Nursing home performance on select publicly reported quality indicators and resident risk of hospitalization: grappling with policy implications

Journal of Aging & Social Policy
Mary W Carter, Frank W Porell

Abstract

This study examines how resident risk of hospitalization varies in relation to facility performance on select quality indicators (QIs). Using a 15% sample, three years of Medicaid reimbursement data from over 525 nursing homes (NHs) were linked with four years of hospital claims data and facility-level data to investigate whether residents of NHs with worse (better) than expected performance on QIs experienced increased (decreased) risk of hospitalization. Logistic regression results indicate that variations in hospitalization risk among NH residents are explained in part by facility performance on QIs. Residents from NHs with more decubitus ulcers, with greater use of physical restraints, and with a higher than expected incidence of unexplained weight loss/gain experienced increased risk of hospitalization.

Citations

Jul 19, 2014·Geriatric Nursing·Alyce S Ashcraft, Donna C Owen
Oct 24, 2012·Nursing Research and Practice·Alyce S Ashcraft, Jane Dimmitt Champion
Apr 1, 2011·Journal of the American Medical Directors Association·Yuchi YoungEdward L Hannan
Jun 1, 2010·Journal of the American Medical Directors Association·Maria TangP H Chau
Jan 11, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Marion A BeckerAiria S Papadopoulos
Oct 5, 2015·Journal of the American Medical Directors Association·Peter TanuseputroDouglas Manuel
Oct 27, 2016·Journal of the American Medical Directors Association·Hsiu-Hsin TsaiChia-Yih Liu
Apr 9, 2016·Journal of Aging and Health·Susan G HaberNancy T McCall
May 6, 2016·International Journal of Aging & Human Development·Gilbert W Gimm, Panagiota Kitsantas
Jan 11, 2008·Medical Care Research and Review : MCRR·David C GrabowskiLaura A Coots
Jan 28, 2018·BMC Health Services Research·Chiara LoriniGugliemo Bonaccorsi

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