The influence of the New York Quality Assurance System on casemix in nursing homes.
The New York Quality Assurance System (NYQAS) was designed to assure high-quality nursing home care in New York. Among its many incentives, NYQAS may change the likelihood that elderly with heavy-care needs will be admitted to nursing homes. This article addresses that hypothesis. Data for descriptive and multivariate analyses come from the RUGs-II Patient Review Instrument and the Medicare and Medicaid Automated Certification System files for 1986-1990. The descriptive analyses focus on functional ability in new nursing home residents before and after NYQAS. The multivariate analyses adjust for pre-NYQAS, RUGs-related trends in casemix, resident demographics, and nursing home characteristics that influence casemix. The results suggest a significant but small decrease in functional status at admission during the post-NYQAS era.
Abt Associates, Inc.
R J
RJ
Ozminkowski
M A
MA
Cella
L G
LG
Branch
C E
CE
Schwartz
D003625:Data Collection; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data*; D006302:Health Services Research; D008484:Medicaid; D015999:Multivariate Analysis; D009518:New York; D009735:Nursing Homes / Q000191:economics / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data / Q000639:trends*; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012052:Reimbursement, Incentive; D014481:United States