Title: Development of Staffing Quality Measures- Phase I: Continuation
Abstract: Summary The Development of Staffing Quality Measures Phase I project was funded to develop staffing quality measures that could be used for public reporting. The initial activities began at CMS in 2004 with convening a Technical Expert Panel and Stakeholder meeting. Subsequently, obtaining payroll data, file building, creation of payroll and census data specifications, feasibility testing, and analyses related to relationships between staffing measures and quality outcomes were conducted in collaboration with CMS staff. Based on the analyses of the relationship between payroll-based staffing measures and measures of quality for both short-stay and long-stay residents, we recommend the following four staffing measures for public reporting: 1. RN/DON hours per resident day; 2. CNA hours per resident day; 3. Nursing staff turnover (composite of RN, LPN, and CNA turnover); and 4. Licensed staff tenure (composite of RN/DON and LPN). These four measures encompass the dimensions of staffing that were most strongly associated with a range of quality measures. Because staffing is measured across the entire facility, even with payroll data it is not possible to specify separate staffing measures for post-acute care and chronic care residents. However, it is essential to risk adjust the two staffing level measures before public reporting in order to take into account the differences in case mix among facilities. The justification for each of these measures is provided below: 1.
Publication Year: 2008
Publication Date: 2008-01-01
Language: en
Type: article
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