The association of Nursing Home Compare quality measures with market competition and occupancy rates

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
Nicholas G CastleJohn Engberg

Abstract

Since 2002, the Centers for Medicare and Medicaid Services have reported quality measures on the Nursing Home Compare Web site. It has been assumed that nursing homes are able to make improvements on these measures. In this study researchers examined nursing homes to see whether they have improved their quality scores, after accounting for regression to the mean. Researchers also examined whether gains varied according to market competition or market occupancy rates. They identified some regression to the mean for the quality measure scores over time; nevertheless, they also determined that some nursing homes had indeed made small improvements in their quality measure scores. As would be predicted based on the market-driven mechanism underlying quality improvements using report cards, the greatest improvements occurred in the most competitive markets and in those with the Lowest average occupancy rates. As policies to promote more competition in Long-term care proceed, further reducing occupancy rates, further, albeit small, quality gains will likely be made in the future.

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Citations

Aug 6, 2009·BMJ : British Medical Journal·Vikram R ComondoreGordon H Guyatt
Jan 7, 2014·American Journal of Infection Control·Laura M WagnerNicholas G Castle
Nov 28, 2015·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·L Di GiorgioG Masiero
Oct 30, 2010·Health Services Research·Carrie Hoverman CollaNeeraj Sood
Feb 16, 2010·The Gerontologist·Nicholas G CastleJenya Antonova
Jan 11, 2020·Health & Social Care in the Community·Shiwen SunXiaoyan Yu
Dec 1, 2011·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Nicholas CastleJamie C Ferguson-Rome
Jun 17, 2020·Medical Care Research and Review : MCRR·R Tamara KonetzkaRachel M Werner
Apr 5, 2021·Archives of Physical Medicine and Rehabilitation·Brian DownerKenneth J Ottenbacher

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