scholarly journals Examining the Relationship Between Hospice Agency Characteristics and Complaint Deficiencies

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1012-1012
Author(s):  
Xiaochuan Wang ◽  
Susanny Beltran ◽  
Denise Gammonley ◽  
Norma Conner ◽  
Milo Leon

Abstract The U.S. hospice industry has expanded over the last decade. Similar to nursing homes, research guided by the Donabedian framework has documented quality differences in hospice based on agency characteristics, including profit status and rural status. Yet, compared to nursing homes, quality oversight and transparency in hospice remain limited. When families report substandard care, a complaint survey is launched to investigate allegations. Using publicly available regulatory oversight data (e.g., CMS QCOR, Medicare PACPUF, CAHPS HIS, Hospice Compare), and guided by the Donabedian framework, this study describes hospice agency structure and process characteristics associated with care complaint deficiencies (outcome). Of the 4,415 hospice facilities examined, 453 (or 10.3%) have had complaint survey deficiency citations between January 2018 and December 2020. Chi-square and ANOVA tests were conducted to compare facility characteristics (e.g., ownership status, percentage of Medicare beneficiaries in rural zips), nursing and social work involvement, and CAHPS scores between hospices with and without complaint survey deficiencies. Results indicated that the average proportion of beneficiaries with a rural zip for Medicare correspondence was significantly lower in hospices with deficiencies (p<.001). Finding also suggested that weekly total nursing and social work minutes were significantly higher in hospices with deficiencies. Additionally, family ratings of hospice team communication, symptom management, and overall satisfaction were higher in facilities without complaint survey deficiencies. Future research and practice implications will be discussed.

Author(s):  
James T. Hubbell ◽  
Kathleen M. Heide ◽  
Norair Khachatryan

Given recent U.S. Supreme Court rulings regarding the constitutionality of juveniles who received mandated life sentences, questions have arisen in the field of criminology regarding how these offenders will adjust if someday released. Risk scores were calculated for 59 male juvenile homicide offenders (JHOs) based upon the eight domains in the Youth Level of Supervision/Case Management Inventory (YLS/CMI) and used to examine recidivism among the 48 JHOs who were released. Sample subjects were charged as adults for murder and attempted murder in the 1980s, convicted, and sentenced to adult prison. Chi-square analyses were used to assess the relationship between risk score category and two measures of recidivism, which were general arrests and violent offenses. Results indicated risk scores failed to predict both general and violent recidivism. Implications of the findings and directions for future research are discussed.


2021 ◽  
Vol 9 (Spl-1- GCSGD_2020) ◽  
pp. S187-S195
Author(s):  
Lai Yi Ying ◽  
◽  
Ambusam Subramaniam ◽  

The current study aimed to examine the association between music and motivation to do exercise among university students in Nilai, Negeri Sembilan, Malaysia. The demographics data, use of music during exercise, preferred type of music, and criteria to select music were assessed by a validated self-administered questionnaire. The motivation towards exercises was evaluated using the Behavioural Regulations in Exercise Questionnaire (BREQ-3) while the level of physical activity was assessed by Godin-Leisure Time Exercise Questionnaire (LTEQ). The demographics information, use of music during exercise, preferred type of music, and criteria to choose music were tabulated using descriptive statistics. A point-biserial correlation was used to analyze the relationship between music and motivation to do exercise while chi-square was utilized to determine the association between the use of music during exercise and physical activity level. The results of the current study showed that 80.3% of the participants listen to music during exercise. Energetic and rhythmic was the preferred type of music for exercise. Tempo/ speed/ bpm was the most popular factor to be considered during the exercise. Most of the participants prefer to listen to an individual music player during exercise rather than an open audio system.. Listening to music during exercise shown significant correlation with a motivation (p=0.006), external regulation (p=0.014), identified regulation (p=0.006), integrated regulation (p=0.002) and intrinsic regulation (p=0.015). There was a significant association between the use of music during exercise and physical activity level (p=0.003) in this study. Future research that involves the type of exercise performed with the music is encouraged to explore the significance of music as a motivational tool in exercise.


