权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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：
DANA B MUKAMEL
金额：
$ 63.68万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
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：
https://reporter.nih.gov/project-details/10621699
关键词：
Accounting Address Administrator Advocate Alzheimer&apos s Disease Alzheimer&apos s disease related dementia Area Caring Case Mixes Certification Data Dementia Development Discipline of Nursing Federal Government Growth Guidelines Health Home Home Nursing Care Industry Knowledge Language Licensed Practical Nurse Link Marketing Measures Minority National Institute on Aging Nurses Nursing Homes Nursing Staff Occupational Occupational Therapist Outcome Outcome Measure Pathologist Patients Policies Policy Maker Population Prevalence Publishing Quality Indicator Quality of Care Registered nurse Regulation Reporting Research Social Work Social Workers Speech Speech Therapist Structure Techniques Testing Translating United States Centers for Medicare and Medicaid Services Variant Visit cost econometrics improved improved outcome insight nursing care quality nursing standards physical therapist web 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/文摘