Eileen M. Sullivan-Marx

Faculty

Eileen M. Sullivan Marx headshot

Eileen M. Sullivan-Marx

FAAN PhD RN

Professor
Immediate Past Dean

1 212 998 5303

433 First Ave
New York, NY 10010
United States

Eileen M. Sullivan-Marx's additional information

Eileen Sullivan-Marx is immediate past dean of New York University Rory Meyers College of Nursing. She served as dean and Erline Perkins McGriff Professor from 2012-2023. She is past president of the American Academy of Nursing. Prior to NYU, Dr. Sullivan-Marx had a distinguished career at the University of Pennsylvania School of Nursing, where she was the associate dean for practice & community affairs, creating community partnerships for care of older adults and promotion of healthy activities entitled Healthy in Philadelphia. She is a distinguished nursing leader, educator, and clinician known for research and innovative approaches in primary care, testing methods of payment for nurses particularly with Medicaid and Medicare, sustaining models of care using advanced practice nurses locally and globally, and developing health policy in community-based settings. With a strong belief in the integration of practice, research, education, and interdisciplinary teamwork, Dr. Sullivan-Marx has built and sustained models of team care including a private family practice, growing a Program of All Inclusive Care for Elders (PACE) from 75 persons to 525 persons in five years that saved the state of Pennsylvania fifteen cents on the dollar in Medicaid funding and launched numerous older adult team programs in academic centers as well as the Veterans Administration. Dr. Sullivan-Marx has been on numerous community planning and advisory boards including the Children’s Hospital of Philadelphia’s Patient and Safety Board from 2009-2012.

She was the first nurse to serve as the American Nurses Association representative to the American Medical Association’s Resource Based Relative Value Update Committee and did so for 11 years, demonstrating through research that nurse practitioner and physician work can be valued equally in that payment structure. Dr. Sullivan-Marx has been active in regional, state, and national policy. She has served as Chair of the Pennsylvania Commission on Senior Care Services in 2008, as a member of the Philadelphia Emergency Preparation Review Commission in 2006, and as an American Political Science Congressional Fellow and Senior Advisor to the Center for Medicare & Medicaid Services Office of Medicaid and Medicare Coordination in 2010, just after passage of the Affordable Care Act. As part of this position, she worked to bring promising models of care to scale such as the PACE Programs. She is a former member of the American Academy of Nursing’s (AAN) Board of Directors and is currently an AAN Edge Runner. Dr. Sullivan-Marx is a Fellow in both the New York Academy of Medicine and the Gerontology Society of America.

Among the numerous awards that she has received are the international Sigma Theta Tau Honor Society Best of Image research award (1993) and its excellence in practice award (2011), the Springer Publishing Research Award, the Doris Schwartz Gerontological Nursing Research Award. She is a Distinguished Alumni of the University of Rochester School of Nursing.

Dean Sullivan-Marx began her nursing career in 1972 in Philadelphia, earned a BSN (1976) from the University of Pennsylvania, and an MS (1980) from the University of Rochester School of Nursing as a family health nurse practitioner. She received a PhD from the University of Pennsylvania School of Nursing in 1995. Her nurse practitioner career was exemplified by forging and sustaining primary care practices which she successfully and uniquely integrated into her academic research and teaching career.

PhD, Gerontology - University of Pennsylvania, School of Nursing (1995)
MS, Family Health Nurse Clinician - University of Rochester School of Nursing (1980)
BSN - University of Pennsylvania (1976)
Nursing Diploma - Hospital of the University of Pennsylvania, School of Nursing (1972)

Gerontology
Health Policy
Global
Home care

American Nurses Association
American Nurses Association, Council for the Advancement of Nursing Science, ANA-New York
Eastern Nursing Research Society
Gerontological Society of America
Fellow, Institute on Aging, University of Pennsylvania
Senior Fellow, Leonard Davis Institute of Health Economics University of Pennsylvania
Sigma Theta Tau, Xi Upsilon Chapter

