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

expand all

collapse all

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

Association between Hospice Spending on Patient Care and Rates of Hospitalization and Medicare Expenditures of Hospice Enrollees

Aldridge, M. D., Epstein, A. J., Brody, A. A., Lee, E. J., Morrison, R. S., & Bradley, E. H. (2018). Journal of Palliative Medicine, 21(1), 55-61. 10.1089/jpm.2017.0101
Abstract
Background: Care at the end of life is increasingly fragmented and is characterized by multiple hospitalizations, even among patients enrolled with hospice. Objective: To determine whether hospice spending on direct patient care (including the cost of home visits, drugs, equipment, and counseling) is associated with hospital utilization and Medicare expenditures of hospice enrollees. Design: Longitudinal, observational cohort study (2008-2010). Setting/Subjects: Medicare beneficiaries (N = 101,261) enrolled in a national random sample of freestanding hospices (N = 355). Measurements: We used Medicare Hospice Cost reports to estimate hospice spending on direct patient care and Medicare claim data to estimate rates of hospitalization and Medicare expenditures. Results: Hospice mean direct patient care costs were $86 per patient day, the largest component being patient visits by hospice staff (e.g., nurse, physician, and counselor visits). After case-mix adjustment, hospices spending the most on direct patient care had patients with 5.2% fewer hospital admissions, 6.3% fewer emergency department visits, 1.6% fewer intensive care unit stays, and $1,700 less in nonhospice Medicare expenditures per patient compared with hospices spending the least on direct patient care (p < 0.01 for each comparison). Ninety percent of hospices with the lowest spending on direct patient care and highest rates of hospital use were for-profit hospices. Conclusions: Patients cared for by hospices with lower direct patient care costs had higher hospitalization rates and were overrepresented by for-profit hospices. Greater investment by hospices in direct patient care may help Centers for Medicare and Medicaid Services avoid high-cost hospital care for patients at the end of life.

Cardiovascular Disease Risk in Sexual Minority Women (18-59 Years Old): Findings from the National Health and Nutrition Examination Survey (2001-2012)

Caceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C., Yu, G., & Chyun, D. A. (2018). Women’s Health Issues. 10.1016/j.whi.2018.03.004
Abstract
Objective: Sexual minority women (lesbian and bisexual) experience significant stigma, which may increase their cardiovascular disease (CVD) risk. The purpose of this study was to examine the prevalence of modifiable risk factors for CVD (including mental distress, health behaviors, blood pressure, glycosylated hemoglobin, and total cholesterol) and CVD in sexual minority women compared with their heterosexual peers. Materials and Methods: A secondary analysis of the National Health and Nutrition Examination Survey (2001-2012) was conducted. Multiple imputation with chained equations was performed. Logistic regression models adjusted for relevant covariates were run. Self-report (medical history and medication use) and biomarkers for hypertension, diabetes, and high total cholesterol were examined. Results: The final analytic sample consisted of 7,503 that included 346 sexual minority women (4.6%). Sexual minority women were more likely to be younger, single, have a lower income, and lack health insurance. After covariate adjustment, sexual minority women exhibited excess CVD risk related to higher rates of frequent mental distress (adjusted odds ratio [AOR], 2.05; 95% confidence interval [CI], 1.45–2.88), current tobacco use (AOR, 2.11; 95% CI, 1.53–2.91), and binge drinking (AOR, 1.66; 95% CI, 1.17–2.34). Sexual minority women were more likely to be obese (AOR, 1.61; 95% CI, 1.23–2.33) and have glycosylated hemoglobin consistent with prediabetes (AOR, 1.56; 95% CI, 1.04–2.34). No differences were observed for other outcomes. Conclusions: Sexual minority women demonstrated increased modifiable risk factors for CVD, but no difference in CVD diagnoses. Several emerging areas of research are highlighted, in particular, the need for CVD prevention efforts that target modifiable CVD risk in sexual minority women.

Rationale and design of a randomized controlled trial of home-based primary care versus usual care for high-risk homebound older adults

Reckrey, J. M., Brody, A. A., McCormick, E. T., DeCherrie, L. V., Zhu, C. W., Ritchie, C. S., Siu, A. L., Egorova, N. N., & Federman, A. D. (2018). Contemporary Clinical Trials, 68, 90-94. 10.1016/j.cct.2018.03.011

The geriatric nurse's role in aligning patient goals with the care provided

Brody, A. A. (2017). Geriatric Nursing. 10.1016/j.gerinurse.2017.08.009

Moving the needle: Providing evidence based care to older adults with behavioral issues through knowledge translation

Brody, A. A. (2017). Gerontology and Geriatrics Education, 1-3. 10.1080/02701960.2017.1339036
Abstract
Implementing evidence based practices into practice settings is exceedingly difficult. Knowledge translation is a framework used for moving practices from the literature into the real world. This article discusses how six articles in this special issue of Gerontology and Geriatrics Education use various knowledge translation approaches to implement evidence based practices in older adults with behavioral health issues including dementia, delirium and serious mental illness across a variety of settings, as well as lessons learned for future knowledge translation and implementation science studies.

Redoubling our efforts-a recap from the annual NICHE conference

Gilmartin, M. J., Santamaria, J., & Brody, A. A. (2017). Geriatric Nursing. 10.1016/j.gerinurse.2017.06.011

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.

Development and testing of the Dementia Symptom Management at Home (DSM-H) program: An interprofessional home health care intervention to improve the quality of life for persons with dementia and their caregivers

Brody, A. A., Guan, C., Cortes, T., & Galvin, J. E. (2016). Geriatric Nursing, 37(3), 200-6. 10.1016/j.gerinurse.2016.01.002
Abstract
Home health care agencies are increasingly taking care of sicker, older patients with greater comorbidities. However, they are unequipped to appropriately manage these older adults, particular persons living with dementia (PLWD). We therefore developed the Dementia Symptom Management at Home (DSM-H) Program, a bundled interprofessional intervention, to improve the care confidence of providers, and quality of care delivered to PLWD and their caregivers. We implemented the DSM-H with 83 registered nurses, physical therapists, and occupational therapists. Overall, there was significant improvement in pain knowledge (5.9%) and confidence (26.5%), depression knowledge (14.8%) and confidence (36.1%), and neuropsychiatric symptom general knowledge (16.8%), intervention knowledge (20.9%), attitudes (3.4%) and confidence (27.1%) at a statistical significance of (P < .0001). We also found significant differences between disciplines. Overall, this disseminable program proved to be implementable and improve clinician's knowledge and confidence in caring for PLWD, with the potential to improve quality of care and quality of life, and decrease costs.