title: Personalizing Nursing Home Compare and the Discharge from Hospitals to Nursing Homes.
abstract: OBJECTIVE
  To test whether use of a personalized report card, Nursing Home Compare Plus (NHCPlus), embedded in a reengineered discharge process, can lead to better outcomes than the usual discharge process from hospitals to nursing homes.
  
  
  METHODS
  Primary data collected in the Departments of Medicine and Surgery at a University Medical Center between March 2014 and August 2015.
  
  
  METHODS
  A randomized controlled trial in which patients in the intervention group were given NHCPlus. Participants included 225 patients or their family members/surrogates.
  
  
  METHODS
  Key strokes of NHCPlus users were recorded to obtain information about usage. Users were surveyed about usability and satisfaction with NHCPlus. All participants were surveyed at discharge from the hospital. Survey data were merged with medical records.
  
  
  RESULTS
  About 85 percent of users indicated satisfaction with NHCPlus. Compared to controls, intervention patients were more satisfied with the choice process (by 40 percent of the standard deviation p < .01), more likely to go to higher ranked five-star nursing homes (OR = 1.8, p < .05), traveled to further nursing homes (IRR = 1.27, p < .10), and had shorter hospital stays (IRR = 0.84, p < .05).
  
  
  CONCLUSIONS
  Personalizing report cards and reengineering the discharge process may improve quality and may lower costs compared to the usual discharge process.
authors: Department of Medicine, Division of General Internal Medicine, University of California, Irvine, CA.
authors: Dana B
authors: DB
authors: Mukamel
authors: Department of Medicine, University of California, Irvine, Orange, CA.
authors: Alpesh
authors: A
authors: Amin
authors: Department of Political Science, Robert M. La Follette School of Public Affairs, University of Wisconsin-Madison, Madison, WI.
authors: David L
authors: DL
authors: Weimer
authors: Department of Medicine, Division of General Internal Medicine, University of California, Irvine, CA.
authors: Heather
authors: H
authors: Ladd
authors: Center on Aging, Mental Health Hospital Center, University of Miami, Miami, FL.
authors: Joseph
authors: J
authors: Sharit
authors: NYU Langone Seaport Orthopaedics, New York, NY.
authors: Ran
authors: R
authors: Schwarzkopf
authors: Department of Medicine, Division of General Internal Medicine, University of California, Irvine, CA.
authors: Dara H
authors: DH
authors: Sorkin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D003661:Decision Support Techniques; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D063731:Mobile Applications; D009735:Nursing Homes / Q000592:standards*; D010351:Patient Discharge / Q000592:standards*; D017060:Patient Satisfaction; D019984:Quality Indicators, Health Care / Q000592:standards
keywords: Nursing homes; hospital discharge; nursing home compare; quality; report cards