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Future development of nursing home quality indicators.
Greg Arling1, Robert L Kane, Teresa Lewis
1Cookingham Institute, University of Missouri at Kansas City, Kansas City, MO 64110, USA. ArlingG@UMKC.edu
The Gerontologist
|April 1, 2005
Summary
Nursing home quality indicators need improvement for accuracy and usefulness. Recommendations include developing new indicators, rigorous evaluation, and better reporting systems for enhanced quality assessment.
Area of Science:
- Gerontology
- Health Services Research
- Quality Improvement
Background:
- Nursing home quality indicators (NHQIs) are used for regulation, improvement, and reporting.
- Concerns exist regarding the accuracy and utility of current NHQIs.
- A critical evaluation of NHQIs is needed.
Purpose of the Study:
- To critically evaluate nursing home quality indicators.
- To identify strategies for improving the value of NHQIs as quality assessment tools.
Main Methods:
- Theoretical evaluation of NHQIs.
- Measurement and application assessment of NHQIs.
- Analysis of existing NHQI frameworks.
Main Results:
- Current NHQIs face challenges in accuracy and usefulness.
- Existing indicators require refinement in theory, measurement, and application.
- There is a need for more comprehensive and validated indicators.
Conclusions:
- Develop comprehensive quality indicators with Minimum Data Set 3.0.
- Thoroughly evaluate indicator validity and reliability.
- Incorporate statistical criteria for scoring and outlier detection.
- Examine indicator dimensionality and theoretical structure.
- Refine risk adjustment methods.
- Strengthen and tailor quality indicator reporting systems.