Case Study: A Comparative Analysis Of Financial And Quality Indicators Of Nursing Homes That Have Closed And Nursing Homes That Have Remained Open

Eight New York nursing homes, 4 open and 4 closed, were chosen at random for analysis. They were examined to determine if a relationship between age of assets, fiscal viability and quality of care existed. Three years of data for each nursing home was selected Several financial variables were used to construct a fiscal viability index; and a patient care index was created from selected measures that are used to measure specific aspects of institutional care. The premise was that the constructed indices will demonstrate a significant difference between closed nursing homes and homes remaining open. The analysis found that fiscal viability index could be a significant factor to differentiate the two groups of nursing homes, but the quality index showed no significant difference between the two groups.

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Impact Of Asset Age/Fiscal Viability On Selected Measures Of Patient Care In Nursing Homes

Journal of Business Case Studies (JBCS) ◽

10.19030/jbcs.v3i2.4838 ◽

2007 ◽

Vol 3 (2) ◽

pp. 11-16

Author(s):

Jim Morey ◽

Hoseoup Lee ◽

Ken Wallis

Keyword(s):

New York ◽

Nursing Homes ◽

Patient Care ◽

Institutional Care ◽

Financial Variables ◽

Quality Of Patient Care ◽

Care Survey ◽

Care Index ◽

Quality Of Nursing

Forty-five New York nursing homes were examined to determine if a relationship between age of assets, fiscal viability and quality of nursing homes, as measured by patient care indices and survey deficiencies, existed. These factors were examined on 2004 data for the nursing homes selected. Several financial variables were used to construct a fiscal viability index; and a patient care index was created from selected procedural measures that may be used to measure specific aspects of institutional care. The premise is that age of assets and fiscal viability will influence quality of patient care/survey deficiencies. Utilizing both the financial and patient care and survey indices, the following statistical models were prepared:

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Impact Of Asset Age/Fiscal Viability On Selected Measures Of Quality In Hospitals

Journal of Business & Economics Research (JBER) ◽

10.19030/jber.v3i11.2830 ◽

2011 ◽

Vol 3 (11) ◽

Author(s):

Jim Morey ◽

Gary Scherzer ◽

Hoseoup Lee

Keyword(s):

New York ◽

Quality Of Care ◽

Statistical Models ◽

Quality Index ◽

Institutional Care ◽

Font Size ◽

Financial Variables ◽

Donabedian Model ◽

Index Effect

Seventy-three New York hospitals were examined to determine if a relationship between age of assets, fiscal viability and quality of care existed.  These factors were examined for 2002 for each of the hospitals selected.  Several financial variables were used to construct a fiscal viability index; and a quality index was created from selected mortality outcomes and procedural measures that may be used to measure specific aspects of institutional care.  The premise that age of assets and fiscal viability will influence quality is gleaned from the Donabedian Model in which he proposed three domains important to the quality of health care.  Utilizing both the financial and quality of care indices, the following statistical models were prepared: Effect of asset age on fiscal viability index, Effect of asset age on individual fiscal viability measures, and Effect of asset age and fiscal viability index on quality index

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Impact Of Nurse Unionization On Fiscal Viability And Selected Measures Of Quality In Hospitals

Journal of Business & Economics Research (JBER) ◽

10.19030/jber.v6i3.2396 ◽

2011 ◽

Vol 6 (3) ◽

Author(s):

Jim Morey ◽

Gary Scherzer ◽

Hoseoup Lee ◽

Kenneth Wallis ◽

Laura Francis Gladney

Keyword(s):

New York ◽

Quality Of Care ◽

Institutional Care ◽

Nurse Staffing ◽

Financial Variables ◽

Staffing Levels ◽

Union Status ◽

The Impact ◽

The Relationship

Seventy-three New York hospitals were examined to determine if a difference existed between hospitals with nursing unions versus those without as it pertains to fiscal viability and quality of care.  Several financial variables were used to construct a fiscal viability index; and a quality index was created from selected mortality and procedural measures that may be used to measure specific aspects of institutional care.  The premise that the union status of a hospital’s nursing staff will influence fiscal viability and quality is based on the impact that unionization may have on staffing and cost per patient.  The literature is replete with studies that assess the relationship between nurse staffing levels and quality.  In some cases there is a clear and compelling relationship, but in others, it is indeterminate.  Utilizing union status, selected employee variables, and financial and quality of care indices, four statistical models were prepared to explain these the interaction of these variables

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Can private providers provide the same or higher quality of care at lower cost? A case study of Swedish nursing homes

