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NIC-NORC Senior Housing Research Portfolio

Close up hands of caregiver doctor helping old woman at private clinic. Close up of hands of nurse holding a senior patient with walking stick. Elder woman using walking cane at nursing home with nurse holding hand for support.
Using the market’s most robust data assets to understand the health and housing needs of older adults
  • Client
    The National Investment Center for Seniors Housing & Care
  • Dates
    April 2023 – February 2024

Problem

The conditions that affect  the demand for and quality of senior housing have historically been understudied.

Understanding the health and housing needs of America’s aging population requires additional research. Three areas are particularly important:

  • Vulnerability: Senior housing and care operators have historically lacked sufficient understanding of the vulnerability levels of their residents. Further understanding can help indicate where frailty management and intensive support are needed to protect older adults from adverse health outcomes.
  • Longevity: Older adults and their families have lacked comprehensive research on the longevity of older adults in senior living facilities. Further research is needed to explore if residents of senior housing live as long or longer than similar seniors who do not reside in a congregate community.
  • Health Outcomes: Senior housing residents and care operators lack information on the outcomes of older adults in senior living facilities. Further understanding of outcomes of older adults in senior housing can assist operators in yielding better outcomes for their residents.

Solution

NORC is conducting cutting-edge research into the conditions that affect senior housing.

The National Investment Center for Seniors Housing & Care (NIC) contracted NORC to conduct three research activities to shed new light on the conditions that impact senior housing:

  • Vulnerability to Adverse Health Outcomes: Using a novel claims-based frailty index, NORC examined frailty as a risk predictor. Physical frailty (or vulnerability to adverse health outcomes) is a key issue among senior housing residents and a common reason for moving into a senior housing community.
  • Longevity: NORC conducted a comparative analysis of mortality, days away from home due to adverse health events, and preventative and rehabilitative health services days to understand the impact of senior housing on the length and quality of older adults’ lives. Longevity holds significant importance for older adults and their loved ones. Older adults and their families opt for senior housing as a strategic choice to extend their lifespan and enhance their overall quality of life.
  • Health Outcomes: The next research phase on health outcomes will be published in 2024. 

Result

Our results shed new light on the frailty and longevity  of older adults in senior housing. 

Our analysis informs strategies to improve older adults’ housing and health care. Among our findings:

  • Vulnerability to Adverse Health Outcomes: Upon moving into senior housing, vulnerability increases for a short period as residents settle into their new community before leveling off and showing improvement. Vulnerability to declining health outcomes, as defined by “frailty levels” of residents, is highest in communities with the most intensive support services.
  • Longevity: On average, senior housing residents experience greater longevity than the non-congregate comparison group in the first two years following move-in across all but one measure, overall and by setting. Furthermore, senior housing residents receive more preventative and rehabilitative care in the first two years following move-in than community-dwelling peers.

Project Leads

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Agency for Healthcare Research and Quality