Medical Staffing Organization and Quality of Care Outcomes in Post-Acute Care Settings

Details

• Personal Author:
  Karuza J ; Katz P ; Kwong C ; Sharp L ; Spetz J ; Wagner LM
• Description:
  Background and Objectives: Medical providers are significant drivers of care in post-acute long-term care (PALTC) settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. Research Design and Methods: This study examined the impact of nursing home medical staffing organization (NHMSO) dimensions on the quality of care in U.S. nursing homes. The principal data source was a survey specifically designed to study medical staff organization for post-acute care. Respondents were medical directors and attending physicians providing PALTC. We linked a number of medical provider and nursing home characteristics to the Centers for Medicaid and Medicare Services Nursing Home Compare quality measures hypothesized to be sensitive to input by medical providers. Results: From the sample of nursing home medical providers surveyed (n = 1,511), 560 responses were received, yielding a 37% response rate; 425 medical provider responses contained sufficient data for analysis. The results of the impact of NHMSO dimensions were mixed, with many domains not having any significance or having negative relationships between provider characteristics and quality measures. Respondents who reported having a formal process for granting privileges and nursing homes with direct employment of physicians reported significantly fewer emergency visits. Discussion and Implications: Further research is needed regarding what quality measures are sensitive to both medical provider characteristics and NHMSO characteristics. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Personnel Occupational Health Quality Control Safety
• Keywords:
  Author Keywords: Medical Provider Health Care Workers Medical Care Medical Personnel Nursing Homes Physician Physicians Quality Control Quality Measures
• ISSN:
  0016-9013
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Florida ; Maryland ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  61
• Issue:
  4
• NIOSHTIC Number:
  nn:20062209
• Citation:
  Gerontologist 2021 Jun; 61(4):605-614
• Contact Point Address:
  Laura M. Wagner, PhD, RN, GNP, FAAN, University of California, San Francisco School of Nursing, 2 Koret Way, #511R, San Francisco, CA 94143
• Email:
  Laura.wagner@ucsf.edu
• Federal Fiscal Year:
  2021
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The Gerontologist
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6fbf01acd96bfafbaba268de43134ea5deb6d4f70c45a8e482b73935ac5b0d8373e664c54dbcf4786f5477d13880c6a2e6e3437c729c6d815d15c1d32ab3e6d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/225504/cdc_225504_DS1.pdf
• File Type:
  [PDF - 194.86 KB ]