The staffing-outcomes relationship in nursing homes.

ABSTRACT:

Objective

To assess longitudinally whether a change in registered nurse (RN) staffing and skill mix leads to a change in nursing home resident outcomes while controlling for the potential endogeneity of staffing.

Data sources

Minimum Data Set (MDS) nursing home resident assessment data from five states merged with Online Survey Certification and Reporting (OSCAR) data from 1996 through 2000.

Study design

Resident-level longitudinal analysis with facility fixed effects and instrumental variables. Outcomes studied are incidence of pressure sores and urinary tract infections. RN staffing was measured as the care hours per resident-day and skill mix was measured as RN staffing hours as a proportion of total staffing hours.

Data extraction method

We use all quarterl

SUBMITTER: Konetzka RT 

PROVIDER: S-EPMC2442239 | biostudies-literature | 2008 Jun

REPOSITORIES: biostudies-literature