Changes in the relationship between nursing home financial performance and quality of care under public reporting

2011 ◽  
Vol 20 (7) ◽  
pp. 783-801 ◽  
Author(s):  
Jeongyoung Park ◽  
Rachel M. Werner
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Financial Performance ◽  
Public Reporting ◽  
The Relationship

scholarly journals Analyzing Nursing Home Complaints: From Substantiated Allegation to Deficiency Citations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 82-83
Author(s):  
Kallol Kumar Bhattacharyya ◽  
Lindsay Peterson ◽  
John Bowblis ◽  
Kathryn Hyer
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Staff Training ◽  
Policy And Practice ◽  
Abuse And Neglect ◽  
The Relationship ◽  
Investigation Process

Abstract Complaints provide important information to consumers about nursing homes (NHs). Complaints that are substantiated often lead to an investigation and potentially a deficiency citation. The purpose of this study is to understand the relationship between substantiated complaints and deficiency citations. Because a complaint may contain multiple allegations, and the data do not identify which allegation(s) lead to a complaint’s substantiation, we identified all substantiated single allegation complaints for NHs in 2017. Our data were drawn from federally collected NH complaint and inspection records. Among the 369 substantiated single-allegation complaints, we found most were categorized as quality of care (31.7%), resident abuse (17.3%), or resident neglect (14.1%). Of the deficiency citations resulting from complaints in our sample, 27.9% were categorized as quality of care and 19.5% were in the category of resident behavior and facility practices, which includes abuse and neglect. While two-thirds (N=239) of the substantiated complaints generated from 1 to 19 deficiency citations, nearly one third had no citations. Surprisingly, 28% of substantiated abuse and neglect allegations resulted in no deficiency citations. More surprisingly, a fifth of complaints that were categorized as “immediate jeopardy” at intake did not result in any deficiency citations. We also found a number of asymmetries in the allegation categories suggesting different processes by Centers for Medicare and Medicaid Services (CMS) region. These results suggest that the compliant investigation process warrants further investigation. Other policy and practice implications, including the need for better and more uniform investigation processes and staff training, will be discussed.

Two Decades of Nursing Home Compare: What Have We Learned?

2020 ◽  
pp. 107755872093165
Author(s):  
R. Tamara Konetzka ◽  
Kevin Yan ◽  
Rachel M. Werner
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Risk Adjustment ◽  
Public Reporting ◽  
Review Of The Literature ◽  
Nursing Home Compare

Approximately two decades ago, federally mandated public reporting began for U.S. nursing homes through a system now known as Nursing Home Compare. The goals were to provide information to enable consumers to choose higher quality nursing homes and to incent providers to improve the quality of care delivered. We conduct a systematic review of the literature on responses to Nursing Home Compare and its effectiveness in meeting these goals. We find evidence of modest but meaningful response by both consumers and providers. However, we also find evidence that some improvement in scores does not reflect true quality improvement, that disparities by race and income have increased, that risk-adjustment of the measures is likely inadequate, and that several key domains of quality are not represented. Our results support moderate success of Nursing Home Compare in achieving intended goals but also reveal the need for continued refinement.

Aiming for Star Performance: The Relationship Between Setting Targets and Improved Nursing Home Quality of Care

2008 ◽  
Vol 9 (8) ◽  
pp. 594-598 ◽  
Author(s):  
Rosa R. Baier ◽  
Kristen Butterfield ◽  
Yael Harris ◽  
Stefan Gravenstein
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality ◽  
The Relationship

Does Quality of Care Lead to Better Financial Performance?: The Case of the Nursing Home Industry

2003 ◽  
Vol 28 (3) ◽  
pp. 201-216 ◽  
Author(s):  
Robert Weech-Maldonado ◽  
Gerald Neff ◽  
Vince Mor
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Financial Performance ◽  
Nursing Home Industry

scholarly journals Impact of the introduction of a verbal socially assistive robot on the relationship between older people and their caregivers in a nursing home

2020 ◽  
Vol 2 (10) ◽  
Author(s):  
Mio Nakamura ◽  
Misato Nihei ◽  
Noriko Kato ◽  
Takenobu Inoue
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Older People ◽  
Time Study ◽  
Personalized Care ◽  
Assistive Robot ◽  
Socially Assistive Robot ◽  
The Relationship

Abstract This study was aimed at investigating the changes in relationship between older people and caregivers caused by the introduction of a verbal socially assistive robot (SAR) in a nursing home. Twenty-one older people residing on one floor of the nursing home and eight caregivers working at the nursing home participated in the study. A time study was conducted, and behaviours were observed before the introduction of the verbal SAR, on day 1 of the introduction, and on day 14 after the introduction. Pepper (Softbank Co. Ltd.) was used in this study. The conversation time between residents and caregivers increased after the introduction of the verbal SAR. At the time of introduction of the verbal SAR, caregivers were providing personalized care to residents during group gymnastics activities (e.g., talking to them and providing movement instructions). The results of the study indicate that the introduction of the verbal SAR improved the relationship between the residents and caregivers and contributed in improving the delivered quality of care.

scholarly journals The Relationship Between Nurse Staffing, Quality, And Financial Performance In Hospitals

2020 ◽  
Vol 8 (7) ◽  
pp. 513-531
Author(s):  
Dong Yeong Shin ◽  
Robert Weech-Maldonado ◽  
Jongwha Chang
Keyword(s):  
Quality Of Care ◽  
Financial Performance ◽  
Cash Flow ◽  
Nurse Staffing ◽  
Mediating Effect ◽  
Readmission Rates ◽  
Profit Margins ◽  
Total Profit ◽  
The Relationship

Little evidence exists the relationship of nurse staffing and quality with financial performance in hospitals. This study aimed to measure the relationship between nurse staffing, quality of care, and profitability in hospitals. This study used longitudinal panel datasets from 2006 to 2010, drawn from various datasets including the American Hospital Association Annual Survey Database, Medicare Cost Report, and Hospital Compare Data. This study used the random-effects linear regression model to measure the relationship between nurse staffing, quality, and profitability. In addition, we tested a mediating effect of quality on the relationship between nurse staffing and profitability. This study found nurse staffing’s significant association with quality and profitability in hospitals. First, compared to hospitals in the lowest quintile of RNs per 1,000 inpatient days, hospitals in the higher quintiles had lower pneumonia readmission rates, and higher total profit margins, operating margins, and cash flow margins. In addition, hospitals with lower pneumonia readmission rates were found to have higher total profit margins and cash flow margins. Lastly, the current study found that the positive relationship between RNs per 1,000 inpatient days and total profit margin and cash flow margin was partially mediated by pneumonia readmission rates. In conclusion, our finding that nurse staffing is positively associated with both quality of care and profitability in hospitals suggests that the idea of hospitals responding to financial pressures by cutting RN resources with a goal of greater profitability should be called into question. The influence of lower RN staffing levels on higher profitability for hospitals is uncertain, while it is possible that RN staff reductions may compromise the quality of patient care.

Patients And Profits: The Relationship Between HMO Financial Performance And Quality Of Care

2001 ◽  
Vol 20 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Patricia H. Born ◽  
Carol J. Simon
Keyword(s):  
Quality Of Care ◽  
Financial Performance ◽  
The Relationship

Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

2006 ◽  
Author(s):  
Kathy Hyer ◽  
Christopher Johnson ◽  
Victor A. Molinari ◽  
Marion Becker
Keyword(s):  
Mental Illness ◽  
Nursing Home ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Nursing Home Residents
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