Examination of the New Short-Stay Nursing Home Quality Measures: Rehospitalizations, Emergency Department Visits, and Successful Returns to the Community

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Debra SalibaDana B Mukamel

Abstract

In 2016, the Centers for Medicare & Medicaid Services (CMS) introduced 3 new quality measures (QMs) to its report card, Nursing Home Compare (NHC). These measures-rehospitalizations, emergency department visits, and successful discharges to the community-focus on short-stay residents. We offer a first analysis of nursing homes' performance in terms of these new measures. We examined their properties and distribution across nursing homes using descriptive statistics and regression models. We found that, similar to other QMs, performance varies across the country, and that there is very minimal correlation between these 3 new QMs as well as between these QMs and other NHC QMs. Regression models reveal that better performance on these QMs tends to be associated with fewer deficiencies, higher staffing and more skilled staffing, nonprofit ownership, and lower proportion of Medicaid residents. Other characteristics are associated with better performance for some but not all 3 QMs. We also found improvement in all 3 QMs in the second year of publication. This study contributes to the validity of these measures by demonstrating their relationship to these structural QMs. It also suggests that these QMs are important by demonstrating t...Continue Reading

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Citations

Apr 19, 2019·BMJ Quality & Safety·Robert E Burke, Rachel M Werner
Jun 17, 2020·Medical Care Research and Review : MCRR·R Tamara KonetzkaRachel M Werner
Dec 10, 2021·Journal of the American Geriatrics Society·Warona MathubaBrian Downer

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