Development and testing of nursing home quality indicators

D. R. Zimmerman, S. L. Karon, G. Arling, B. R. Clark, T. Collins, R. Ross, F. Sainfort

Research output: Contribution to journalReview article

268 Scopus citations


In this article, the authors report on the development and testing of a set of indicators of quality of care in nursing homes, using resident-level assessment data. These quality indicators (QIs) have been developed to provide a foundation for both external and internal quality-assurance (QA) and quality-improvement activities. The authors describe the development of the QIs, discuss their nature and characteristics, address the development of a QI-based quality-monitoring system (QMS), report on a pilot test of the QIs and the system, comment on methodological and current QI validation efforts, and conclude by raising further research and development issues.

Original languageEnglish (US)
Pages (from-to)107-127
Number of pages21
JournalHealth Care Financing Review
Issue number4
StatePublished - Jan 1 1995


ASJC Scopus subject areas

  • Health Policy

Cite this

Zimmerman, D. R., Karon, S. L., Arling, G., Clark, B. R., Collins, T., Ross, R., & Sainfort, F. (1995). Development and testing of nursing home quality indicators. Health Care Financing Review, 16(4), 107-127.