Literature DB >> 10435545

Case mix adjustment in nursing systems research: the case of resident outcomes in nursing homes.

R A Anderson1, H F Su, P C Hsieh, C A Allred, S Owensby, G Joiner-Rogers.   

Abstract

Case mix indicates, for a resident population, the degree of risk for developing favorable or unfavorable outcomes. In a study of 164 nursing homes, we explored two methods for combining resident assessment data into a case mix index (CMI). We compared a facility-level, composite CMI to a prevalence-based CMI comprised of 22 separate resident characteristics for their adequacy in explaining resident outcomes. The prevalence-based CMI consistently explained more variance in outcomes than the facility level, composite CMI. This study indicates a reasonable method for using administrative databases containing resident assessment data to adjust for the influence of case mix on nursing home resident outcomes.

Mesh:

Year:  1999        PMID: 10435545      PMCID: PMC1993889          DOI: 10.1002/(sici)1098-240x(199908)22:4<271::aid-nur2>3.0.co;2-6

Source DB:  PubMed          Journal:  Res Nurs Health        ISSN: 0160-6891            Impact factor:   2.228


  19 in total

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Authors:  W G Weissert; M C Musliner
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2.  Resource allocation and resident outcomes in nursing homes: comparisons between the best and worst.

Authors:  R A Anderson; P C Hsieh; H F Su
Journal:  Res Nurs Health       Date:  1998-08       Impact factor: 2.228

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Authors:  A Elixhauser; C Steiner; D R Harris; R M Coffey
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5.  Variations in the outcomes of care provided in Pennsylvania nursing homes. Facility and environmental correlates.

Authors:  J S Zinn; W E Aaronson; M D Rosko
Journal:  Med Care       Date:  1993-06       Impact factor: 2.983

6.  Measurement into practice. Summary and recommendations.

Authors:  P H Mitchell; J Heinrich; P Moritz; A S Hinshaw
Journal:  Med Care       Date:  1997-11       Impact factor: 2.983

7.  Predicting in-hospital deaths from coronary artery bypass graft surgery. Do different severity measures give different predictions?

Authors:  L I Iezzoni; A S Ash; M Shwartz; B E Landon; Y D Mackiernan
Journal:  Med Care       Date:  1998-01       Impact factor: 2.983

8.  The performance of intensive care units: does good management make a difference?

Authors:  S M Shortell; J E Zimmerman; D M Rousseau; R R Gillies; D P Wagner; E A Draper; W A Knaus; J Duffy
Journal:  Med Care       Date:  1994-05       Impact factor: 2.983

9.  Nursing home resident assessment and case-mix classification: cross-national perspectives.

Authors:  S B Clauser; B E Fries
Journal:  Health Care Financ Rev       Date:  1992

10.  Comparing case-mix systems for nursing home payment.

Authors:  B E Fries
Journal:  Health Care Financ Rev       Date:  1990
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  3 in total

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Journal:  Nurs Res       Date:  2003 Jan-Feb       Impact factor: 2.381

2.  A cross-sectional survey to investigate the quality of care in Tuscan (Italy) nursing homes: the structural, process and outcome indicators of nutritional care.

Authors:  Guglielmo Bonaccorsi; Francesca Collini; Mariangela Castagnoli; Mauro Di Bari; Maria Chiara Cavallini; Nicoletta Zaffarana; Pasquale Pepe; Alessandro Mugelli; Ersilia Lucenteforte; Alfredo Vannacci; Chiara Lorini
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3.  Local interaction strategies and capacity for better care in nursing homes: a multiple case study.

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Journal:  BMC Health Serv Res       Date:  2014-06-05       Impact factor: 2.655

  3 in total

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