ERIC Number: EJ910484
Record Type: Journal
Publication Date: 2010-Aug
Abstractor: As Provided
Reference Count: 0
What Is Nursing Home Quality and How Is It Measured?
Castle, Nicholas G.; Ferguson, Jamie C.
Gerontologist, v50 n4 p426-442 Aug 2010
Purpose: In this commentary, we examine nursing home quality and indicators that have been used to measure nursing home quality. Design and Methods: A brief review of the history of nursing home quality is presented that provides some context and insight into currently used quality indicators. Donabedian's structure, process, and outcome (SPO) model is used to frame the discussion. Current quality indicators and quality initiatives are discussed, including those included in the Facility Quality Indicator Profile Report, Nursing Home Compare, deficiency citations included as part of Medicare/Medicaid certification, and the Advancing Excellence Campaign. Results: Current quality indicators are presented as a mix of structural, process, and outcome measures, each of which has noted advantages and disadvantages. We speculate on steps that need to be taken in the future to address and potentially improve the quality of care provided by nursing homes, including report cards, pay for performance, market-based incentives, and policy developments in the certification process. Areas for future research are identified throughout the review. Implications: We conclude that improvements in nursing home quality have likely occurred, but improvements are still needed.
Descriptors: Nursing Homes, Health Facilities, Certification, Gerontology, Residential Care, Evaluation, Comparative Analysis, Measurement, Models, Federal Programs, Health Insurance
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A