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Kane, Robert L.; Arling, Greg; Mueller, Christine; Held, Robert; Cooke, Valerie – Gerontologist, 2007
This article describes a pay-for-performance system developed for Minnesota nursing homes. In effect, nursing homes can retain a greater proportion of the difference between their costs and the average costs on the basis of their quality scores. The quality score is a derived and weighted composite measure currently composed of five elements:…
Descriptors: Costs, Report Cards, Quality of Life, Nursing Homes
Arling, Greg; Kane, Robert L.; Mueller, Christine; Bershadsky, Julie; Degenholtz, Howard B. – Gerontologist, 2007
Purpose: The purpose of this study was to determine the relationship between nursing home staffing level, care received by individual residents, and resident quality-related care processes and functional outcomes. Design and Methods: Nurses recorded resident care time for 5,314 residents on 156 units in 105 facilities in four states (Colorado,…
Descriptors: Nurses, Nursing Homes, Institutionalized Persons, Daily Living Skills

Kane, Robert L.; Homyak, Patricia; Bershadsky, Boris; Lum, Terry; Flood, Shannon; Zhang, Hui – Gerontologist, 2005
Purpose: Our objective in this study was to compare the quality of care provided under the Minnesota Senior Health Options (MSHO), a special program designed to serve dually eligible older persons, to care provided to controls who received fee-for-service Medicare and Medicaid managed care. Design and Methods: Two control groups were used; one was…
Descriptors: Medical Care Evaluation, Older Adults, Mortality Rate, Hospitals