Cost implications of organizing nursing home workforce in teams.

ABSTRACT:

Objective

To estimate the costs associated with formal and self-managed daily practice teams in nursing homes.

Data sources/study setting

Medicaid cost reports for 135 nursing homes in New York State in 2006 and survey data for 6,137 direct care workers.

Study design

A retrospective statistical analysis: We estimated hybrid cost functions that include team penetration variables. Inference was based on robust standard errors.

Data collection

Formal and self-managed team penetration (i.e., percent of staff working in a team) were calculated from survey responses. Annual variable costs, beds, case mix-adjusted days, admissions, home care visits, outpatient clinic visits, day care days, wages, and ownership were calculated from the cost reports.

Principal findin

SUBMITTER: Mukamel DB 

PROVIDER: S-EPMC2739030 | biostudies-literature | 2009 Aug

REPOSITORIES: biostudies-literature