Ashvin Gandhi (
Huizi Yu is an undergraduate student at the University of California Los Angeles.
Health Aff (Millwood). 2021 Mar;40(3):384-391. doi: 10.1377/hlthaff.2020.00957.
Nursing staff turnover has long been considered an important indicator of nursing home quality. However, turnover has never been reported on the Nursing Home Compare website, likely because of the lack of adequate data. On July 1, 2016, the Centers for Medicare and Medicaid Services began collecting auditable payroll-based daily staffing data for US nursing homes. We used 492 million nurse shifts from these data to calculate a novel turnover metric representing the percentage of hours of nursing staff care that turned over annually at each of 15,645 facilities. Mean and median annual turnover rates for total nursing staff were roughly 128 percent and 94 percent, respectively. Turnover rates were correlated with facility location, for-profit status, chain ownership, Medicaid patient census, and star ratings. Disseminating facilities' nursing staff turnover rates on Nursing Home Compare could provide important quality information for policy makers, payers, and consumers, and it may incentivize efforts to reduce turnover.
护理人员流动率一直被认为是养老院质量的一个重要指标。然而，养老院比较网站上从未报告过离职率，这可能是因为缺乏足够的数据。2016 年 7 月 1 日，医疗保险和医疗补助服务中心开始收集美国养老院基于可审计工资的日常人员配备数据。我们使用这些数据中的 4.92 亿个护士班次来计算一个新的离职率指标，该指标代表每个 15645 个设施每年护理人员护理时间的百分比。总的护理人员的平均和中位数年度离职率分别约为 128%和 94%。离职率与设施位置、营利性、连锁所有权、医疗补助患者人数和星级评分相关。在养老院比较网站上公布设施的护理人员离职率，可以为政策制定者、支付者和消费者提供重要的质量信息，并可能激励减少离职率的努力。
