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Doing better to do good: the impact of strategic adaptation on nursing home performance.

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  • Author(s): Zinn JS;Zinn JS; Mor V; Feng Z; Intrator O
  • Source:
    Health services research [Health Serv Res] 2007 Jun; Vol. 42 (3 Pt 1), pp. 1200-18.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • Language:
  • Additional Information
    • Source:
      Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print Cited Medium: Print ISSN: 0017-9124 (Print) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Publication: Malden, MA : Blackwell
      Original Publication: Chicago, Hospital Research and Educational Trust.
    • Subject Terms:
    • Abstract:
      Objective: To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance.
      Data Sources: Online Survey, Certification, and Reporting (OSCAR) data from 1997 to 2004, and the area resource file (ARF).
      Study Design: The extent of strategic adaptation was measured by an aggregate weighted implementation score. Nursing home performance was measured by occupancy rate and two measures of payer mix. We conducted multivariate regression analyses using a cross-sectional time series generalized estimating equation (GEE) model to examine the effect of nursing home strategic implementation on each of the three performance measures, controlling for market and organizational characteristics that could influence nursing home performance. DATA COLLECTION/ABSTRACTION METHODS: OSCAR data was merged with relevant ARF data.
      Principal Findings: The results of our analysis provide strong support for the hypothesis.
      Conclusions: From a theoretical perspective, our findings confirm that organizations that adjust strategies and structures to better fit environmental demands achieve superior performance. From a managerial perspective, these results support the importance of proactive strategic leadership in the nursing home industry.
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    • Grant Information:
      AG#11624 United States AG NIA NIH HHS
    • Publication Date:
      Date Created: 20070511 Date Completed: 20070626 Latest Revision: 20191210
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