Jennifer L Troyer 1 , Wendy Sause Show Affiliations »
Abstract
OBJECTIVE: To test for an association between traditional nursing home quality measures and two sources of resident- and caregiver-derived nursing home complaints. DATA SOURCES: Nursing home complaints to the North Carolina Long-Term Care Ombudsman Program and state certification agency from October 2002 through September 2006 were matched with Online Survey Certification and Reporting data and Minimum Data Set Quality Indicators (MDS-QIs). STUDY DESIGN: We examine the association between the number of complaints filed against a facility and measures of inspection violations, staffing levels, and MDS-QIs. DATA EXTRACTION: One observation per facility per quarter is constructed by matching quarterly data on complaints to OSCAR data from the same or most recent prior quarter and to MDS-QIs from the same quarter. One observation per inspection is obtained by matching OSCAR data to complaint totals from both the same and the immediate prior quarter. PRINCIPAL FINDINGS: There is little relationship between MDS-QIs and complaints. Ombudsman complaints and inspection violations are generally unrelated, but there is a positive relationship between state certification agency complaints and inspection violations. CONCLUSIONS: Ombudsman and state certification agency complaint data are resident- and caregiver-derived quality measures that are distinctive from and complement traditional quality measures. © Health Research and Educational Trust.
OBJECTIVE: To test for an association between traditional nursing home quality measures and two sources of resident- and caregiver-derived nursing home complaints. DATA SOURCES: Nursing home complaints to the North Carolina Long-Term Care Ombudsman Program and state certification agency from October 2002 through September 2006 were matched with Online Survey Certification and Reporting data and Minimum Data Set Quality Indicators (MDS-QIs). STUDY DESIGN: We examine the association between the number of complaints filed against a facility and measures of inspection violations, staffing levels, and MDS-QIs. DATA EXTRACTION: One observation per facility per quarter is constructed by matching quarterly data on complaints to OSCAR data from the same or most recent prior quarter and to MDS-QIs from the same quarter. One observation per inspection is obtained by matching OSCAR data to complaint totals from both the same and the immediate prior quarter. PRINCIPAL FINDINGS: There is little relationship between MDS-QIs and complaints. Ombudsman complaints and inspection violations are generally unrelated, but there is a positive relationship between state certification agency complaints and inspection violations. CONCLUSIONS: Ombudsman and state certification agency complaint data are resident- and caregiver-derived quality measures that are distinctive from and complement traditional quality measures. © Health Research and Educational Trust.
Entities: Gene
Mesh： See more »
Year: 2012
PMID： 23216541 PMCID： PMC3725524 DOI： 10.1111/1475-6773.12021
Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402