Table 5.

Factors Predicting EOL Care Processes: Multivariate Regression with MSA Random Effects (N = 278 facilities)

	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.

^aAdjusted for bed size and occupancy.