Table . Additional Characteristics under Two Improvement Rating Scenarios Five-Star Rating Nursing Home Five-Star Rating All Facilities Improvement or Five Characteristic Improvement Stars # Mean SD # Mean SD # Mean SD Total Reported 229 7.0 4.5 32 6.4 5.6 34 2.9 1.6 Deficiencies Total Number of 229 79.0 36.3 32 77.2 34.9 34 77.3 44.1 Residents RN Hours Per 225 0.9 0.5 31 1.1 0.5 34 1.1 0.6 Resident Per Day LPN/LVN Hours Per 225 0.7 0.3 31 0.7 0.4 34 0.7 0.4 Resident Per Day CNA Hours Per 225 2.6 0.6 31 2.6 0.6 34 2.8 0.6 Resident Per Day Total Cost Per 201 $165.85 $36.50 26 $173.61 $73.14 29 $181.21 $77.54 Resident Per Day Source: Study team analysis of 2010 Nursing Home Compare database and January 2011 Nursing Home Payment Rate data. Relationship between Per Diem Payments and Quality While facilities considered under several scenarios currently receive slightly more “winners” payment on average per patient day than other nursing homes, the relationship between quality and current reimbursement levels appears weak. Figure 6 presents a scatter plot of current nursing home total payments per patient day and the overall star-ratings P4P scenario described above. The overall rating was positively correlated with total payments (Pearson r=0.202), suggesting that while better-paid nursing homes tended to achieve somewhat higher overall ratings, the relationship was somewhat weak. Figure . Scatter Plot of Total Payment Rate and Overall Rating Source: Study team analysis of 2010 Nursing Home Compare database and January 2011 Nursing Home Payment Rate data. Figure 7 and Figure 8 present scatter plots of nursing home total payment per patient day as well as the two P4P scenarios under consideration, pressures sores and help with activities. There was little correlation between reimbursement and the quality measures. The pressure sore rating was weakly correlated with total payment per patient day at r=-.03, while the ADL rating also had a weak correlation of r=.004. This suggests that while better-paid nursing homes tended to achieve lower pressure sore scores, the relationship was extremely weak. It also suggests that while better-paid nursing homes tended to have worse ADL ratings, the relationship was extremely weak here as well.
Table . Additional Characteristics under Two Improvement Rating Scenarios Nursing Home Characteristic All Facilities Five-Star Rating Improvement Five-Star Rating Improvement or Five Stars # Mean SD # Mean SD # Mean SD Total Reported Deficiencies 229 7.0 4.5 32 6.4 5.6 34 2.9 1.6 Total Number of Residents 229 79.0 36.3 32 77.2 34.9 34 77.3 44.1 RN Hours Per Resident Per Day 225 0.9 0.5 31 1.1 0.5 34 1.1 0.6 LPN/LVN Hours Per Resident Per Day 225 0.7 0.3 31 0.7 0.4 34 0.7 0.4 CNA Hours Per Resident Per Day 225 2.6 0.6 31 2.6 0.6 34 2.8 0.6 Total Cost Per Resident Per Day 201 $165.85 $36.50 26 $173.61 $73.14 29 $181.21 $77.54 Source: Study team analysis of 2010 Nursing Home Compare database and January 2011 Nursing Home Payment Rate data. Relationship between Per Diem Payments and Quality While facilities considered “winners” under several scenarios currently receive slightly more payment on average per patient day than other nursing homes, the relationship between quality and current reimbursement levels appears weak. Figure 6 presents a scatter plot of current nursing home total payments per patient day and the overall star-ratings P4P scenario described above. The overall rating was positively correlated with total payments (Pearson r=0.202), suggesting that while better-paid nursing homes tended to achieve somewhat higher overall ratings, the relationship was somewhat weak. Figure . Scatter Plot of Total Payment Rate and Overall Rating Source: Study team analysis of 2010 Nursing Home Compare database and January 2011 Nursing Home Payment Rate data. Figure 7 and Figure 8 present scatter plots of nursing home total payment per patient day as well as the two P4P scenarios under consideration, pressures sores and help with activities. There was little correlation between reimbursement and the quality measures. The pressure sore rating was weakly correlated with total payment per patient day at r=-.03, while the ADL rating also had a weak correlation of r=.004. This suggests that while better-paid nursing homes tended to achieve lower pressure sore scores, the relationship was extremely weak. It also suggests that while better-paid nursing homes tended to have worse ADL ratings, the relationship was extremely weak here as well.