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Health Care Financ Rev. 1995 Summer;16(4):107-27.

Development and testing of nursing home quality indicators.

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  • 1Center for Health Systems Research and Analysis, University of Madison-Wisconsin, USA.


In this article, the authors report on the development and testing of a set of indicators of quality of care in nursing homes, using resident-level assessment data. These quality indicators (QIs) have been developed to provide a foundation for both external and internal quality-assurance (QA) and quality-improvement activities. The authors describe the development of the QIs, discuss their nature and characteristics, address the development of a QI-based quality-monitoring system (QMS), report on a pilot test of the QIs and the system, comment on methodological and current QI validation efforts, and conclude by raising further research and development issues.

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