Variables | Odds Ratio | 95% CI |
---|---|---|
Facility structural characteristics | ||
Total beds in facility | 1.006*** | 1.005–1.007 |
Part of a chain | 1.301*** | 1.198–1.413 |
Run for profit | 1.208*** | 1.095–1.331 |
Staffing levels | ||
Any physician extender FTEs | 1.281*** | 1.184–1.385 |
Total RN hours/day/patient | 0.975 | 0.860–1.104 |
Total LPN hours/day/patient | 1.190** | 1.041–1.360 |
Total CNA hours/day/patient | 0 757*** | 0.698–0.821 |
Facility quality indicators | ||
% physically restrained | 0.993* | 0.985–1.000 |
% receiving antipsychotics | 0.990*** | 0.986–0.994 |
Facility 30-day rehospitalization rates | 0.978*** | 0.972–0.984 |
Patient demographics | ||
Average age | 1.046*** | 1.037–1.056 |
% female | 1.005** | 1.001–1.010 |
% black | 1.000 | 0.997–1.003 |
% Hispanic | 0.990*** | 0.986–0.994 |
Patient case mix | ||
Baseline ADL score (0–28) | 1.004 | 0.984–1.023 |
% severe cognitive impairment (cognitive performance score of 5 or 6) | 0.997 | 0.992–1.001 |
% Medicaid | 0.996** | 0.993–0.999 |
% admitted from hospital | 1.010*** | 1.007–1.014 |
Geographic characteristics | ||
Reference, Northeast | ||
Region, West | 2.200*** | 1.866–2.593 |
Region, Midwest | 1 492*** | 1.318–1.690 |
Region, South | 1.009 | 0.889–1.146 |
Medicare managed care penetration | 1.102*** | 1.098–1.107 |
Herfindahl index | 0.810** | 0.670–0.979 |
Urban | 0.908* | 0.822–1.004 |
Observations | 15,353 |
ADL indicates activities of daily living; CNA, certified nursing assistant; FTE, full-time equivalent; LPN, licensed practical nurse; RN, registered nurse.
P <.1;
P <.05;
P <.01.
Details of the variables are described in the Methods section. Ordered logistic regression estimates comparing “High” vs (“Low” + “None”) and (“Low” + “High”) vs “None.”