Comparison of Nursing Home Financial Transparency and Accountability in Four Locations

Harrington, Charlene; Armstrong, Hugh; Halladay, Mark; Havig, Anders Kvale; Jacobsen, Frode F.; MacDonald, Martha; Panos, Justin; Pearsall, Kathy; Pollock, Allyson M; Ross, Leslie

doi:10.1007/s12126-015-9233-3

Cited by 11 publications

(15 citation statements)

References 29 publications

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“…4,5 Specific to aged care, research suggests that cost cutting reduces quality care, whereas focus on quality care can improve cost savings. [6][7][8] This is further supported by data from developed countries indicating that total food spend is associated with more nutritious dietary patterns. 9 With malnutrition affecting at least one in two residents in Australian residential aged care facilities (RACF), 10,11 it is only natural to turn attention towards obvious causes for this concerning statistic.…”

Section: Introductionmentioning

confidence: 62%

What does it cost to feed aged care residents in Australia?

Hugo

Isenring

Sinclair³

et al. 2017

Nutrition & Dietetics

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Aim: Funding cuts to the aged care industry impact catering budgets and aged care staffing levels, which may in turn affect the nutritional status of aged care residents. This paper reports average food expenditure and trends in Australian residential aged care facilities (RACFs). Methods: This is a retrospective study collecting RACFs' economic outlay data through a quarterly online survey conducted over the 2015 and 2016 financial years. Results: Data were compiled from 817 RACFs, representing 64 256 residential beds and 23 million bed-days Australia-wide. The average total spend in Australian Dollars (AUD) on catering consumables (including cutlery/ crockery, supplements, paper goods) was $8.00 per resident per day (prpd) and $6.08 prpd when looking at the raw food and ingredients budget alone. Additional data from over half the RACFs (n = 456, 56%) indicate a 5% decrease in food cost ($0.31 prpd) in the last year, particularly in fresh produce, with a simultaneous 128% ($0.50 prpd) increase in cost for supplements and food replacements. Current figures are comparatively less than aged care food budgets internationally (US, UK and Canada), less than community-dwelling older adults ($17.25 prpd) and 136% less than Australian corrective services ($8.25 prpd). Conclusions: The current spend on food in RACFs has decreased compared with previous years, reflecting an increasing reliance on supplements, and is significantly less than current community food spend.

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Section: Introductionmentioning

confidence: 62%

What does it cost to feed aged care residents in Australia?

Hugo

Isenring

Sinclair³

et al. 2017

Nutrition & Dietetics

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“…In addition, the majority of caregivers in Dutch nursing homes are licensed practical nurses, whereas in US nursing homes certified aides form the majority of the staff. Registered nurses are more common in US nursing homes in comparison to Dutch nursing homes [ 30 – 33 ]. However, in spite of these differences, in most developed countries with high life expectancy (such as the Netherlands, Belgium, Denmark, Germany, and US), nursing homes face similar issues that increase the workload, such as an increase in number of elderly people (with multiple chronic diseases), financial restrictions, understaffing, and increased quality expectations [ 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

Improving quality and safety of care in nursing homes by team support for strengths use: A survey study

Buljac-Samardžić

Woerkom

2018

PLoS ONE

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Growing evidence suggests that workload has an adverse effect on quality of care and patient safety in nursing homes. A novel job resource that may improve quality of care and patient safety and alleviate the negative effect of workload in nursing homes is team support for strengths use. This refers to team members’ beliefs concerning the extent to which the team they work in actively supports them in applying their individual strengths at work. The objective was to investigate the relationships between workload, team support for strengths use, quality of care, and patient safety in nursing homes. We collected (cross-sectional) survey data from 497 caregivers from 74 teams in seven different nursing homes. The survey included measures on perceived workload, team support for strengths use, caregivers’ perception of the quality of care provided by the team and four safety incidents (i.e. fall incidents, medication errors, pressure ulcers, incidents of aggression). After controlling for age, team size, team tenure, organizational tenure, and nursing home, multilevel regression analyses (i.e. individual and team level) showed that perceived workload was not significantly related to perceived team-based quality of care and the frequency of safety incidents. Team support for strengths use was positively related to perceived team-based quality of care, negatively related to medication errors, but not significantly related to fall incidents, pressure ulcers, and aggression incidents. Finally, we found that perceived workload had a negative effect on perceived team-based quality of care when team support for strengths use is low and no significant effect on perceived team-based quality of care when team support for strengths use is high. This study provides promising evidence for a novel avenue for promoting team-based quality of care in nursing homes.

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“…Studies have concluded that FP NHs performed financially better than NFP NHs in operating revenue, operating profit margin, and total profit margin Pradhan et al, 2013;Weech-Maldonado et al, 2012). Harrington et al (2016) reported that Medicare profit margins in FP NHs were three times more than that of NFP NHs. Bos et al (2016) concluded, in their systematic review study on NHs financial performance, that client and employee well-being that FP NHs had a better financial performance with higher profit margins and better efficiency than the NFP NHs.…”

Section: Profit Maximizationmentioning

confidence: 99%

“…Bos et al (2016) concluded, in their systematic review study on NHs financial performance, that client and employee well-being that FP NHs had a better financial performance with higher profit margins and better efficiency than the NFP NHs. In situations that predispose FP NHs to possibility of having reduced profits, profit maximizing decision would rather jeopardize QoC services and outcomes (Bos et al, 2016;Harrington, Olney, et al, 2012;Harrington et al, 2016;Hirth et al, 2014). Profit making NHs are strongly inclined to choose the profit maximizing levels of quantity and QoC (Aaronson et al, 1994;Park & Stearns, 2009).…”

Section: Profit Maximizationmentioning

confidence: 99%

“…According to previous studies on profit maximization and adherence to staffing standards, profit making goals for NHs affected the extent to which the facilities employed adequate staffing hours and jeopardized quality of care outcomes (Geraedts et al, 2016;Gichungeh & Kim, 2015;Harrington, Olney, et al, 2012;Harrington et al, , 2016Hirth et al, 2014). RN staffing standards/levels were shown to be the most compromised when cheaper labor (such as licensed practical nurses and certified nurse assistants) were substituted and found to be inadequate.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

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