2019 ◽  
Vol 34 (20) ◽  
pp. 4225-4253
Author(s):  
Billie-Jo Grant ◽  
Ryan T. Shields ◽  
Joan Tabachnick ◽  
Jenny Coleman

This study examines data from Stop It Now!’s Helpline in the United States primarily over a 5-year, 3-month period and offers insights into the needs of individuals and families confronting issues related to child sexual abuse (CSA). Stop It Now!’s Helpline serves the global community by providing support, information, and guidance to those in need, such as helping to identify and respond to warning signs of sexually abusive behaviors in adults, adolescents, or children. More than 7,000 ( N = 7,122) nonidentifiable user records are the subject of this inquiry and reflect individuals who contacted the Helpline between December 1, 2012, and March 7, 2018. The article also places this analysis in a larger context through an overview that includes total user count of this service since its inception in 1995 ( N = 21,030). Descriptive statistics revealed that the majority of Helpline users identified as bystanders, family members, or friends/acquaintances of an individual at risk to abuse. The majority of users knew both the person at risk to abuse (adult or youth) and the child at risk of being abused. Twelve percent of users had questions or concerns about their own feelings and/or behaviors that were or could be putting a child at risk of sexual abuse. Chi-square tests examined the relationship between Helpline contact type, level of assessment, and gender. Findings provide insights into this hidden population of individuals at risk to abuse, those who have abused, as well as their friends and families who are seeking support. Study findings also reinforce the importance of CSA prevention helplines that focus on reducing the isolation and secrecy that creates conditions which make children more vulnerable to abuse. Implications for future research and prevention programming are also discussed.


2019 ◽  
Vol 60 (5) ◽  
pp. 868-877
Author(s):  
Xiaochuan Wang ◽  
Denise Gammonley ◽  
Felicia Bender

Abstract Background and Objectives Civil money penalties (CMP) are fines collected by CMS. A portion of these CMPs are redistributed to states for purposes including improving resident care and quality of life through reinvestment in quality improvement projects. This study examined state variation in civil money penalty enforcement actions for quality of life (QOL) and quality of care (QOC) deficiencies in nursing homes. Research Design and Methods 2015–2016 cross-sectional CASPER nursing home survey data obtained from the CMS QCOR database were used to explore the pattern of enforcement actions for QOL and QOC deficiencies across states. Fixed effects regression models examined relationships between state-level characteristics, quality deficiencies, and enforcement actions imposed by states. Results State enforcement actions resulting in a CMP were more likely for QOC deficiencies (M = 0.143, SD = 0.097) than for QOL deficiencies (M = 0.070, SD = 0.056) and states exhibited variability in imposing enforcement actions. The presence of severe QOC deficiencies resulting in actual resident harm contributed to CMP enforcement actions for both QOL and QOC deficiencies. States with primarily for-profit status providers had more enforcement actions. Discussion and Implications The variability noted in state enforcement for quality deficiencies actions parallels inconsistencies in state regulatory oversight of nursing homes.


Author(s):  
Syamala Devi Bhoganadam ◽  
Dasaraju Srinivasa Rao ◽  
A. Mahesh Reddy ◽  
S. K. Malina

Employees are considered as real assets for any organization in the modern economy because modern organizations believe that due to globalization employee retention is a major problem hence employees are treated as real assets for the organizations. Once employees are satisfied with the organization then employee retention takes place. Employee satisfaction is linked with employee job satisfaction. So this study concentrates on factors determining employee job satisfaction at Balaji Agencies and Industries. The main objective of the study is to determine the factors influencing job satisfaction of employees at Balaji Agencies and Industries. The other objectives were to calculate the Job Satisfaction Index (JSI) and to find the relationship between the personal factors and job satisfaction of employees. Data were collected from 53 employees at Balaji Agencies and Industries at Nellore. Data were analyzed using chi square analysis. The findings of the study reveal that there is no relationship between age, gender, educational qualification of employee and experience to the job satisfaction. It may be in relation with some other factors which are included in the study considered for scope of future research.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S698-S698
Author(s):  
Robert Weech-Maldonado ◽  
Akbar Ghiasi ◽  
Ganisher K Davlyatov ◽  
Justin C Lord ◽  
Jane Banaszak-Holl

