The Impacts of Nurse Staffing, Skill Mix, and Experience on Quality and Costs in Long-Term Care

This project examined whether there is a causal relationship between nursing input (ie. staffing and human capital characteristics) and patient outcomes in long-term care (LTC) facilities, and will analyze efficiency by studying the tradeoffs between nursing personnel costs and cost savings due to improved patient outcomes. Using a unique longitudinal database of the entire population of LTC facilities operated by the Veterans Administration in fiscal years 2003-2007, the team linked a variety of patient outcomes to detailed measures of the nursing input, controlling for other factors that can influence patient outcomes. Site visits were conducted and multivariate fixed-effect regressions were estimated using monthly data. This project was co-led by Ciaran Phibbs, PhD, an economist and Patricia Stone, PhD, a nurse researcher.

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Health care workforce data (R8)
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