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RESEARCH & IMPACT

Overview

My research focuses on improving quality of life and quality of care for older adults through rigorous, person-centered, and policy-relevant research. I am particularly interested in understanding how systems, policies, and communities shape experiences of aging and influence equity in long-term services and supports. My work seeks not only to generate evidence but also to translate findings into meaningful changes in practice, policy, and care delivery.

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“My work is grounded in the belief that aging is not a problem to be solved, but a stage of life to be supported with dignity, opportunity, and respect.”

—Tetyana P. Shippee  

Four Principles That Guide My Research

Person-centered

Quality should reflect not only clinical outcomes but also what matters most to individuals and families.

Equity-focused

Experiences of aging and access to high-quality long-term services and supports differ across populations and communities.

Collaborative

Research is strengthened by engagement with older adults, families, providers, researchers, and community partners.

Action-oriented

Research findings should be translated into evidence that informs practice, systems, and policy.

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Current & Recent Projects

I am the Principal Investigator for all grants listed below unless noted otherwise.

 

Funding by:

HCBS

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Alternative Care Program+ (2025-2030)

A demonstration waiver to provide HCBS to adults ages 65 and older who qualify for nursing home level of care and fall within certain income parameters beyond eligibility for Medicaid

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Person-Reported and Health Care Utilization Outcomes of Home and Community Based Care Recipients With and Without Alzheimer’s Disease and its Related Dementias* (2020-2025), Principal Investigator with Eric Jutkowitz

A study designed to determine person-reported outcomes, including unmet needs, among individuals receiving publicly-funded HCBS and whether there are differences between those with and without AD/ADRD

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Did Covid and the Transition to Telehealth Change Person-Reported Outcomes for Home and Community Based Care Recipients With and Without Alzheimer’s Disease and its Related Dementias?* (2023-2024), Principal Investigator with Eric Jutkowitz

An examination of the change in used and desired HCBS for those using publicly-funded HCBS before and during the pandemic in order to help inform viability of virtual care for delivering HCBS

Research and Community Partnerships

Partnerships are central to my research. I collaborate with government agencies, national organizations, providers, advocates, researchers, older adults, families, and people with lived experience to ensure that research addresses meaningful questions and produces evidence that can be used in policy and practice.

Government and Policy Partnerships

  • ​​Minnesota Department of Human Services

    • I have a longstanding research partnership with the Minnesota Department of Human Services focused on improving quality measurement and public reporting in long-term services and supports. I serve as Principal Investigator of the University of Minnesota contract supporting the development and continued implementation of Minnesota’s Assisted Living Report Card, Minnesota Nursing Home Quality Measures, Alternative Care (AC) waiver, and other projects. [View Assisted Living Report Card Reports on the Resources page]​

Community and Provider Partnerships

I partner with community organizations, older adults, families, advocates, and providers to ensure that research reflects the priorities of the people and communities that long-term care systems are intended to serve.

National Research and Policy Partnerships

I also collaborate with national research and policy organizations to develop quality measures, study variation across states and communities, and translate research findings into practical improvements in long-term services and supports.

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Selected Publications

For full list of publications, see C.V. and Google Scholar.

HCBS

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Associations of Place-Based Factors with Service Use and Consumer-Reported Unmet Service Needs Among Older Adults Using Publicly Funded Home- and Community-Based Services in the United States 

Shippee, T. P., Parikh, R. R., Musinguzi, N., Langworthy, B. W., Wolf, J. M., Giordano, S., & Jutkowitz, E. (2025). International Journal of Environmental Research and Public Health, 22(9): 1461. doi: 10.3390/ijerph22091461 

 

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Examining State Policies and Administrative Factors as Determinants of Consumer-Reported Unmet Service Needs in Publicly Funded Home- and Community-Based Services in the United States

Parikh, R. R., Shippee, T. P., Langworthy, B., Wang, Z., Giordano, S., & Jutkowitz, E. (2025). Journal of Market Access & Health Policy, 13(4): 51. doi: 10.3390/jmahp13040051
 

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Changes in Service Use and Unmet Needs in Home- and Community-Based Services in the United States During the COVID-19 Pandemic 

Parikh, R. R., Shippee, T. P., Wolf, J. M., Langworthy, B., Fabius, C. D., Dill, J., Urbanski, D., Giordano, S., & Jutkowitz, E. (2025). BMC Geriatrics, 25(1): 733. doi: 10.1186/s12877-025-06396-5

 

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Service Utilization and Consumer-Reported Unmet Needs in Medicaid Home- and Community-Based Services for Older Adults 

Shippee, T. P., Bucy, T. I., Parikh, R. R., Wolf, J. M., Shewmaker, P., Mulcahy, J. F., Skarphol, T., Giordano, S., Isvan, N., & Jutkowitz, E. (2025). Journal of Aging & Social Policy, 37(5): 817-831. doi: 10.1080/08959420.2024.2422666 

 

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Measuring Consumer-Reported Quality of Life Among Recipients of Publicly Funded Home- and Community-Based Services: Implications for Health Equity 

Shippee, T. P., Duan, Y., Baker, Z. G., Parikh, R., Bucy, T., & Jutkowitz, E. (2025). Journal of Aging and Health, 37(7-8): 468-478. doi: 10.1177/08982643241267378

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Long-Term Services and Supports Quality Lab

I lead the University of Minnesota Long-Term Services and Supports Quality Lab, which develops, evaluates, and implements approaches to improve quality of life, quality of care, and equitable outcomes for people who use LTSS.

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Visit the LTSS Quality Lab website.

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