Nursing home care quality: Insights from a Bayesian network approach

Gerontologist

Volumn 48, Issue 3, 2008, Pages 338-348

  Goodson, Justin ^b   Jang, Wooseung ^a   Rantz, Marilyn ^c  

^a University of Missouri

^b UNIVERSITY OF IOWA   (United States)

^c UNIVERSITY OF MISSOURI   (United States)

Author keywords

Bayesian networks; Nurse staffing; Nursing home quality; Occupancy rate; Quality indicators

Indexed keywords

AGED; ARTICLE; BAYES THEOREM; GERIATRIC CARE; GERIATRIC PATIENT; HEALTH CARE QUALITY; HUMAN; NURSING HOME; NURSING HOME PATIENT; NURSING STAFF; PREDICTION; STATISTICAL MODEL;

EID: 46949109502     PISSN: 00169013     EISSN: None     Source Type: Journal    
DOI: 10.1093/geront/48.3.338     Document Type: Article

References (36)

1. Aaronson, W. E., Zinn, J. S., & Rosko, M. D. (1994). Do for-profit and not-for-profit nursing facilities behave differently? The Gerontologist, 34, 775-786.
2. Atchley, S. (1991). A time-ordered, systems approach to quality assurance in longterm care. Journal of Applied Gerontology, 10, 19-34.
3. Bøttcher, S. G. (2001). Learning Bayesian networks with mixed variables. Artificial Intelligence and Statistics (pp. 149-156). San Francisco: Morgan Kaufmann.
4. Bøttcher, S. G., & Dethlefsen, C. (2004). Deal: Learning Bayesian networks with mixed variables. R package version 1.2-22 (Version 1.2-22) [Computer software].
5. Castle, N. G. (2001). Deficiency citations for physical restraint use in nursing homes. Journal of Gerontology: Social Sciences, 55B, S33-S40.
6. Chesteen, S., Helgheim, B., Randall, T., & Wardell, D. (2005). Comparing quality of care in non-profit and for-profit nursing homes: A process perspective. Journal of Operations Management, 23, 229-242.
7. Donabedian, A. (1988). The quality of care: How can it be assessed? Journal of the American Medical Association, 260, 1743-1748.
8. Geiger, D., & Heckerman, D. (1994). Learning Gaussian networks. In Uncertainty in artificial intelligence: Proceedings of the Tenth Conference. San Mateo, CA: Kaufmann.
9. General Accounting Office. (2002). Nursing homes: Federal efforts to monitor resident assessment data should complement state activities (Publication No. GAO-02-279). Washington, DC: Author.
10. Grabowski, D. C. (2001). Does an increase in the Medicaid reimbursement rate improve nursing home quality? Journal of Gerontology: Social Sciences, 56B, S84-S93.
11. Harrington, C., O'Meara, J., Kitchener, M., Simon, L. P., & Schnelle, J. F. (2003). Designing a report card for nursing facilities: What information is needed and why. The Gerontologist, 43(Spec. Issue II), 47-57.
12. Harrington, C., & Swan, J. H. (2003). Nursing home staffing, turnover, and case mix. Medical Care Research and Review, 60, 366-392.
13. Harrington, C., Woolhandler, S., Mullan, J., Carrillo, M. S., & Himmelstein, D. U. (2001). Does investor ownership of nursing homes compromise the quality of care? American Journal of Public Health, 91, 1452-1455.
14. Harrington, C., Zimmerman, D., Karon, S. L., Robinson, J., & Beutel, P. (2000). Nursing home staffing and its relationship to deficiencies. Journal of Gerontology: Social Sciences, 55B, S278-S287.
15. Hogg, R., Craig, A., & McKean, J. (2004). Introduction to mathematical statistics. Englewood Cliffs, NJ: Prentice-Hall.
16. Institute of Medicine. (1986). Improving the quality of care in nursing homes (No. Report IOM-85-10). Washington, DC: Author.
17. Institute of Medicine. (1996). Nursing staff in hospitals and nursing homes. Washington, DC: Author.
18. Institute of Medicine. (2001). Improving the quality of long-term care. Washington, DC: Author.
19. Jensen, F. V. (1996). An introduction to Bayesian networks. London: UCL Press.
20. Karon, S. L., Sainfort, F., & Zimmerman, D. R. (1999). Stability of nursing home quality indicators over time. Medical Care Research and Review, 37, 570-579.
21. Lee, S., & Abbott, P. (2003). Bayesian networks for knowledge discovery in large datasets: Basics for nurse researchers. Journal of Biomedical Informatics, 36, 389-399.
22. Marshall, A., McClean, S., Shapcott, C., Hastie, I., & Millard, P. (2001). Developing a Bayesian belief network for the management of geriatric hospital care. Health Care Management Science, 4, 25-30.
23. O'Neill, C., Harrington, C., Kitchener, M., & Saliba, D. (2003). Quality of care in nursing homes - An analysis of relationships among profit, quality, and ownership. Medical Care, 41, 1318-1330.
24. Office of the Inspector General. (2001). Nursing home resident assessment: Quality of care. Washington, DC: Department f Health and Human Services.
25. Pearl, J. (1988). Probabilistic reasoning in intelligent systems. San Mateo, CA: Kaufmann.
26. Rantz, M. J., Hicks, L., Grando, V., Petroski, G. F., Madsen, R. W., Mehr, D. R., et al. (2004). Nursing home quality, cost, staffing, and staff mix. The Gerontologist, 44, 24-38.
27. Rantz, M., Mehr, D., Petroski, G., Madsen, R., Popejoy, L., Hicks, L., et al. (2000). Initial field testing of an instrument to measure "Observable indicators of nursing home care quality." Journal of Nursing Care Quality, 14, 1-12.
28. Rantz, M., Petroski, G. F., Madsen, R. W., Mehr, D. R., Popejoy, L., Hicks, L., et al. (2000). Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: An update. The Joint Commission Journal on Quality Improvement, 26, 101-110.
29. Rantz, M., & Zwygart-Stauffacher, M. (2006). A new reliable tool for nurse administrators, nursing staff, regulators, consumers, and researchers for measuring quality of care in nursing homes. Nursing Administration Quarterly, 30, 178-181.
30. Rantz, M., Zwygart-Stauffacher, M., Mehr, D., Petroski, G., Owen, S., Madsen, R., et al. (2006). Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality. Journal of Nursing Measurement, 14, 129-148.
31. Rantz, M., Zwygart-Stauffacher, M., Popejoy, L., Grando, V., Mehr, D., Hicks, L., et al. (1999). Nursing home care quality: A multidimensional theoretical model integrating the views of consumers and providers. Journal of Nursing Care Quality, 14, 16-37.
32. Schnelle, J. F., Simmons, S. F., Harrington, C., Cadogan, M., Garcia, E., & Bates-Jensen, B. M. (2004). Relationship of nursing home staffing to quality of cate. Quality, 39, 225-250.
33. Spiegelhalter, D. J., Dawid, A. P., Lauritzen, S. L., & Cowell, R. G. (1993). Bayesian analysis in expert systems. Statistical Science, 8, 219-283.
34. Tan, P., Steinbach, N., & Kumar, V. (2005). Introduction to Data mining. Reading, MA: Addison-Wesley.
35. Unruh, L., & Wan, T. T. H. (2004). A systems framework for evaluating nursing care quality in nursing homes. Journal of Medical Systems, 28, 197-213.
36. Zinn, J. S., Aaronson, W. E., & Rosko, M. D. (1993). Variations in the outcomes of care provided in Pennsylvania nursing homes: Facility and environmental correlates. Medical Care, 31, 475-487.