Beyond Nursing Staff Levels: The Association of Nursing Home Quality and the Five-Star Quality Rating System's New Staffing Measures

被引:5
|
作者
Brunt, Christopher S. S. [1 ,3 ]
Bowblis, John R. R. [2 ]
机构
[1] Georgia Southern Univ, Statesboro, GA USA
[2] Miami Univ, Oxford, OH USA
[3] Georgia Southern Univ, Dept Econ, Econ, 621 Coba Dr, Statesboro, GA 30460 USA
关键词
nursing homes; turnover; staffing; quality of care; OF-CARE; CONSISTENT ASSIGNMENT; TURNOVER; SHORTAGES; IMPACT;
D O I
10.1177/10775587231187782
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Recently, the Centers for Medicare & Medicaid Services (CMS) introduced staffing measures related to staffing variability and turnover in the Nursing Home (NH) Care Compare Five-Star Quality Rating System. While the consensus within the literature is that reduced variability and turnover are associated with higher NH quality of care and life, no existing studies have evaluated the relationship between CMS's newly introduced staffing measures and quality. This study uses regression analysis to estimate the relationship between 13 quality measures (used in Care Compare) and CMS's new staffing measures (i.e., weekend nursing staff levels, total nursing and registered nurse staff turnover, and administrator turnover) as well as a measure of daily staffing variation recently introduced in the literature called the coefficient of variation. Regressions analysis finds strong evidence of an association between quality and these staffing measures, though some measures (e.g., nursing staff turnover) are highly correlated and may be duplicative.
引用
收藏
页码:631 / 640
页数:10
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