Faculty

Abraham A. Brody headshot

Abraham A. Brody

Associate Professor
Associate Director, Hartford Institute for Geriatric Nursing

1 212 992 7341

433 First Avenue
Room 504
New York, NY 10010
United States

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Professional overview

Dr. Brody is an expert in home-based interprofessional care of seriously ill older adults . His program of research focuses on how to improve symptom assessment and management of dementia and other chronic conditions through interprofessional care in community based settings including home health and hospice. He also seeks to understand how effective interprofessional care in these settings effects quality of life, healthcare utilization, and healthcare costs. Dr. Brody is a current Robert Wood Johnson Foundation Nurse Faculty Scholar, a Cambia Healthcare Foundation Sojourns Scholar, and has multiple grants from the NIH, John A. Hartford Foundation, and VA in this area. His educational focus is on improving the quality of nursing and interprofessional geriatric and palliative care education, and he teaches across programs at NYU. He is the current and founding director of the Hartford Institute Geriatric Undergraduate Scholars Program, an honors based program in care of the older adult.

Education

BA, 2002, New York University, College of Arts and Sciences
MSN, 2006, University of California
PhD, 2008, University of California

Honors and awards

Fellow of Palliative Care Nursing, Hospice and Palliative Nurses Association (2017)
Fellow, Gerontological Society of America (2016)
Fellow, New York Academy of Medicine (2016)
Robert Wood Johnson Foundation Nurse Faculty Scholar (2014)
Cambia Health Foundation Sojourns Scholars (2014)
Goddard Fellowship, NYU (2013)
Medical Reserve Corps, NYC, Hurricane Sandy Award (2013)
HPNA Research Scholar (2010)
Finalist, Gerontological Society of America SRPP Section Young Investigator (2008)
John A Hartford Building Academic Geriatric Nursing Capacity Scholar (2006)
Nurses' Education Funds Edith M. Pritchard Award (2006)
NSNA Foundation PONF Scholar Award (2006)
Finalist, University of California Student Regent (2005)
Inducted into Sigma Theta Tau, Nursing Honor Society (2004)
Dean's List, New York Univeristy (2001)
Fellow, American Academy of Nursing (2017)

Specialties

Home care
Palliative care
Non-communicable disease
Policy
Gerontology
Interprofessionalism

Professional membership

Gerontological Society of America
Hospice and Palliative Nurses Association
American Geriactrics Society
Sigma Theta Tau and Upsilon Chapters
International Home Care Nurses Organization
American Nurses Association
Eastern Nursing Research Society
Palliative Care Research Cooperative

Publications

Publications

What does the future hold for geriatric nursing?

Brody, A. A. (2017). Geriatric Nursing, 38(1), 85. 10.1016/j.gerinurse.2016.12.009

The Cambia Sojourns Scholars Leadership Program: Project Summaries from the Inaugural Scholar Cohort

Kamal, A. H., Anderson, W. G., Boss, R. D., Brody, A. A., Campbell, T. C., Creutzfeldt, C. J., Hurd, C. J., Kinderman, A. L., Lindenberger, E. C., & Reinke, L. F. (2016). Journal of Palliative Medicine, 19(6), 591-600. 10.1089/jpm.2016.0086
Abstract
Background: As palliative care grows and evolves, robust programs to train and develop the next generation of leaders are needed. Continued integration of palliative care into the fabric of usual health care requires leaders who are prepared to develop novel programs, think creatively about integration into the current health care environment, and focus on sustainability of efforts. Such leadership development initiatives must prepare leaders in clinical, research, and education realms to ensure that palliative care matures and evolves in diverse ways. Methods: The Cambia Health Foundation designed the Sojourns Scholar Leadership Program to facilitate leadership development among budding palliative care leaders. Results: The background, aims, and results to date of each of the projects from the scholars of the inaugural cohort are presented.

Cognitive impairment-adults-Down's syndrome

Brody, A. (2016). In Textbook of advanced practice palliative nursing. Oxford University Press.