Faculty Honors Awards

American Academy of Nursing President's Award (2023)
Arnold P. Gold Foundation Humanism in Medicine Award (2023)
United Hospital Fund Special Tribute (2019)
Top 50 Health Care Leaders, Irish America Magazine (2019)
American Academy of Nursing President's Award (2016)
VillageCare Distinguished Service Award (2016)
Herman Briggs Society, NY (2013)
Fellow, Gerontological Society of America (2013)
Doris Schwartz Gerontological Nursing Research Award, Gerontological Society of America (2013)
Fellow, New York Academy of Medicine (2012)
American Academy of Nursing Edge Runner Designation (2012)
Research Associate, Penn Institute for Urban Research University of Pennsylvania (2012)
Dean’s Professional Practice Award, University of Pennsylvania, School of Nursing (2011)
Board Member, American Academy of Nursing (2011)
Distinguished Alumni Award, Hospital of the University of Pennsylvania, School of Nursing (2011)
Health and Aging Fellowship, American Political Science Association (2011)
Marie Hippensteel Lingeman Award for Excellence in Nursing Practice, Sigma Theta Tau International Honor Society (2011)
American Academy of Nursing Edge Runner Designation (2011)
Health and Aging Fellowship, American Political Science Association (2010)
Legislative Award, Pennsylvania State Nurses Association Advocacy (2010)
American Academy of Nursing Edge Runner Designation (2010)
American Academy of Nursing Edge Runner Designation (2009)
Faculty Fellow, Penn Institute for Urban Research (2009)
Eastern Nursing Research Society, The John A. Hartford Foundation Geriatric Research Award (2008)
American Academy of Nursing Edge Runner Designation (2008)
American Academy of Nursing Edge Runner Designation (2007)
American Academy of Nursing Edge Runner Designation (2006)
Society of Primary Care Policy Fellows (2004)
Department of Health & Human Services Primary Care Health Policy Fellowship (2004)
Undergraduate Student Advising Award, University of Pennsylvania, School of Nursing (2002)
Distinguished Alumni Award, University of Rochester, School of Nursing (2001)
Society for Advancement of Nursing Science (2000)
Springer Publishing Company Research Award for most outstanding project, “Relative Work Values of Nurse Practitioner Services,” American Nurses Association Council for Nursing Research 1998 Research Utilization Conference (1998)
Ethel F. Lord Fellowship, Soroptomist Organization scholarship for graduate study in field of gerontology (1993)
Sigma Theta Tau International Best of Image Award for scholarly excellence in research, "Functional Status Outcomes of a Nursing Intervention in Hospitalized Elderly" (1993)
Nursing Practice Award, Pennsylvania Nurses' Association (1986)
Louise Wilson Haller Memorial Prize for Excellence in Professional Nursing, University of Rochester, School of Nursing (1980)
fellow, American Academy of Nursing

Publications

Preventing waterborne diseases: Analysis of a community health worker program in rural Tamil Nadu, India

Gupta, N., Mutukkanu, T., Nadimuthu, A., Thiyagaran, I., & Sullivan-Marx, E. (2012). Journal of Community Health, 37(2), 513-519. 10.1007/s10900-011-9472-5
Abstract
Abstract
Community health worker (CHW) programs have become popular tools in reducing the burden of childhood illnesses. However, the efficacy of CHWs in facilitating behavior change, as a means of preventing waterborne diseases, remains unclear. Using a household survey (n = 225),in rural Tamil Nadu, South India, we assessed the effects of a CHW program on knowledge, attitudes and practices related to diarrheal illness through comparison with a control population that was not enrolled in the program. The CHW program in the experimental village entailed behavior change aimed at preventing diarrheal illness through home visits, community events and health education. Correlates of four key variables on knowledge of drinking water contamination and behavior change were examined by using logistic regression models. We found that while the program was effective in raising awareness of drinking water contamination, it did not significantly increase hygiene and water sanitation practices in the village community in comparison to the control population. Furthermore, villagers enrolled in the CHW program were unable to recognize the connections between contaminated drinking water and disease. The results of our survey indicated the CHW program did not significantly affect behavior in the experimental village. Possible shortcomings in the program are discussed.

Recruitment and retention strategies among older African American women enrolled in an exercise study at a PACE program

Sullivan-Marx, E. M., Mangione, K. K., Ackerson, T., Sidorov, I., Maislin, G., Volpe, S. L., & Craik, R. (2011). Gerontologist, 51, S73-S81. 10.1093/geront/gnr001
Abstract
Abstract
Purpose: This study examined employment of specific recruitment and retention strategies in a study evaluating outcomes of a moderate activity exercise program for older African American women with functional impairments attending a Program for All-Inclusive Care of Elders (PACE). Design and Methods: Recruitment and retention strategies focused on (1) partnership between researchers and participants, (2) partnership between researchers and clinicians, (3) overcoming administrative issues, and (4) reducing burden on clinicians and participants. The exercise protocol consisted of strength and endurance activity 2 to 3 times per week for 16 weeks. Results: Fifty-two African American women (61.2% of target) were enrolled and 37 (71.2%) completed the 16-week exercise program. Fifteen did not complete due to non-descript reasons and/or preference for other program activities (n = 11), medical problems (n = 2), or need for physical therapy (n = 2). Implications: Success in recruitment and retention included use of a PACE program, hiring an advanced practice nurse to improve retention, and integration with site activities and sustaining the exercise program at the site. Challenges for recruitment and retention remain to engage older, frail adults in exercise as a life habit, and availability of time and place to do so.

