- Orlando, Florida, United States
Reid Oetjen
University of Central Florida, Health Services Administration, Faculty Member
Background: Public health measures to contain the COVID-19 pandemic have led to disruptions in daily life, such as job loss and changes in activity. The present study examines the relationship between pandemic-related life events and... more
Background: Public health measures to contain the COVID-19 pandemic have led to disruptions in daily life, such as job loss and changes in activity. The present study examines the relationship between pandemic-related life events and disuse (prolonged sitting coupled with inactivity) among adults. Methods: A cross-sectional study of 4084 adults in Israel (September 2020). The primary independent variables were pandemic-related life events, such as job loss. The primary dependent variable was disuse as measured by the Rapid Assessment Disuse Index (RADI). The RADI was examined continuously and dichotomously as a low RADI score (<26: yes/no). Results: Linear regression indicated that experiencing a major life event during the pandemic was associated with lower RADI scores (−1.04; 95% confidence interval, −1.48 to −0.61). Similarly, logistic regression revealed that those experiencing a major life event had 1.18 (95% confidence interval, 1.03 to 1.34) times greater odds for low RADI...
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Hospital organizational performance has been largely defined by administrative data comprised of tangible financial records. Though important, the hospital environment of care is arguably represented by multiple inter-professional and... more
Hospital organizational performance has been largely defined by administrative data comprised of tangible financial records. Though important, the hospital environment of care is arguably represented by multiple inter-professional and intangible factors that influence patient outcomes that are not cost-driven but service-oriented. In the absence of uniform standards that address common problems across diverse health care facilities such as the association of medical equipment with adverse events, hospital administrators must view alternative methods to measure effectiveness, efficiency, and equity. One method is to examine the interprofessional impact of the Biomedical Engineering Technician (BMET) occupation in the hospital Clinical Engineering Department on the level of hospital quality in the environment of care. The proposition is premised on the knowledge that 1) the BMET duties are associated with medical equipment status, and 2) the availability of properly functioning, clean...
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When Americans voted in November 2008, many had the presidential candidates&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; positions on health care reform in mind. Health savings... more
When Americans voted in November 2008, many had the presidential candidates&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; positions on health care reform in mind. Health savings accounts, which are high deductible health plans coupled with a tax-protected savings account, are 1 type of consumer-directed health plan (CDHP) that gained strong support from the Bush administration. Despite evidence of the effectiveness of CDHPs in constraining costs in other countries, the Obama health plan contains no mention of their role in future US health reform. This article seeks to provide the reader with a better understanding of how CDHPs can help to improve the use of health resources and reduce national health care expenditures by exploring the history and previous research on several types of consumer-directed plans and by providing a comparative analysis of the use of CDHPs in other countries.
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Research Interests: Business, Health Care, Quality of Mental Health Care, Risk Management, Health Services Research, and 14 moreHealth Care Management, Medicine, Humans, Business and Management, Nursing Homes, United States, Florida, Medicare, Legal Liability, Malpractice, Public health systems and services research, Analysis of Variance, Skilled Nursing Facilities, and Quality of health care
PurposeGlobal health objectives have stimulated changes to the international vaccine market. The authors seek to suggest that modern vaccine categories will aid in the formation of standardized clinical trial processes through the... more
PurposeGlobal health objectives have stimulated changes to the international vaccine market. The authors seek to suggest that modern vaccine categories will aid in the formation of standardized clinical trial processes through the implementation of suggested policy strategies.Design/methodology/approachA systematic review of literature for the period of 2000‐2010 was conducted by searching academic databases of peer‐reviewed articles (e.g. Medline, PsychInfo, and Social Science Citation Index) for multiple keywords, namely: clinical trial, regulatory standards, vaccine development, vaccine manufacturing, and vaccine distribution. The search yielded surprisingly few items that were able to provide an adequate baseline of clinical trial processes for fundamental analysis. Consequently, additional material was obtained through an exploratory literature review. The method included hand‐searching reference lists and tables of contents and search engines (Google Scholar) for national and ...
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The authors have requested that this preprint be withdrawn due to erroneous posting.
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Healthcare is typically delivered using teams composed of patients and providers, such as nurses, technicians, and physicians. Teams are defined as formal collections of individuals assembled together for a specific purpose. Studies have... more
Healthcare is typically delivered using teams composed of patients and providers, such as nurses, technicians, and physicians. Teams are defined as formal collections of individuals assembled together for a specific purpose. Studies have shown the effectiveness of teams in general, and the specific benefits of healthcare teams. All teams, whether permanent or temporary, go through the 4 MEDS stages (mingle, elect, devise, and separate). We analyze the structure and processes of teams, and present ways that the use of teams in the healthcare setting can be effective for the overall quality of healthcare.
