The Efficiency of Nursing Home Chains and the Implications of Non-profit Status

1999 ◽  
Vol 5 (3) ◽  
pp. 235-245 ◽  
Author(s):  
Randy Anderson ◽  
Danielle Lewis ◽  
James Webb
Keyword(s):  
Nursing Home ◽  
Non Profit ◽  
Profit Status

scholarly journals For-profit nursing homes and the risk of COVID-19 outbreaks and resident deaths in Ontario, Canada

2020 ◽  
Author(s):  
Nathan M. Stall ◽  
Aaron Jones ◽  
Kevin A. Brown ◽  
Paula A. Rochon ◽  
Andrew P. Costa
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Case Fatality ◽  
Design Standards ◽  
Term Care ◽  
Process Measures ◽  
Non Profit ◽  
Adjusted Risk ◽  
For Profit ◽  
Profit Status

AbstractBackgroundNursing homes have become the epicentre of the coronavirus disease 2019 (COVID-19) pandemic in Canada. Previous research demonstrates that for-profit nursing homes deliver inferior care across a variety of outcome and process measures, raising the question of whether for-profit homes have had worse COVID-19 outcomes than non-profit homes.MethodsWe conducted a retrospective cohort study of all nursing homes in Ontario, Canada from March 29-May 20, 2020 using a COVID-19 outbreak database maintained by the Ontario Ministry of Long-Term Care. We used hierarchical logistic and count-based methods to model the associations between nursing home profit status (for-profit, non-profit or municipal) and nursing home COVID-19 outbreaks, COVID-19 outbreak sizes, and COVID-19 resident deaths.ResultsThe analysis included all 623 Ontario nursing homes, of which 360 (57.7%) were for-profit, 162 (26.0%) were non-profit, and 101 (16.2%) were municipal homes. There were 190 (30.5%) COVID-19 nursing home outbreaks involving 5218 residents (mean of 27.5 ± 41.3 residents per home), resulting in 1452 deaths (mean of 7.6 ± 12.7 residents per home) with an overall case fatality rate of 27.8%. The odds of a COVID-19 outbreak was associated with the incidence of COVID-19 in the health region surrounding a nursing home (adjusted odds ratio [aOR], 1.94; 95% confidence interval [CI] 1.23-3.09) and number of beds (aOR, 1.40; 95% CI 1.20-1.63), but not profit status. For-profit status was associated with both the size of a nursing home outbreak (adjusted risk ratio [aRR], 1.96; 95% CI 1.26-3.05) and the number of resident deaths (aRR, 1.78; 95% CI 1.03-3.07), compared to non-profit homes. These associations were mediated by a higher prevalence of older nursing home design standards in for-profit homes.Interpretation: For-profit status is associated with the size of a COVID-19 nursing home outbreak and the number of resident deaths, but not the likelihood of outbreaks. Differences between for profit and non-profit homes are largely explained by older design standards, which should be a focus of infection control efforts and future policy.

scholarly journals Profit Status and Employee Turnover in Iowa Nursing Homes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 570-571
Author(s):  
Hari Sharma ◽  
Lili Xu
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Employee Turnover ◽  
Older Individuals ◽  
High Turnover ◽  
Non Profit ◽  
For Profit ◽  
Percentage Points ◽  
Nursing Home Quality ◽  
Profit Status

Abstract Employee turnover is a huge concern for nursing homes that care for millions of older individuals whose physical and cognitive impairments make them vulnerable, especially in the middle of a pandemic like COVID-19. Existing research has shown that high turnover of employees can lead to poorer quality of care. Low pay is often cited as one of the key reasons for high turnover of employees in nursing homes. For-profit nursing homes may try to maximize profits by limiting wages paid to their employees. In this study, we examine whether profit-status of a facility is associated with high turnover of its employees. We obtain data on 415 nursing homes operating in Iowa between 2013-2017. We descriptively examine the turnover trends in nurse employees and all employees over time by profit status. We evaluate whether profit status is associated with high turnover using pooled linear regressions controlling for nursing home and resident characteristics. Descriptive results show that for-profit facilities had higher turnover of nurse employees (61.1% vs. 49.6%) and all employees (56.6% vs. 45.4%). Results from multivariate regressions show that, compared to non-profit facilities, for-profit facilities had 6.93 percentage points higher (p<0.01) turnover of all employees, and 7.76 percentage points higher (p<0.01) turnover of nurse employees after controlling for facility and resident characteristics. Given existing evidence on the adverse impact of high employee turnover on nursing home quality, we need policies aimed at lowering employee turnover, targeting for-profit nursing homes.

scholarly journals TRANSITION TOWARDS A CIRCULAR ECONOMY: THE ROLE OF UNIVERSITY ASSETS IN THE IMPLEMENTATION OF A NEW MODEL

Detritus ◽  
2021 ◽  
pp. 3-14
Author(s):  
Dongxu Qu ◽  
Tetiana Shevchenko ◽  
Michael Saidani ◽  
Yuanyuan Xia ◽  
Yuriy Ladyka
Keyword(s):  
Transformative Learning ◽  
Circular Economy ◽  
Public Awareness ◽  
Theoretical Framework ◽  
Non Profit ◽  
Use Of Resources ◽  
Circular Model ◽  
Profit Status ◽  
And Behaviors

Public awareness and relevant consumer behaviors are crucial in accelerating the transition to a circular economy (CE) model. This paper focused on exploring university activities for changing awareness and behaviors according to the principles of its new circular model to foster sustainable development. In this paper, a comprehensive literature review provides a holistic perspective on university CE-related activities in the implementation of the CE. The review revealed that the construction of a theoretical framework in universities with asset-based development is conducive to promoting the CE model through transformative learning. In light of recent academic insights into CE education, a theoretical framework for CE-related university activities was developed based on attributes of CE-related university assets, such as non-profit status, technology innovation, education, propagation, and efficient use of resources. We also introduce into scientific use the term CE-related university assets and provide a classification of these CE-related assets. The present findings contribute to a deeper understanding of universities’ CE-related resources and assets to improve public awareness and behaviors, as well as to train and inspire the leaders (including engineers, managers, designers, etc.) of tomorrow, required for further implementing the CE model.

