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Care planning efficiency for nursing facilities
Marjorie J Bott1, Byron Gajewski, Robert Lee
1University of Kansas School of Nursing, Kansas City, KS, USA.
Nursing Economic$
|May 16, 2007
Summary
This study analyzed care planning costs in 107 nursing facilities. Findings show that increased staffing and time do not guarantee efficient care planning, with Medicare-certified facilities being less efficient.
Area of Science:
- Healthcare management
- Nursing home administration
- Health economics
Background:
- Care planning is crucial for quality nursing home care.
- Understanding the cost and efficiency of care planning is essential for resource allocation.
- Previous analyses of care planning efficiency in nursing facilities are limited.
Purpose of the Study:
- To conduct a cost analysis of the care planning process in nursing facilities.
- To identify factors associated with efficient and less-efficient care planning processes.
- To compare efficiency across different types of nursing facilities.
Main Methods:
- Utilized process-based costing strategies.
- Employed data envelopment analysis (DEA) to assess efficiency.
- Analyzed data from 107 nursing facilities.
Main Results:
- Efficiency in care planning varied significantly among facilities.
- Increased personnel and time dedicated to care planning did not correlate with improved quality or efficiency.
- Facility characteristics such as bed count, profit status, and location were not linked to efficiency.
- Medicare-certified facilities demonstrated a lower likelihood of efficiency compared to others.
Conclusions:
- Care planning efficiency in nursing facilities is complex and not solely determined by resource allocation.
- Facility certification (Medicare) appears to be a factor influencing care planning efficiency.
- Further research is needed to optimize care planning processes for improved outcomes and cost-effectiveness.
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