Hospital Payment, Nurse Staffing, and the Outcomes of Patient Care - PowerPoint PPT Presentation

1 / 11
About This Presentation
Title:

Hospital Payment, Nurse Staffing, and the Outcomes of Patient Care

Description:

Hospital Payment, Nurse Staffing, and the Outcomes of Patient Care Mei Zhao, Ph.D. University of North Florida Gloria J. Bazzoli, Ph.D. Virginia Commonwealth University – PowerPoint PPT presentation

Number of Views:340
Avg rating:3.0/5.0
Slides: 12
Provided by: mzh2
Category:

less

Transcript and Presenter's Notes

Title: Hospital Payment, Nurse Staffing, and the Outcomes of Patient Care


1
Hospital Payment, Nurse Staffing, and the
Outcomes of Patient Care
  • Mei Zhao, Ph.D.
  • University of North Florida
  • Gloria J. Bazzoli, Ph.D.
  • Virginia Commonwealth University

2
Rationale for the Study
  • US hospital payment has been declining during the
    last several years
  • Hospitals have been cutting staffing due to
    financial pressures
  • Studies found that higher nurse staffing ratio is
    related to better patient outcomes, but most of
    these studies are cross-sectional
  • Few studies ever examined the relationship among
    hospital payment, staffing decisions, and patient
    outcomes

3
Research Questions
  • What is the effect of hospital payment on the
    quality of care and patient safety?
  • What is the effect of hospital nurse staffing on
    the quality of care and patient safety?

4
Method
  • Design
  • A panel study design is applied to data from
    1995-2000
  • Sampling
  • Nonfederal short term general hosps from 11
    states (AZ, CA, CO, FL, IA, MD, MA, NJ, NY,WA,
    and WI), about 1,100 per year
  • Data Sources
  • AHA, MCR, ARF, HCUP (SID) 1995-2000

5
Key Variables
  • Payment
  • Net patient revenue per adjusted patient day
  • Staffing Indicators
  • RNs per adjusted patient day
  • LPNs per adjusted patient day
  • Patient Outcomes
  • IQIs (4) AMI, CHF, Stroke, and Pneumonia
  • PSIs (4) Decubitus ulcer, infections due to
    medical care, post-op pulmonary embolism , and
    sepsis

6
Analytic Strategies
  • Panel Analysis
  • Fixed-effects Models

7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
Conclusions
  • Hospitals experiencing a decline in payment may
    compromise the care they provide to patients, but
    the impact is limited
  • Hospital quality of patient care is only weakly
    related to changes in hospital nurse staffing
  • Patient outcomes are influenced by the volume of
    care a hospital provides and its experience in
    treating severely ill patients

11
Significance to Policy and Future Research
  • Health policy efforts focused on improving
    hospital quality should consider regionalization
    of certain types of care more so than
    implementing minimum staffing levels or enhancing
    hospital reimbursement
  • Even if the relationship between patient outcomes
    and changes in staffing levels is minimal, it is
    important to investigate how staffing reductions
    may affect employee morale and productivity
  • Many other patient outcome measures were not
    included
Write a Comment
User Comments (0)
About PowerShow.com