Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Facility-level outcome performance measures for nursing homes

F Porell1, F G Caro

  • 1Gerontology Institute, University of Massachusetts, Boston 02125-3393, USA. porell@umbsky.cc.umb.edu

The Gerontologist
|December 30, 1998
PubMed
Summary

Nursing home performance scores, based on health outcomes and quality indicators, showed limited consistency over time. These risk-adjusted measures have implications for quality assurance and reimbursement strategies.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Extending the effectiveness of home care for elders through low-cost assistive equipment.

Policy brief (Center for Home Care Policy and Research (U.S.))·2004
Same author

The self-pay personal assistance market: make it your business.

Caring : National Association for Home Care magazine·2001
Same author

Job characteristics and leisure physical activity.

Journal of aging and health·2001
Same author

Asking the right questions: the key to discovering what works in home care.

The Gerontologist·2001
Same author

Consumer choice in health coverage: a mixed blessing.

Journal of aging & social policy·2001
Same author

Performance-based home care for the elderly: the quality of circumstance protocol.

Home health care services quarterly·2001

Area of Science:

  • Gerontology
  • Health Services Research
  • Quality Improvement

Background:

  • Nursing home quality assessment is crucial for patient care and resource allocation.
  • Existing performance measures require refinement for accuracy and reliability.
  • Longitudinal data analysis offers insights into facility performance trends.

Purpose of the Study:

  • To develop and evaluate risk-adjusted nursing home performance scores.
  • To assess the consistency and predictability of facility performance over time.
  • To explore the relationship between performance measures and facility attributes.

Main Methods:

  • Utilized resident-level longitudinal case-mix reimbursement data from over 500 Massachusetts nursing homes (1991-1994).
  • Developed risk-adjusted scores for four health outcomes and five quality indicators.

Related Experiment Videos

  • Employed econometric models for quarterly outcome predictions and performance comparisons.

    • Main Results:

    • Performance measures were narrowly distributed across facilities.
    • Intercorrelations among the nine performance measures were low and not consistently positive.
    • Longitudinal analyses indicated modest correlations in performance scores over time, with few facilities showing consistent high or low performance.

    Conclusions:

    • Risk-adjusted performance measures show limited stability over time.
    • Facility performance is not strongly associated with structural attributes.
    • Findings suggest caution in using current outcome performance measures for quality assurance and reimbursement.