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Risk adjustment of nursing home quality indicators
Author(s)Greg Arling, Sarita L Karon, François Sainfort
Journal titleThe Gerontologist, vol 37, no 6, December 1997
Pagespp 757-766
KeywordsNursing homes ; Quality ; Evaluation ; United States of America.
AnnotationThe purpose of this study was to develop a method for risk adjusting nursing home quality indicators (QIs). The QI measure incidence and prevalence of resident-level care process and outcomes which are indicative of care quality. Risk adjustment was carried out by stratifying residents into risk groups (high and low), calculating QI rates within groups, and then drawing comparisons across facilities. The method was examined through analysis of data from over 800 nursing homes in four states in the United States (US). Results showed that facilities differed substantially in the QI rates even after risk had been taken into account. Further, results suggested differences in care quality which may not have been apparent without controlling for risk.
Accession NumberCPA-980309406 A
ClassmarkLHB: 59: 4C: 7T

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