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Green House Adoption and Nursing Home Quality.
Christopher C Afendulis1, Daryl J Caudry1, A James O'Malley2
1Department of Health Care Policy, Harvard Medical School, Boston, MA.
Health Services Research
|January 9, 2016
Summary
The Green House (GH) model improved nursing home quality of care, reducing hospital readmissions and issues like pressure ulcers for residents in GH homes. This model enhances care without sacrificing clinical quality.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Home Quality Improvement
Background:
- The Green House (GH) model is an innovative approach to nursing home care aiming to improve resident quality of life and care.
- Evaluating the impact of new care models on objective quality measures is crucial for healthcare advancement.
Purpose of the Study:
- To assess the effect of the Green House (GH) model on resident-level quality of care indicators in nursing homes.
- To determine if GH model adoption influences key quality metrics and resident outcomes.
Main Methods:
- Utilized resident-level Minimum Data Set (MDS) assessments linked with Medicare inpatient claims (2005-2010).
- Employed a difference-in-differences analysis comparing 15 GH-adopting nursing homes against 223 matched non-adopting facilities.
Main Results:
- GH model adoption was associated with reduced hospital readmissions for residents in GH homes.
- Significant improvements were observed in MDS quality measures, including decreased rates of bedfast residents, catheter use, and pressure ulcers.
- Observed effects were specific to GH homes, with no consistent improvements in legacy units, suggesting potential internal variations.
Conclusions:
- The Green House (GH) model adoption positively impacted rehospitalization rates and specific nursing home quality measures for residents within GH-designated areas.
- Findings suggest that the GH model can enhance care quality without compromising clinical outcomes, addressing concerns about potential trade-offs.
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