Nursing home case mix: Patient classification by nursing resource use

Gregory Arling, Richard H. Nordquist, Barbara A. Brant, John A. Capitman

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

A model is presented for classifying nursing home patients according to nursing resource use. The model is derived from a study of 558 Medicaid nursing home patients in 12 facilities in Virginia. Data were obtained from self-reports of nursing staff for care delivered over a 52-hour period. The measure of care time was validated through concurrent work sampling. Project staff also assessed the patients’ health and functional status using a standardized instrument. Using AID analysis patients were classified into six groups that were homogeneous in their use of nursing resources. Patients were initially categorized by presence or absence of conditions requiring specialized care (e.g., nutritional intake problems, quadriplegia, wounds or lesions, coma, and physical rehabilitation potential). For the specialized care category, two groups were formed by presence or absence of a catheter/ostomy. In the nonspecialized care category, four groups were formed by ADL impairment score and assistance required in eating/feeding. Mean resource use for the highest group was nearly four times that of the lowest group. The model accounted for 53% of the variance in nursing resource use.

Original languageEnglish (US)
Pages (from-to)9-19
Number of pages11
JournalMedical Care
Volume25
Issue number1
StatePublished - 1987
Externally publishedYes

Fingerprint

Diagnosis-Related Groups
nursing home
Nursing Homes
Nursing
nursing
resources
Group
Ostomy
nursing staff
Quadriplegia
Nursing Staff
Medicaid
Activities of Daily Living
Coma
Nursing Care
eating behavior
Self Report
Health Status
rehabilitation
Rehabilitation

Keywords

  • Nursing homes
  • Nursing utilization
  • Resource use

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Arling, G., Nordquist, R. H., Brant, B. A., & Capitman, J. A. (1987). Nursing home case mix: Patient classification by nursing resource use. Medical Care, 25(1), 9-19.

Nursing home case mix : Patient classification by nursing resource use. / Arling, Gregory; Nordquist, Richard H.; Brant, Barbara A.; Capitman, John A.

In: Medical Care, Vol. 25, No. 1, 1987, p. 9-19.

Research output: Contribution to journalArticle

Arling, G, Nordquist, RH, Brant, BA & Capitman, JA 1987, 'Nursing home case mix: Patient classification by nursing resource use', Medical Care, vol. 25, no. 1, pp. 9-19.
Arling, Gregory ; Nordquist, Richard H. ; Brant, Barbara A. ; Capitman, John A. / Nursing home case mix : Patient classification by nursing resource use. In: Medical Care. 1987 ; Vol. 25, No. 1. pp. 9-19.
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