Administrator Turnover and Quality of Care in Nursing Homes

Administrator turnover and quality of care in nursing homes.

PURPOSE OF THE STUDY In this article, I examine the association between turnover of nursing home administrators and five important quality of care outcomes. DESIGN AND METHODS The data came from a survey of 420 nursing facilities and the 1999 On-line Survey, Certification, and Reporting System. Using multivariate logistic regression analyses, I looked at the effects of turnover of administrat...

Quality management and quality of care in nursing homes.

PURPOSE The purpose of this paper is to study the appropriateness of applying "manufacturing sector" quality management strategies to residential care homes sector and to analyze its influence on the quality of care. DESIGN/METHODOLOGY/APPROACH Observation and in-depth interviews were conducted with 41 Spanish care home top and middle managers, consultants and employees. FINDINGS The qualit...

Teams and Quality of Care in Nursing Homes

Staffing subsidies and the quality of care in nursing homes.

Concerns about the quality of state-financed nursing home care has led to the wide-scale adoption by states of pass-through subsidies, in which Medicaid reimbursement rates are directly tied to staffing expenditure. We examine the effects of Medicaid pass-through on nursing home staffing and quality of care by adapting a two-step FGLS method that addresses clustering and state-level temporal au...

Quality of care and negligence litigation in nursing homes.

BACKGROUND It is unclear whether high-quality health care institutions are less likely to be sued for negligence than their low-performing counterparts. METHODS We linked information on tort claims brought against 1465 nursing homes between 1998 and 2006 to 10 indicators of nursing home quality drawn from two U.S. national data sets: the Online Survey, Certification, and Reporting system and ...