Evaluation of a peer mentoring program for early career gerontological nursing faculty and its potential for application to other fields in nursing and health sciences

Brody, A. A., Edelman, L., Siegel, E. O., Foster, V., Bailey, D. E., Bryant, A. L., & Bond, S. M. (2016). Nursing Outlook. 10.1016/j.outlook.2016.03.004
Abstract
Background: As the retirement rate of senior nursing faculty increases, the need to implement new models for providing mentorship to early career academics will become key to developing and maintaining an experienced faculty. Purpose: This evaluation of a peer mentorship program for predoctoral and postdoctoral gerontological nurses examined its efficacy, utility, and potential for improvement. Methods: A web-based survey was developed, implemented, and completed by 22 mentees and 17 mentors (71% and 61% response rates, respectively) as part of the evaluation. Discussion: The peer mentorship program was found to be valuable by both mentors (64.7%) and mentees (72.7%) in helping mentees further develop their careers and networks and providing mentors with supported mentorship experience. Conclusion: The peer mentorship program could serve as a model for other professional organizations, academic institutions, and consortiums to enhance and extend the formal vertical mentorship provided to early academic career individuals.

Evaluation of an electronic module for reconciling medications in home health plans of care

Kramer, H. S., Gibson, B., Livnat, Y., Thraen, I., Brody, A. A., & Rupper, R. (2016). Applied Clinical Informatics, 7(2), 412-424. 10.4338/ACI-2015-11-RA-0154
Abstract
Objectives: Transitions in patient care pose an increased risk to patient safety. One way to reduce this risk is to ensure accurate medication reconciliation during the transition. Here we present an evaluation of an electronic medication reconciliation module we developed to reduce the transition risk in patients referred for home healthcare. Methods: Nineteen physicians with experience in managing home health referrals were recruited to participate in this within-subjects experiment. Participants completed medication reconciliation for three clinical cases in each of two conditions. The first condition (paper-based) simulated current practice – reconciling medication discrepancies between a paper plan of care (CMS 485) and a simulated Electronic Health Record (EHR). For the second condition (electronic) participants used our medication reconciliation module, which we integrated into the simulated EHR. To evaluate the effectiveness of our medication reconciliation module, we employed repeated measures ANOVA to test the hypotheses that the module will: 1) Improve accuracy by reducing the number of unaddressed medication discrepancies, 2) Improve efficiency by reducing the reconciliation time, 3) have good perceived usability. Results: The improved accuracy hypothesis is supported. Participants left more discrepancies unaddressed in the paper-based condition than the electronic condition, F (1,1) = 22.3, p <0.0001 (Paper Mean = 1.55, SD = 1.20; Electronic Mean = 0.45, SD = 0.65). However, contrary to our efficiency hypothesis, participants took the same amount of time to complete cases in the two conditions, F (1, 1) =0.007, p = 0.93 (Paper Mean = 258.7 seconds, SD = 124.4; Electronic Mean = 260.4 seconds, SD = 158.9). The usability hypothesis is supported by a composite mean ability and confidence score of 6.41 on a 7-point scale, 17 of 19 participants preferring the electronic system and an SUS rating of 86.5. Conclusion: We present the evaluation of an electronic medication reconciliation module that increases detection and resolution of medication discrepancies compared to a paper-based process. Further work to integrate medication reconciliation within an electronic medical record is warranted.

High Prevalence of Medication Discrepancies Between Home Health Referrals and Centers for Medicare and Medicaid Services Home Health Certification and Plan of Care and Their Potential to Affect Safety of Vulnerable Elderly Adults

Brody, A. A., Gibson, B., Tresner-Kirsch, D., Kramer, H., Thraen, I., Coarr, M. E., & Rupper, R. (2016). Journal of the American Geriatrics Society, 64(11), e166-e170. 10.1111/jgs.14457
Abstract
Objectives: To describe the prevalence of discrepancies between medication lists that referring providers and home healthcare (HH) nurses create. Design: The active medication list from the hospital at time of HH initiation was compared with the HH agency's plan of care medication list. An electronic algorithm was developed to compare the two lists for discrepancies. Setting: Single large hospital and HH agency in the western United States. Participants: Individuals referred for HH from the hospital in 2012 (N = 770, 96.3% male, median age 71). Measurements: Prevalence was calculated for discrepancies, including medications missing from one list or the other and differences in dose, frequency, or route for medications contained on both lists. Results: Participants had multiple medical problems (median 16 active problems) and were taking a median of 15 medications (range 1–93). Every participant had at least one discrepancy; 90.1% of HH lists were missing at least one medication that the referring provider had prescribed, 92.1% of HH lists contained medications not on the referring provider's list, 89.8% contained medication naming errors. 71.0% contained dosing discrepancies, and 76.3% contained frequency discrepancies. Conclusion: Discrepancies between HH and referring provider lists are common. Future work is needed to address possible safety and care coordination implications of discrepancies in this highly complex population.