Abstract This study examines the relationship between organizational culture and financial performance of high Medicaid census (70% or higher) nursing homes (NHs). Based on the Competing Values Framework, there are four types of organizational culture: clan culture (friendly working environment); adhocracy culture (dynamic/creative working environment); market culture (results-based organization); and hierarchy culture (formalized/structured work environment). This study used facility survey data from approximately 324 nursing home administrators (30% response rate) from 2017- 2018, merged with secondary data from LTCFocus, Area Health Resource File, and Medicare Cost Reports. The dependent variable consisted of the operating margin, while the independent variable comprised type of organizational culture. Control variables were organizational (ownership, chain affiliation, size, occupancy rate, and payer mix), and county-level factors (Medicare Advantage penetration, income, education, unemployment rate, poverty, and competition). Multivariable regression was used to model the relationship between organizational culture type and financial performance. Regression results show that compared to a market culture, a hierarchy culture was associated with an 11.8 % lower operating margin, a clan culture with a 10.6% lower operating margin, and a non-dominant culture with 11.4% lower operating margin. Organizational culture is associated with financial performance among high Medicaid facilities, with market cultures outperforming other organizational cultures. Given increasing competition in the nursing home market and declining resources for high Medicaid nursing homes, facilities with a more external orientation and focus on results may be able to perform better financially. Future research should examine the effect of organizational culture on quality of care.


2021 ◽  
Author(s):  
Melissa Marie Legge

This study explores the role that animal-assisted interventions (AAI) can play in antioppressive social work practice. A review of relevant literature has shows that while AAI have been demonstrated over time to have many benefits for service users, these types of interventions remain neglected by social work scholarship, and the relationship between AAI and antioppressive practice (AOP) has yet to be explored through research. Engaging a critical, AOP, and ecofeminist approach, this study uses qualitative methodology to explore the research question, “What role can animal-assisted interventions play in anti-oppressive social work practice?” Ultimately, this study confirms that AAI practitioners have found their approaches to be congruent with an anti-oppressive approach to social work practice. Data and themes which support this finding, as well as implications for the field of social work and recommendations for future research, are explored.


2017 ◽  
Vol 43 (1) ◽  
pp. 171-202 ◽  
Author(s):  
Yi Jiang ◽  
Charles-Clemens Rüling

In this paper, we open the black box of effectuation as a process by identifying effectuation process characteristics and patterns and thereby unveiling the heterogeneity of effectuation processes. Based on a multiple case research approach, sequential qualitative analysis is used to contrast similarities and differences in effectuation processes among six high-technology ventures. By theorizing the relationship between effectuation principles and process characteristics, we increase the conceptual clarity of effectuation theory and provide insights into how effectuation may be operationalized for scholars in future research.


2021 ◽  
Author(s):  
Melissa Marie Legge

This study explores the role that animal-assisted interventions (AAI) can play in antioppressive social work practice. A review of relevant literature has shows that while AAI have been demonstrated over time to have many benefits for service users, these types of interventions remain neglected by social work scholarship, and the relationship between AAI and antioppressive practice (AOP) has yet to be explored through research. Engaging a critical, AOP, and ecofeminist approach, this study uses qualitative methodology to explore the research question, “What role can animal-assisted interventions play in anti-oppressive social work practice?” Ultimately, this study confirms that AAI practitioners have found their approaches to be congruent with an anti-oppressive approach to social work practice. Data and themes which support this finding, as well as implications for the field of social work and recommendations for future research, are explored.


2015 ◽  
Vol 15 (2) ◽  
pp. 189-205 ◽  
Author(s):  
Mary Larkin ◽  
Wendy Mitchell

Despite the long-term strategic shift to personalisation, with its emphasis on choice and control for those who use public services, there has been relatively little policy consideration of family carers’ choice within personalisation. The relationship between carers and personalisation also remains under-researched. This article is based on a review of existing knowledge around personalisation. It shows that carer choice is highly complex, not least because of the multifaceted and paradoxical nature of the concept of choice itself. The review demonstrates that choice for carers within personalisation is no less complex and is subject to new and overlapping variables which do not necessarily lead to improved choice for carers. In light of the limited empirical evidence about carers, choice and personalisation, the introduction of the Care Act 2014, and the importance of frontline practice in securing choice for carers, recommendations are made for future research and social work policy and practice.


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