Nursing home quality, cost, staffing, and staff-mix

The purpose of this study 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. In facilities with good...

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Pain management in nursing homes: What do quality measures tell us?

Pain management for older adults residing in nursing homes continues to present multifaceted challenges to health care practitioners and researchers. This study, which focuses on improvement in pain assessment and management, is a secondary analysis of data from a...

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Helping nursing homes “at risk” for quality problems: a statewide evaluation

Nearly everyone has some life experiences or opinions based on media about nursing homes and the need for quality improvement. States and federal agencies spend enormous amounts of time regulating and surveying nursing homes, but quality problems persist. In...

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Assessing contributors to cost of care in nursing homes

In 1994 12.7% of the population was 65 and over, while 10.6% were 85 and over. Expenditures for nursing homes reached $72.3 billion in 1994 (much of which is tax-supported) accounting for 8.7% of all personal health money spent....

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Randomized multilevel intervention to improve outcomes of residents in nursing homes in need of improvement

Objectives: A comprehensive multilevel intervention was tested to build organizational capacity to create and sustain improvement in quality of care and subsequently improve resident outcomes in nursing homes in need of improvement. Design/Setting/Participants: Intervention facilities (N ΒΌ 29) received...

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Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: An update

Determining meaningful thresholds to reinforce excellent performance and flag potential problem areas in nursing home care is critical for preparing reports for nursing homes to use in their quality improvement programs. This article builds on the work of an...

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The influence of teams to sustain quality improvement in nursing homes that “need improvement”

Objectives: Qualitatively describe the use of team and group processes in intervention facilities participating in a study targeted to improve quality of care in nursing homes “in need of improvement.” Design/setting/participants: A randomized, two-group, repeated-measures design was used to...

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Setting thresholds for MDS quality indicators for nursing home quality improvement reports

An important area of inquiry in quality measurement when using quality indicators (QIs) lies in determining what thresholds indicate good and poor resident outcomes. In July 1996, a cross-section of 13 clinical care personnel from nursing homes participated on...

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Challenges of using quality improvement methods in nursing homes that “need improvement”

Objectives: Qualitatively describe the adoption of strategies and challenges experienced by intervention facilities participating in a study targeted to improve quality of care in nursing homes “in need of improvement”. To describe how staff use federal quality indicator/quality measure...

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Advances in measuring quality of care in nursing homes: a new tool for providers, consumers, regulators, and researchers

Over the past 12 years, members of the Minimum Data Set (MDS) and Quality Research Team at the University of Missouri-Columbia have been working with the Missouri Department of Health and Senior Services to improve care in Missouri nursing...

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