Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter?
Context: High Medicaid nursing homes are under-resourced and associated with lower resident quality of care. Culture change initiatives, a movement to transition nursing homes to more home-like environments, are a potential process to improve residents’ quality of life and care. Objective: To exa...
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| Format: | Article |
| Language: | English |
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LSE Press
2025-01-01
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| Series: | Journal of Long-Term Care |
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| Online Access: | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/305 |
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| _version_ | 1832590470155337728 |
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| author | Latarsha Chisholm Akbar Ghias Rohit Pradhan Justin Lord Ganisher Davlyatov Robert Weech-Madonado |
| author_facet | Latarsha Chisholm Akbar Ghias Rohit Pradhan Justin Lord Ganisher Davlyatov Robert Weech-Madonado |
| author_sort | Latarsha Chisholm |
| collection | DOAJ |
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Context: High Medicaid nursing homes are under-resourced and associated with lower resident quality of care. Culture change initiatives, a movement to transition nursing homes to more home-like environments, are a potential process to improve residents’ quality of life and care.
Objective: To examine how the number of years of implementing culture change initiatives is associated with nursing home quality among high Medicaid nursing homes in the US.
Methods: The study used national survey data from nursing home administrators (n = 348) merged with secondary data sources for the year 2018: LTCfocus.org, Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Quality Rating Program (SNF QRP), and the Area Health Resource File. The dependent variable was the nursing home quality star rating obtained from the CMS SNF QRP. The independent variable represented the number of years of implementation of culture change initiatives. Data were modelled using an ordinal logistic regression with state-level fixed effects (n = 339).
Findings: Compared to nursing homes with no culture change/one year or less implementing culture change initiatives, those with six or more years had increased odds of having a higher star rating. Facilities with two to five years of implementing culture change initiatives did not significantly differ from nursing homes with no culture change/one year or less implementing culture change initiatives.
Limitations: The culture change measure was self-reported by nursing home administrators.
Implications: Results suggest that a more extended implementation period of culture change initiatives may be needed to see quality improvements among high Medicaid nursing homes.
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| format | Article |
| id | doaj-art-62ec2f4fa5f64328843b61cd9f4ccf7b |
| institution | Kabale University |
| issn | 2516-9122 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj-art-62ec2f4fa5f64328843b61cd9f4ccf7b2025-01-23T17:45:27ZengLSE PressJournal of Long-Term Care2516-91222025-01-0110.31389/jltc.305Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter?Latarsha Chisholm0https://orcid.org/0000-0003-3705-9412Akbar Ghias1Rohit Pradhan2Justin Lord3Ganisher Davlyatov4https://orcid.org/0000-0001-9410-9696Robert Weech-Madonado5https://orcid.org/0000-0002-5005-0909University of Central FloridaUniversity of the Incarnate WordTexas State UniversityLouisiana State University in ShreveportThe University of Oklahoma Health Sciences CenterUniversity of Alabama at Birmingham Context: High Medicaid nursing homes are under-resourced and associated with lower resident quality of care. Culture change initiatives, a movement to transition nursing homes to more home-like environments, are a potential process to improve residents’ quality of life and care. Objective: To examine how the number of years of implementing culture change initiatives is associated with nursing home quality among high Medicaid nursing homes in the US. Methods: The study used national survey data from nursing home administrators (n = 348) merged with secondary data sources for the year 2018: LTCfocus.org, Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Quality Rating Program (SNF QRP), and the Area Health Resource File. The dependent variable was the nursing home quality star rating obtained from the CMS SNF QRP. The independent variable represented the number of years of implementation of culture change initiatives. Data were modelled using an ordinal logistic regression with state-level fixed effects (n = 339). Findings: Compared to nursing homes with no culture change/one year or less implementing culture change initiatives, those with six or more years had increased odds of having a higher star rating. Facilities with two to five years of implementing culture change initiatives did not significantly differ from nursing homes with no culture change/one year or less implementing culture change initiatives. Limitations: The culture change measure was self-reported by nursing home administrators. Implications: Results suggest that a more extended implementation period of culture change initiatives may be needed to see quality improvements among high Medicaid nursing homes. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/305long-term carenursing homesquality of careculture change |
| spellingShingle | Latarsha Chisholm Akbar Ghias Rohit Pradhan Justin Lord Ganisher Davlyatov Robert Weech-Madonado Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? Journal of Long-Term Care long-term care nursing homes quality of care culture change |
| title | Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? |
| title_full | Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? |
| title_fullStr | Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? |
| title_full_unstemmed | Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? |
| title_short | Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? |
| title_sort | culture change and quality of care among high medicaid nursing homes does earlier implementation matter |
| topic | long-term care nursing homes quality of care culture change |
| url | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/305 |
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