Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
基本信息
- 批准号:10621699
- 负责人:
- 金额:$ 63.68万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-06-01 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:AccountingAddressAdministratorAdvocateAlzheimer&aposs DiseaseAlzheimer&aposs disease related dementiaAreaCaringCase MixesCertificationDataDementiaDevelopmentDiscipline of NursingFederal GovernmentGrowthGuidelinesHealthHomeHome Nursing CareIndustryKnowledgeLanguageLicensed Practical NurseLinkMarketingMeasuresMinorityNational Institute on AgingNursesNursing HomesNursing StaffOccupationalOccupational TherapistOutcomeOutcome MeasurePathologistPatientsPoliciesPolicy MakerPopulationPrevalencePublishingQuality IndicatorQuality of CareRegistered nurseRegulationReportingResearchSocial WorkSocial WorkersSpeechSpeech TherapistStructureTechniquesTestingTranslatingUnited States Centers for Medicare and Medicaid ServicesVariantVisitcosteconometricsimprovedimproved outcomeinsightnursing care qualitynursing standardsphysical therapistweb app
项目摘要
PROJECT SUMMARY/ABSTRACT
Nurse staffing – registered nurses, licensed practical nurses, and certified nurses’ assistants – have long
been considered an important factor determining the quality of care that nursing home residents receive and
their health outcomes. Information about nurse staffing levels are included in Nursing Home Compare (NHC),
the report card published by the Centers for Medicare & Medicaid Services (CMS) as one of the three 5 Star
sub-measures, as well as the overall 5-Star measure. Many states and the Federal Government have
established minimum staffing standards for nursing homes. These attest to the importance that policy makers,
experts, advocates, and residents place on staffing, as both determinants and indicators of quality.
With the increasing prevalence of Alzheimer’s disease and related dementias (ADRD), nursing homes are
facing an increasing population of residents with dementia (RWD). These residents are expected to require
even higher staffing levels, compared with residents without ADRD. Yet, the information about, and our
understanding of the needs for staffing other than nursing, such as therapists and social workers, and
specifically how nurse staffing and other professional staff influence health outcomes for RWD is lacking. The
objective of this proposal is 1) to address this gap in knowledge; and 2) to assess the impact of the projected
increase in RWD in nursing homes on workforce requirements. This has been identified as an important policy
objective, as indicated in the National Institute on Aging’s Research Milestone 13.J.
The specific aims of the application are: 1) To apply econometric techniques to administrative data to
estimate the effects of short- and long-term variations in nursing, therapy and social work staffing levels to
several short- and long-term outcome measures for nursing homes treating a small percent and a large
percent of RWD, and to assess the incremental staffing requirement by staff type and health outcome required
in nursing homes with a high population of RWD compared with nursing homes with a low population of RWD;
2) To determine the implications of the findings for nursing homes and for local, state and national labor
markets based on projected prevalence of RWD in nursing homes; and 3) To develop a web-based application
for policy and decision makers based on our findings, which would allow them to test the impact of different
ADRD and RWD growth scenarios and staffing standards policies on workforce predictions at the nursing
home and market level.
项目总结/摘要
护士人员配置-注册护士,执业护士和认证护士助理-长期以来,
被认为是决定护理质量的重要因素,养老院居民接受,
他们的健康结果。有关护士人员配备水平的信息包括在护理之家比较(NHC),
医疗保险和医疗补助服务中心(CMS)公布的三个5星星之一的报告卡
子措施,以及整体5-星星措施。许多州和联邦政府已经
为养老院制定了最低人员配备标准。这些都证明了决策者,
专家、倡导者和住院医师对人员配置的重视,既是质量的决定因素,也是质量的指标。
随着阿尔茨海默病和相关痴呆症(ADRD)患病率的增加,疗养院
面临着越来越多的痴呆症居民(RWD)。预计这些居民将需要
甚至更高的人员配备水平,与没有ADRD的居民相比。然而,关于我们的信息,
了解护理以外的人员配备需求,如治疗师和社会工作者,以及
特别是缺乏护理人员和其他专业人员如何影响RWD的健康结果。的
本提案的目标是:(1)弥补这一知识差距;(2)评估计划的影响。
养老院劳动力需求增加。这已被确定为一项重要政策
目标,如国家老龄化研究所的研究里程碑13所示。
应用的具体目标是:1)将计量经济学技术应用于行政数据,
估计护理、治疗和社会工作人员配备水平的短期和长期变化的影响,
几个短期和长期的结果措施,为疗养院治疗一小部分和一大部分,
的百分比,并按工作人员类型和所需的健康结果评估增加的工作人员需求
与RWD人群较少的养老院相比,RWD人群较多的养老院;
2)确定研究结果对养老院以及地方、州和国家劳动力的影响
市场的基础上预计患病率RWD在疗养院和3)开发一个基于网络的应用程序
政策和决策者根据我们的研究结果,这将使他们能够测试不同的影响,
ADRD和RWD增长情景以及护理人员劳动力预测的人员配备标准政策
国内和市场层面。
项目成果
期刊论文数量(0)
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专利数量(0)
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{{ truncateString('DANA B MUKAMEL', 18)}}的其他基金
Home Health, ADRD, Telehealth, and Patient Outcomes
家庭健康、ADRD、远程医疗和患者结果
- 批准号:
10689783 - 财政年份:2022
- 资助金额:
$ 63.68万 - 项目类别:
Home Health, ADRD, Telehealth, and Patient Outcomes
家庭健康、ADRD、远程医疗和患者结果
- 批准号:
10513268 - 财政年份:2022
- 资助金额:
$ 63.68万 - 项目类别:
Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
- 批准号:
10171551 - 财政年份:2020
- 资助金额:
$ 63.68万 - 项目类别:
Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
- 批准号:
10368160 - 财政年份:2020
- 资助金额:
$ 63.68万 - 项目类别:
The Costs of Home Health and Patient Outcomes
家庭健康的成本和患者的治疗结果
- 批准号:
9164927 - 财政年份:2016
- 资助金额:
$ 63.68万 - 项目类别:
The Costs of Home Health and Patient Outcomes
家庭健康的成本和患者的治疗结果
- 批准号:
9756259 - 财政年份:2016
- 资助金额:
$ 63.68万 - 项目类别:
Improving quality report cards through inclusion of consumers preferences
通过纳入消费者偏好来提高报告卡质量
- 批准号:
9103796 - 财政年份:2016
- 资助金额:
$ 63.68万 - 项目类别:
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