142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Profit Status, Quality, and Cost of Care in U.S. Residential Care Facilities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Trenace Brown , School of Aging, University of South Florida, ,Tampa, FL
Residential care facilities (RCFs) have become an important community care setting for the aging population. However, limited information exists regarding facility characteristics related to the quality and cost of RCFs. The purpose of this study is to examine the relationship among facility profit status, quality indicators, and resident departure due to cost in U.S. RCFs. We used data from the National Survey of Residential Care Facilities (NSRCF), which contain information on 2,302 RCFs in 2010. Variables included facility level physical and organizational environment, processes of care and services offered, resident profiles, staffing, and costs of care. Affordability was measured by the percent of residents that moved out of the facilities during the past 12 months because of cost. Low affordability facilities were defined as facilities with 33.3% or more residents that were discharged due to cost. We used multivariate logistic regression model to examine predictors of RCF affordability while controlling for confounding variables. We identified the following significant predictors of residents discharged due to costs: proportion of older residents, proportion of minorities, percent residents with memory problems, percent residents receiving support from Medicaid, facility size, ownership, chain membership, occupancy level, and health monitoring services provided by the facility. Results showed that for-profit facilities are slightly more likely to have low affordability. However, the difference was not statistically significant (OR=1.09, p=0.60). The findings suggest that RCFs vary greatly in services, quality, and costs. More information about RCFs should be made available to consumers to promote informed choice and affordability.

Learning Areas:

Other professions or practice related to public health
Public health or related organizational policy, standards, or other guidelines
Social and behavioral sciences

Learning Objectives:
Describe the affordability of Residential Care Facilities in the U.S. Identify factors associated with Affordability among RCF residents

Keyword(s): Community Health Planning, Health Care Costs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an interest in evaluating the costs for Residential Care Facilities. I have researched the topic extensively, and worked along professors who have guide me through this process, and help with data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.