title: Satisfaction of Discharged Nursing Home Residents.
abstract: The psychometric properties of The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Nursing Home survey: Discharged Resident Instrument (NHCAHPS-D) are examined. A random sample of 550 nursing homes was selected from across the United States and 365 agreed to participate (participation rate = 66%). From 7,020 surveys sent to discharged residents, 4,926 were returned (response rate = 70%). The psychometric properties of the resident responses and the survey items were robust. Confirmatory factor analyses model fit statistics met the criterion for good conformance. Five of the initial NHCAHPS-D instrument domains were identified (environment, care, communication and respect, autonomy, and activities), along with a sixth (transitions) added by the authors. The standardization and reliability that NHCAHPS-D provides could facilitate the same benefits we have seen in other industries for the CAHPS family of instruments (i.e., quality improvement, reimbursement, public reporting, and benchmarking) and also become an industry standard.
authors.affiliation: 1 University of Pittsburgh, PA, USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Castle
authors.affiliation: 2 RAND Corporation, Pittsburgh, PA, USA.
authors.forename: John
authors.initials: J
authors.lastname: Engberg
authors.affiliation: 3 Owner of Menoracle LLC,TX,USA.
authors.forename: Aiju
authors.initials: A
authors.lastname: Men
mesh_terms: D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006707:Homes for the Aged / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000592:standards / Q000706:statistics & numerical data; D010351:Patient Discharge; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010549:Personal Satisfaction; D011594:Psychometrics / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration; D015203:Reproducibility of Results; D014481:United States
keywords: discharges; nursing homes; quality; satisfaction