ASSESSING THE IMPACT OF THE PATIENT-DRIVEN PAYMENT MODEL ON NURSING HOME CARE QUALITY: A STAFFING PERSPECTIVE
2024
Impact of the Patient-Driven Payment Model on Nursing Home Care Quality
publication
Evidence: moderate
Author Information
Author(s): Orewa Gregory, Weech-Maldonado Robert, Davlyatov Ganisher, Lord Justin, Becker David, Feldman Sue
Primary Institution: The University of Texas San Antonio
Hypothesis
The Patient-Driven Payment Model (PDPM) will improve nursing home care quality through increased nurse staffing intensity.
Conclusion
The study found that the PDPM increased RN staffing but decreased CNA hours, with a positive direct effect on quality of care.
Supporting Evidence
- PDPM increased RN staffing post-implementation.
- PDPM decreased CNA hours post-implementation.
- PDPM had a positive direct effect on quality of care.
- Quality of care was measured using a five-star rating system.
Takeaway
This study looks at how a new payment model for nursing homes affects the quality of care by changing how many nurses and assistants are working.
Methodology
The study used a longitudinal design and structural equation modeling to analyze data from seven different datasets.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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