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Health Serv Res. 2013 Aug;48(4):1256-78. doi: 10.1111/1475-6773.12021. Epub 2012 Dec 6.

Association between traditional nursing home quality measures and two sources of nursing home complaints.

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  • 1Department of Economics, University of North Carolina at Charlotte, Charlotte, NC 28223, USA. jtroyer@uncc.edu

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.

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