The nursing home industry has come under increasing pressure to contain costs and improve quality. We propose to develop a software product that will enable managers of nursing home chains or managers of individual facilities to perform comparative evaluations of the performance of nursing homes. With this product, they will be able to use public data on cost, utilization, and quality to find out how they rate compared to their peers and then set targets for improvement. The software product will be based on Data Envelopment Analysis, a mathematical technique for comparing """"""""decision-making units"""""""" using several performance measures. Although Data Envelopment Analysis has been applied to the nursing home industry as a research tool, we propose to make Data Envelopment Analysis an operational tool, accessible to people with little knowledge of the underlying technique. In Phase I, we built a prototype of this product as a spreadsheet add-on and used it to experiment with data from nursing homes in Massachusetts. Based on this experience, we developed a methodology for guiding users through the various steps of the analysis. We propose now to develop a nationwide database of state and federal data on nursing homes along with a full-fledged software product incorporating our methodology.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Small Business Innovation Research Grants (SBIR) - Phase II (R44)
Project #
2R44AG017426-02
Application #
6552104
Study Section
Special Emphasis Panel (ZRG1-SNEM-4 (10))
Program Officer
Stahl, Sidney M
Project Start
1999-09-01
Project End
2004-08-31
Budget Start
2002-09-15
Budget End
2003-08-31
Support Year
2
Fiscal Year
2002
Total Cost
$448,749
Indirect Cost
Name
Crystal Decision Systems, Inc.
Department
Type
DUNS #
602406399
City
Brookline
State
MA
Country
United States
Zip Code
02446
Shimshak, Daniel G; Lenard, Melanie L; Klimberg, Ronald K (2009) Incorporating Quality into Data Envelopment Analysis of Nursing Home Performance: A Case Study. Omega 37:672-685
Lenard, Melanie L; Shimshak, Daniel G (2009) Benchmarking nursing home performance at the state level. Health Serv Manage Res 22:51-61