PBJ Research Studies published in

2017 & 2016

jama network

Health Care Staff Turnover and Quality of Care at Nursing Homes

PUBLISHED: October 9, 2023 Related News Coverage Within-facility variation in staff turnover was associated with decreased quality of care. These findings suggest that efforts to monitor and reduce staff turnover may be able to improve patient...
individual unpublished

Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care

PUBLISHED: November 2023 Related News Coverage Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimbursement. The purpose of this study was to evaluate if state-mandated...
office of inspector general

Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal

The Office of the Inspector General announced a new research study in November 2023.  Scheduled to be issued in 2025, the research study will audit the PBJ reporting of staffing hours by nursing homes. Nursing homes are required to electronically...
office of inspector general

Nursing Home Capabilities and Collaboration to Ensure Resident Care During Emergencies

PUBLISHED: September 2023 Related News Coverage Although most nursing homes met Federal emergency preparedness requirements, an estimated 77 percent reported challenges with preparedness activities intended to ensure that resident care needs are...
clifton larson allen logo

Staffing Mandate Analysis In-Depth Analysis on Minimum Nurse Staffing Levels & Local Impact

Updated September 2023 | Updated December 2022 | Published July, 2022 Related News Coverage On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for...
jama network

Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic

PUBLISHED: July 27, 2023 Related News Coverage Staffing shortages have been widely reported in US nursing homes during the COVID-19 pandemic, but traditional quantitative research analyses have found mixed evidence of staffing shortfalls. In this...
jama network

Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes

PUBLISHED: July 27, 2023 Related News Coverage Did staffing hours change among nursing homes that received forgivable loans through the Paycheck Protection Program (PPP), which required recipients to appropriate 60% to 75% of the loan toward...
journal of post-acute and long-term care medicine

New Dimensions of Staffing Patterns in Nursing Homes and Nursing Home Quality: Comparing Staffing Instability to Staffing Turnover

PUBLISHED: July 27, 2023 Related News Coverage This study examines how measures of staffing—turnover and instability—are associated with one another and how they independently contribute to quality of care in nursing homes.  A total of 11,840...
abt associates

Nursing Home Staffing Study: Comprehensive Report

PUBLISHED: June 2023 Related News Coverage A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study including research activities between May and December of 2022.  The report...
journal of post-acute and long-term care medicine

Staffing Shortages, Staffing Hours, and Resident Deaths in U.S. Nursing Homes During the COVID-19 Pandemic

PUBLISHED: May 08, 2023 Related News Coverage Staffing shortages at nursing homes during the COVID-19 pandemic may have impacted care providers’ staffing hours and affected residents’ care and outcomes. This study examines the association of...
health affairs journal

Understanding Nursing Home Spending And Staff Levels In The Context Of Recent Nursing Staff Recommendations

PUBLISHED: February 2023 Related News Coverage This study examined the proportion of facility revenues spent on nursing staff, as well as nursing staff levels in hours worked and paid per resident day, in 2019. Nationally, the median proportion of...
office of inspector general

Assessment of CMS’s Early Use of Payroll-Based Journal Data To Improve Enforcement of Nursing Home Staffing Standards

Expected Issue Date 2024 Announced January 2023 October 2022, CMS began to provide State Survey Agency surveyors (State surveyors) with extracts of Payroll-Based Journal (PBJ) staffing data for use in annual nursing home certification surveys (also...
office of inspector general

More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic

PUBLISHED: January 2023 Related News Coverage This is the second report in the series and builds on the first OIG report by focusing on nursing homes themselves. It looks at the extent to which they had residents who were diagnosed with COVID-19 or...
health affairs journal

The Role Of Real Estate Investment Trusts In Staffing US Nursing Homes

PUBLISHED: January 25, 2023 Related News Coverage REIT investment was associated with average relative staffing increases of 2.15 percent and 1.55 percent for licensed practical nurses (LPNs) and certified nursing assistants (CNAs), respectively....
jama network

Association of Staffing Instability With Quality of Nursing Home Care

Published: January 10, 2023 Related News Coverage This study examined whether staffing instability, defined as the percentage of days below average staffing levels, is associated with nursing home quality when controlling for average staffing...
medicare payment advisory commission

Nursing facility staffing

Published: September 29, 2022 Related News Coverage Federal staffing requirements have been unchanged since 1987.  38 states and DC have implemented stricter minimum staffing requirements than federal requirements. The PBJ system has improved the...
macpac

State Policy Levers to Address Nursing Facility Staffing Issues

Published: March, 2022 Related MEDPAC Publications MEDPAC comments to CMS on Proposed Rule MEDPAC transcript of Public Meeting (including Nursing Facility Staffing discussion). Sept. 29, 2022 MEDPAC Analysis of PBJ Data.  Presented Sept. 29, 2022...
journal of american geriatrics society

Severe neighborhood deprivation and nursing home staffing in the United States

Published: August 8, 2022 Related News Coverage Significant staffing disparities were observed within facilities located in severely deprived neighborhoods. Targeted interventions, including workforce recruitment and retention efforts, may be...
journal of post-acute and long-term care medicine

Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities

Published: August 1, 2022 Related News Coverage This study sought to examine the association between staffing and antipsychotic prescribing in LTC facilities. These findings provide support for policy-based interventions to decrease antipsychotic...
jama network

Association of State COVID-19 Vaccine Mandates With Staff Vaccination Coverage and Staffing Shortages in US Nursing Homes

Published: July 29, 2022 Related News Coverage This cohort study of nursing homes in 38 states found that states with a vaccine mandate experienced an increase in staff vaccination coverage compared with facilities in states with no mandate and no...

All PBJ Research Studies

All
43
2017 & 2016
2
2018
3
2019
4
2020
3
2021
7
2022
9
2023
15
2024
0