The impact of reported hospice preferred practices on hospital utilization at the end of life

Aldridge, M. D., Epstein, A. J., Brody, A. A., Lee, E. J., Cherlin, E., & Bradley, E. H. (2016). Medical Care, 54(7), 657-663. 10.1097/MLR.0000000000000534
Abstract
Background: The Affordable Care Act requires hospices to report quality measures across a range of processes and practices. Yet uncertainties exist regarding the impact of hospice preferred practices on patient outcomes. Objective: Assess the impact of 6 hospice preferred practices and hospice organizational characteristics on hospital utilization and death using the first national data on hospice preferred practices. Design: Longitudinal cohort study (2008-2011) of Medicare beneficiaries (N=149,814) newly enrolled in a national random sample of hospices (N=577) from the National Hospice Survey (84% response rate) and followed until death. Outcome Measures: The proportion of patients at each hospice admitted to the hospital, emergency department (ED), and intensive care unit (ICU), and who died in the hospital after hospice enrollment. Results: Hospices that reported assessing patient preferences for site of death at admission had lower odds of being in the highest quartile for hospital death (AOR=0.36; 95% CI, 0.14-0.93) and ED visits (AOR=0.27; 95% CI, 0.10-0.76). Hospices that reported more frequently monitoring symptoms had lower odds of being in the highest quartile for ICU stays (AOR=0.48; 95% CI, 0.24-0.94). In adjusted analyses, a higher proportion of patients at for-profit compared with nonprofit hospices experienced a hospital admission (15.3% vs. 10.9%, P

Recommendations for cardiovascular disease research with lesbian, gay and bisexual adults

Caceres, B. A., Brody, A., & Chyun, D. (2016). Journal of Clinical Nursing. 10.1111/jocn.13415
Abstract
Aims and objectives: The purpose of this paper is to provide recommendations to strengthen cardiovascular disease research with lesbian, gay and bisexual adults, and highlight implications for practice. Background: Lesbian, gay and bisexual individuals face significant discrimination that negatively impacts their health. Health disparities research in lesbian, gay and bisexual adults have focused on mental health, sexually transmitted infections and substance use. Although cardiovascular disease is the leading cause of death and many lesbian, gay and bisexual adults report increased risk factors for cardiovascular disease, there has been limited research in this area. Design: This paper is a critical review. Methods: A literature search was conducted that compared cardiovascular disease risk and/or prevalence between lesbian, gay and bisexual and heterosexual adults. Results: Measures to assess cardiovascular disease risk factors and diagnoses varied widely across the 31 included studies. There was a lack of standardisation in definitions used for alcohol consumption, illicit drug use, mental health and self-rated physical health. Most studies that reported body mass index relied on participant self-report. Few studies included measures of physical activity and diet and those that did lacked standardisation. Only seven studies used laboratory data to establish diagnosis of cardiovascular disease. Conclusions: This study is the first comprehensive review on this topic. In cardiovascular disease research with lesbian, gay and bisexual adults, there is a need for: (1) inclusion of stress as a risk factor for cardiovascular disease, (2) standardised measures, (3) objective measures for determining the presence of cardiovascular disease, (4) data from electronic health records to strengthen the study of cardiovascular disease in this population. Relevance to clinical practice: Strengthening cardiovascular disease research in lesbian, gay and bisexual adults is an important step in addressing health disparities in this population. Nurses and other healthcare professionals should assess sexual orientation in routine health assessments.

Adherence to Antiestrogen Oral Endocrine Therapy Among Older Women With Breast Cancer

Van Cleave, J., Elstein, N., & Brody, A. A. (2015). Nursing Research, 64(2), E72-E72.

Dementia palliative care

Brody, A. A. (2015). In Dementia Care: An Evidence-Based Approach (pp. 247-260). Springer International Publishing. 10.1007/978-3-319-18377-0_15