) Project.
Ersek M; Hickman SE; Thomas AC; Bernard B; Unroe KT; Meeks S; The Gerontologist 2017 Oct 17
Ersek M; Hickman SE; Thomas AC; Bernard B; Unroe KT; Meeks S; The Gerontologist 2017 Oct 17
Nursing Home Regulations Redefined: Implications for Providers.
Unroe KT; Ouslander JG; Saliba D; Journal of the American Geriatrics Society 2017 Nov 20
Unroe KT; Ouslander JG; Saliba D; Journal of the American Geriatrics Society 2017 Nov 20
Medicare Access and CHIP Reauthorization Act: What do Geriatrics Healthcare Professionals Need to Know About the Quality Payment Program?
Unroe KT; Hollmann PA; Goldstein AC; Malone ML; Journal of the American Geriatrics Society 2017 Mar 17
Unroe KT; Hollmann PA; Goldstein AC; Malone ML; Journal of the American Geriatrics Society 2017 Mar 17
Variation in Hospice Services by Location of Care: Nursing Home Versus Assisted Living Facility Versus Home.
Unroe KT; Bernard B; Stump TE; Tu W; Callahan CM; Journal of the American Geriatrics Society 2017 Mar 14
Unroe KT; Bernard B; Stump TE; Tu W; Callahan CM; Journal of the American Geriatrics Society 2017 Mar 14
The Implementation of Measuring What Matters in Research and Practice: Series Commentary.
Unroe KT; Ast K; Chuang E; Schulman-Green D; Gramling R; AAHPM Research Committee Writing Group.; Journal of pain and symptom management 2017 Jul 17
Unroe KT; Ast K; Chuang E; Schulman-Green D; Gramling R; AAHPM Research Committee Writing Group.; Journal of pain and symptom management 2017 Jul 17
Supporting Family Decision Makers for Nursing Home Residents: A Promising Approach.
Carnahan JL; Fowler NR; Unroe KT; JAMA internal medicine 2017 Jan 1
Carnahan JL; Fowler NR; Unroe KT; JAMA internal medicine 2017 Jan 1
Response To Dr Raider's JAMDA Letter to the Editor.
Unroe KT; Cagle JG; Miller SC; Journal of the American Medical Directors Association 2015 Mar 26
Unroe KT; Cagle JG; Miller SC; Journal of the American Medical Directors Association 2015 Mar 26
Errors in self-reports of health services use: impact on Alzheimer disease clinical trial designs.
Callahan CM; Tu W; Stump TE; Clark DO; Unroe KT; Hendrie HC; Alzheimer disease and associated disorders 2015 Jan
Callahan CM; Tu W; Stump TE; Clark DO; Unroe KT; Hendrie HC; Alzheimer disease and associated disorders 2015 Jan
Hospice in the nursing home: perspectives of front line nursing home staff.
Unroe KT; Cagle JG; Dennis ME; Lane KA; Callahan CM; Miller SC; Journal of the American Medical Directors Association 2014 Sep 18
Unroe KT; Cagle JG; Dennis ME; Lane KA; Callahan CM; Miller SC; Journal of the American Medical Directors Association 2014 Sep 18
Hospice use among nursing home and non-nursing home patients.
Unroe KT; Sachs GA; Dennis ME; Hickman SE; Stump TE; Tu W; Callahan CM; Journal of general internal medicine 2014 Nov 6
Unroe KT; Sachs GA; Dennis ME; Hickman SE; Stump TE; Tu W; Callahan CM; Journal of general internal medicine 2014 Nov 6
The Optimizing Patient Transfers, Impacting Medical Quality, andImproving Symptoms:Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project.
Unroe KT; Nazir A; Holtz LR; Maurer H; Miller E; Hickman SE; La Mantia MA; Bennett M; Arling G; Sachs GA; Journal of the American Geriatrics Society 2014 Dec 23
Unroe KT; Nazir A; Holtz LR; Maurer H; Miller E; Hickman SE; La Mantia MA; Bennett M; Arling G; Sachs GA; Journal of the American Geriatrics Society 2014 Dec 23
The IOM Report on Dying in America: A Call to Action for Nursing Homes.
Unroe KT; Ersek M; Cagle J; Journal of the American Medical Directors Association 2014 Dec 12
Unroe KT; Ersek M; Cagle J; Journal of the American Medical Directors Association 2014 Dec 12
Research priorities in geriatric palliative care: policy initiatives.
Unroe KT; Meier DE; Journal of palliative medicine 2013 Oct 22
Unroe KT; Meier DE; Journal of palliative medicine 2013 Oct 22
Hospice use among nursing home patients.
Unroe KT; Sachs GA; Hickman SE; Stump TE; Tu W; Callahan CM; Journal of the American Medical Directors Association 2012 Nov 20
Unroe KT; Sachs GA; Hickman SE; Stump TE; Tu W; Callahan CM; Journal of the American Medical Directors Association 2012 Nov 20
American Board of Internal Medicine - Geriatric Medicine
American Board of Internal Medicine - Internal Medicine
Long term care, palliative care
Looking for patient care?
To schedule an appointment with a faculty member physician of IU School of Medicine, contact Indiana University Health at 888-484-3258 or use the physician finder by clicking the button below.