Stephanie L. Harrison PhD , Dylan Harries PhD , Hoi Man Fu MPH , Gillian E. Caughey PhD , Tracy Comans PhD , Megan Corlis BAppSc (Nursing) , Maria C. Inacio PhD
{"title":"Long-Term Care Staffing: Associations with Facility Characteristics, Residents’ Experience, and Quality Measures","authors":"Stephanie L. Harrison PhD , Dylan Harries PhD , Hoi Man Fu MPH , Gillian E. Caughey PhD , Tracy Comans PhD , Megan Corlis BAppSc (Nursing) , Maria C. Inacio PhD","doi":"10.1016/j.jamda.2025.105686","DOIUrl":"10.1016/j.jamda.2025.105686","url":null,"abstract":"<div><h3>Objectives</h3><div>In October 2022, Australia introduced individual targets for total care and registered nurse (RN) minutes for long-term care facilities based on the assessed care needs of their residents. This study examined associations between facility characteristics and the extent to which care minute targets are met, and determined whether care minutes were associated with residents’ experience and quality measures.</div></div><div><h3>Design</h3><div>Ecological cross-sectional study using pooled publicly available data from 5 quarterly reporting periods between January-March 2023 and January-March 2024.</div></div><div><h3>Setting and Participants</h3><div>A total of 2292 long-term care facilities in Australia.</div></div><div><h3>Methods</h3><div>Generalized linear mixed models were used to examine associations between facility characteristics (ownership type, size, location) and target care minutes met (total and RN minutes). Logistic regression and ordered beta regression models were used to investigate associations between care minutes and residents’ experience and quality measures (pressure injuries, restrictive practices, unplanned weight loss, falls, medication management).</div></div><div><h3>Results</h3><div>The proportion of facilities meeting or exceeding their total care minutes target (≥100% of target) increased from 41% (n = 938) in the first reporting period to 53% (n = 1213) in the most recent period. Compared with government ownership, for-profit and not-for-profit ownership were associated with lower percentages of target care minutes met (rate ratio, 0.76; 95% CI, 0.75-0.78; and rate ratio, 0.82; 95% CI, 0.80-0.83, respectively). For-profit and not-for-profit ownership, larger facility size, and rural or socioeconomically disadvantaged location were associated with lower percentages of target RN minutes met. No statistically significant associations were identified between care minutes and residents’ experience or quality measures.</div></div><div><h3>Conclusions and Implications</h3><div>Variation in meeting target care minutes was observed by different facility characteristics. However, no associations between care minutes and residents’ experience or quality measures were observed. Further research should examine care minutes in addition to other factors impacting care quality including staff training, turnover, skills mix, and models of care.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 7","pages":"Article 105686"},"PeriodicalIF":4.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mapping the Digital Divide- Broadband Access for Congregate Care Communities","authors":"","doi":"10.1016/j.jamda.2025.105672","DOIUrl":"10.1016/j.jamda.2025.105672","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105672"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Male Gynecomastia in a Geriatric Patient","authors":"","doi":"10.1016/j.jamda.2025.105644","DOIUrl":"10.1016/j.jamda.2025.105644","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105644"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post Acute Care Transitions: Lessons from a Patient with Sepsis","authors":"","doi":"10.1016/j.jamda.2025.105650","DOIUrl":"10.1016/j.jamda.2025.105650","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105650"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multidisciplinary Intervention to Reduce Antipsychotic Prescriptions at Skilled Nursing Facility","authors":"","doi":"10.1016/j.jamda.2025.105662","DOIUrl":"10.1016/j.jamda.2025.105662","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105662"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing Dementia Care: Palliative Care Performance Improvement to Enhance Quality-of-Life","authors":"","doi":"10.1016/j.jamda.2025.105656","DOIUrl":"10.1016/j.jamda.2025.105656","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105656"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obesity and Malnutrition: A Recipe for Disaster","authors":"","doi":"10.1016/j.jamda.2025.105675","DOIUrl":"10.1016/j.jamda.2025.105675","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105675"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Increasing Palliative Care Consult Rates Acute at Post Acute Rehab Facility by Implementing Palliative Care Consult Screening Tools","authors":"","doi":"10.1016/j.jamda.2025.105661","DOIUrl":"10.1016/j.jamda.2025.105661","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105661"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard G. Stefanacci DO, MGH, MBA, AGSF, CMD , Cheryl Phillips MD, AGSF
{"title":"Shifting Paradigms in Fall Management for Long-Term Care: From Prevention to Injury Mitigation","authors":"Richard G. Stefanacci DO, MGH, MBA, AGSF, CMD , Cheryl Phillips MD, AGSF","doi":"10.1016/j.jamda.2025.105582","DOIUrl":"10.1016/j.jamda.2025.105582","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105582"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PALTmed Events and Product","authors":"","doi":"10.1016/S1525-8610(25)00252-X","DOIUrl":"10.1016/S1525-8610(25)00252-X","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"26 6","pages":"Article 105735"},"PeriodicalIF":4.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}