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The influence of risk adjustment methods on conclusions about quality of care in nursing homes based on outcome measures
Author(s)Dana B Mukamel, Christine A Brower
Journal titleThe Gerontologist, vol 38, no 6, December 1998
Pagespp 695-703
KeywordsNursing homes ; Quality ; Management [care] ; Evaluation ; United States of America.
AnnotationQuality rankings of some 550 nursing homes in New York state (NY), based on several outcome measures and differing risk adjustment methods, are compared. The outcomes were decline in functional status, worsening decubiti, and prevalence of physical restraints. Measures were constructed from Patient Review Index (PRI) data, which are similar to Minimum Data Set (MDS) data. There was substantial disagreement on quality ranking across measures, due to differences in the scope of risk adjustment. Insufficient risk adjustment of outcome measures may, therefore, lead to inappropriate classification of nursing homes as either poor-quality or high-quality homes. This has implications for state quality oversight, providers' reputations, and patient choice. (RH).
Accession NumberCPA-010116204 A
ClassmarkLHB: 59: QA: 4C: 7T

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