0
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Evaluation of Minnesota’s Long-Stay Nursing Home Quality Indicators

      abstract
      1 , 2 , 1 , 1
      Innovation in Aging
      Oxford University Press

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The Minnesota Nursing Home Report Card provides 19 clinical quality indictor (QI) ratings. Currently, face validity and expert opinions are employed to group the 19 long-stay QIs into 10 different domains. However, we do not know whether these domains are supported by the data. Under the current scoring program, some QIs may not discriminate very well between facilities. The objective was to evaluate the dimensionality of the QIs and the current scoring approach used to assign points to the domain and total QI scores. Risk-adjusted facility-level rates for the 19 QIs over the 2012-2019 period were used. Our findings indicate it is reasonable to categorize these QIs into 4 domains. Moreover, the current scoring approach is best suited for a facility QI distribution that is approximately normal. However, 11 QIs display a skewed distribution with facilities tightly grouped at the very bottom (floor) or top (ceiling) of the QI distribution. Our findings suggest that the current scoring approach may distort or exaggerate the differences in the QI rates with skewed distributions, assigning widely varying points to facilities that vary little in their QI rates. We recommend a zero-error approach for highly skewed QIs where the QI outcome is achievable and it reflects a serious quality problem. Our study of the QI scoring system is part of a package of recommendations to improve the Minnesota Nursing Home Report Card and value-based reimbursement system. Lessons learned from the study are readily applicable to Medicare’s Nursing Home Compare report.

          Related collections

          Author and article information

          Journal
          Innov Aging
          Innov Aging
          innovateage
          Innovation in Aging
          Oxford University Press (US )
          2399-5300
          2021
          17 December 2021
          17 December 2021
          : 5
          : Suppl 1 , Program Abstracts from The GSA 2021 Annual Scientific Meeting, “Disruption to Transformation: Aging in the “New Normal””
          : 541
          Affiliations
          [1 ] Purdue University , West Lafayette, Indiana, United States
          [2 ] Minnesota Department of Human Services , Saint Paul, Minnesota, United States
          Article
          igab046.2068
          10.1093/geroni/igab046.2068
          8680645
          a9a8c9b3-7192-4b1b-87fb-405c6c2148aa
          © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America.

          This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

          History
          Page count
          Pages: 1
          Categories
          Abstracts
          Session 4425 (Paper)
          Long-Term Care Policy and Unmet Needs
          AcademicSubjects/SOC02600

          Comments

          Comment on this article