European Journal of Public Health ◽

10.1093/eurpub/cku161.086 ◽

2014 ◽

Vol 24 (suppl_2) ◽

Author(s):

F Eklund ◽

A Treschow ◽

A Ringström

Keyword(s):

Quality Of Care ◽

Nursing Homes ◽

Lower Cost ◽

Private Providers

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Collaboration Leads to Enhanced Curriculum

Applied Clinical Informatics ◽

10.4338/aci-2014-10-cr-0086 ◽

2015 ◽

Vol 06 (01) ◽

pp. 200-209 ◽

Cited By ~ 3

Author(s):

V. Mohan ◽

D. Doctor ◽

W. Hersh ◽

J. Valerius

Keyword(s):

Comparative Analysis ◽

Graduate Program ◽

Visionary Leadership ◽

Model Assessment ◽

Quality Improvement Strategy ◽

Course Content ◽

Faculty Collaboration ◽

Course Offerings

Summary Background: In 2007, we initiated a health information management (HIM) track of our biomedical informatics graduate program, and subsequent ongoing program assessment revealed a confluence of topics and courses within HIM and clinical informatics (CI) tracks. We completed a thorough comparative analysis of competencies derived from AMIA, AHIMA, and CAHIIM. Coupled with the need to streamline course offerings, the process, described in this paper allowed new opportunities for faculty collaboration, resulted in the creation of a model assessment for best practice in courses, and led to new avenues of growth within the program. Objective: The objective of the case study is to provide others in the informatics educational community with a model for analysis of curriculum in order to improve quality of student learning. Methods: We describe a case study where an academic informatics program realigned its course offerings to better reflect the HIM of today, and prepare for challenges of the future. Visionary leadership, intra-departmental self-analysis and alignment of the curriculum through defined mapping process reduced overlap within the CI and HIM tracks. Teaching within courses was optimized through the work of core faculty collaboration. Results: The analysis of curriculum resulted in reduction of overlap within course curriculum. This allowed for additional and new course content to be added to existing courses. Conclusions: Leadership fostered an environment where top-down as well as bottom-up collaborative assessment activities resulted in a model to consolidate learning and reduce unnecessary duplication within courses. A focus on curriculum integration, emphasis on course alignment and strategic consolidation of course content raised the quality of informatics education provided to students. Faculty synergy was an essential component of this redesign process. Continuous quality improvement strategy included an ongoing alignment of curriculum and competencies through a comparative analysis approach. Through these efforts, new innovation was possible. Citation: Valerius J, Mohan V, Doctor D, Hersh W. Collaboration leads to enhanced curriculum. Appl Clin Inf 2015; 6: 200–209http://dx.doi.org/10.4338/ACI-2014-10-CR-0086

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Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1893 ◽

2016 ◽

Vol 17 (7) ◽

pp. 582-586 ◽

Cited By ~ 1

Author(s):

Jyoti Sachdeva ◽

Anurag Sarin ◽

Ajai Gupta ◽

Shobhit Sachdeva

Keyword(s):

Comparative Analysis ◽

Clinical Significance ◽

Analysis Of Variance ◽

Root Canal ◽

Root Canal Therapy ◽

Quality Of Treatment ◽

Significant Difference ◽

Level Of Significance

ABSTRACT Introduction Success of root canal therapy (RCT) is largely dependent upon the quality of biomechanical preparation and obturation of the pulp canal. Improperly cleaned or shaped root canal, regardless of the type of obturation method and obturating material, cannot lead to the success of endodontic therapy. Hence, we conducted a clinical comparative analysis of two obturating techniques. Materials and methods A total of 140 patients receiving RCT at the department of Endodontic were included in the present study. The average follow-up time for the patients was 29 months (18–38 months). Patients were grouped into two depending on the type of obturating technique used. Evaluation of the clinical and radiographic follow-up records of the patients was done and analysis was made. One-way analysis of variance (ANOVA) was used for assessing the level of significance. Results The average age of the patients undergoing obturation with carrier-based obturation (CO) technique and lateral compaction (LC) technique was 43 and 48 years respectively. While comparing failure and success of the teeth at the time of follow-up, nonsignificant results were obtained. Significant difference was seen, while comparing the presence of voids and type of teeth in which endodontic therapy was performed using different obturating techniques. Conclusion Endodontic therapy done with LC obturating technique or with CO technique shows prognostic difference on the outcome or quality of treatment therapy. Clinical significance Quality of obturation is more important rather than type while performing endodontic therapy for better prognosis. How to cite this article Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17(7):582-586.

