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| Evaluated the effectiveness of measuring nursing home care quality using MDS quality indicators (QIs) (Missouri "Show-me" reports) and other quality measures (nursing home acuity levels and staffing) (MO DHSS-funded) |
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Efforts to improve the quality of care and outcomes for nursing home residents are constantly of concern to state and federal regulators, nursing home providers, nursing home advocacy groups, and health policy researchers. This study analyzed the quality indicators (QIs) identified by the Health Care Financing Administration-sponsored Case Mix and Quality Demonstration Project using the Missouri nursing home Minimum Data Set database. The range of performance was considerable, and five of the indicators analyzed were risk adjusted to account for variation in resident acuity within facilities. Determining quality of care from assessment information that is routinely collected for nursing home residents has the potential to influence public policy decisions regarding reimbursement, recertification, and regulation and can play a vital role in improving resident outcomes.
We have conducted evaluations using OSCAR data about citations, cost report information about costs of care and staffing, surveyor perceptions of quality, and use of our instrument, "Observable Indicators of Nursing Home Care Quality". These analyses can be of assistance in future predictive statistical modeling research as well as other analyses of interest to regulatory staff. Rantz, M. J., Petroski, G., Madsen, R., Mehr, D., Popejoy, L., Hicks, L., Porter, R., Zwygart-Stauffacher, M. & Grando, V. (2000). Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: An update. Joint Commission Journal on Quality Improvement, 26(2), 101-110. Rantz, M. J., Petroski, G.F., Madsen, R.W., Scott, J., Mehr, D., Popejoy, L., Hicks, L., Porter, R., Zwygart-Stauffacher, M., & Grando, V. (1997). Setting thresholds for MDS quality indicators for nursing home quality improvement reports. Joint Commission Journal on Quality Improvement, 23(11), 602-611. Rantz, M. J., Mehr, D. R., Conn, V., Hicks, L.L., Porter, R., Madsen, R.W., Petroski, G.F., Maas, M. (1996). Assessing quality of nursing home care: The foundation for improving resident outcomes. Journal of Nursing Care Quality, 10(4), 1-9. |