High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information.
High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information.
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DOI：
10.1377/hlthaff.2020.00957
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Grabowski DC
中科院分区：
文献类型：
--
作者：
Gandhi A;Yu H;Grabowski DC
护理人员流动率一直被认为是衡量养老院质量的重要指标。然而，疗养院比较网站上从未报告过营业额，可能是因为缺乏足够的数据。2016年7月1日，医疗保险和医疗补助服务中心开始收集可审计的基于工资单的美国养老院每日员工数据。我们使用这些数据中的4.92亿个护士轮班来计算一个新的离职指标，该指标代表了15,645个机构中每个机构每年护理人员轮换的小时数百分比。护理人员的平均和中位数年流失率分别约为128%和94%。流失率与设施位置、营利性状态、连锁所有权、医疗补助人口普查和五星级评级相关。在疗养院比较上传播设施的护理人员流动率可以为政策制定者、付款人和消费者提供重要的高质量信息，并可能激励减少流动率的努力。
Nursing staff turnover has long been considered an important indicator of nursing home quality. However, turnover has never been reported on the Nursing Home Compare website, likely due to the lack of adequate data. On July 1, 2016, the Centers for Medicare and Medicaid Services began collecting auditable payroll-based daily staffing data for U.S. nursing homes. We used 492 million nurse shifts from these data to calculate a novel turnover metric representing the percentage of hours of nursing staff care that turned over annually at each of 15,645 facilities. Mean and median annual turnover rates for total nursing staff were roughly 128% and 94%, respectively. Turnover rates were correlated with facility location, for-profit status, chain ownership, Medicaid census, and five-star ratings. Disseminating facilities’ nursing staff turnover rates on Nursing Home Compare could provide important quality information for policymakers, payors, and consumers, and it may incentivize efforts to reduce turnover.
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