Nursing home quality and processes of care, organizational attributes, costs, staffing, and staff mix

2.50
Hdl Handle:
http://hdl.handle.net/10755/159264
Type:
Presentation
Title:
Nursing home quality and processes of care, organizational attributes, costs, staffing, and staff mix
Abstract:
Nursing home quality and processes of care, organizational attributes, costs, staffing, and staff mix
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Rantz, Marilyn, PhD, RN, FAAN
Title:Professor
Contact Address:SON - S439, Columbia, MO, 65211, USA
Co-Authors:Mary Zwygart-Stauffacher, PhD, RNBC, GNP, GCNS, FAAN, Professor; Marcia Flesner, PhD, RN, Research Nurse
Study purpose was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes. Using a three-group exploratory study design, 92 nursing homes were randomly selected from all nursing homes in Missouri and classified into resident outcome groups. Resident outcomes were measured using quality indicators derived from nursing home Minimum Data Set resident assessment data. Cost and staffing information were derived from Medicaid Cost Reports. Participant observation methods were used to describe the care delivery processes. In facilities with good resident outcomes, there are basics of care and processes surrounding each that staff consistently do: helping residents with ambulation, nutrition and hydration, toileting and bowel regularity, preventing skin breakdown, and managing pain. Necessary organizational attributes were identified that must be in place in order for those basics of care to be accomplished: Consistent nursing and administrative leadership, the use of team and group processes, and an active quality improvement program. The only facility characteristic across the outcome groups that was significantly different was number of licensed beds with smaller facilities having better outcomes. No significant differences in costs, staffing, or staff mix were detected across the groups. A trend in higher total costs of $13.58 per resident per day was detected in the poor outcome group compared to the good outcome group. Costs, staffing, and staff mix were confirmed in a post hoc statewide analysis matching MDS and cost data.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing home quality and processes of care, organizational attributes, costs, staffing, and staff mixen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159264-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing home quality and processes of care, organizational attributes, costs, staffing, and staff mix</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rantz, Marilyn, PhD, RN, FAAN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON - S439, Columbia, MO, 65211, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Zwygart-Stauffacher, PhD, RNBC, GNP, GCNS, FAAN, Professor; Marcia Flesner, PhD, RN, Research Nurse</td></tr><tr><td colspan="2" class="item-abstract">Study purpose was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes. Using a three-group exploratory study design, 92 nursing homes were randomly selected from all nursing homes in Missouri and classified into resident outcome groups. Resident outcomes were measured using quality indicators derived from nursing home Minimum Data Set resident assessment data. Cost and staffing information were derived from Medicaid Cost Reports. Participant observation methods were used to describe the care delivery processes. In facilities with good resident outcomes, there are basics of care and processes surrounding each that staff consistently do: helping residents with ambulation, nutrition and hydration, toileting and bowel regularity, preventing skin breakdown, and managing pain. Necessary organizational attributes were identified that must be in place in order for those basics of care to be accomplished: Consistent nursing and administrative leadership, the use of team and group processes, and an active quality improvement program. The only facility characteristic across the outcome groups that was significantly different was number of licensed beds with smaller facilities having better outcomes. No significant differences in costs, staffing, or staff mix were detected across the groups. A trend in higher total costs of $13.58 per resident per day was detected in the poor outcome group compared to the good outcome group. Costs, staffing, and staff mix were confirmed in a post hoc statewide analysis matching MDS and cost data.</td></tr></table>en_GB
dc.date.available2011-10-26T21:51:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:51:22Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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