Person-centered Care Practices and Quality in Department of Veterans Affairs Nursing Homes
Is There a Relationship
Bibliographic Data
| ID | 9104213 |
|---|---|
| Authors | Jennifer L Sullivan (0000-0003-2906-2232, Boston University, corresponding author), Michael Shwartz (0000-0003-4840-1682, Boston University, corresponding author), James Burge (0000-0002-6646-7071, Boston University, corresponding author), James F Burgess, Erol A Peköz (0000-0002-7459-7562, Boston University, corresponding author), Cindy L Christiansen (Boston University), Mariana Gerena-Melia (Amherst College), Dan R Berlowitz (0000-0002-8783-5611, Boston University), Dan Berlowitz |
| Year | 2013 |
| Volume | 51 |
| Issue | 2 |
| Pages | 165-171 |
| Publication date | 2013-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3182763230 |
| PMID | 23132200 |
| OpenAlex | W2118932373 |
| Language | EN |
| Citations received | 2 |
| References cited | 13 |
OBJECTIVE: To examine variation in culture change to a person-centered care (PCC) model, and the association between culture change and a composite measure of quality in 107 Department of Veterans Affairs nursing homes. METHODS: We examined the relationship between a composite quality measure calculated from 24 quality indicators (QIs) from the Minimum Data Set (that measure unfavorable events), and PCC summary scores calculated from the 6 domains of the Artifact of Culture Change Tool, using 3 different methods of calculating the summary scores. We also use a Bayesian hierarchical model to analyze the relationship between a latent construct measuring extent of culture change and the composite quality measure. RESULTS: Using the original Artifacts scores, the highest performing facility has a 2.9 times higher score than the lowest. There is a statistically significant relationship between the composite quality measure and each of the 3 summary Artifacts scores. Depending on whether original scores, standardized scores, or optimal scores are used, a facility at the 10th percentile in terms of culture change compared with one at the 90th percentile has 8.0%, 8.9%, or 10.3% more QI events. When PCC implementation is considered as a latent construct, 18 low performance PCC facilities have, on an average, 16.3% more QI events than 13 high performance facilities. CONCLUSIONS: Our results indicate that culture change to a PCC model is associated with higher Minimum Data Set-based quality. Longitudinal data are needed to better assess whether there is a causal relationship between the extent of culture change and quality
Artifact (error) · Construct (python library) · Culture change · Data mining · Measure (data warehouse) · Minimum Data Set · Nursing homes · Operations management · Percentile · Quality (philosophy) · Quality management · Set (abstract data type) · Statistics · Veterans Affairs · Artificial Intelligence · Computer Science · Frailty in Older Adults · Geriatric Care and Nursing Homes · Mathematics · Medicine · Nursing · Primary Care and Health Outcomes
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2018 - 2018 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |