Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Kira L RyskinaRachel M Werner

Abstract

Nursing homes' publicly reported star ratings increased substantially since Centers for Medicare & Medicaid Services's Nursing Home Compare adopted a 5-star rating system. Our objective was to test whether the improvements in nursing home 5-star ratings were correlated with reductions in rates of hospitalization. We hypothesized that increased attention to 5-star star ratings motivated nursing homes to make changes that improved their star ratings but did not affect their hospitalization rate, resulting in a weakened association between ratings and hospitalizations. We used 2007-2010 Medicare hospital claims and nursing home clinical assessment data to compare the correlation between nursing home 5-star ratings and hospitalization rates before versus after 5-star ratings were publicly released. The correlation between the rate of hospitalization and a nursing home's 5-star rating weakened slightly after the ratings became publicly available. This decrease in correlation was concentrated among patients receiving post-acute care, who experienced relatively more hospitalizations from best-rated nursing homes. The improvements in nursing home star ratings after the release of Medicare's 5-star rating system were not accompanied by ...Continue Reading

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Citations

Apr 19, 2019·BMJ Quality & Safety·Robert E Burke, Rachel M Werner
Apr 9, 2019·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Hari SharmaR Tamara Konetzka
Jun 17, 2020·Medical Care Research and Review : MCRR·R Tamara KonetzkaRachel M Werner
May 22, 2021·Journal of the American Geriatrics Society·Joseph G OuslanderPeter J Huckfeldt
Aug 28, 2021·International Journal of Environmental Research and Public Health·Lucia CazzolettiEmanuele Torri
Jul 6, 2021·Journal of the American Geriatrics Society·Kira L RyskinaRebecca T Brown

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Methods Mentioned

BETA
MDS

Software Mentioned

STATA
Nursing Compare

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