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Do report cards predict future quality? The case of skilled nursing facilities
Portia Y Cornell1, David C Grabowski2, Edward C Norton3
1Department of Health Services Policy and Practice, Brown University, Box G-S121(6), Providence, RI, 02912, United States; Providence Veterans Administration Medical Center, United States.
Journal of Health Economics
|July 8, 2019
Summary
Higher star ratings for skilled nursing facilities (SNFs) are linked to better patient health outcomes, including lower mortality. This study validates the effectiveness of SNF report card ratings in guiding consumer choices and improving care quality.
Area of Science:
- Health Services Research
- Quality Improvement
- Healthcare Economics
Background:
- Provider performance report cards aim to enhance consumer decision-making and address quality information gaps.
- Inadequate risk adjustment in report card measures can lead to biased comparisons among healthcare providers.
Purpose of the Study:
- To determine if admission to a skilled nursing facility (SNF) with a higher star rating improves patient health outcomes.
- To assess the causal effect of SNF star ratings on healthcare quality and mortality.
Main Methods:
- Utilized variation in patient ZIP code distance to SNFs with differing star ratings over time.
- Employed quasi-experimental methods to estimate the causal impact of SNF rating on patient outcomes.
Main Results:
- Patients admitted to higher-rated SNFs experienced demonstrably better health outcomes.
- Findings indicate a positive correlation between SNF star ratings and improved patient quality of care.
Conclusions:
- The study supports the validity and utility of SNF report card ratings for consumers.
- Higher SNF ratings are associated with improved patient outcomes, validating their use in quality assessment.
Keywords:
Instrumental variablesNursing home quality of carePost-acute careSkilled nursing facilityStar ratingsMore Related Videos
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