Table 3.
Variables\year | Prepurchase |
Postpurchase |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | |
Strategy | |||||||||||||
Staffing hours ppd (California) | |||||||||||||
• RN | .33 | .31 | .31 | .33 | .39 | .30 | .22 | .22 | .28 | .35 | .45* | .59** | .68** |
• LVN | .62 | .63 | .61 | .61 | .56 | .63 | .61* | .71 | .73 | .72* | .62** | .50** | .40** |
• CNA | 2.15 | 2.21 | 2.26 | 2.33 | 2.39 | 2.38 | 2.57** | 2.29* | 2.29* | 2.23** | 2.24* | 2.28* | 2.31* |
• Total staffing (RN + LVN + NA) | 3.10* | 3.14 | 3.24 | 3.29 | 3.31 | 3.31 | 3.40 | 3.24** | 3.29* | 3.28** | 3.31** | 3.35** | 3.44* |
Staffing hours ppd (US)a | |||||||||||||
• RN | .50** | .51** | .50** | .50** | .50** | .55** | .62** | .68 | .76* | .76 | |||
• Total staffing (RN + LVN + CNA) | 3.06** | 3.11** | 3.11** | 3.12** | 3.16** | 3.29** | 3.35** | 3.40** | 3.44** | 3.44** | |||
Skill mix | .11 | .11 | .10 | .11 | .13 | .10 | .07 | .09 | .09 | .12* | .16* | .21** | .26** |
Payer mix | |||||||||||||
• Medicare | 11.70* | 10.72* | 10.11* | 12.23 | 9.53 | 10.90 | 23.05** | 12.19 | 13.13 | 12.36 | 12.19 | 11.81 | 11.57 |
• Medi-Cal (Medicaid) | 64.97 | 69.88 | 69.10 | 37.67 | 79.12 | 80.08 | 66.24 | 79.53* | 79.03* | 76.90* | 79.27* | 79.35* | 79.86** |
• Other payers | 23.90 | 20.91 | 17.47 | 17.58 | 9.58 | 6.94 | 8.28* | 8.90* | 7.84* | 7.24* | 7.82* | 8.30* | 6.92* |
Financial performance | |||||||||||||
Operating margin | 5.56 | 9.87* | 3.32 | –3.81* | –5.99* | 1.33 | 12.54** | 10.47** | 9.13* | 12.47** | 11.34** | 15.00** | 8.99* |
Total margin | −.77 | –.82 | –.91* | –.96** | –.87 | −.81 | −.62** | −.83 | −.74 | −.72 | −.64* | −.71 | −.60* |
Net income per patient day | 5.18 | 9.69 | 3.19 | –8.76* | –5.82 | 1.49 | 25.35** | 22.93** | 20.82* | 29.84** | 18.23* | 24.76* | 13.61 |
Long-term debt/asset ratio | .78* | .00 | .00 | .00 | –66.67* | –84.02* | .00* | 64.91** | 68.77** | .00 | .00 | .00 | .00 |
Resident well-being | |||||||||||||
Total deficiencies (US)a | - | - | - | 6.79** | 6.29** | 5.67** | 7.47** | 8.43 | 7.27** | 7.95 | 7.29 | 7.67 | 7.19 |
Harm deficiencies (US)a | - | - | - | .34** | .33** | .37** | .52 | .63 | .41* | .39 | .43 | .44 | .27** |
Note. Italic: Lower score than industry counterparts; all other scores are higher than those of industry counterparts. ppd = per patient day; RN = registered nurse; LVN = Licensed Vocational Nurse; CNA = Certified Nurse Assistant; NA = Nurse Assistant; OSCAR = Online Survey, Certification and Reporting; OSHPD = Office of Statewide Health Planning and Development. The scores for industry counterparts are available from the authors.
The mean US scores on staffing and deficiencies were derived from the OSCAR data set; the other scores were derived from the California OSHPD data.
P < .05. **P < .001.