Occupational Licensing of Social Services and Nursing Home Quality: A Regression Discontinuity Approach

2018 ◽  
Author(s):  
John R. Bowblis ◽  
Austin Smith
Keyword(s):  
Nursing Home ◽  
Social Services ◽  
Regression Discontinuity ◽  
Occupational Licensing ◽  
Nursing Home Quality

Occupational Licensing of Social Services and Nursing Home Quality: A Regression Discontinuity Approach

ILR Review ◽  
2019 ◽  
Vol 74 (1) ◽  
pp. 199-223 ◽  
Author(s):  
John R. Bowblis ◽  
Austin C. Smith
Keyword(s):  
Social Workers ◽  
Social Services ◽  
Regression Discontinuity ◽  
Care Quality ◽  
Nursing Facilities ◽  
Occupational Licensing ◽  
Skilled Nursing ◽  
Seeking Behavior ◽  
The Impact

Occupational licensing has grown dramatically in recent years, with more than 25% of the US workforce having a license as of 2008, up from 5% in 1950. Has licensing improved quality or is it simply rent-seeking behavior by incumbent workers? To estimate the impact of increased licensure of social workers in skilled nursing facilities (SNFs) on service quality, the authors exploit a federal staffing provision that requires SNFs of a certain size to employ licensed social workers. Using a regression discontinuity design, the authors find that qualified social worker staffing increases by approximately 10%. However, the overall increase in social services staffing is negligible because SNFs primarily meet this requirement in the lowest cost way—substituting qualified social workers for unlicensed social services staff. The authors find no evidence that the increase in licensure improves patient care quality, patient quality of life, or quality of social services provided.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

scholarly journals The Association of Nursing Home Quality Ratings and Spread of COVID ‐19

2021 ◽  
Author(s):  
Christianna S. Williams ◽  
Qing Zheng ◽  
Alan J. White ◽  
Ariana I. Bengtsson ◽  
Evan T. Shulman ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Ratings ◽  
Nursing Home Quality

Identifying Star Performers: The Relationship Between Ambitious Targets and Nursing Home Quality Improvement

2009 ◽  
Vol 57 (8) ◽  
pp. 1498-1503 ◽  
Author(s):  
Rosa Baier ◽  
Kristen Butterfield ◽  
Gail Patry ◽  
Yael Harris ◽  
Stefan Gravenstein
Keyword(s):  
Quality Improvement ◽  
Nursing Home ◽  
Nursing Home Quality ◽  
Star Performers ◽  
The Relationship

scholarly journals About a Third of Nursing Home Social Services Directors Have Earned a Social Work Degree and License

2021 ◽  
pp. 1-22
Author(s):  
Mercedes Bern-Klug ◽  
Kevin M. Smith ◽  
Amy Restorick Roberts ◽  
Nancy Kusmaul ◽  
Denise Gammonley ◽  
...  
Keyword(s):  
Nursing Home ◽  
Social Work ◽  
Social Services

scholarly journals Racial/Ethnic Disparities in Nursing Home Quality of Life Deficiencies, 2001 to 2011

2016 ◽  
Vol 2 ◽  
pp. 233372141665356 ◽  
Author(s):  
Lauren J. Campbell ◽  
Xueya Cai ◽  
Shan Gao ◽  
Yue Li
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Ethnic Disparities ◽  
Nursing Home Quality ◽  
Racial Ethnic

scholarly journals IMPACT OF SURVEY READINESS TRAINING ON NURSING HOME QUALITY OF CARE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 723-723
Author(s):  
L Phillips ◽  
C Oyewusi ◽  
N Martin ◽  
L Youse ◽  
M Rantz
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality
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