title: Development and testing of nursing home quality indicators.
abstract: 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.
authors.affiliation: Center for Health Systems Research and Analysis, University of Madison-Wisconsin, USA.
authors.forename: D R
authors.initials: DR
authors.lastname: Zimmerman
authors.forename: S L
authors.initials: SL
authors.lastname: Karon
authors.forename: G
authors.initials: G
authors.lastname: Arling
authors.forename: B R
authors.initials: BR
authors.lastname: Clark
authors.forename: T
authors.initials: T
authors.lastname: Collins
authors.forename: R
authors.initials: R
authors.lastname: Ross
authors.forename: F
authors.initials: F
authors.lastname: Sainfort
mesh_terms: 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