Adjustment of nursing home quality indicators

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Adjustment of nursing home quality indicators

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dc.contributor.author Hirdes, John P
dc.contributor.author Poss, Jeffrey W
dc.contributor.author Kelly, Maureen
dc.contributor.author Berg, Katharine
dc.contributor.author Fries, Brant E
dc.contributor.author Morris, John N
dc.contributor.author Jones, Richard Norman
dc.date.accessioned 2011-04-24T04:06:37Z
dc.date.issued 2010
dc.identifier.citation Jones, Richard N., John P. Hirdes, Jeffrey W. Poss, Maureen Kelly, Katharine Berg, Brant E. Fries, and John N. Morris. 2010. Adjustment of nursing home quality indicators. BMC Health Services Research 10: 96. en_US
dc.identifier.issn 1472-6963 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4874833
dc.description.abstract Background: This manuscript describes a method for adjustment of nursing home quality indicators (QIs) defined using the Center for Medicaid & Medicare Services (CMS) nursing home resident assessment system, the Minimum Data Set (MDS). QIs are intended to characterize quality of care delivered in a facility. Threats to the validity of the measurement of presumed quality of care include baseline resident health and functional status, pattern of comorbidities, and facility case mix. The goal of obtaining a valid facility-level estimate of true quality of care should include adjustment for resident- and facility-level sources of variability. Methods: We present a practical and efficient method to achieve risk adjustment using restriction and indirect and direct standardization. We present information on validity by comparing QIs estimated with the new algorithm to one currently used by CMS. Results: More than half of the new QIs achieved a "Moderate" validation level. Conclusions: Given the comprehensive approach and the positive findings to date, research using the new quality indicators is warranted to provide further evidence of their validity and utility and to encourage their use in quality improvement activities. en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.relation.isversionof doi:10.1186/1472-6963-10-96 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2881673/pdf/ en_US
dash.license LAA
dc.title Adjustment of nursing home quality indicators en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal BMC Health Services Research en_US
dash.depositing.author Jones, Richard Norman
dc.date.available 2011-04-24T04:06:37Z
dash.affiliation.other HMS^Medicine- Beth Israel-Deaconess en_US

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