JAMDA
Volume 10, Issue 6 , Pages 423-430 , July 2009

Tenure, Certification, and Education of Nursing Home Administrators, Medical Directors, and Directors of Nursing in For-Profit and Not-for-Profit Nursing Homes: United States 2004

  • Helaine E. Resnick, PhD, MPH

      Affiliations

    • Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
    • Department of Medicine, Division of Endocrinology, Georgetown University, Washington, DC
    • Corresponding Author InformationAddress correspondence to Helaine E. Resnick, PhD, MPH, American Association of Homes and Services for the Aging, Georgetown University, 2519 Connecticut Avenue, NW, Washington, DC 20008.
    • ,
  • Barbara Manard, PhD

      Affiliations

    • Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
    • ,
  • Robyn I. Stone, DrPH

      Affiliations

    • Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
    • ,
  • Nicholas G. Castle, PhD

      Affiliations

    • Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA

References 

  1. Harrington C, Woolhandler S, Mullan J, Carrillo H, Himmelstein DU. Does investor ownership of nursing homes compromise the quality of care?. Am J Public Health. 2001;91:1452–1455
  2. Hillmer MP, Wodchis WP, Gill SS, et al. Nursing home profit status and quality of care: Is there any evidence of an association?. Med Care Res Rev. 2005;62:139–166
  3. Castle NG, Longest BB. Administrative deficiency citations and quality of care in nursing homes. Health Serv Manage Res. 2006;19:144–152
  4. Castle NG, Engberg J. Organizational characteristics associated with staff turnover in nursing homes. Gerontologist. 2006;46:62–73
  5. Brannon D, Zinn JS, Mor V, Davis J. An exploration of job, organizational and environmental factors associated with high and low nursing assistant turnover. Gerontologist. 2002;42:159–168
  6. Castle NG. Administrator turnover and quality of care in nursing homes. Gerontologist. 2001;41:757–767
  7. Anderson RA, Corazzini KN, McDaniel RR. Complexity science and the dynamics of climate and communication: Reducing nursing home turnover. Gerontologist. 2004;44:378–388
  8. National Center for Health Statistics. National Health Care Surveys. Available at: http://www.cdc.gov/nchs/about/major/nnhsd/Facilitytables.htm. Accessed April 20, 2009.
  9. National Center for Health Statistics. FTP Directory. Available at: ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Datasets/NNHS/nnhs04/. Accessed April 20, 2009.
  10. Resnick HE, Heineman J, Stone R, Shorr RI. Diabetes in nursing homes: United States, 2004. Diabetes Care. 2008;31:287–288
  11. Resnick HE, Phillips B. Documentation of sleep apnea in nursing homes: United States, 2004. J Am Med Dir Assoc. 2008;9:260–264
  12. Resnick HE, Schuur JD, Heineman J, et al. Advance directives in nursing home residents aged ≥65 years: United States 2004. Am J Hospice Pall Med. 2009;25:476–482
  13. Resnick HE, Manard BB, Stone RI, Alwan M. Use of electronic information systems in nursing homes: United States, 2004. J Am Med Inform Assoc. 2009;(16):179–186
  14. National Center for Health Statistics. National Nursing Home Survey 2004. Facility Questionnaire. Available at: http://www.cdc.gov/nchs/about/major/nnhsd/nnhsd_quest.htm. Accessed April 20, 2009.
  15. Levy C, Epstein A, Landry LA, et al. Physician practices in long term care: final report. Available at: http://aspe.hhs.gov/daltcp/reports/2006/phypracfr.htm. Accessed November 4, 2008.
  16. Centers for Disease Control and Prevention. 2004 National Nursing Home Survey. Sample Design. Available at: http://www.cdc.gov/nchs/data/nnhsd/2004NNHS_DesignCollectionEstimates_072706tags.pdf. Accessed September 12, 2008.
  17. Anderson R, Weeks H, Hobbs BK, Webb JR. Nursing home quality, chain affiliation, profit status and performance. J Real Estate Res. 2003;25:43–60
  18. Center for Health Workforce Planning. Iowa Nursing Home Administration Profile. Available at: http://www.idph.state.ia.us/hpcdp/common/pdf/workforce/report_nha_profile.pdf. Accessed October 20, 2008.
  19. The Commonwealth Fund. Study shows Wellspring Nursing Home Alliance improves quality of care, reduces staff turnover. Available at: http://www.commonwealthfund.org/newsroom/newsroom_show.htm?doc_id=223660. Accessed October 20, 2008.
  20. American Medical Directors Association. Medical director roles and responsibilities. Available at: http://www.amda.com/about/roles.cfm. Accessed November 4, 2008.
  21. The American Geriatrics Society. Frequently asked questions about geriatricians and the shortage of geriatrics healthcare providers. Available at: http://www.americangeriatrics.org/news/geria_faqs.shtml. Accessed October 20, 2008.
  22. Karuza J, Katz PR. Physician staffing patterns correlates of nursing home care: An initial inquiry and consideration of policy implications. J Am Geriatr Soc. 1994;42:787–793
  23. Castle NG, Fogel BS. Professional association membership by nursing facility administrators and quality of care. Health Care Manage Rev. 2002;27:7–17

 The authors have no conflicts of interest.

PII: S1525-8610(09)00101-7

doi: 10.1016/j.jamda.2009.03.009

JAMDA
Volume 10, Issue 6 , Pages 423-430 , July 2009

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