Literature DB >> 20161166

Incorporating Quality into Data Envelopment Analysis of Nursing Home Performance: A Case Study.

Daniel G Shimshak1, Melanie L Lenard, Ronald K Klimberg.   

Abstract

When using data envelopment analysis (DEA) as a benchmarking technique for nursing homes, it is essential to include measures of the quality of care. We survey applications where quality has been incorporated into DEA models and consider the concerns that arise when the results show that quality measures have been effectively ignored. Three modeling techniques are identified that address these concerns. Each of these techniques requires some input from management as to the proper emphasis to be placed on the quality aspect of performance. We report the results of a case study in which we apply these techniques to a DEA model of nursing home performance. We examine in depth not only the resulting efficiency scores, but also the benchmark sets and the weights given to the input and output measures. We find that two of the techniques are effective in insuring that DEA results discriminate between high and low quality performance.

Entities:  

Year:  2009        PMID: 20161166      PMCID: PMC2720542          DOI: 10.1016/j.omega.2008.05.004

Source DB:  PubMed          Journal:  Omega        ISSN: 0305-0483            Impact factor:   7.084


  12 in total

1.  Management of nursing homes using data envelopment analysis.

Authors:  I K Kleinsorge; D F Karney
Journal:  Socioecon Plann Sci       Date:  1992       Impact factor: 4.923

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Journal:  J Aging Health       Date:  1991-11

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Authors:  R L Cherry
Journal:  Gerontologist       Date:  1991-06

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Authors:  D J Munroe
Journal:  Res Nurs Health       Date:  1990-08       Impact factor: 2.228

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Authors:  Y G Huang; C P McLaughlin
Journal:  Health Serv Res       Date:  1989-06       Impact factor: 3.402

6.  The influence of nurse wage differentials on nursing home staffing and resident care decisions.

Authors:  J S Zinn
Journal:  Gerontologist       Date:  1993-12

7.  The occurrence of pressure ulcers in three nursing homes.

Authors:  D Rudman; E J Slater; T J Richardson; D E Mattson
Journal:  J Gen Intern Med       Date:  1993-12       Impact factor: 5.128

8.  Nursing home case mix. Patient classification by nursing resource use.

Authors:  G Arling; R H Nordquist; B A Brant; J A Capitman
Journal:  Med Care       Date:  1987-01       Impact factor: 2.983

9.  Comparing case-mix systems for nursing home payment.

Authors:  B E Fries
Journal:  Health Care Financ Rev       Date:  1990

10.  Care for the chronically ill: nursing home incentive payment experience.

Authors:  W G Weissert; W J Scanlon; T T Wan; D E Skinner
Journal:  Health Care Financ Rev       Date:  1983
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  15 in total

1.  Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit.

Authors:  Ibrahim H Osman; Lynn N Berbary; Yusuf Sidani; Baydaa Al-Ayoubi; Ali Emrouznejad
Journal:  J Med Syst       Date:  2010-08-24       Impact factor: 4.460

2.  Efficiency and quality of care in nursing homes: an Italian case study.

Authors:  Giulia Garavaglia; Emanuele Lettieri; Tommaso Agasisti; Silvano Lopez
Journal:  Health Care Manag Sci       Date:  2010-10-05

3.  Cost efficiency of nursing homes: do five-star quality ratings matter?

Authors:  Rajendra Dulal
Journal:  Health Care Manag Sci       Date:  2016-01-29

4.  Intertemporal analysis of organizational productivity in residential aged care networks: scenario analyses for setting policy targets.

Authors:  Necmi Kemal Avkiran; Alan McCrystal
Journal:  Health Care Manag Sci       Date:  2013-11-30

5.  The effect of quality and socio-demographic variables on efficiency measures in primary health care.

Authors:  José Manuel Cordero Ferrera; Eva Crespo Cebada; Luis R Murillo Zamorano
Journal:  Eur J Health Econ       Date:  2013-04-06

6.  Voluntary medical male circumcision scale-up in Nyanza, Kenya: evaluating technical efficiency and productivity of service delivery.

Authors:  Dickens S Omondi Aduda; Collins Ouma; Rosebella Onyango; Mathews Onyango; Jane Bertrand
Journal:  PLoS One       Date:  2015-02-23       Impact factor: 3.240

7.  Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study.

Authors:  Minsung Sohn; Mankyu Choi
Journal:  Osong Public Health Res Perspect       Date:  2017-10-31

8.  A Systematic Literature Review of Efficiency Measurement in Nursing Homes.

Authors:  Alice Tran; Kim-Huong Nguyen; Len Gray; Tracy Comans
Journal:  Int J Environ Res Public Health       Date:  2019-06-20       Impact factor: 3.390

9.  Hong Kong Hospital Authority resource efficiency evaluation: Via a novel DEA-Malmquist model and Tobit regression model.

Authors:  Hainan Guo; Yang Zhao; Tie Niu; Kwok-Leung Tsui
Journal:  PLoS One       Date:  2017-09-08       Impact factor: 3.240

10.  Technical-efficiency analysis of end-of-life care in long-term care facilities within Europe: A cross-sectional study of deceased residents in 6 EU countries (PACE).

Authors:  Anne B Wichmann; Eddy M M Adang; Kris C P Vissers; Katarzyna Szczerbińska; Marika Kylänen; Sheila Payne; Giovanni Gambassi; Bregje D Onwuteaka-Philipsen; Tinne Smets; Lieve Van den Block; Luc Deliens; Myrra J F J Vernooij-Dassen; Yvonne Engels
Journal:  PLoS One       Date:  2018-09-25       Impact factor: 3.240

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