Modeling efficiency at the process level: an examination of the care planning process in nursing homes.

ABSTRACT:

Objective

To examine the efficiency of the care planning process in nursing homes.

Methods

We collected detailed primary data about the care planning process for a stratified random sample of 107 nursing homes from Kansas and Missouri. We used these data to calculate the average direct cost per care plan and used data on selected deficiencies from the Online Survey Certification and Reporting System to measure the quality of care planning. We then analyzed the efficiency of the assessment process using corrected ordinary least squares (COLS) and data envelopment analysis (DEA).

Results

Both approaches suggested that there was considerable inefficiency in the care planning process. The average COLS score was 0.43; the average DEA score was 0.48. The correlation between

SUBMITTER: Lee RH 

PROVIDER: S-EPMC2669624 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature