| HOME | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
| ||||||||||||||||||||||||||||||||
Correspondence: Address correspondence to Jacqueline Zinn, PhD, Professor, Department of Risk, Insurance and Healthcare Management, Fox School of Business and Management, Temple University, 413 Ritter Annex, Philadelphia PA 19122. E-mail: Jacqueline.Zinn{at}temple.edu
Purpose: This study examines the relationship between the first set of quality measures (QMs) published by the Centers for Medicare and Medicaid Services on the Nursing Home Compare Web site and five nursing home structural characteristics: ownership, chain affiliation, size, occupancy, and hospital-based versus freestanding status. Design and Methods: Using robust linear regressions, we examined the values of the QMs at first publication and their change over the first five reporting periods, in relation to facility characteristics. Results: There were significant baseline differences associated with these facility characteristics. Pain, physical restraints, and delirium exhibit a clear downward trend, with differences between the first QM reporting period and the fifth ranging from 12.7% to 46.0%. However, there were only minimal differences in trends associated with facility characteristics. This suggests that the relative position of facilities on these measures did not change much within this time period. The variation by facility type was larger for the short-stay QMs than for the long-stay measures. Implications: Those QMs that show an improvement exhibit it across all types of facilities, irrespective of initial quality levels. Although a number of alternatives may explain this positive trend, the trend itself suggests that report cards, to the extent that they are effective, are so for all facility types but only some QMs.
Key Words: Nursing Home Compare • Medicare • Consumer information • Quality measures
This article has been cited by other articles:
 |
|
 |
|
  A. S. Groenewoud, MSc, N. J. A. van Exel, MSc, M. Berg, PhD, and R. Huijsman, PhD Building Quality Report Cards for Geriatric Care in The Netherlands: Using Concept Mapping to Identify the Appropriate "Building Blocks" From the Consumer's Perspective Gerontologist, February 1, 2008; 48(1): 79 - 92. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. B. Mukamel, W. D. Spector, J. S. Zinn, L. Huang, D. L. Weimer, and A. Dozier Nursing Homes' Response to the Nursing Home Compare Report Card J. Gerontol. B. Psychol. Sci. Soc. Sci., July 1, 2007; 62(4): S218 - S225. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Hughes and K. L. Lapane Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes Int. J. Qual. Health Care, August 1, 2006; 18(4): 281 - 286. [Abstract] [Full Text] [PDF]
|
|
| HOME | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
