Nursing home performance on select publicly reported quality indicators and resident risk of hospitalization: grappling with policy implications.
This study examines how resident risk of hospitalization varies in relation to facility performance on select quality indicators (QIs). Using a 15% sample, three years of Medicaid reimbursement data from over 525 nursing homes (NHs) were linked with four years of hospital claims data and facility-level data to investigate whether residents of NHs with worse (better) than expected performance on QIs experienced increased (decreased) risk of hospitalization. Logistic regression results indicate that variations in hospitalization risk among NH residents are explained in part by facility performance on QIs. Residents from NHs with more decubitus ulcers, with greater use of physical restraints, and with a higher than expected incidence of unexplained weight loss/gain experienced increased risk of hospitalization.
Carter
Mary W
MW
Center on Aging and the Department of Community Medicine, West Virginia University, School of Medicine, PO Box 9127, Morgantown, WV 26506, USA. mcarter@hsc.wvu.edu
Porell
Frank W
FW
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006291:Health Policy; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008484:Medicaid / Q000592:standards*; D009735:Nursing Homes / Q000191:economics / Q000592:standards*; D003668:Pressure Ulcer; D019984:Quality Indicators, Health Care; D012149:Restraint, Physical; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States; D015430:Weight Gain; D015431:Weight Loss