Research and Studies of PBJ Data

Review studies of payroll-based journal data & how the media reported research findings

How is PBJ Data Being Studied and Analyzed?

Payroll-based journal data is publicly available to anyone at data.cms.gov.  Academic researchers, policy and patient advocates and the media began analyzing and publishing studies of PBJ data in 2018.  With the COVID pandemic, there was even more interest in how nursing homes manage staffing.

PBJ Central is cataloguing all published studies of payroll-based journal data to see how PBJ data is used and interpreted. Let us know of any PBJ research to be added. 

Understanding Research Caveats

We recommend all readers fully understand the research methodology before extrapolating the findings of these studies more broadly or comparing them to each other.  Studies may examine different sets of nursing homes, or may include / exclude certain data differently. Some analysis differences may include:

  • Studies may take different approaches on how data is included vs. excluded
  • Data may be aggregated, grouped or summarized differently
  • Methodologies used to calculate staff tenure or turnover are not all the same
  • Submission errors by nursing homes may sometimes be interpreted as accurate when it should have been excluded.  CMS provides no means for facilities to go back and correct erroneous data once the submission deadline is passed.
  • CMS audits help facilities uncover errors which only get fixed in upcoming submissions, not retroactively

PBJ Research by Year

All Years
43
2017 & 2016
2
2018
3
2019
4
2020
3
2021
7
2022
9
2023
15
2024
0