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Centre for Policy on Ageing | |
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The Quality Indicator Survey
— background, implementation, and widespread change | | Author(s) | Michael K Lin, Andrew M Kramer |
| Journal title | Journal of Aging and Social Policy, vol 25, no 1, January-March 2013 |
| Publisher | Taylor & Francis, January-March 2013 |
| Pages | pp 10-29 |
| Source | http://www.tandfonline.com |
| Keywords | Nursing homes ; Quality ; Automation ; Evaluation ; United States of America. |
| Annotation | The Quality Indicator Survey (QIS) is the most comprehensive regulatory change to the nursing home survey process in the US since the Omnibus Budget Reconciliation Act of 1987 (OBRA-87). The authors describe the policy evolution that led to the QIS, summarise the QIS method and implementation, and profile the QIS survey results. Following more than a decade of development, in 2007 the Centers for Medicare and Medicaid Services (CMS) began the national rollout of QIS. The intent was to improve consistency in the nursing home survey, and to render the survey process more resident-centred and aligned with the intent of OBRA-87. The authors reviewed policy reports and firsthand accounts from the lead developer of the QIS methodology and the leader of the national training contract for QIS. Changes in survey findings are profiled, based on analysis of the publicly available Nursing Home Compare database from 2004 to 2010. Nineteen states implemented the QIS between 2007 and 2010, with nearly 20% of U.S. nursing homes receiving QIS surveys in 2010. On average, nursing homes surveyed with the QIS received more survey deficiencies than in the traditional survey. The explicit and structured questioning of residents in the QIS is associated with increases in deficiencies related to choice, dignity, dental care, and nurse staffing. The authors describe ways in which the QIS has affected regulatory agencies, providers and resident communities; however, these effects are difficult to quantify. CMS's implementation of QIS is a significant step toward a more resident-centred, comprehensive, and consistent survey process. However, substantial changes are required not only among regulators but also among nursing homes. The authors argue that these new expectations and norms surrounding quality assessment and quality assurance are an important component of achieving a change in culture in U.S. nursing homes. (RH). |
| Accession Number | CPA-130823256 A |
| Classmark | LHB: 59: 3M: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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