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OBJECTIVES This study examines the relationship between financial performance and selected safety measures of nursing homes in the State of Florida. METHODS We used descriptive analysis on a total sample of 1,197. Safety information was... more
OBJECTIVES This study examines the relationship between financial performance and selected safety measures of nursing homes in the State of Florida. METHODS We used descriptive analysis on a total sample of 1,197. Safety information was from the Online Survey, Certification and Reporting (OSCAR) data of 2003 to 2005, while the financial performance measures were from the Medicare cost reports of 2002 to 2004. Finally, we examined the most frequently cited deficiencies as well as the relationship between financial performance and quality indicators. RESULTS Nursing homes in the bottom quartile of financial performance perform poorly on most resident-safety measures of care; however, nursing homes in the top two financial categories also experienced a higher number of deficiencies. Nursing homes in the next to lowest quartile of financial performance category best perform on most of these safety measures. CONCLUSIONS The results reinforce the need to monitor nursing home quality and r...
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Medical practices have an untapped talent pool of free labor. students needing internships in health administration, health information management, and related programs. An internship, or pre-professional practice, refers to the... more
Medical practices have an untapped talent pool of free labor. students needing internships in health administration, health information management, and related programs. An internship, or pre-professional practice, refers to the experience whereby students are able to gain invaluable field experience that is beneficial to both medical practices and students. The first article of a three-part series on utilizing student interns in medical practice, this article provides an overview about this untapped resource and provides the reader with information about internships; the different types of internships available; the benefits to the practice, preceptor, and intern; and pitfalls to avoid.
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This article compares and contrasts the differing doctoral experiences of the traditional and nontraditional doctoral programs. This paper examines the doctoral experiences at a traditional doctoral program, the University of Alabama at... more
This article compares and contrasts the differing doctoral experiences of the traditional and nontraditional doctoral programs. This paper examines the doctoral experiences at a traditional doctoral program, the University of Alabama at Birmingham's (UAB) Administration of Health program, and at a nontraditional program, the University of Central Florida's (UCF) Public Affairs doctoral program. Additionally, this paper explores the characteristics of each of these types of programs, including the benefits and drawbacks based upon research, as well as from firsthand experience. The authors share their personal experiences from the perspective of academics working in the field for several years. Lastly, the authors present several avenues for future research to further explore the differences between traditional and nontraditional doctoral educational programs.
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Purpose: To determine the relationships among Donabedian’s Triad from a health support services perspective using the biomedical engineering technician (BMET), an underrepresented occupation in healthcare research, as the unit of... more
Purpose: To determine the relationships among Donabedian’s Triad from a health support services perspective using the biomedical engineering technician (BMET), an underrepresented occupation in healthcare research, as the unit of analysis. Method: The Biomedical Engineering Interdepartmental (BEI) Survey (Cronbach Alpha = .905) created under Dillman's Tailored Design Methods, gathered national data on 317 respondents. A multivariate correlation analysis method— structural equation modeling (SEM), assessed the hypothesized relationships of structural and intervening process predictors and the study variable—Level of Quality. Findings: Leading observable scales of Structural Complexity (Uniform Standards, Coordination Evidence, and Inter-Professional Training) and Process Adequacy (Regular Meetings, Formal Equipment Training, Formal Department Information) represent key methods to addressing hospital quality through Clinical Engineering. Conclusion: Understanding the role of the B...
For the past two decades, Louisiana's population health rankings as reported by the United Health Foundation have been among the lowest in the nation. In addition, the 2009 Commonwealth State Scorecards Report ranked the Louisiana... more
For the past two decades, Louisiana's population health rankings as reported by the United Health Foundation have been among the lowest in the nation. In addition, the 2009 Commonwealth State Scorecards Report ranked the Louisiana health system performance, in terms of health outcomes, among the poorest in the nation. One reason for this disparity could be attributed to shortages of physicians and other healthcare resources in the state. These shortages were exacerbated by the damage from Hurricanes Katrina and Rita in 2005 to hospitals and physicians' practices in New Orleans and throughout the state. This descriptive cross-sectional study focused on the geographical dimension of access and on one of its critical determinants: the availability of physicians. The objective behind this study was to offer a better understanding of the determinants of geographical imbalances in the distribution of physicians in the state of Louisiana. This study is part one of a three-part seri...