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Improving Social Work Student Competence in Practice With Older Adults Affected by Substance Misuse: Spotlight on the Bronx

Urban Social Work ◽

10.1891/2474-8684.2.1.66 ◽

2018 ◽

Vol 2 (1) ◽

pp. 66-79

Author(s):

Stephanie Elias Sarabia ◽

Justine McGovern

Keyword(s):

Older Adults ◽

New York ◽

Social Work ◽

Substance Misuse ◽

Urban Context ◽

Abuse Treatment ◽

Changing Demographics ◽

Work Student

Through the lens of a case study, this article suggests ways to increase social work student competence in gerontology and substance abuse treatment to better meet needs of growing numbers of diverse clients in urban settings. Focusing on a client residing in the Bronx, New York, it explores how changing demographics and a lack of workforce preparedness can combine in an urban context to increase risks for older adults and reduce quality of life in late life. Aiming to reduce knowledge and service gaps, suggestions are made on how to improve social work student competence. These include interpreting client cases through a theoretical framework to deepen understanding about the intersection of advancing age and substance use and improving treatment skills.

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Quality of life of the elderly residents of nursing homes and patients of the Psychogeriatric Day Ward

Journal of Medical Science ◽

10.20883/jms.2017.206 ◽

2017 ◽

Vol 86 (1) ◽

pp. 36

Author(s):

Magdalena Pawlaczyk ◽

Teresa Gąsior ◽

Michał Michalak ◽

Andrzej Jóźwiak ◽

Ewa Zasadzka ◽

...

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Institutional Care ◽

Life Quality ◽

The Elderly ◽

Structured Interview ◽

Average Life Span ◽

Social Forms ◽

Environment Domain

Introduction. Due to the prolonged average life span and constantly increasing number of the elderly, research of this population’s quality of life (QoL) is being conducted to assess the spheres requiring improvement. Aim. To assess and compare the life quality in different domains between residents of nursing homes (NH) and patients of the Psychogeriatric Day Ward (PDW).Material and Methods. The study encompassed 68 PDW patients and 62 NH residents. The WHOQOL‑BREF questionnaire and a structured interview concerning diseases, different forms of support and activities preferred were used. Results. Women predominated among the subjects (83%). The elderly aged 75–90 constituted the majority (64.62%). The average assessment of QoL in the whole group amounted to 3.6 points. No significant differences in the assessment of QoL satisfaction and one’s own health satisfaction were observed between PDW patients and NH residents. The participants of both groups assessed the highest QoL in the environment domain and the lowest in the social relationships domain. A relationship between higher QoL in the physical health domain and participation in social forms of spending free time was observed. Relationships between QoL in particular domains and age, marital status and length of stay in NH were found.Conclusions. Elderly people’s QoL, similarly to their satisfaction with health, were on an average level regardless of the institutional care. The QoL remains in a significant relationship with health. The changing needs of the elderly should be the basis for creating an individual plan of professional support.

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Quality of Life in People With Severe Dementia and Its Association With the Environment in Nursing Homes: An Observational Study

The Gerontologist ◽

10.1093/geront/gny017 ◽

2018 ◽

Vol 59 (4) ◽

pp. 665-674 ◽

Cited By ~ 3

Author(s):

Rebecca Palm ◽

Diana Trutschel ◽

Christian G G Sorg ◽

Martin N Dichter ◽

Burkhard Haastert ◽

...

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Observational Study ◽

Nursing Home Residents ◽

Theoretical Models ◽

Annual Data ◽

Significant Interaction Effect ◽

Significant Difference ◽

Diagnosis Of Dementia

Abstract Background and Objectives Theoretical models propose the environment as a factor influencing the quality of life (QoL) of nursing home residents with dementia. This study investigates whether the observed QoL differs depending on the type of care unit. Research Design and Methods DemenzMonitor is an exploratory, observational study involving annual data collection in German nursing homes (2012–2014). For this analysis, we selected residents with a recorded diagnosis of dementia and severe cognitive impairment. QoL was measured with the proxy assessment QUALIDEM. Four care unit types were investigated: large integrated, large segregated, small integrated, and small segregated. Results We did not find a significant difference between the care units. During the 2 years, the observed QoL was not affected by any of the care unit types in a statistically significant or clinically relevant manner. However, a significant interaction effect between time and care unit types was found. Discussion and Implications Structural and organizational characteristics of care units, which in turn have implications for residents characteristics and the quality of care, may influence the QoL of residents. This may explain the interaction we observed.

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