title: The association of Nursing Home Compare quality measures with market competition and occupancy rates.
abstract: Since 2002, the Centers for Medicare and Medicaid Services have reported quality measures on the Nursing Home Compare Web site. It has been assumed that nursing homes are able to make improvements on these measures. In this study researchers examined nursing homes to see whether they have improved their quality scores, after accounting for regression to the mean. Researchers also examined whether gains varied according to market competition or market occupancy rates. They identified some regression to the mean for the quality measure scores over time; nevertheless, they also determined that some nursing homes had indeed made small improvements in their quality measure scores. As would be predicted based on the market-driven mechanism underlying quality improvements using report cards, the greatest improvements occurred in the most competitive markets and in those with the Lowest average occupancy rates. As policies to promote more competition in Long-term care proceed, further reducing occupancy rates, further, albeit small, quality gains will likely be made in the future.
authors.affiliation: Department of Health Policy and Management, University of Pittsburgh, PA, USA. Castlen@Pitt.edu
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Castle
authors.forename: Darren
authors.initials: D
authors.lastname: Liu
authors.forename: John
authors.initials: J
authors.lastname: Engberg
mesh_terms: D001509:Bed Occupancy / Q000706:statistics & numerical data*; D004465:Economic Competition / Q000706:statistics & numerical data / Q000639:trends; D006302:Health Services Research; D006801:Humans; D020407:Internet; D009735:Nursing Homes / Q000592:standards* / Q000706:statistics & numerical data; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014481:United States