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“Learning how to and executing effective staff retention strategies will be more vital than ever,” she added. Melissa Brown outlines therapist pay concerns. “There is an old saying, ‘A fish stinks at the head,’ and if administration is unsatisfied and unstable, that will always lead the entire organization down the same path,” Melissa Brown, OT, chief operating officer of Gravity Healthcare Consulting, told McKnight’s Saturday. All facilities must report the percent of RN staff, the percent of total nurse staff and the number of administrators that have left in the last year.ĬMS noted that reduced administrator turnover can provide “leadership stability” direction and may help staff “provide care more consistently or effectively to residents.” While much of the focus has been on nurse turnover in the industry, CMS also will draw attention to changes in administrative leadership. “In doing so, the facility may be able to implement an intervention to avoid an adverse event, such as a fall, acute infection, or hospitalization, which are indicators of quality.” “Facilities with lower nurse turnover may have more staff that are familiar with each resident’s condition and may therefore be more able to identify a resident’s change in condition sooner,” the memo said. “It’s probably more important than ever to make as much information available as possible.”ĬMS noted in the memo some ways lowering turnover could help residents. “The pandemic has really turned pre-existing staffing problems in the industry into a full-blown crisis,” Gandhi told McKnight’s Sunday. Gandhi noted the Affordable Care Act set statutory requirements for the publication of such data, a move the researchers backed after their groundbreaking study. “The publication of these statistics (by CMS) has been a long time coming,” said UCLA health economics assistant professor Ashvin Gandhi, who co-authored the Health Affairs paper with Harvard professor David Grabowski. Staggering mean turnover rates included 140.7% among registered nurses, 129.1% for certified nursing aides and 114.1% among licensed practical nurses.
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CMS provided data connecting turnover to Five-Star ratingsĪ national analysis published in Health Affairs early last year also found turnover to be much more prevalent than previously believed. Researchers have long associated nursing home staff turnover with lower star ratings and, increasingly, poor resident outcomes and infection control issues. The additional information “further enhances the information available to consumers, residents, and families to help support their healthcare decisions and incentivizes quality improvement among nursing homes,” the agency said.