Table 3.

Effects of litigation experience over preceding period on quality of nursing home care ^*

Quality measures	% change in quality measure with doubling of indemnity paid			% change in quality measure with doubling of indemnity paid plus administrative costs			% change in quality measure moving from no paid to ≥1 paid claims †
	Change	(95% CI)	P	Change	(95% CI)	P	Change	(95% CI)	P
Pressure ulcers (high)	0.38	(−0.37 to 1.13)	0.32	0.48	(−0.18 to 1.14)	0.16	3.10	(0.12 to 6.16)	0.04
Pressure ulcers (low)	2.26	(−0.01 to 4.57)	0.05	2.19	(0.21 to 4.26)	0.03	3.30	(−5.40 to 12.80)	0.47
Use of restraints	−1.17	(−2.41 to 0.09)	0.07	−0.71	(−1.80 to 0.39)	0.21	1.81	(−3.05 to 6.91)	0.47
Late loss ADL decline	−0.27	(−0.76 to 0.23)	0.30	−0.21	(−0.65 to 0.23)	0.35	0.39	(−1.55 to 2.36)	0.70
Urinary tract infections	0.22	(−0.47 to 0.92)	0.53	0.24	(−0.36 to 0.86)	0.43	1.09	(−1.62 to 3.87)	0.43
All deficiencies	1.13	(0.32 to 1.95)	0.006	0.84	(0.12 to 1.57)	0.02	0.77	(−2.51 to 4.17)	0.65
Serious deficiencies	0.42	(−0.05 to 0.88)	0.08	0.27	(−0.15 to 0.68)	0.21	1.25	(−0.67 to 3.20)	0.20
RNs (hrs per resident day)	−0.10	(−0.26 to 0.06)	0.24	−0.09	(−0.23 to 0.06)	0.24	−0.46	(−1.11 to 0.19)	0.16
Nurse aids (hrs per resident day)	−0.04	(−0.33 to 0.25)	0.79	−0.01	(−0.27 to 0.25)	0.95	−0.43	(1.60 to 0.76)	0.48

^*All regressions adjust for baseline quality, payer mix, case mix, chain, year, state, and the number of residents at the facility.

^†Positive valued indicates higher (geometric) mean score for paid claims.