scholarly journals Public Reporting and Demand Rationing: Evidence from the Nursing Home Industry

2014 ◽  
Vol 24 (11) ◽  
pp. 1437-1451 ◽  
Author(s):  
Daifeng He ◽  
R. Tamara Konetzka
Keyword(s):  
Nursing Home ◽  
Public Reporting ◽  
Nursing Home Industry

Public Reporting and Demand Rationing: Evidence from the Nursing Home Industry

2013 ◽  
Author(s):  
Daifeng He ◽  
R. Tamara Konetzka
Keyword(s):  
Nursing Home ◽  
Public Reporting ◽  
Nursing Home Industry

scholarly journals Ownership Form and Consumer Welfare: Evidence from the Nursing Home Industry

2007 ◽  
Vol 44 (4) ◽  
pp. 381-399 ◽  
Author(s):  
Rexford E. Santerre ◽  
John A. Vernon
Keyword(s):  
Nursing Home ◽  
Consumer Welfare ◽  
Nursing Home Industry

Reorganizing the Nursing Home Industry: A Proposal

1976 ◽  
Vol 54 (2) ◽  
pp. 129 ◽  
Author(s):  
David Shulman ◽  
Ruth Galanter
Keyword(s):  
Nursing Home ◽  
Nursing Home Industry

Is a Public Reporting Approach Appropriate for Nursing Home Care?

2006 ◽  
Vol 31 (4) ◽  
pp. 773-810 ◽  
Author(s):  
David G. Stevenson
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Public Reporting ◽  
Nursing Home Care

Changes in the relationship between nursing home financial performance and quality of care under public reporting

2011 ◽  
Vol 20 (7) ◽  
pp. 783-801 ◽  
Author(s):  
Jeongyoung Park ◽  
Rachel M. Werner
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Financial Performance ◽  
Public Reporting ◽  
The Relationship

scholarly journals Evolution of the Nursing Home Industry in States With Different Certificate of Need Policies

2020 ◽  
Vol 21 (4) ◽  
pp. 559-561.e1 ◽  
Author(s):  
Nasim B. Ferdows ◽  
Momotazur Rahman
Keyword(s):  
Nursing Home ◽  
Certificate Of Need ◽  
Nursing Home Industry

The Nursing Home Industry

1993 ◽  
Vol 18 ◽  
pp. 11-54 ◽  
Author(s):  
John Braithwaite
Keyword(s):  
Nursing Home ◽  
Nursing Home Industry

scholarly journals Public reporting of antipsychotic prescribing in nursing homes: population-based interrupted time series analyses

2018 ◽  
Vol 28 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Noah M Ivers ◽  
Monica Taljaard ◽  
Vasily Giannakeas ◽  
Catherine Reis ◽  
Evelyn Williams ◽  
...  
Keyword(s):  
Time Series ◽  
Nursing Home ◽  
Nursing Homes ◽  
Mass Media ◽  
Nursing Home Residents ◽  
Public Reporting ◽  
Increased Risk ◽  
Antipsychotic Prescribing ◽  
The Impact ◽  
Newspaper Articles

BackgroundAlthough sometimes appropriate, antipsychotic medications are associated with increased risk of significant adverse events. In 2014, a series of newspaper articles describing high prescribing rates in nursing homes in Ontario, Canada, garnered substantial interest. Subsequently, an online public reporting initiative with home-level data was launched. We examined the impact of these public reporting interventions on antipsychotic prescribing in nursing homes.MethodsTime series analysis of all nursing home residents in Ontario, Canada, between 1 October 2013 and 31 March 2016. The primary outcome was the proportion of residents prescribed antipsychotics each month. Balance measures were prescriptions for common alternative sedating agents (benzodiazepines and/or trazodone). We used segmented regression to assess the effects on prescription trends of the newspaper articles and the online home-level public reporting initiative.ResultsWe included 120 009 nursing home resident admissions across 636 nursing homes. Following the newspaper articles, the proportion of residents prescribed an antipsychotic decreased by 1.28% (95% CI 1.08% to 1.48%) and continued to decrease at a rate of 0.2% per month (95% CI 0.16% to 0.24%). The online public reporting initiative did not alter this trend. Over 3 years, there was a net absolute reduction in antipsychotic prescribing of 6.0% (95% CI 5.1% to 6.9%). Trends for benzodiazepine prescribing did not change as substantially during the period of observation. Trazodone use has been gradually increasing, but its use did not change abruptly at the time of the mass media report or the public reporting initiative.InterpretationThe rapid impact of mass media on prescribing suggests both an opportunity to use this approach to invoke change and a warning to ensure that such reporting occurs responsibly.

Two Decades of Nursing Home Compare: What Have We Learned?

2020 ◽  
pp. 107755872093165
Author(s):  
R. Tamara Konetzka ◽  
Kevin Yan ◽  
Rachel M. Werner
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Risk Adjustment ◽  
Public Reporting ◽  
Review Of The Literature ◽  
Nursing Home Compare

Approximately two decades ago, federally mandated public reporting began for U.S. nursing homes through a system now known as Nursing Home Compare. The goals were to provide information to enable consumers to choose higher quality nursing homes and to incent providers to improve the quality of care delivered. We conduct a systematic review of the literature on responses to Nursing Home Compare and its effectiveness in meeting these goals. We find evidence of modest but meaningful response by both consumers and providers. However, we also find evidence that some improvement in scores does not reflect true quality improvement, that disparities by race and income have increased, that risk-adjustment of the measures is likely inadequate, and that several key domains of quality are not represented. Our results support moderate success of Nursing Home Compare in achieving intended goals but also reveal the need for continued refinement.

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