Table 5.
Assessment |
Provider communication and coordination |
Delivery |
Communication with residents and families |
|||||
Independent variables | Estimate | p | Estimate | p | Estimate | p | Estimate | p |
Organization of care | ||||||||
Administrative policy | 0.007 | .921 | 0.127 | .127 | 0.016 | .863 | 0.110 | .184 |
Clinical policies or practices | 0.208 | .210 | 0.013 | .945 | 0.154 | .461 | 0.175 | .359 |
Quality monitoring | 0.370 | .012 | 0.361 | .036 | 0.424 | .023 | 0.275 | .103 |
Staff education | 0.424 | .001 | 0.283 | .049 | 0.261 | .093 | 0.061 | .667 |
EOL resources | ||||||||
Hospice use intensity | 0.000 | .987 | 0.023 | .466 | 0.057 | .092 | 0.066 | .033 |
Hospice contracts | −0.110 | .231 | −0.074 | .479 | −0.028 | .808 | 0.008 | .936 |
Physicians, NPs, PAsa | −0.470 | .439 | −1.075 | .127 | −0.636 | .408 | −0.645 | .355 |
RN staffing ratio for EOL support | 0.123 | <.001 | 0.132 | <.001 | 0.105 | .003 | 0.146 | <.001 |
CNA staffing ratio for EOL support | 0.143 | <.001 | 0.096 | .007 | 0.140 | .001 | 0.076 | .030 |
Facility characteristics | ||||||||
For-profit facility | 0.012 | .846 | 0.020 | .762 | 0.059 | .435 | 0.012 | .866 |
Religiously affiliated facility | 0.054 | .429 | 0.158 | .047 | −0.024 | .780 | 0.205 | .010 |
Notes: EOL = end of life; CNA = certified nurse aide, MSA = metropolitan statistical area; NP = nurse practitioner; PA = physician assistant.
Adjusted for bed size and occupancy.