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Quality outcomes among efficient and inefficient nursing homes: a national study
Nailya O DeLellis1, Yasar A Ozcan
1College of Health Professions, Central Michigan University, Mount Pleasant, USA. delel1no@cmich.edu
Health Care Management Review
|March 8, 2012
Summary
High-quality nursing homes can also be efficient, benefiting residents and payers. This study confirms that achieving both high quality and efficiency in nursing home care is realistic.
Area of Science:
- Healthcare Management
- Health Services Research
- Gerontology
Background:
- Rising demand for nursing home services due to an aging population necessitates examination of care quality and cost.
- Key stakeholders include residents, families, payers, policymakers, regulators, and operators.
Purpose of the Study:
- To investigate the link between nursing home quality and efficiency.
- To identify characteristics of facilities excelling in both quality and efficiency.
- To assess the feasibility of achieving high quality and high efficiency concurrently.
Main Methods:
- Cross-sectional study of a 10% random sample of U.S. nursing homes (excluding hospital-based, <20 beds, >360 beds).
- Data sourced from Online Survey Certification and Reporting, Area Resource File, Bureau of Labor Statistics, and Bureau of Economic Analysis.
- Data envelopment analysis (DEA) used for efficiency assessment.
Main Results:
- Average nursing home efficiency was 0.869 (SD = 0.1362).
- Higher efficiency observed in urban facilities, those in competitive markets, higher income areas, and with more home health agencies.
- Not-for-profit and governmental facilities demonstrated higher average efficiency.
- Efficient nursing homes generally exhibited more favorable quality outcomes.
Conclusions:
- High-quality and efficient nursing homes are available for residents and families.
- Policymakers and administrators can realistically set standards promoting both quality and efficiency in nursing home operations.
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