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Daily Variation in Nursing Home Staffing and Its Association With Quality Measures

Published: March 14, 2022
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Is daily variation in nursing home staffing associated with quality, and does it offer additional information to measures of average staffing levels? This quality improvement study of 13 339 nursing homes found that daily variation of staffing was significantly associated with the 5-Star Survey and Quality Measures rankings. There was little agreement between the variation and the average staffing measures on quality decile rankings of nursing homes, suggesting that staffing variation provides new quality improvement information.

Mukamel DB, Saliba D, Ladd H, Konetzka RT. Daily Variation in Nursing Home Staffing and Its Association With Quality Measures. JAMA Netw Open. 2022;5(3):e222051. doi:10.1001/jamanetworkopen.2022.2051