ArticleMedical care research and review : MCRR2019
The Relationship Between Reported Staffing and Expenditures in Nursing Homes.
Article in Medical care research and review : MCRR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Association Between Wages and Nursing Staff Turnover in Iowa Nursing Homes.Innovation in aging · 2022Article
- Nursing Home Profit Margins and Citations for Infection Prevention and Control.Journal of the American Medical Directors Association · 2021Article
- Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Dramatic improvements in reported nursing home quality, including staffing ratios, have come under increased scrutiny in recent years because they are based on data self-reported by nursing homes. In contrast to other domains, the key mechanism for real improvement in the staffing ratios domain is clearer: to improve scores, nursing homes should increase staffing expenditures. We analyze the relationship between changes in expenditures and reported staffing quality pre- versus post the 5-star rating system. Our results show that the relationship between expenditures and licensed practical nurse staffing is weaker in the post-5-star period, overall, and across subgroups; furthermore, there is a weaker relationship between expenditures and registered nurse staffing among for-profit facilities with a high share of Medicaid residents in the post-5-star period. The weaker relationship between staffing expenditures and staffing scores in the post-5-star era underscores the potential for gaming of the self-reported staffing scores and the need for more reliable sources.
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Registered trials
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