4201.0 Quality of Care, Cost, and Practice Patterns in Nursing Homes

Tuesday, November 10, 2009: 12:30 PM
Abstract In nursing homes, both quality of care and costs are highly dependent on practice patterns, including the organization of work. Nursing homes continue to face pressures to improve the quality of care they provide. Yet the fiscal and budgetary crises impacting both the federal and state governments increase the revenue constrains that nursing homes face, impacting their ability to change practice patterns and improve quality. In this session we will examine research findings demonstrating the complex relationships between practice patterns, quality of care, and costs in nursing homes. These studies offer empirical evidence on the relationship between costs and practice patterns, and their impact on quality. The findings highlight strategies for transforming the nursing home environment in efforts to improve quality and costs.
Session Objectives: Learning Objectives: 1. Assess and explain the relationship between nursing home practice patterns, costs, payer status and quality of care. 2) Evaluate models for assessing nursing home quality of care.

12:35 PM
Is workforce turnover in nursing homes costly?
Dana B. Mukamel, PhD, William D. Spector, PhD, Rhona Limcangco, Ying Wang, Zhanlian Feng and Vincent Mor
12:45 PM
Effect of payer source on hospitalization risks among nursing home residents in New York State
Shubing Cai, Dana B. Mukamel, PhD, Peter Veazie, PhD, Paul Katz, MD and Helena Temkin-Greener, PhD
12:55 PM
Hospice provider characteristics and the volume and intensity of nursing home hospice use
Susan C. Miller, PhD, Julie Lima, PhD, Pedro Gozalo, PhD and Venkatesh Nathilvar, MS
1:05 PM
Do Work Environment Attributes Impact the Risk of Pressure Ulcers in Nursing Homes? Evidence from New York State
Helena Temkin-Greener, PhD, Shubing Cai, Nan (Tracy) Zheng, Hongwei Zhao, ScD and Dana B. Mukamel, PhD
1:15 PM
Impact of risk adjustment on cross-sectional variations and short-term stability of the nursing home outcome measure of urinary/fecal incontinence
Yue Li, PhD, John F. Schnelle, PhD, William D. Spector, PhD, Laurent Glance, MD and Dana B. Mukamel, PhD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Gerontological Health
Endorsed by: Medical Care, Public Health Nursing, Social Work

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)

See more of: Gerontological Health