Improving Nursing Home Performance – Results of the Nursing Home Survey in the State of Indian –

Document Type


Presentation Date

Spring 4-5-2014

Conference Name

Midwest Political Science Association (MPSA) Annual National Conference.

Conference Location

Chicago. Illinois.

Peer Review



This study seeks to find out the factors that contribute to nursing home performance in the State of Indiana by utilizing nursing home administrators’ self-evaluation of his/her facilities. Following the Donabedian Model, which is often adopted in quality assessment research, the survey questionnaire covers three domains: structure, process, and outcomes. The survey was distributed to 515 Indiana Nursing Homes in August, 2013 and it has been continuously followed-up. This study seeks to achieve three objectives. First, this research explores how leadership, ownership, size, patient mix, and staffing mix affects nursing performance, and how the frequency of patient and family involvement on and the term of care plan development affects nursing home performance. Second, this paper also examines how their self-rating on quality, safety, satisfaction, and staff retention is associated with NHC ratings produced by the Center for Medicare and Medicaid Services. Third, policy recommendations will be made based on the findings of this study as well as recommendations from nursing home administrators.


nursing home performance, management survey


Public Affairs, Public Policy and Public Administration

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