JAMDA
Volume 11, Issue 7 , Pages 500-505 , September 2010

Beyond CMS Quality Measure Adjustments: Identifying Key Resident and Nursing Home Facility Factors Associated With Quality Measures

  • Susan D. Horn, PhD

      Affiliations

    • Institute for Clinical Outcomes Research, Salt Lake City, UT
    • Corresponding Author InformationAddress correspondence to Susan D. Horn, PhD, 699 E. South Temple, Suite 300, Salt Lake City, Utah 84102.
    • ,
  • Siobhan S. Sharkey, MBA

      Affiliations

    • Health Management Strategies, Austin, TX
    • ,
  • Sandra Hudak, RN, MS

      Affiliations

    • Health Management Strategies, Austin, TX
    • ,
  • Randall J. Smout, MS

      Affiliations

    • Institute for Clinical Outcomes Research, Salt Lake City, UT
    • ,
  • Charlene C. Quinn, RN, PhD

      Affiliations

    • Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Barbara Yody, MPA

      Affiliations

    • Genesis HealthCare Corporation, Kennett Square, PA
    • ,
  • Irene Fleshner, RN, MHSA

      Affiliations

    • Genesis HealthCare Corporation, Kennett Square, PA

References 

  1. Centers for Medicare and Medicaid Services. Data Compendium. 2007 Edition. Available at: http://www.cms.hhs.gov/DataCompendium/17_2007_Data_Compendium.asp#TopOfPage. Accessed June 30, 2008.
  2. Centers for Medicare and Medicaid Services. 2008 Action Plan for (further Improvement of) Nursing Home Quality. Available at: http://www.cms.hhs.gov/CertificationandComplianc/Downloads/2008NHActionPlan.pdf. Accessed June 30, 2008.
  3. Saliba D, Solomon D, Rubenstein L, et al. Feasibility of quality indicators for the management of geriatric syndromes in nursing home residents. J Am Med Dir Assoc. 2005;6:S50–S59
  4. Rantz MJ, Popejoy L, Mehr DR, et al. Verifying nursing home care quality using minimum data set quality indicators and other quality measures. J Nurs Care Qual. 1997;12:54–62
  5. Arling G, Kane RL, Lewis T, et al. Future development of nursing home quality indicators. Gerontologist. 2005;45:147–156
  6. Schnelle JF, Bates-Jensen BM, Levy-Storms L, et al. The Minimum Data Set prevalence of restraint quality indicators: Does it reflect differences in Care?. Gerontologist. 2004;44:245–255
  7. Simmons SF, Cadogan MP, Cabrera GR, et al. The Minimum Data Set depression quality indicator: Does it reflect differences in care processes?. Gerontologist. 2004;44:554–564
  8. Grando VT, Rantz MJ, Maas M. Nursing home staff's views on quality improvement interventions: A follow-up study. J Gerontol Nurs. 2007;33:40–47
  9. Goodson J, Jang W, Rantz M. Nursing home care quality: Insights from a Bayesian network approach. Gerontologist. 2008;48:338–348
  10. Arling G, Lewis T, Kane RL, et al. Improving quality assessment through multilevel modeling: The case of nursing home compare. Health Serv Res. 2007;42:1177–1199
  11. Solomon DH, Wenger NS, Saliba D, et al. Appropriateness of quality indicators for older patients with advanced dementia and poor prognosis. J Am Geriatr Soc. 2003;51:902–907
  12. Mukamel DB, Glance LG, Li Y, et al. Does risk adjustment of the CMS quality measures for nursing homes matter?. Med Care. 2008;46:532–541
  13. Rantz MJ, Hicks L, Petroski GF, et al. Stability and sensitivity of nursing home quality indicators. J Gerontol A Biol Sci Med Sci. 2004;59:79–82
  14. The National Voluntary Consensus Standards for Nursing Home Care project. Available at: http://216.122.138.39/pdf/reports/nursing_homes.pdf. Accessed June 30, 2008.
  15. Zimmerman DR. Improving nursing home quality of care through outcomes data: The MDS quality indicators. Int J Geriatr Psychiatry. 2003;18:250–257
  16. Berg K, Mor V, Morris J, et al. Identification and evaluation of existing nursing homes quality indicators. Health Care Finance Rev. 2002;23:19–36
  17. Zinn J, Spector W, Hsieh L, et al. Do trends in the reporting of quality measures on the nursing home compare web site differ by nursing home characteristics?. Gerontologist. 2005;45:720–730
  18. Mor V, Berg K, Angelelli J, et al. The quality of quality measurement in US nursing homes. Gerontologist. 2003;43:37–46
  19. Grabowski DC, Angelelli JJ, Mor V. Medicaid payment and risk-adjusted nursing home quality measures. Health Aff. 2004;23:243–252
  20. Mukamel DB, Watson NM, Meng H, et al. Development of a risk-adjusted urinary incontinence outcome measure of quality for nursing homes. Med Care. 2003;41:467–478
  21. Phillips CD, Shen R, Chen M, et al. Evaluating nursing home performance indicators: An illustration exploring the impact of facilities on ADL change. Gerontologist. 2007;47:683–689
  22. Bates-Jensen BM, Simmons SF, Schnelle JF, et al. Evaluating the accuracy of minimum data set bed-mobility ratings against independent performance assessments: Systematic error and directions for improvement. Gerontologist. 2005;45:731–738
  23. RAND report on MDS 3.0. Available at: http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30FinalReport.pdf. Accessed June 30, 2009.
  24. Connor MJ, Gillings D. An empiric study of ecological inference. Am J Public Health. 1984;74:555–559
  25. Castle NG, Degenholtz H, Engberg J. State variability in indicators of quality of care in nursing facilities. J Gerontol A Biol Sci Med Sci. 2005;60A:1173–1179
  26. Castle NG, Engberg J, Men A. Nursing home staff turnover: Impact on Nursing Home Compare quality measures. Gerontologist. 2007;47:650–666
  27. Castle NG, Engberg J. Further examination of the influence of caregiver staffing levels on nursing home quality. Gerontologist. 2008;48:464–476

 Funding for this study was provided by Genesis HealthCare, Inc. We thank the staff, leadership, and Board of Directors of Genesis Healthcare for their initiative in supporting this study.

PII: S1525-8610(09)00374-0

doi: 10.1016/j.jamda.2009.10.008

JAMDA
Volume 11, Issue 7 , Pages 500-505 , September 2010

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