New Information about Quality of Care in Nursing Homes

nursing-home-quality-careResearch findings on Quality of Care are discussed in a new report. According to news reporting originating from Chapel Hill, North Carolina, by NewsRx correspondents, research stated, “Purpose of the Study: Culture change models are intended to improve the quality of life for nursing home residents, but the impact of these models on quality of care is unknown. We evaluated the impact of the implementation of nursing home culture change on the quality of care, as measured by staffing, health-related survey deficiencies, and Minimum Data Set (MDS) quality indicators.”

Our news editors obtained a quote from the research from the University of North Carolina, “From the Pioneer Network, we have data on whether facilities were identified by experts as culture change providers in 2004 and 2009. Using administrative data, we employed a panel-based regression approach in which we compared prepost quality outcomes in facilities adopting culture change between 2004 and 2009 against prepost quality outcomes for a propensity score-matched comparison group of nonadopters. Nursing homes that were identified as culture change adopters exhibited a 14.6% decrease in health-related survey deficiency citations relative to comparable nonadopting homes, while experiencing no significant change in nurse staffing or various MDS quality indicators. This research represents the first large-scale longitudinal evaluation of the association of culture change and nursing home quality of care. Based on the survey deficiency results, nursing homes that were identified as culture change adopters were associated with better care although the surveyors were not blind to the nursing homes culture change efforts.”

According to the news editors, the research concluded: “This finding suggests culture change may have the potential to improve MDS-based quality outcomes, but this has not yet been observed.”

For more information on this research see: Culture Change and Nursing Home Quality of Care. Gerontologist, 2014;54():S35-S45. Gerontologist can be contacted at: Oxford Univ Press Inc, Journals Dept, 2001 Evans Rd, Cary, NC 27513, USA. (Oxford University Press – www.oup.com/; Gerontologist – gerontologist.oxfordjournals.org)

The news editors report that additional information may be obtained by contacting D.C. Grabowski, University of North Carolina, Sch Social Work, Chapel Hill, NC 27515, United States. Additional authors for this research include A.J. O’Malley, C.C. Afendulis, D.J. Caudry, A. Elliot and S. Zimmerman.