Abstract
Objectives
To assess (1) the relationship of consumers' assessment of overall nursing home quality
to their assessment of specific dimensions of quality; and (2) the implications of
this relationship for composite quality measures in Nursing Home Compare.
Design
A survey conducted in 2017 elicited respondents' assessments of the quality of overall
care and 13 specific dimensions of care.
Settings and Participants
The sample consisted of 4449 respondents who either resided in a nursing home or had
a family member who resided in a nursing home during the 6 months before the survey.
Methods
We estimated regression models to infer the relationship between consumers' assessments
of overall quality and 13 specific dimensions of quality. The regression coefficients,
indicating the implicit importance/weight assigned by respondents to each dimension
as a component of the consumers' assessment of overall quality, were used to create
a prototype composite quality measure.
Results
For long-stay residents, 8 of the 13 quality dimensions were significantly associated
with their overall ratings of quality. Five dimensions achieved significance for short-stay
residents. The magnitude of importance weights varied substantially across dimensions
of care.
Conclusions and Implications
Our findings suggest that Nursing Home Compare could be improved by augmenting the
technical information in the 5-Star composite measure with consumers' assessments
of the additional, nontechnical dimensions of quality.
Keywords
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References
- Medicare.gov. Nursing Home Compare - Find A Nursing Home.(Available at:)
- CMS.gov. Five-Star Quality Rating System - October 7, 2019. 2020.(Available at:)https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/FSQRSDate accessed: May 25, 2020
- Less is more in presenting quality information to consumers.Med Care Res Rev. 2007; 64: 169-190
- Changes in consumer demand following public reporting of summary quality ratings: An evaluation in nursing homes.Health Serv Res. 2016; 51: 1291-1309
- Does information matter? Competition, quality, and the impact of nursing home report cards.Health Serv Res. 2011; 46: 1698-1719
- Resident satisfaction surveys and clinical quality of care in nursing homes: Two sides of the same coin?.Aging Health. 2013; 9: 607-609
- Indicators of the quality of nursing home residential care.J Am Geriatr Soc. 2002; 50: 1421-1430
- Family satisfaction with nursing home care: Findings and implications from two state comparison.J Appl Gerontol. 2020; 39: 385-392
- A national-level analysis of the relationship between nursing home satisfaction and quality.Res Aging. 2019; 41: 215-240
- Associations between family ratings on experience with care and clinical quality-of-care measures for nursing home residents.Med Care Res Rev. 2016; 73: 62-84
- My eyes, your eyes--the relationship between CMS five-star rating of nursing homes and family rating of experience of care in Maryland.J Healthc Qual. 2012; 34: 5-12
- The nursing home five star rating: How does it compare to resident and family views of care?.Gerontologist. 2016; 56: 234-242
- The association between quality of care and quality of life in long-stay nursing home residents with preserved cognition.J Am Med Dir Assoc. 2014; 15: 220-225
- CAHPS Nursing Home Surveys.(Available at:)http://www.ahrq.gov/cahps/surveys-guidance/nh/index.htmlDate accessed: January 7, 2019
- The advent of Internet surveys for political research: A comparison of telephone and Internet samples.Political Analysis. 2003; 11: 1-23
- National Center for Health Statistics - Percent of long-term care services users diagnosed with Alzheimer's disease or other dementias.(Available at:)
- Medicare.gov. Hospital Compare.(Available at:)https://www.medicare.gov/hospitalcompare/search.htmlDate accessed: January 10, 2019
- Personalizing Nursing Home Compare and the discharge from hospitals to nursing homes.Health Serv Res. 2016; 51: 2076-2094
- When patients customize nursing home ratings, choices and rankings differ from the government's version.Health Aff (Millwood). 2016; 35: 714-719
- Using contingent valuation to develop consumer-based weights for health quality report cards.Health Serv Res. 2019; 54: 947-956
Article info
Publication history
Published online: November 20, 2020
Footnotes
D.B.M. and D.S. are co-first authors.
The authors declare no conflicts of interest.
This work was supported by the National Institutes on Aging (Grant # R01 AG049705).
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
ScienceDirect
Access this article on ScienceDirectRelated Podcast
August 18, 2021
August 2021 Issue: Nursing Home Quality / Resident-to-Resident Mistreatment / POLST / LTACHs
Featuring Dr. Philip Sloane, Dr. Mallory Brown; Recorded: August 20, 2021.
https://mcdn.podbean.com/mf/download/k8ppmd/aug2021final.mp3
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