Table 3.
Association Between Instrument Status and Potential Nursing Home Quality Indicators
| IV Status (predicted treatment based on the prescribing preference of the patient’s NH)
|
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|---|---|---|---|---|---|---|---|---|---|
| Antidepressants vs. Atypical APM | Antidepressants vs. Hypnotics | Atypical APM vs. Hypnotics | |||||||
| AD | Atypical APM | Diff | AD | Hypnotics | Diff | Atypical APM | Hypnotics | Diff | |
| Quality indicators | |||||||||
|
| |||||||||
| Residents bedfast | 0.05 | 0.04 | 0.01 | 0.05 | 0.05 | 0.00 | 0.04 | 0.05 | −0.01 |
| Residents chairfast | 0.59 | 0.58 | 0.01 | 0.59 | 0.59 | 0.00 | 0.59 | 0.58 | 0.01 |
| Residents with facility acquired bedsores | 0.04 | 0.04 | 0.00 | 0.04 | 0.03 | 0.01 | 0.03 | 0.03 | 0.00 |
| Residents with restraints | 0.08 | 0.07 | 0.01 | 0.08 | 0.08 | 0.00 | 0.07 | 0.08 | −0.01 |
| Residents on psychoactive medicines | 0.60 | 0.59 | 0.01 | 0.60 | 0.59 | 0.01 | 0.58 | 0.59 | −0.01 |
| Residents with contractures | 0.12 | 0.11 | 0.01 | 0.11 | 0.12 | −0.01 | 0.11 | 0.11 | 0.00 |
| Total number of deficits | 7.74 | 6.92 | 0.82 | 7.89 | 7.80 | 0.09 | 7.51 | 7.86 | −0.35 |
|
| |||||||||
| Facility level | |||||||||
|
| |||||||||
| Number of beds in facility | 161.16 | 184.04 | −22.88 | 151.55 | 153.99 | −2.44 | 187.08 | 162.18 | 24.90 |
| Hospital based | 0.03 | 0.04 | −0.01 | 0.04 | 0.05 | −0.01 | 0.03 | 0.04 | −0.01 |
| Part of multi-facility ownership structure | 0.54 | 0.45 | 0.09 | 0.58 | 0.57 | 0.01 | 0.47 | 0.55 | −0.08 |
| For profit | 0.80 | 0.73 | 0.07 | 0.81 | 0.79 | 0.03 | 0.77 | 0.80 | −0.03 |
| Government ownership | 0.05 | 0.05 | 0.00 | 0.04 | 0.04 | −0.01 | 0.05 | 0.04 | 0.01 |
| Nonprofit ownership | 0.15 | 0.21 | −0.06 | 0.15 | 0.17 | −0.02 | 0.18 | 0.16 | 0.02 |
| Occupancy rate | 0.86 | 0.87 | −0.01 | 0.85 | 0.85 | 0.00 | 0.87 | 0.86 | 0.01 |
| Residents on Medicaid | 0.72 | 0.73 | −0.01 | 0.71 | 0.70 | 0.01 | 0.73 | 0.72 | 0.01 |
| Residents on Medicare | 0.10 | 0.11 | −0.01 | 0.10 | 0.11 | −0.01 | 0.11 | 0.11 | 0.00 |
| Private pay/private insurance residents | 0.18 | 0.16 | 0.02 | 0.19 | 0.19 | 0.00 | 0.16 | 0.18 | −0.02 |
| Alzheimer’s special care unit | 0.24 | 0.22 | 0.02 | 0.20 | 0.22 | −0.02 | 0.22 | 0.22 | 0.00 |
|
| |||||||||
| Staffing | |||||||||
|
| |||||||||
| Team-based physician care | 0.33 | 0.32 | 0.01 | 0.30 | 0.28 | 0.02 | 0.32 | 0.29 | 0.03 |
| Mental health staffing | 0.62 | 0.62 | 0.00 | 0.60 | 0.61 | −0.01 | 0.62 | 0.63 | −0.01 |
| No physician available | 0.11 | 0.10 | 0.01 | 0.11 | 0.12 | −0.01 | 0.10 | 0.10 | 0.00 |
|
| |||||||||
| Residents | |||||||||
|
| |||||||||
| With dementia | 0.46 | 0.46 | 0.00 | 0.45 | 0.44 | 0.01 | 0.46 | 0.43 | 0.03 |
| With psychiatric diagnosis | 0.20 | 0.20 | 0.00 | 0.20 | 0.20 | 0.00 | 0.20 | 0.20 | 0.00 |
All quality indicators are presented as proportions, except for total number of deficits and number of beds