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Ambulatory surgery centers (ASCs) are important providers of ambulatory surgeries. However, little research exists examining the efficiency of ASCs in providing ambulatory surgical services. This study examined the technical efficiency of... more
Ambulatory surgery centers (ASCs) are important providers of ambulatory surgeries. However, little research exists examining the efficiency of ASCs in providing ambulatory surgical services. This study examined the technical efficiency of ASCs that concentrated on performing cataract surgeries, which are among the surgeries most commonly performed in the outpatient setting. This study, based on data from all active ASCs that provided the two most common cataract surgeries in California, found that a large proportion of ophthalmic ASCs were operating at low technical efficiency levels. The amount of slacks in input and output variables was estimated for each ASC, and the mean slacks were reported. The numbers of cataract surgery patients and operating rooms were found to significantly affect the efficiency of ophthalmic ASCs.
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Medical practices have an untapped talent pool of free labor. students needing internships in health administration, health information management, and related programs. An internship, or pre-professional practice, refers to the... more
Medical practices have an untapped talent pool of free labor. students needing internships in health administration, health information management, and related programs. An internship, or pre-professional practice, refers to the experience whereby students are able to gain invaluable field experience that is beneficial to both medical practices and students. The first article of a three-part series on utilizing student interns in medical practice, this article provides an overview about this untapped resource and provides the reader with information about internships; the different types of internships available; the benefits to the practice, preceptor, and intern; and pitfalls to avoid.
Research Interests:
This article compares and contrasts the differing doctoral experiences of the traditional and nontraditional doctoral programs. This paper examines the doctoral experiences at a traditional doctoral program, the University of Alabama at... more
This article compares and contrasts the differing doctoral experiences of the traditional and nontraditional doctoral programs. This paper examines the doctoral experiences at a traditional doctoral program, the University of Alabama at Birmingham's (UAB) Administration of Health program, and at a nontraditional program, the University of Central Florida's (UCF) Public Affairs doctoral program. Additionally, this paper explores the characteristics of each of these types of programs, including the benefits and drawbacks based upon research, as well as from firsthand experience. The authors share their personal experiences from the perspective of academics working in the field for several years. Lastly, the authors present several avenues for future research to further explore the differences between traditional and nontraditional doctoral educational programs.
Research Interests:
This study examines the relationship between financial performance and selected safety measures of nursing homes in the State of Florida. We used descriptive analysis on a total sample of 1,197. Safety information was from the Online... more
This study examines the relationship between financial performance and selected safety measures of nursing homes in the State of Florida. We used descriptive analysis on a total sample of 1,197. Safety information was from the Online Survey, Certification and Reporting (OSCAR) data of 2003 to 2005, while the financial performance measures were from the Medicare cost reports of 2002 to 2004. Finally, we examined the most frequently cited deficiencies as well as the relationship between financial performance and quality indicators. Nursing homes in the bottom quartile of financial performance perform poorly on most resident-safety measures of care; however, nursing homes in the top two financial categories also experienced a higher number of deficiencies. Nursing homes in the next to lowest quartile of financial performance category best perform on most of these safety measures. The results reinforce the need to monitor nursing home quality and resident safety in US nursing homes, esp...
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The economic downturn has wreaked havoc on our professional lives and has presented a whole host of challenges including managing physicians who can no longer retire due to the reduced value of their retirement savings. As a result, many... more
The economic downturn has wreaked havoc on our professional lives and has presented a whole host of challenges including managing physicians who can no longer retire due to the reduced value of their retirement savings. As a result, many medical practices are burdened with physicians who are disinterested in continuing to work in the practice, but who remain solely due to financial reasons. This article will provide practice managers with several means to encourage these "retired-on-the-job" physicians to improve their attitudes and productivity levels, or do what they have already informally done--retire. Specifically, this article reviews four options for dealing with such employees, including: (1) coaching; (2) offering flexible work options; (3) changing revenue-sharing agreement; and (4) dismissal.
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This article, the third in the series, is designed to help medical group practices understand the mentoring process, which is critical to the success of the internship. This article provides medical group practices with tips to... more
This article, the third in the series, is designed to help medical group practices understand the mentoring process, which is critical to the success of the internship. This article provides medical group practices with tips to successfully mentor student interns in order to maximize the experience for both parties. This article provides characteristics of good mentors, a framework for the learning experience, tips on how to successfully mentor student and a discussion of the benefits to the mentor and student intern.
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This article, the second in the series, is designed to help medical practices understand how the internship process works. This article helps practice managers perform a needs analysis in order to determine if a student intern is... more
This article, the second in the series, is designed to help medical practices understand how the internship process works. This article helps practice managers perform a needs analysis in order to determine if a student intern is appropriate, provides tools to help structure the internships and forms to evaluate the process, and identifies ways for the practice to avoid legal pitfalls when "employing" interns.
