Development and testing of nursing home quality indicators.
In this article, the authors report on the development and testing of a set of indicators of quality of care in nursing homes, using resident-level assessment data. These quality indicators (QIs) have been developed to provide a foundation for both external and internal quality-assurance (QA) and quality-improvement activities. The authors describe the development of the QIs, discuss their nature and characteristics, address the development of a QI-based quality-monitoring system (QMS), report on a pilot test of the QIs and the system, comment on methodological and current QI validation efforts, and conclude by raising further research and development issues.
Zimmerman
D R
DR
Center for Health Systems Research and Analysis, University of Madison-Wisconsin, USA.
Karon
S L
SL
Arling
G
G
Clark
B R
BR
Collins
T
T
Ross
R
R
Sainfort
F
F
D000058:Accidental Falls / Q000706:statistics & numerical data; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D009735:Nursing Homes / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D003668:Pressure Ulcer / Q000453:epidemiology; D016730:Program Development; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D011787:Quality of Health Care / Q000592:standards*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology