ArticleThe Gerontologist2014
Culture change practice in U.S. Nursing homes: prevalence and variation by state medicaid reimbursement policies.
Article in The Gerontologist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- A Communication Intervention to Reduce Resistiveness in Dementia Care: A Cluster Randomized Controlled Trial.The Gerontologist · 2017Trial
- Environmental and structural factors driving poor quality of care: An examination of nursing homes serving Black residents.Journal of the American Geriatrics Society · 2023Observational
- Communication Disparities between Nursing Home Team Members.International journal of environmental research and public health · 2022Article
- The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding.Research on aging · 2022Article
- The Benefits of Culture Change in Nursing Homes-Obtaining Nationally Representative Evidence.Journal of the American Medical Directors Association · 2022Article
- The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies.The American journal of hospice & palliative care · 2021Article
- Leadership, Staff Empowerment, and the Retention of Nursing Assistants: Findings From a Survey of U.S. Nursing Homes.Journal of the American Medical Directors Association · 2020Article
- Nursing home residents' perspectives on their social relationships.Journal of clinical nursing · 2020Article
- Initiating Aha moments when implementing person-centered care in nursing homes: a multi-arm, pre-post intervention.BMC geriatrics · 2019Article
- End-of-Life Culture Change Practices in U.S. Nursing Homes in 2016/2017.Journal of pain and symptom management · 2019Article
- Person-Directed Care Planning in Nursing Homes: Resident, Family, and Staff Perspectives.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2019Article
- The Prevalence of Culture Change Practice in US Nursing Homes: Findings From a 2016/2017 Nationwide Survey.Medical care · 2018Article
- Person-directed care planning in nursing homes: A scoping review.International journal of older people nursing · 2018Article
- Person-Centered Care as Facilitated by Kansas' PEAK 2.0 Medicaid Pay-for-Performance Program and Nursing Home Resident Clinical Outcomes.Innovation in aging · 2018Article
- Person-Centered Communication for Nursing Home Residents With Dementia: Four Communication Analysis Methods.Western journal of nursing research · 2018Article
- Psychometric Evaluation of the Team Member Perspectives of Person-Centered Care (TM-PCC) Survey for Long-Term Care Homes.Healthcare (Basel, Switzerland) · 2018Article
- Staff Empowerment Practices and CNA Retention: Findings From a Nationally Representative Nursing Home Culture Change Survey.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2018Article
- Temporal Associations between Caregiving Approach, Behavioral Symptoms and Observable Indicators of Aspiration in Nursing Home Residents with Dementia.The journal of nutrition, health & aging · 2018Article
- Important Care and Activity Preferences in a Nationally Representative Sample of Nursing Home Residents.Journal of the American Medical Directors Association · 2018Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
purpose of the studyTo estimate the prevalence of culture change practice in U.S. nursing homes (NHs) and examine how state Medicaid policies may be associated with this prevalence. DESIGN AND
methodsIn 2009/2010, we conducted a survey of a stratified proportionate random sample of NH directors of nursing (DONs) and administrators (NHAs) at 4,149 U.S. NHs; contact was achieved with 3,695. Cooperation rates were 62.6% for NHAs and 61.5% for DONs. Questions focused on NH (physical) environment, resident-centered care, and staff empowerment domains. Domain scores were created and validated, in part, using qualitative interviews from 64 NHAs. Other NH covariate data were from Medicare/Medicaid surveys (Online Survey, Certification and Reporting), aggregated resident assessments (Minimum Data Set), and Medicare claims. Medicaid policies studied were a state's average NH reimbursement rate and pay-for-performance (P4P) reimbursement (including and not including culture change performance measures). Multivariate generalized ordered logit regressions were used.
resultsEighty-five percent of DONs reported some culture change implementation. Controlling for NH attributes, a $10 higher Medicaid rate was associated with higher NH environment scores. Compared with NHs in non-P4P states, NHs in states with P4P including culture change performance measures had twice the likelihood of superior culture change scores across all domains, and NHs in other P4P states had superior physical environment and staff empowerment scores. Qualitative interviews supported the validity of survey results. IMPLICATIONS: Changes in Medicaid reimbursement policies may be a promising strategy for increasing culture change practice implementation. Future research examining NH culture change practice implementation pre-post P4P policy changes is recommended.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.