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Member Research & Reports

Member Research & Reports

Minnesota Finds Staffing Is Key to Predicting Nursing Home Quality of Life

Minnesota may be ranked number one when it comes to long-term care in the U.S., but a new study from the School of Public Health at the University of Minnesota is helping shed light on why. University research published today in Research on Aging found that staffing is key for nursing home quality of life.


[Photo: Dr. Tetyana Shippee]

Quality of life (QOL) incorporates various aspects of residents’ lives, including their relationships with staff, social engagement, and food enjoyment. QOL is less frequently studied than quality of care, which is an equally important long-term care quality measurement. To understand facility predictors of QOL, this study examined a broad range of facility factors and found that facilities that invested in more activity staff and registered nurse (RN) hours had higher QOL scores over time than facilities with fewer activity staff and/or RN hours.

Minnesota is one of only two states in the country with a state-wide survey to interview nursing home residents to assess their quality of life. In 2006, Minnesota created the performance-based incentive payment program (PIPP) as an alternative to standard pay-for-performance quality improvement programs. Participation in PIPP was one of the factors examined by study authors.

QOL predictor scores consist of six components: satisfaction with environment (e.g. privacy), personal attention from staff, food enjoyment, social engagement (e.g. activity participation), negative mood, and positive mood.

“Our study shows facilities who put an emphasis on activity staff and RN hours saw an improvement in their quality of life scores,” said Dr. Tetyana Shippee, lead author and assistant professor at the University of Minnesota School of Public Health. “These investments can pay off when it comes to attracting new customers, so it’s important for facilities to recognize this and make organizational changes.”

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