Journal
GERONTOLOGIST
Volume 43, Issue -, Pages 37-46Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/geront/43.suppl_2.37
Keywords
quality indicators; quality measurement; assessment methodology; quality of care; benchmarking; performance measures; nursing homes
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Purpose: This article examines various technical challenges inherent in the design, implementation, and dissemination of health care quality performance measures. Design and Methods: Using national and state-specific Minimum Data Set data from 1999, we examined sample size, measure stability, creation of ordinal ranks, and risk adjustment as applied to aggregated facility quality indicators. Results: Nursing home Quality Indicators now in use are multidimensional and quarterly estimates of incidence-based measures can be relatively unstable, suggesting the need for some averaging of measures over time. Implications: Current public reports benchmarking nursing homes' performances may require additional technical modifications to avoid compromising the fairness of comparisons.
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