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Risk adjustment and public reporting on home health care
Christopher M Murtaugh1, Timothy Peng, Hakan Aykan
1Visiting Nurse Service of New York, Center for Home Care Policy and Research, New York 10001, USA. chris.murtaugh@vnsny.org
Abstract:
Risk adjustment is a critical tool in public reporting of quality measures. Its aim is to level the playing field so that providers serving different patients can be meaningfully compared. We used a theory and evidence-based approach to develop risk-adjustment models for the 10 publicly reported home health quality measures and compared their performance with current models developed using a data-driven stepwise approach. Overall, the quality ratings for most agencies were similar regardless of approach. Theory and evidence-based models have the potential to simplify risk adjustment, and thereby improve provider and consumer understanding and confidence in public reporting.
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