Detectable changes in physical performance measures in elderly African Americans

Kline Mangione, K., Craik, R. L., McCormick, A. A., Blevins, H. L., White, M. B., Sullivan-Marx, E. M., & Tomlinson, J. D. (2010). Physical Therapy, 90(6), 921-927. 10.2522/ptj.20090363
Abstract
Abstract
Background. African American older adults have higher rates of self-reported disability and lower physical performance scores compared with white older adults. Measures of physical performance are used to predict future morbidity and to determine the effect of exercise. Characteristics of performance measures are not known for African American older adults. Objective. The purpose of this study was to estimate the standard error of measurement (SEM) and minimal detectable change (MDC) for the Short Physical Performance Battery (SPPB), Timed "Up & Go" Test (TUG) time, free gait speed, fast gait speed, and Six-Minute Walk Test (6MWT) distance in frail African American adults. Design. This observational measurement study used a test-retest design. Methods. Individuals were tested 2 times over a 1-week period. Demographic data collected included height, weight, number of medications, assistive device use, and Mini-Mental Status Examination (MMSE) scores. Participants then completed the 5 physical performance tests. Results. Fifty-two participants (mean age=78 years) completed the study. The average MMSE score was 25 points, and the average body mass index was 29.4 kg/m2. On average, participants took 7 medications, and the majority used assistive devices. Intraclass correlation coefficients (ICC [2,1]) were greater than .90, except for the SPPB score (ICC=.81). The SEMs were 1.2 points for the SPPB, 1.7 seconds for the TUG, 0.08 m/s for free gait speed, 0.09 m/s for fast gait speed, and 28 m for 6MWT distance. The MDC values were 2.9 points for the SPPB, 4 seconds for the TUG, 0.19 m/s for free gait speed, 0.21 m/s for fast gait speed, and 65 m for 6MWT distance. Limitations. The entire sample was from an urban area. Conclusions. The SEMs were similar to previously reported values and can be used when working with African American and white older adults. Estimates of MDC were calculated to assist in clinical interpretation.

Developing a financial framework for academic service partnerships: Models of the United States and Europe

De Geest, S., Sullivan Marx, E. M., Rich, V., Spichiger, E., Schwendimann, R., Spirig, R., & Van Malderen, G. (2010). Journal of Nursing Scholarship, 42(3), 295-304. 10.1111/j.1547-5069.2010.01355.x
Abstract
Abstract
Purpose: Academic service partnerships (ASPs) are structured linkages between academe and service which have demonstrated higher levels of innovation. In the absence of descriptions in the literature on financial frameworks to support ASPs, the purpose of this paper is to present the supporting financial frameworks of a Swiss and a U.S. ASP. Methods: This paper used a case study approach. Results: Two frameworks are presented. The U.S. model presented consists of a variety of ASPs, all linked to the School of Nursing of the University of Pennsylvania. The structural integration and governance system is elucidated. Each ASP has its own source of revenue or grant support with the goal to be fiscally in the black. Joint appointments are used as an instrument to realize these ASPs. The Swiss ASP entails a detailed description of the financial framework of one ASP between the Institute of Nursing Science at the University of Basel and the Inselspital Bern University Hospital. Balance in the partnership, in terms of both benefit and cost between both partners, was a main principle that guided the development of the financial framework and the translation of the ASP in budgetary terms. The model builds on a number of assumptions and provides the partnership management within a simple framework for monitoring and evaluation of the progress of the partnership. Conclusions: In operationalizing an ASP, careful budgetary planning should be an integral part of the preparation and evaluation of the collaboration. The proposed Swiss and U.S. financial frameworks allow doing so. Clinical Relevance: Outcomes of care can be improved with strong nursing service and academic partnerships. Sustaining such partnerships requires attention to financial and contractual arrangements.

