Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach
<p>Abstract</p> <p>Background</p> <p>Nursing home performance measurement systems are practically ubiquitous. The vast majority of these systems aspire to rank order all nursing homes based on quantitative measures of quality. However, the ability of such systems to ide...
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| Format: | Article |
| Language: | English |
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BMC
2007-06-01
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| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/7/93 |
| _version_ | 1818808236307906560 |
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| author | Lieberman Trudy Hawes Catherine Phillips Charles D Koren Mary |
| author_facet | Lieberman Trudy Hawes Catherine Phillips Charles D Koren Mary |
| author_sort | Lieberman Trudy |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Nursing home performance measurement systems are practically ubiquitous. The vast majority of these systems aspire to rank order all nursing homes based on quantitative measures of quality. However, the ability of such systems to identify homes differing in quality is hampered by the multidimensional nature of nursing homes and their residents. As a result, the authors doubt the ability of many nursing home performance systems to truly help consumers differentiate among homes providing different levels of quality. We also argue that, for consumers, performance measurement models are better at identifying problem facilities than potentially good homes.</p> <p>Discussion</p> <p>In response to these concerns we present a proposal for a less ambitious approach to nursing home performance measurement than previously used. We believe consumers can make better informed choice using a simpler system designed to pinpoint poor-quality nursing homes, rather than one designed to rank hundreds of facilities based on differences in quality-of-care indicators that are of questionable importance. The suggested performance model is based on five principles used in the development of the Consumers Union 2006 Nursing Home Quality Monitor.</p> <p>Summary</p> <p>We can best serve policy-makers and consumers by eschewing nursing home reporting systems that present information about all the facilities in a city, a state, or the nation on a website or in a report. We argue for greater modesty in our efforts and a focus on identifying only the potentially poorest or best homes. In the end, however, it is important to remember that information from any performance measurement website or report is no substitute for multiple visits to a home at different times of the day to personally assess quality.</p> |
| first_indexed | 2024-12-18T19:38:21Z |
| format | Article |
| id | doaj.art-2087ecf8523b44ed935c4c28e881b196 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-18T19:38:21Z |
| publishDate | 2007-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-2087ecf8523b44ed935c4c28e881b1962022-12-21T20:55:32ZengBMCBMC Health Services Research1472-69632007-06-01719310.1186/1472-6963-7-93Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approachLieberman TrudyHawes CatherinePhillips Charles DKoren Mary<p>Abstract</p> <p>Background</p> <p>Nursing home performance measurement systems are practically ubiquitous. The vast majority of these systems aspire to rank order all nursing homes based on quantitative measures of quality. However, the ability of such systems to identify homes differing in quality is hampered by the multidimensional nature of nursing homes and their residents. As a result, the authors doubt the ability of many nursing home performance systems to truly help consumers differentiate among homes providing different levels of quality. We also argue that, for consumers, performance measurement models are better at identifying problem facilities than potentially good homes.</p> <p>Discussion</p> <p>In response to these concerns we present a proposal for a less ambitious approach to nursing home performance measurement than previously used. We believe consumers can make better informed choice using a simpler system designed to pinpoint poor-quality nursing homes, rather than one designed to rank hundreds of facilities based on differences in quality-of-care indicators that are of questionable importance. The suggested performance model is based on five principles used in the development of the Consumers Union 2006 Nursing Home Quality Monitor.</p> <p>Summary</p> <p>We can best serve policy-makers and consumers by eschewing nursing home reporting systems that present information about all the facilities in a city, a state, or the nation on a website or in a report. We argue for greater modesty in our efforts and a focus on identifying only the potentially poorest or best homes. In the end, however, it is important to remember that information from any performance measurement website or report is no substitute for multiple visits to a home at different times of the day to personally assess quality.</p>http://www.biomedcentral.com/1472-6963/7/93 |
| spellingShingle | Lieberman Trudy Hawes Catherine Phillips Charles D Koren Mary Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach BMC Health Services Research |
| title | Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach |
| title_full | Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach |
| title_fullStr | Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach |
| title_full_unstemmed | Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach |
| title_short | Where should Momma go? Current nursing home performance measurement strategies and a less ambitious approach |
| title_sort | where should momma go current nursing home performance measurement strategies and a less ambitious approach |
| url | http://www.biomedcentral.com/1472-6963/7/93 |
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