National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedMukamel DB, Ye Z, Glance LG
Does mandating nursing home participation in quality reporting make a difference? Evidence from Massachusetts.
This study investigated one of the mechanisms that may detract from the effectiveness of quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting. It found that once reporting became mandatory, nonvolunteers improved more than volunteers in all but 2 staffing measures.
AHRQ-funded; HS021844.
Citation: Mukamel DB, Ye Z, Glance LG .
Does mandating nursing home participation in quality reporting make a difference? Evidence from Massachusetts.
Med Care 2015 Aug;53(8):713-9. doi: 10.1097/mlr.0000000000000390..
Keywords: Nursing Homes, Long-Term Care, Public Reporting, Provider Performance, Quality Improvement, Quality of Care, Quality Indicators (QIs), Quality Measures, Elderly
Konetzka RT, Grabowski DC, Perraillon MC
Nursing home 5-star rating system exacerbates disparities in quality, by payer source.
The researchers examined how the Centers for Medicare and Medicare Services’ five-star rating system for nursing homes has affected residents who are dually enrolled in Medicare and Medicaid (“dual eligibles”). They found that by 2010 the increased likelihood of choosing the highest-rated homes was substantially smaller for dual eligibles than for non–dual eligibles.
AHRQ-funded; HS021877.
Citation: Konetzka RT, Grabowski DC, Perraillon MC .
Nursing home 5-star rating system exacerbates disparities in quality, by payer source.
Health Aff 2015 May;34(5):819-27. doi: 10.1377/hlthaff.2014.1084..
Keywords: Nursing Homes, Medicare, Medicaid, Quality of Care
Abrahamson K, Miech E, Davila HW
Pay-for-performance policy and data-driven decision making within nursing homes: a qualitative study.
The researchers explored ways in which data were collected, thought about and used by nursing home employees as a result of participation in a pay-for-performance (P4P) program. Their findings indicated that participants in the Minnesota Performance-based Incentive Payment Program’s quality improvement (QI) projects perceived a change in the rate and manner in which they gathered, used, and considered data in their QI decisions.
AHRQ-funded; HS018464
Citation: Abrahamson K, Miech E, Davila HW .
Pay-for-performance policy and data-driven decision making within nursing homes: a qualitative study.
BMJ Qual Saf. 2015 May;24(5):311-7. doi: 10.1136/bmjqs-2014-003362..
Keywords: Nursing Homes, Long-Term Care, Payment, Provider Performance, Shared Decision Making, Policy, Quality Improvement, Quality of Care
Hakkarainen TW, Ayoung-Chee P, Alfonso R
Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review.
This systematic review of current literature surrounding the structural, process of care, and outcomes measurement for patients in skilled nursing facilities (SNFs) found that the role of the care setting and care delivery in contributing to outcomes has not been well-studied. In particular, there was very little published information addressing surgical or trauma patients discharged to SNFs.
AHRQ-funded; HS020025
Citation: Hakkarainen TW, Ayoung-Chee P, Alfonso R .
Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review.
J Surg Res. 2015 Feb;193(2):772-80. doi: 10.1016/j.jss.2014.06.002..
Keywords: Nursing Homes, Outcomes, Surgery, Quality of Care