Privatization, Hybridization and Resistance in Contemporary Care Work

2020 ◽  
pp. 97-108
Author(s):  
Pat Armstrong ◽  
Donna Baines
Keyword(s):  
Nursing Home ◽  
Older People ◽  
Nursing Home Care ◽  
Non Profit ◽  
Main Form ◽  
The Uk ◽  
Market Relations ◽  
Care For Older People ◽  
Integrated Processes

This chapter identifies seven forms of overlapping and interwoven privatization. In the current era of austerity, privatization has been able to extend its reach through these integrated processes and, in some cases, operate almost by stealth as an overarching ideological force that legitimizes private-market relations in places where it once would have been thought to be contrary to a public sector ethic of entitlement and equity. This is a growing dynamic across many public and non-profit/voluntary services and organizations. The chapter discusses the seven forms of privatization in the provision of long-term residential or nursing home care for older people in Ontario, Canada and in the UK. Private ownership is commonly thought to be the only or main form of privatization, but austerity analyses can be more incisive and specific, with a greater awareness of the complexity and multiplexity of the forms of privatization operating within formerly public and non-profit spaces. The chapter then looks at resistance in the sphere of care for older people, some of which has been successful.

Profitability of HMOs: does non-profit status make a difference?

Health Policy ◽  
1994 ◽  
Vol 28 (3) ◽  
pp. 197-210 ◽  
Author(s):  
Herrington J. Bryce
Keyword(s):  
Non Profit ◽  
Profit Status

Nursing Home Quality, Chain Affiliation, Profit Status and Performance

2003 ◽  
Vol 25 (1) ◽  
pp. 43-60 ◽  
Author(s):  
Randy Anderson ◽  
H Weeks ◽  
Bradley Hobbs ◽  
James Webb
Keyword(s):  
Nursing Home ◽  
Nursing Home Quality ◽  
Profit Status ◽  
And Performance ◽  
Quality Chain

Democratic Persuasion and State Subsidy

2012 ◽  
Author(s):  
Corey Brettschneider
Keyword(s):  
Coercive Force ◽  
Core Values ◽  
The State ◽  
Free Expression ◽  
Non Profit ◽  
The Core ◽  
Tax Exempt ◽  
Profit Status ◽  
The Right ◽  
Equal Citizenship

This chapter examines the notion that, while persuasion should not be backed by coercive force, it should be backed by the state's subsidy power. It defines subsidy power as the ability of the state to spend money and, as crucially, to refuse to spend money on certain organizations. The state's subsidy power includes the ability to grant or withdraw tax-exempt, tax-deductible non-profit status. Its use is compatible with the right of free expression. Indeed, the chapter argues that the reasons justifying free expression require the state to withdraw subsidies from groups that oppose the core values of free and equal citizenship.

Cross-cultural Service Learning: American and Russian Students Learn Applied Organizational Communication

2001 ◽  
Vol 64 (3) ◽  
pp. 59-69 ◽  
Author(s):  
Betsy Stevens
Keyword(s):  
Nursing Home ◽  
Service Learning ◽  
Public Relations ◽  
Organizational Communication ◽  
Cross Cultural ◽  
Non Profit ◽  
The Press ◽  
American Students ◽  
Cultural Service ◽  
Non Profit Organizations

In an unusual cross-cultural endeavor, American and Russian students engaged in service learning as part of an organizational communication class in which they applied their skills to assist non-profit organizations. American students worked with a nursing home to plan a public relations event and the Russian students gave a party for children at an orphanage in Tomsk, Russia. Students worked in teams and accomplished assigned responsibilities. Both groups produced a public relations event and each contacted the press seeking news cover age. The Americans surveyed stakeholders about the effectiveness of the organiza tion's ability to communicate with its constituents. The Russians went about their project differently (they participated in the course online) .

Causes of Caregiver Turnover and the Potential Effectiveness of Wage Subsidies for Solving the Long-Term Care Workforce 'Crisis'

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Elizabeth T Powers ◽  
Nicholas J Powers
Keyword(s):  
Detailed Data ◽  
Community Based ◽  
Term Care ◽  
Non Profit ◽  
Worker Compensation ◽  
Private Providers ◽  
Worker Turnover ◽  
Profit Status ◽  
Frontline Worker

Abstract Detailed data on private providers of long-term community-based residential services for persons with developmental disabilities permit investigation of the causes of frontline worker turnover. The endogeneity of turnover with compensation variables is accounted for in the estimation using instrumental variables. Turnover is determined by resident characteristics, frontline-worker compensation, and establishment characteristics. The share of higher-need residents and agency size predict higher turnover, while compensation and non-profit status are associated with lower turnover. Our findings indicate that public policies to reduce turnover through compensation subsidization can be effective. Our preferred estimates suggest an approximate one-quarter increase in total compensation would cut turnover by one-third.

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