Publication of Quality Report Cards and Trends in Reported Quality Measures in Nursing Homes

Abstract The purpose of this study was to explore the relationship between nursing home volunteer programming and quality measures and increase the knowledge base of nursing home volunteer programming in various settings. Fifty-two nursing homes were surveyed using electronic surveys and personal interviews. Questions focused on the organization of the nursing home, characteristics of the volunteer program and volunteer activities. Of the 52 facilities surveyed, 19 were not part of a chain, 37 were in urban settings, and 24 were for-profit entities. Volunteers were used in 46 nursing homes with a mean number of volunteers of 51.7 onsite an average of 4.9 days per week. Bivariate analysis revealed statistically significant correlations (p<.05) between organizational and volunteer programming characteristics and six quality measures (pressure sores, urinary tract infections, depression, use of restraints, falls, use of antipsychotic and hypnotic drugs). Statistically significant (p<.05) inverse relationships were found between volunteers providing individualized activities (e.g., feeding assistance, combing hair, doing nails, and letter writing) and the incidence of urinary tract infections and the use of psychotropic drugs. Multiple regression analysis revealed a statistically significant (p<.05) inverse relationship between personal volunteer services such as combing hair and doing nails and the use of hypnotic drugs and antipsychotic drugs. This study indicates a significant correlation between volunteer programming and quality measure scores. A larger study of these relationships is indicated.

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Medical Staffing Organization and Quality of Care Outcomes in Post-acute Care Settings

The Gerontologist ◽

10.1093/geront/gnaa173 ◽

2020 ◽

Author(s):

Laura M Wagner ◽

Paul Katz ◽

Jurgis Karuza ◽

Connie Kwong ◽

Lori Sharp ◽

...

Keyword(s):

Nursing Home ◽

Quality Of Care ◽

Nursing Homes ◽

Acute Care ◽

Quality Measures ◽

Medical Providers ◽

Medical Provider ◽

Provider Characteristics ◽

The Impact

Abstract Background and Objectives Medical providers are significant drivers of care in post-acute long-term care (PALTC) settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. Research Design and Methods This study examined the impact of nursing home medical staffing organization (NHMSO) dimensions on the quality of care in U.S. nursing homes. The principal data source was a survey specifically designed to study medical staff organization for post-acute care. Respondents were medical directors and attending physicians providing PALTC. We linked a number of medical provider and nursing home characteristics to the Centers for Medicaid and Medicare Services Nursing Home Compare quality measures hypothesized to be sensitive to input by medical providers. Results From the sample of nursing home medical providers surveyed (n = 1,511), 560 responses were received, yielding a 37% response rate; 425 medical provider responses contained sufficient data for analysis. The results of the impact of NHMSO dimensions were mixed, with many domains not having any significance or having negative relationships between provider characteristics and quality measures. Respondents who reported having a formal process for granting privileges and nursing homes with direct employment of physicians reported significantly fewer emergency visits. Discussion and Implications Further research is needed regarding what quality measures are sensitive to both medical provider characteristics and NHMSO characteristics.

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KENTUCKY WATER QUALITY REPORT CARDS: INTERACTIVE MAPPING TOOLS AND GRADING ALGORITHMS TO COMMUNICATE SCIENCE TO THE GENERAL PUBLIC

10.1130/abs/2018am-319377 ◽

2018 ◽

Author(s):

Douglas C. Curl ◽

◽

Steven J. Evans

Keyword(s):

Water Quality ◽

General Public ◽

Report Cards ◽

Interactive Mapping ◽

Quality Report

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Do Social Media Trump Government Report Cards in Influencing Consumer Choice? Evidence from U.S. Nursing Homes

SSRN Electronic Journal ◽

10.2139/ssrn.3531964 ◽

2020 ◽

Author(s):

Yuanchen Li ◽

Lauren Xiaoyan Lu ◽

Susan Feng Lu

Keyword(s):

Social Media ◽

Nursing Homes ◽

Consumer Choice ◽

Report Cards ◽

Government Report

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Implementasi Manajemen Mutu Terpadu (TQM) di MTs Yathasi Kota Bogor

Reslaj : Religion Education Social Laa Roiba Journal ◽

10.47467/reslaj.v3i3.415 ◽

2021 ◽

Vol 3 (3) ◽

pp. 280-283

Author(s):

Gunarti Sukriyatun ◽

Maemunah Sa’diyah

Keyword(s):

Report Card ◽

Performance Level ◽

Report Cards ◽

Quality Culture ◽

Performance Quality ◽

Self Development ◽

Performance Report ◽

Education Personnel ◽

Quality Report ◽

A Performance

This study aims to determine (a) the implementation of Integrated Quality Management (TQM) in YATASHI Madrasah (MTs) Bogor City (b) the results of quality report cards for YATASHI Madrasah Tsanawiyah (MTs) Bogor City. This study uses the expos faxto method from the results of the YATASHI Madrasah Tsanawiyah (MTs) performance report cards, Bogor city. The quality report card instrument is an instrument that has been standardized nationally, filled in by the Head of Madrasah, deputy head of madrasah, teachers, madrasa committee, education staff and students. The results of the Madrasah performance quality report card show that the Discipline of Madrasah Citizens has fulfilled the quality culture aspect of 93%. The self-development of teachers and education personnel is achieved at a performance level of 75% of the Quality Culture Aspect. Preparation, implementation and assessment of the perfect learning process meets the 100% performance level. The use of learning materials is achieved 95% and Financing Planning is met at a performance level of 94%. The conclusion from the Madrasah performance quality report card (YATASHI) is on average very good, but there is something that still needs to be improved, namely the education personnel development component.

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Examination of the New Short-Stay Nursing Home Quality Measures: Rehospitalizations, Emergency Department Visits, and Successful Returns to the Community

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/0046958018786816 ◽

2018 ◽

Vol 55 ◽

pp. 004695801878681 ◽

Cited By ~ 2

Author(s):

Debra Saliba ◽

David L. Weimer ◽

Yuxi Shi ◽

Dana B. Mukamel

Keyword(s):

Emergency Department ◽

Nursing Home ◽

Nursing Homes ◽

Regression Models ◽

Quality Measures ◽

Emergency Department Visits ◽

Descriptive Statistics ◽

Short Stay ◽

Nursing Home Quality ◽

Second Year

In 2016, the Centers for Medicare & Medicaid Services (CMS) introduced 3 new quality measures (QMs) to its report card, Nursing Home Compare (NHC). These measures—rehospitalizations, emergency department visits, and successful discharges to the community—focus on short-stay residents. We offer a first analysis of nursing homes’ performance in terms of these new measures. We examined their properties and distribution across nursing homes using descriptive statistics and regression models. We found that, similar to other QMs, performance varies across the country, and that there is very minimal correlation between these 3 new QMs as well as between these QMs and other NHC QMs. Regression models reveal that better performance on these QMs tends to be associated with fewer deficiencies, higher staffing and more skilled staffing, nonprofit ownership, and lower proportion of Medicaid residents. Other characteristics are associated with better performance for some but not all 3 QMs. We also found improvement in all 3 QMs in the second year of publication. This study contributes to the validity of these measures by demonstrating their relationship to these structural QMs. It also suggests that these QMs are important by demonstrating their large variation across the country, suggesting substantial room for improvement, and finding that nursing homes are already responding to the incentives created by publication of these QMs.

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