Lenard Melanie L, Shimshak Daniel G
Crystal Decision Systems Inc.
Health Serv Manage Res. 2009 May;22(2):51-61. doi: 10.1258/hsmr.2008.008006.
This paper reports the results of a state-level comparison of the performance of nursing homes. The results were obtained by applying data envelopment analysis (DEA) to data (obtained from OSCAR, the online survey, certification and reporting database [2004]) for all the skilled nursing facilities in each of the 50 states and the District of Columbia. DEA produces an efficiency score for each state that can serve as a single comprehensive measure of its overall performance. However, two DEA models were used in the analysis reported here so that each state could be given two efficiency scores, one for each of the two aspects of their performance - quality efficiency and operating efficiency. Eleven states were identified as being 100% efficient for both quality and operating efficiency of their nursing homes. For the remaining states (i.e. those having lower scores for either quality efficiency or operating efficiency or both), DEA results include, in addition to the efficiency score, performance goals and a benchmark set of other states that could be used as models of 'best practice'.
本文报告了一项针对养老院绩效的州级比较结果。这些结果是通过将数据包络分析（DEA）应用于50个州和哥伦比亚特区每个州所有专业护理机构的数据（从OSCAR获取，即在线调查、认证和报告数据库[2004]）而得出的。DEA为每个州生成一个效率得分，该得分可作为对其整体绩效的单一综合衡量指标。然而，本文所报告的分析中使用了两种DEA模型，以便每个州能够获得两个效率得分，分别针对其绩效的两个方面——质量效率和运营效率。有11个州被认定在养老院的质量和运营效率方面均达到100%的效率。对于其余的州（即那些在质量效率或运营效率或两者方面得分较低的州），DEA结果除了效率得分外，还包括绩效目标以及一组可作为“最佳实践”典范的其他州的基准数据。
