In this study, using a representative sample of New York State (NYS) facilities, we examined the relationships between these work environment measures and risk-adjusted outcomes for PUs and UBIs, controlling for other facility characteristics.
The reason we focused on LTC residents is because the prevalence of PUs and UBIs among them is likely to reflect the quality of care provided in the NH.
Based on literature review, we identified separate sets of individual-level risk adjustors for PUs and UBIs (Berlowitz et al.
First, we selected risk adjustors for PUs and UBIs. We then fit generalized estimating equation (GEE) models to investigate the relationship between selected work attributes and risk-adjusted outcomes.
Using the selected risk-adjustors, from step 1, GEE models with robust standard errors were fit to examine the relationships between work environment and the risk of PUs and UBIs, accounting for clustering at the facility level.
The effects of individual-level risk factors on PUs and UBIs are shown in Tables 2 and 3, respectively.
With regard to other facility characteristics, we found a statistically significant association between NHs located downstate and PUs (OR = 1.437; p = .004), but not for UBIs.
Pressure ulcers (PU) and urinary/bowel incontinence (UBI) are considered to be important quality indicators in NHs because they are closely related to quality of life, the risk of additional comorbidities and hospitalizations, and death (Berlowitz et al.
Potomac College and UBIS enter into the new agreement with a feeling of cooperation and mutually acknowledge each other as quality institutions of higher education.
UBIS' CEO, Patrick Faniel, said : 'With this new articulation agreement, UBIS students will definitively add value to their studies.