The 4310 survey respondents (mean age, 39.9 years 11 white) included mostly family members (3879 participants ). Agreement in nursing home rankings was assessed using the Five-Star measure, which is based on weights developed by expert panels, compared with rankings based on the contingent valuation measure. Main Outcomes and Measures The contingent valuation method was administered via the survey to obtain consumers’ relative values of the quality indicators, and statistical analyses were used to create the contingent valuation measure. Data analysis was performed from January 2019 to February 2020. The national survey included adults, either nursing home residents or their family members who reported being familiar with the quality of care their relative received. The study included 10 676 nursing homes, comprising 69.8% of those with reported Five-Star measures. Data covered the last quarter of 2016 and the first three quarters of 2017. Objective To compare nursing homes’ rankings based on the CMS Five-Star measure with rankings based on consumers’ judgment about the importance of the same quality indicators.ĭesign, Setting, and Participants In this quality improvement study, CMS Five-Star data were linked with a measure calculated from CMS quality indicators and consumer values obtained from a national survey. Consumers may assign different values to these indicators, creating different 5-star ratings. Importance The Centers for Medicare & Medicaid Services (CMS) Five-Star measure for nursing homes is designed with input from expert panels about the importance of multiple quality indicators. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience. Challenges in Clinical Electrocardiography.
0 Comments
Leave a Reply. |