AHRQ Grant HS021861: Related Publication Summaries
Improving Consumer Response to Nursing Home Quality Information
1."Quality improvement under nursing home compare: The association between changes in process and outcome measures."
Werner RM, Konetzka RT, Kim MM.
Medical Care 2013 Jul; 51(7):582-588.
PUBMED link: www.ncbi.nlm.nih.gov/pubmed/23756645
This study tested the extent to which improvements in outcomes of nursing home care are explained by changes in care processes. Of the 5 outcome measures examined in over 16,000 nursing homes, only improvements in the percentage of residents in moderate to severe pain were associated with changes in nursing home processes of care. This study reinforced previous studies suggesting that nursing homes are responding to public reports, but also reinforced studies showing a weak relationship between process and outcome measures in a variety of settings. The authors recommend developing process measures that are more closely tied to desired outcomes, as well as closer monitoring of incentive programs to ensure accurate, reliable measurement of quality.
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