Adjustment of nursing home quality indicators
Open Access
- 15 April 2010
- journal article
- research article
- Published by Springer Nature in BMC Health Services Research
- Vol. 10 (1) , 96
Abstract
This manuscript describes a method for adjustment of nursing home quality indicators (QIs) defined using the Center for Medicaid & Medicare Services (CMS) nursing home resident assessment system, the Minimum Data Set (MDS). QIs are intended to characterize quality of care delivered in a facility. Threats to the validity of the measurement of presumed quality of care include baseline resident health and functional status, pattern of comorbidities, and facility case mix. The goal of obtaining a valid facility-level estimate of true quality of care should include adjustment for resident- and facility-level sources of variability.Keywords
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