Innovative collaborations: A case study for academic owned nursing practice

Sullivan-Marx, E. M., Bradway, C., & Barnsteiner, J. (2010). Journal of Nursing Scholarship, 42(1), 50-57. 10.1111/j.1547-5069.2009.01324.x
Abstract
Abstract
Purpose: Academic service partnerships are critical for schools of nursing to maintain credibility regarding their missions of education, research, service, and practice.Methods: In this paper, we describe a case study of a ten year program, the Living Independently For Elders (LIFE) Program at the University of Pennsylvania School of Nursing that has provided community-based long-term care to high-risk older adults.Findings: Quality of care and financial outcomes were met with nurse faculty engagement, administrative commitment, and integration of business practices.Conclusions: As a result, high risk older adults receive care in their communities rather than nursing homes, and the school- owned and -operated program is a nationally recognized innovative nursing model of care.Clinical Relevance: Strategies are described that can be used globally as more schools of nursing embrace and strengthen service partnerships.

Care management: Building community capacity to support aging in place

Davitt, J., Sullivan-Marx, E., Steinberg, H., Wormley, D., Kerman, L., & Cohen, R. (2008). Geriatric Case Management Journal, 18(3), 10-15.

Exercise among urban-dwelling older adults at risk for health disparities.

Sullivan-Marx, E. M., Cuesta, C. L., & Ratcliffe, S. J. (2008). Research in Gerontological Nursing, 1(1), 33-41. 10.3928/19404921-20080101-07
Abstract
Abstract
This study assessed factors that contribute to exercise in older adults at risk for health disparities living in a predominantly African American urban community. A local health database was used to gain an understanding of these factors, which then could be used to develop programs to improve health within a specific urban community. The sample included 112 participants (mean age = 81); the majority were women and African American. Participants were more likely to exercise if not insured by Medicaid, compared with those who did receive Medicaid. Adults with two or more limitations in instrumental activities of daily living (IADLs) were less likely to exercise. Among those who exercised, those with two or more limitations in IADLs were more likely to exercise less than adults with no such limitations, and adults with high blood pressure were more likely to exercise less than those without high blood pressure. The findings of this study will help generate discussion in both the community and outreach programs to invigorate exercise among older adults at risk for health disparities.

Independence: declared daily in Philadelphia. Interview by Sibyl Shalo.

Sullivan-Marx, E. (2008). The American Journal of Nursing, 108(3), 86-87. 10.1097/01.naj.0000312270.40356.67

Lessons Learned From Advanced Practice Nursing Payment

Sullivan-Marx, E. M. (2008). Policy, Politics, & Nursing Practice, 9(2), 121-126. 10.1177/1527154408318098
Abstract
Abstract
For more than 25 years, advanced practice nurses have been incrementally included as a part of the health care financing structure. Following physician payment revisions at the federal level, advanced practice nurses were overtly recognized as Medicare providers and have participated in the establishment of current procedural terminology codes and the subsequent relative work values associated with payment. Success in this regard has been the result of business, political, and policy savvy that has important lessons for moving forward in any health care restructuring for both nurses and advanced practice nurses. Principles of valuing nurse work, time, and intensity in the Resource-Based Relative Value Scale are discussed with implications for future opportunities of measuring nursing work and any potential relationship to quality outcomes of care.

Delirium in older patients in surgical intensive care units

Balas, M. C., Deutschman, C. S., Sullivan-Marx, E. M., Strumpf, N. E., Alston, R. P., & Richmond, T. S. (2007). Journal of Nursing Scholarship, 39(2), 147-154. 10.1111/j.1547-5069.2007.00160.x
Abstract
Abstract
Purpose: To examine the frequency and course of delirium in older adults admitted to a surgical intensive care unit (SICU). Design and Methods: Prospective, observational cohort study of 114 English-speaking participants and their surrogates, aged 65 and older, admitted to an SICU, and managed by a surgical critical care service. Chart reviews and surrogate interviews were conducted within 24 hours of SICU admission to collect information regarding evidence of dementia using the short form of the Informant Questionnaire on Cognitive Decline in the Elderly. Participants were also screened for delirium daily throughout their hospitalization with either the Confusion Assessment Method-ICU (CAM-ICU) while in the SICU or the CAM while on medical/surgical units. Results: In this population of older adults, 18.4% had evidence of dementia on admission to the SICU. Few older adults (2.6%) were admitted to the hospital with evidence of preexisting delirium, but 28.3% developed delirium in the SICU and 22.7% during the post-SICU period. A total of 52 of 114 (45.6%) participants were delirious sometime during their hospital stay or 24 hours before hospital admission. Episodes of deep sedation and nonarousal were uncommon, occurring in only 9.7% of the sample. Conclusions: Older adults admitted to SICUs were at high risk for developing delirium during hospitalization. Further research is needed to elucidate the risk factors for, and outcomes of, delirium in this uniquely vulnerable population.