MICHAEL LEPORE

Executive Vice President & Founding Director of the LiveWell Institute

Michael Lepore, PhD, has over 20 years of experience in long-term care and dementia care work, research, measurement, and capacity development, including service as a nurse aide in a special care unit for people living with dementia. Building on this hands-on care work experience, he earned his master’s and doctoral degrees conducting studies of the long-term care workforce examining care workers’ employment motivations and factors contributing to the achievement of long tenure in long-term care work. Dr. Lepore also completed postdoctoral training in health services research at Brown University’s Center for Gerontology and Healthcare Research, and as an adjunct faculty at Brown for over a decade has continued to actively conduct research on long-term care innovations. He has published numerous peer-review articles examining person-centered care and has coached health care teams on implementing and evaluating person-centered care in diverse domestic and international contexts, including Brazil, Canada, Kenya, and across the United States. In recent work for the Centers for Medicare & Medicaid Services (CMS), he led teams in developing new nursing home quality measures for the federal Nursing Home Compare public reporting program and in developing quality reporting modules for the federal Skilled Nursing Facility Quality Reporting Program (SNF QRP). For the Medicaid and CHIP Payment and Access Commission (MACPAC), Dr. Lepore led a 50-state review of Medicaid policies and their impacts on Medicaid beneficiaries’ access to community-based residential care. For over five years he also provided technical assistance to the U.S. Administration on Aging/Administration on Community Living (AoA/ACL) Alzheimer’s Disease Program Initiative to improve home- and community-based dementia care systems and services. For the U.S. Department of Health and Human Services, Assistant Secretary for Planning an Evaluation (ASPE), Dr. Lepore has led studies examining nursing facility-initiated discharges (i.e., nursing home evictions), self-neglect, and impacts of minimum wage increases on nursing homes, and has conducted ground-breaking research uncovering the practices of unlicensed care homes in the United States. Since 2015, Dr. Lepore has co-chaired an international network of long-term care researchers to identify common data elements for measuring high-priority long-term care issues internationally, including in low-and middle-income countries. Currently, with Brown University, he is leading a national longitudinal panel study examining impacts of nursing home culture change practices, including person-centered care and staff empowerment practices, on health and quality of life survey deficiencies. Dr. Lepore serves as chair of the American Public Health Association (APHA) Aging & Public Health policy committee, and as associate editor of the Gerontological Society of America’s Public Policy & Aging Report (PPAR).