The Nursing Home Compare Report Card: Perceptions of Residents and Caregivers Regarding Quality Ratings and Nursing Home Choice.

Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-6773 (Electronic) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE

Publication: Malden, MA : Blackwell
Original Publication: Chicago, Hospital Research and Educational Trust.

Choice Behavior*; Caregivers/*psychology ; Nursing Homes/*standards ; Patients/*psychology ; Quality Indicators, Health Care/*standards; Benchmarking/standards ; Female ; Humans ; Interviews as Topic ; Male ; Medicare ; Middle Aged ; Philadelphia ; United States

Objective: To evaluate the perceived usefulness of publicly reported nursing home quality indicators.
Study Setting: Primary data were collected from October 2013 to August 2014 among a convenience sample of persons (or family member) recently admitted or anticipating admission to a nursing home within 75 miles of the city of Philadelphia.
Study Design: Structured interviews were conducted to assess the salience of data on the Medicare Nursing Home Compare website, including star ratings, clinical quality measures, and benchmarking of individual nursing home quality with state and national data.
Data Collection: Interviews were transcribed verbatim, independently coded by two reviewers, and agreement determined. A thematic analysis of transcripts was undertaken.
Principal Findings: Thirty-five interviews were completed. Eighty-three percent (n = 29) were caregivers and 17 percent (n = 6) were residents. Star ratings, clinical quality measures, and benchmarking information were salient to decision making, with preferred formats varying across participants. Participants desired additional information on the source of quality data. Confusion was evident regarding the relationship between domain-specific and overall star quality ratings.
Conclusions: The Nursing Home Compare website provides salient content and formats for consumers. Increased awareness of this resource and clarity regarding the definition of measures could further support informed decision making regarding nursing home choice.
(© Health Research and Educational Trust.)

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K24 AG047908 United States AG NIA NIH HHS; R21HS02861 United States HS AHRQ HHS

Keywords: Nursing home; public reporting; quality indicators

Date Created: 20160213 Date Completed: 20170516 Latest Revision: 20220321

20221213

PMC4874934

10.1111/1475-6773.12458

26867949