Journal article
Inside the Black Box of Improving on Nursing Home Quality Measures
Medical care research and review, Vol.78(6), pp.758-770
12/2021
DOI: 10.1177/1077558720960326
PMID: 32988275
Abstract
Nursing Home Compare (NHC) reports quality measures (QMs) for nursing homes (NHs) as part of its 5-star rating system. Most of the QMs are based on facility self-reported data, prompting questions about their validity. To better understand how NHs interact with the QMs, we used qualitative methods, including semistructured interviews with NH personnel ( n = 110), NH provider association representatives ( n = 23), and observations of organizational processes in 12 NHs in three states. We found that most NHs are working to improve the quality of care they provide, not merely their QM scores. However, our interviews and observations revealed limitations with the QMs, suggesting that the QMs—on their own—may not accurately reflect the quality of care NHs provide. Our findings suggest several changes to improve NHC, including adding information related to resident and family experience, providing greater risk adjustment, and providing incentives for NHs that serve socially and medically complex residents.
Details
- Title: Subtitle
- Inside the Black Box of Improving on Nursing Home Quality Measures
- Creators
- Heather Davila - VA Boston Healthcare SystemTetyana P. Shippee - University of MinnesotaYoung Shin Park - University of MinnesotaDaniel Brauner - Western Michigan UniversityRachel M. Werner - Philadelphia VA Medical CenterR. Tamara Konetzka - University of Chicago
- Resource Type
- Journal article
- Publication Details
- Medical care research and review, Vol.78(6), pp.758-770
- DOI
- 10.1177/1077558720960326
- PMID
- 32988275
- ISSN
- 1077-5587
- eISSN
- 1552-6801
- Grant note
- DOI: 10.13039/100000133, name: Agency for Healthcare Research and Quality, award: R01HS024967
- Language
- English
- Date published
- 12/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984359773902771
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