Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

Author:

Kang Yejin1,David Samuel V.1,Bowblis John R.2,Intrator Orna34,Downer Brian1,Li Chih-Ying1ORCID,Goodwin James S.1,Xu Huiwen1ORCID

Affiliation:

1. University of Texas Medical Branch, Galveston, TX, USA

2. Miami University, Oxford, OH, USA

3. University of Rochester School of Medicine and Dentistry, Rochester, NY, USA

4. Canandaigua VA Medical Center, Canandaigua, NY, USA

Abstract

Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.

Funder

National Institutes of Health

Publisher

SAGE Publications

Subject

Health Policy

Reference47 articles.

1. COVID-19 nursing home data - Centers for Medicare & Medicaid Services Data. Accessed July 18, 2022. https://data.cms.gov/covid-19/covid-19-nursing-home-data

2. State Actions and Shortages of Personal Protective Equipment and Staff in U.S. Nursing Homes

3. Health C for D and R. Personal Protective Equipment for Infection Control. FDA. Published May 11, 2020. Accessed January 29, 2022. https://www.fda.gov/medical-devices/general-hospital-devices-and-supplies/personal-protective-equipment-infection-control

4. Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes (REVISED). CMS. Accessed March 19, 2022. https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and/guidance-infection-control-and-prevention-coronavirus-disease-2019-covid-19-nursing-homes-revised

5. Fair Allocation of Scarce Medical Resources in the Time of Covid-19

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