Risk adjustment of nursing home quality indicators

Gregory Arling, Sarita L. Karon, Francois Sainfort, David R. Zimmerman, Richard Ross

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

The purpose of this study was to develop a method for risk adjusting nursing home quality indicators (QI's). The QI's measure incidence and prevalence of resident-level care processes and outcomes which are indicative of care quality. Risk adjustment was carried out by stratifying residents into risk groups (high and low), calculating QI rates within groups, and then drawing comparisons across facilities. The method was examined through analysis of data from over 800 nursing homes in four states. Results showed that facilities differed substantially in QI rates even after risk had been taken into account. Also, results suggested differences in care quality which may not have been apparent without controlling for risk.

Original languageEnglish (US)
Pages (from-to)757-766
Number of pages10
JournalGerontologist
Volume37
Issue number6
StatePublished - 1997
Externally publishedYes

Fingerprint

Risk Adjustment
Nursing Homes
Quality of Health Care
Incidence

Keywords

  • Assessment
  • Long-term care
  • Measurement
  • Outcomes
  • Quality indicators
  • Risk adjustment

ASJC Scopus subject areas

  • Aging

Cite this

Arling, G., Karon, S. L., Sainfort, F., Zimmerman, D. R., & Ross, R. (1997). Risk adjustment of nursing home quality indicators. Gerontologist, 37(6), 757-766.

Risk adjustment of nursing home quality indicators. / Arling, Gregory; Karon, Sarita L.; Sainfort, Francois; Zimmerman, David R.; Ross, Richard.

In: Gerontologist, Vol. 37, No. 6, 1997, p. 757-766.

Research output: Contribution to journalArticle

Arling, G, Karon, SL, Sainfort, F, Zimmerman, DR & Ross, R 1997, 'Risk adjustment of nursing home quality indicators', Gerontologist, vol. 37, no. 6, pp. 757-766.
Arling G, Karon SL, Sainfort F, Zimmerman DR, Ross R. Risk adjustment of nursing home quality indicators. Gerontologist. 1997;37(6):757-766.
Arling, Gregory ; Karon, Sarita L. ; Sainfort, Francois ; Zimmerman, David R. ; Ross, Richard. / Risk adjustment of nursing home quality indicators. In: Gerontologist. 1997 ; Vol. 37, No. 6. pp. 757-766.
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