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Today's health care organizations face tremendous challenges and fierce competition. These pressures impact the decisions that managers must execute on any given day, not to mention the ever-present constraints of time, personnel,... more
Today's health care organizations face tremendous challenges and fierce competition. These pressures impact the decisions that managers must execute on any given day, not to mention the ever-present constraints of time, personnel, competencies, and finances. The importance of making quality and informed decisions cannot be underestimated. Traditional decision making methods are inadequate for today's larger, more complex health care organizations and the rapidly changing health care environment. As a result, today's health care managers and their teams need new approaches to making decisions for their organizations. This article examines the managerial decision making process and offers a model that can be used as a decision making template to help managers successfully navigate the choppy health care seas. The administrative decision making model will enable health care managers and other key decision makers to avoid the common pitfalls of poor decision making and guide...
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ABSTRACT Evaluating disparities in healthcare outcomes is not an easy task for policy makers. This requires access to outcome indicators at the patient level. Patient level data are not easily available because of privacy considerations... more
ABSTRACT Evaluating disparities in healthcare outcomes is not an easy task for policy makers. This requires access to outcome indicators at the patient level. Patient level data are not easily available because of privacy considerations and costs of collection. One approach to assess health disparities is to examine variations in mortality from conditions known to be amenable to medical care. Mortality amenable to healthcare (MAHC) is defined as deaths before the age of 75 from selected causes that should not occur in the presence of timely and effective medical care (Nolte ad McKee, 2004). This study describes the differences in age-adjusted standardised mortality rates (ASMRs) from all cause MAHC and ASMRs for diabetes mellitus and ischemic heart disease separately, by parish, in Louisiana; and estimates the Spearman correlation between ASMR from all cause MAHC and socio-economic factors.
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This research effort provides a brief picture of the operational, patient, and financial patterns of the multiple emergency departments of a large hospital system located in the southeastern United States. The results are presented... more
This research effort provides a brief picture of the operational, patient, and financial patterns of the multiple emergency departments of a large hospital system located in the southeastern United States. The results are presented anonymously as a descriptive case study. A multifaceted strategy is presented to assist hospital leaders as they strive to ensure the survivability of their emergency departments in this era of high uncompensated care.
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Research Interests: Nursing()
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Auditing processes--such as financial, compliance, and investigative audits-are commonplace in the health care industry. However, an audit to assess institutional ethics in health care facilities is a fairly new concept. The Facility... more
Auditing processes--such as financial, compliance, and investigative audits-are commonplace in the health care industry. However, an audit to assess institutional ethics in health care facilities is a fairly new concept. The Facility Audit and Review Method is an assessment tool that provides an evaluation scheme to review the organization&amp;amp;amp;amp;amp;amp;amp;amp;#39;s policies, procedures, and outcomes using an ethical perspective. This article discusses ethics in the context of health care, the various types of auditing mechanisms used in health care facilities, and how these two--ethics and audits--come together to form the 4-stage Facility Audit and Review Method.
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Given the current operating climate, organizations are coming under pressure to develop and implement sustainability programs and projects, yet few managers truly understand what is meant by sustainability and its implications for... more
Given the current operating climate, organizations are coming under pressure to develop and implement sustainability programs and projects, yet few managers truly understand what is meant by sustainability and its implications for managing organizations. This article examines the concept of sustainability and provides a broader definition of the term than going &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;green.&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; Using a puzzle metaphor, the authors outline and explain the different components of sustainability and provide a checklist for achieving sustainability goals. In addition, resources such as guides and tools are reviewed and offered to assist managers in gaining more insight into the challenges and complexity of sustainability.
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Background: Emotional eating, the tendency to overeat in response to negative emotions, has often been linked to weight gain. However, scant evidence exists examining prevalence and correlates of emotional eating among large samples of... more
Background: Emotional eating, the tendency to overeat in response to negative emotions, has often been linked to weight gain. However, scant evidence exists examining prevalence and correlates of emotional eating among large samples of adults in the United States (US). Hence, we examine the relationship between individual and socio-economic factors, health behaviors, and self-regulation to emotional eating patterns among US adults. Methods: Cross-sectional analysis of 5,863 Family Health Habits Survey participants. Multivariable ordered logistic regression was employed to examine the relationship between the frequency of the desire to eat when emotionally upset (never, rarely, sometimes, often, and very often) to the independent variables. Results: Analysis reveals that 20.5% of the sample tended to emotionally eat often or very often. Being female, non-Hispanic white, and of younger age were all related to a higher likelihood of emotional eating. Additionally, inability to delay gr...
