Table 2:
Nursing Home Characteristics by Antibiotic Stewardship Program Policy Comprehensiveness
| Total | Not Comprehensive |
Moderately Comprehensive |
Comprehensive | ||
|---|---|---|---|---|---|
| Facility Characteristics, % (SE) | P | ||||
| Participation in QIN-QIO activities | 36.9 (1.8) | 25.9 (3.3) | 34.8 (2.7) | 48.1 (3.2) | <.01 |
| Region | |||||
| Northeast | 17.5 (1.3) | 13.6 (2.3) | 17.5 (2.0) | 20.4 (2.4) | 0.12 |
| Midwest | 35.4 (1.8) | 32.2 (3.5) | 39.9 (2.9) | 32.2 (3.0) | 0.11 |
| South | 33.9 (1.9) | 43.8 (3.8) | 30.4 (2.8) | 30.7 (3.1) | <.01 |
| West | 13.3 (1.3) | 10.4 (2.1) | 12.2 (1.9) | 16.8 (2.5) | 0.12 |
| Located in a metropolitan county | 71.2 (1.7) | 62.3 (3.6) | 75.1 (2.5) | 73.3 (2.8) | <.01 |
| For profit | 69.5 (1.6) | 73.6 (3.0) | 64.4 (2.7) | 72.7 (2.7) | 0.03 |
| Member of chain | 56.1 (1.9) | 56.6 (3.8) | 58.2 (2.9) | 53.2 (3.2) | 0.51 |
| Bed count >100 | 51.2 (1.9) | 49.5 (3.8) | 49.0 (2.9) | 55.2 (3.2) | 0.32 |
| Occupancy Rate >75% | 68.3 (1.8) | 56.5 (3.8) | 71.8 (2.6) | 73.1 (2.9) | <.01 |
| Percent Medicaid, mean (SE) | 58.5 (0.9) | 62.5 (1.7) | 55.2 (1.4) | 59.5 (1.3) | 0.23 |
| Percent Medicare, mean (SE) | 13.6 (0.5) | 13.4 (1.1) | 14.3 (0.8) | 12.8 (0.6) | 0.53 |
| Staffing Characteristics, % (SE) | |||||
| Director of nursing turnover (≥ 3 in past 3 years) | 29.4 (1.7) | 35.4 (3.6) | 29.4 (2.7) | 24.8 (2.8) | 0.07 |
| Administrator turnover (≥ 3 in past 3 years) | 20.2 (1.5) | 25.0 (3.3) | 20.0 (2.4) | 16.6 (2.3) | 0.10 |
| IP turnover (≥ 3 in past 3 years) | 24.6 (1.6) | 32.3 (3.5) | 23.5 (2.8) | 20.2 (2.6) | 0.02 |
| IP certified in infection control | 7.6 (1.0) | 2.8 (1.4) | 7.8 (1.5) | 10.9 (2.0) | 0.01 |
| IP state or professional organization training | 35.8 (1.8) | 27.8 (3.4) | 37.0 (2.8) | 40.6 (3.1) | 0.02 |
| Other infection control training | 10.5 (1.2) | 7.4 (2.0) | 10.0 (1.8) | 13.6 (3.2) | <.01 |
| No specific infection control training | 46.1 (1.9) | 62.0 (3.7) | 45.2 (2.9) | 34.9 (3.2) | <.01 |
| Pharmacist on-site | 43.3 (1.9) | 35.0 (3.6) | 45.2 (2.9) | 47.3 (3.2) | 0.03 |
| APRN/PA on-site | 67.4 (1.8) | 58.6 (3.7) | 70.1 (2.7) | 70.8 (3.0) | 0.02 |
Note: Weighted frequencies and percentages. “Not comprehensive” was 0–3 policies; “moderately comprehensive” was 4–5 policies; “comprehensive” was 6+ policies.
QIN-QIO, Quality Innovation Network-Quality Improvement Organizations; ASP, antibiotic stewardship program; IP, infection preventionist; APRN, advanced practice registered nurse; PA, physician assistant