The Association between Nursing Home Care Quality and 30-Day Readmission Rates After Hospitalization for Heart Failure

UNSTRUCTURED The coronavirus disease (COVID-19) pandemic has been particularly challenging for nursing home staff and residents. Centers for Medicare & Medicaid Services regulation waivers are burdening staff and affecting how care is delivered. Residents are experiencing social isolation, which can result in physical and behavioral health issues, particularly for persons with dementia. These challenges can be addressed in part through technology adaptations. Full integration of electronic health record systems can improve workflow and care quality. Telehealth can improve access to outside providers, provide remote monitoring, and improve social connectedness. Electronic and audiovisual programs can be used for end-of-life planning and information sharing between nursing home staff and families. Online learning systems and other online resources provide flexible options for staff education and training. Investing in and adapting technology can help mitigate workforce stress and improve the quality of nursing home care during and after the COVID-19 crisis.

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Initial Field Testing of an Instrument to Measure: Observable Indicators of Nursing Home Care Quality

Journal of Nursing Care Quality ◽

10.1097/00001786-200004000-00002 ◽

2000 ◽

Vol 14 (3) ◽

pp. 1-12 ◽

Cited By ~ 28

Author(s):

Marilyn J. Rantz ◽

David R. Mehr ◽

Gregory F. Petroski ◽

Richard W. Madsen ◽

Lori L. Popejoy ◽

...

Keyword(s):

Nursing Home ◽

Home Care ◽

Field Testing ◽

Care Quality ◽

Nursing Home Care ◽

Initial Field

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Family Satisfaction With Nursing Home Care: Findings and Implications From Two State Comparison

Journal of Applied Gerontology ◽

10.1177/0733464818790381 ◽

2018 ◽

Vol 39 (4) ◽

pp. 385-392 ◽

Cited By ~ 1

Author(s):

Tetyana P. Shippee ◽

Weiwen Ng ◽

Amy Restorick Roberts ◽

John R. Bowblis

Keyword(s):

Nursing Home ◽

Home Care ◽

National Level ◽

Organizational Factors ◽

Family Satisfaction ◽

Care Quality ◽

Nursing Home Care ◽

Structural Factors ◽

Term Care ◽

Factors Associated

Family satisfaction, while recognized as important, is frequently missing from validated measures of long-term care quality. This is the first study to compare family satisfaction across two states using validated measures and to compare the organizational and structural factors associated with higher family satisfaction with nursing home care. Data sources are family satisfaction surveys from Minnesota (MN) and Ohio (OH), linked to facility characteristics from Certification and Survey Provider Enhanced Reports (CASPER) for both states ( N = 378 facilities for MN; N = 926 facilities for OH). Activities and food were among lowest rated items in both states. Relationships with staff were the highest rated domain. Higher occupancy rates, smaller facility size, and non-profit ownership consistently predicted better satisfaction in both states. Our findings show consistent organizational factors associated with family satisfaction and provide further evidence to the validity of family satisfaction as a person-centered measure of quality. This lays the foundation for tool development on the national level.

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