Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare
| Autor: | Daryl J. Caudry, Prachi Sanghavi, Shengyuan Pan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Gerontology public reporting nursing homes 03 medical and health sciences 0302 clinical medicine Public reporting falls Homes for the Aged Humans Medicine 030212 general & internal medicine Major injury Aged Skilled Nursing Facilities disparities Aged 80 and over long term care Minimum Data Set business.industry 030503 health policy & services Health Policy Multilevel model Quality measurement United States Long-term care Quality and Cost of Health Care Accidental Falls Female Fall rate 0305 other medical science business Nursing homes Research Article |
| Zdroj: | Health Services Research |
| ISSN: | 1475-6773 0017-9124 |
| Popis: | Objective To assess the accuracy of nursing home self‐report of major injury falls on the Minimum Data Set (MDS). Data Sources MDS assessments and Medicare claims, 2011‐2015. Study Design/Methods We linked inpatient claims for major injury falls with MDS assessments. The proportion of claims‐identified falls reported for each fall‐related MDS item was calculated. Using multilevel modeling, we assessed patient and nursing home characteristics that may be predictive of poor reporting. We created a claims‐based major injury fall rate for each nursing home and estimated its correlation with Nursing Home Compare (NHC) measures. Principal Findings We identified 150,828 major injury falls in claims that occurred during nursing home residency. For the MDS item used by NHC, only 57.5 percent were reported. Reporting was higher for long‐stay (62.9 percent) than short‐stay (47.2 percent), and for white (59.0 percent) than nonwhite residents (46.4 percent). Adjusting for facility‐level race differences, reporting was lower for nonwhite people than white people; holding constant patient race, having larger proportions of nonwhite people in a nursing home was associated with lower reporting. The correlation between fall rates based on claims vs the MDS was 0.22. Conclusions The nursing home‐reported data used for the NHC falls measure may be highly inaccurate. |
| Databáze: | OpenAIRE |
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