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This study quantifies the value that several hospitals in a hospital system have on their local communities. Also included is an analysis of the types of value-added services and resources offered by the hospitals. The hospitals are... more
This study quantifies the value that several hospitals in a hospital system have on their local communities. Also included is an analysis of the types of value-added services and resources offered by the hospitals. The hospitals are assessed in 3 arenas: as an employer, as a major provider of healthcare services, and as a contributor to the quality of life of the region through the involvement of its employees in community services activities. The results indicate that the hospital system contributes almost dollars 1.7 billion (or 6.6%) toward the dollars 25 billion local economy.
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Purpose – Global health objectives have stimulated changes to the international vaccine market. The authors seek to suggest that modern vaccine categories will aid in the formation of standardized clinical trial processes through the... more
Purpose – Global health objectives have stimulated changes to the international vaccine market. The
authors seek to suggest that modern vaccine categories will aid in the formation of standardized
clinical trial processes through the implementation of suggested policy strategies.
Design/methodology/approach – A systematic review of literature for the period of 2000-2010
was conducted by searching academic databases of peer-reviewed articles (e.g. Medline, PsychInfo,
and Social Science Citation Index) for multiple keywords, namely: clinical trial, regulatory standards,
vaccine development, vaccine manufacturing, and vaccine distribution. The search yielded
surprisingly few items that were able to provide an adequate baseline of clinical trial processes for
fundamental analysis. Consequently, additional material was obtained through an exploratory
literature review. The method included hand-searching reference lists and tables of contents and
search engines (Google Scholar) for national and international clinical trial regulatory processes,
global health organizations, and trends in vaccine marketing.
Findings – Establishing modern vaccine designations is essential towards addressing the current
trends of vaccine development. Identification of the market drivers will aid in the goal of establishing
international protocols that can better position industry to streamline response in several areas
including research, economic development, manufacturing, and distribution.
Practical implications – Categorization of modern vaccine development can guide the international
formulation of manufacturing and distribution policy strategies to elicit a cross-cultural global
delivery system.
Originality/value – This paper contributes to academic literature threefold. It categorizes vaccines,
depicts the fundamental clinical trial phases vital to global health, and provides policy options driven
by modern vaccine production designations.
Paper type Conceptual paper
authors seek to suggest that modern vaccine categories will aid in the formation of standardized
clinical trial processes through the implementation of suggested policy strategies.
Design/methodology/approach – A systematic review of literature for the period of 2000-2010
was conducted by searching academic databases of peer-reviewed articles (e.g. Medline, PsychInfo,
and Social Science Citation Index) for multiple keywords, namely: clinical trial, regulatory standards,
vaccine development, vaccine manufacturing, and vaccine distribution. The search yielded
surprisingly few items that were able to provide an adequate baseline of clinical trial processes for
fundamental analysis. Consequently, additional material was obtained through an exploratory
literature review. The method included hand-searching reference lists and tables of contents and
search engines (Google Scholar) for national and international clinical trial regulatory processes,
global health organizations, and trends in vaccine marketing.
Findings – Establishing modern vaccine designations is essential towards addressing the current
trends of vaccine development. Identification of the market drivers will aid in the goal of establishing
international protocols that can better position industry to streamline response in several areas
including research, economic development, manufacturing, and distribution.
Practical implications – Categorization of modern vaccine development can guide the international
formulation of manufacturing and distribution policy strategies to elicit a cross-cultural global
delivery system.
Originality/value – This paper contributes to academic literature threefold. It categorizes vaccines,
depicts the fundamental clinical trial phases vital to global health, and provides policy options driven
by modern vaccine production designations.
Paper type Conceptual paper
This study explores the relationship between financial condition and selected quality measures for 1,197 nursing homes in Florida. Data sources included the Online Survey, Certification and Reporting (OSCAR) data reports and the Center... more
This study explores the relationship between financial condition and selected quality measures for 1,197 nursing homes in Florida. Data sources included the Online Survey, Certification and Reporting (OSCAR) data reports and the Center for Medicare and Medicaid Services (CMS) Medicare cost report from 2002-2005. Quality measures included surveyor-reported deficiencies and facility-reported incidents of urinary catheterisation, restraint use, and pressure sores. The study conducted multivariate regression analyses using a cross-sectional time series generalised estimating equation (GEE) model to examine the effect of nursing home financial performance on each of these quality measures. Nursing homes in the lowest financial performance category had significantly higher total deficiencies, higher rates of catheterisation and higher incidences of pressure sores when compared to top performers. Policymakers need to closely monitor the financial performance of these poorest performers to ensure that they can survive financially while ensuring a safe environment and delivery of high quality care.