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.
项目摘要/摘要
护士人员配置--注册护士、执业护士和注册护士助理--长期以来
被认为是决定养老院居民接受和接受护理质量的重要因素
他们的健康状况。有关护士人员配置水平的信息包括在疗养院比较(NHC)中,
由医疗保险和医疗补助服务中心(CMS)作为三个五星之一发布的成绩单
子指标,以及整体五星指标。许多州和联邦政府都有
制定了养老院的最低人员配备标准。这些都证明了政策制定者,
专家、倡导者和居民都把人员配置作为质量的决定因素和指标。
随着阿尔茨海默病和相关痴呆症(ADRD)的流行,疗养院正在
面对日益增长的痴呆症(RWD)居民人口。这些居民预计将要求
与没有ADRD的居民相比,人员配备水平甚至更高。然而,关于我们的信息和我们的
了解护理以外的人员配置需求,如治疗师和社会工作者,以及
具体地说,护士人员配置和其他专业人员如何影响RWD的健康结果是缺乏的。这个
这项建议的目标是1)解决这一知识差距;和2)评估预测的
养老院对劳动力的需求增加了RWD。这已被确定为一项重要的政策
目标,正如国家老龄研究所的研究里程碑13.J.
应用程序的具体目标是:1)将计量经济技术应用于行政数据,以
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
疗养院治疗小百分比和大百分比的几种短期和长期结果措施
RWD的百分比,并按工作人员类别和所需健康结果评估增加的人员需求
在RWD人口较多的养老院与RWD人口较低的养老院相比;
2)确定研究结果对养老院以及地方、州和全国劳工的影响
基于疗养院RWD预计患病率的市场;以及3)开发基于Web的应用程序
对于基于我们的发现的政策制定者和决策者,这将使他们能够测试不同
ADRD和RWD增长情景和人员编制标准关于护士劳动力预测的政策
国内和市场层面。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
DANA B MUKAMEL其他文献
DANA B MUKAMEL的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ 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:
相似海外基金
Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
- 批准号:
MR/S03398X/2 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Fellowship
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
- 批准号:
2338423 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Continuing Grant
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
- 批准号:
EP/Y001486/1 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Research Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
- 批准号:
MR/X03657X/1 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
- 批准号:
2348066 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
- 批准号:
AH/Z505481/1 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
EU-Funded
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
- 批准号:
2341402 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Standard Grant
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
- 批准号:
AH/Z505341/1 - 财政年份:2024
- 资助金额:
$ 63.68万 - 项目类别:
Research Grant